Auto chess in the operating room

Chapter 73 Talented Listening
"Little doctor, do you know it or not? If you don't, don't waste time. Doctor Song should come here in person."

The family members of the patient couldn't stand it any longer. Although it was normal for the little doctor to assist in the examination, they were still a little worried about such a disobedient little doctor.

"Tang Lou, I'll say it again, strictly follow the procedures for pressing and checking."

Song Luo's tone was already very blunt. The emergency department is quite special. It is very common for the family members of patients to make troubles, so he naturally had to control the situation.

"Family members, please rest assured that Dr. Tang will conduct a physical examination under my guidance, and there will be no problems. I have more than ten years of experience in emergency medicine."

Song Luo was very senior, so he naturally calmed down the family members quickly. Then he looked at Tanglou and ordered: "Xiao Tang, now you investigate in order and give a conclusion. All family members and I are listening. If there is a problem, I will point it out as soon as possible.”

Tang Lou nodded. After all, it is a hospital in the city. Doctors have strict operating procedures, and there is no overstepping between ranks. Especially the spontaneous rupture of the bladder is too bizarre, and he couldn't find a reasonable explanation for a while.

However, Tang Lou was still able to speed up the steps:

"Generally speaking, for acute abdomen, we divide the abdomen into regions, which are:
Left upper abdomen, pressure pain may be caused by liver and gallbladder, right lower lung, pleura, diaphragm, and ribs.

Tang Lou pressed lightly, and the patient's abdomen filled with urine, so he would naturally feel pain, and squeezed out with a distorted face: "It hurts!"

The family members on the side were also worried, watching Tang Lou's steps nervously, and paying attention to Song Luo's reaction.

Song Luo was naturally a little puzzled, could it be liver and gallbladder?
However, the patient reported pain in the lower abdomen when it was just delivered.

Before Song Luo had too much time to react, Tang Lou had already pressed on his upper abdomen, and spoke at the same speed as a machine gun:
"Press pain in the upper abdomen, it may be stomach disease, duodenum, ulcer, pancreas, gallbladder, angina pectoris, aortic dissection, early appendicitis."

While Tang Lou was pressing, the patient hissed softly and spit out slowly: "It hurts a bit here too."

"???"

Song Luo became more and more surprised, ulcer, gallbladder?It is not impossible for the patient to drink heavily before.

Tang Lou's fingers have already touched the upper right abdomen, and the speed of speech is getting faster and faster:
"Press pain in the right upper abdomen, suspected stomach, pancreas, angina pectoris, spleen, left lower lung, pleura, diaphragm, and rib lesions."

The patient naturally expressed pain as expected by Tang Lou, and cold sweat dripped down his forehead, which could not be faked.

"Ok?"

Song Luo's brain froze a bit, and this reaction was somewhat beyond his expectation. It stands to reason that acute abdomen is rarely seen with pain in so many places at the same time.

Naturally, Tang Lou would not give Song Luo time to communicate, and directly pressed his hand to his left waist. Naturally, his description of the pathology was extremely accurate:

"Pain in the left lower back, most likely spleen, kidney, upper ureter, descending colon lesions"

The patient was very cooperative when Tang Lou said it and let out a cry, the pain was unbearable.

"Doctor, did you find out? It hurts, it really hurts!"

The patient's wife even listened to Tang Lou's exposition, and even gestured on her abdomen, and then she was dumbfounded, if she understood correctly.

Could it be that his husband's internal organs are broken?

The proprietress of that barbecue stall is said to be from the Miao nationality. Could it be that she has been poisoned by the Miao nationality?
How can that be good!

"Doctor Song, what's going on, what's wrong with my husband!"

The patient's wife was so anxious that she almost cried.

Song Luo also had cold sweat on his forehead, even with his senior experience, he was a little uncertain, it was too abnormal.

He even had a strange thought. Could it be true that as Tang Lou said, even if he did this abdominal press, nothing could be eliminated and it would be a waste of time?
Tang Lou's hand was already pressing on the patient's waist.

The patient's wife and other family members also followed Tang Lou's movements and compared their fingers to their corresponding positions.

Many contestants in the judging room also compared their waists. When recalling the places where they had pain, Tang Lou was still Tang Lou, the foundation was too solid.

It's just that they were a little puzzled, why he was a little abnormal at first, and he seemed reluctant to follow the process, obviously not because he didn't know, but because he was avoiding it on purpose.

So what is he thinking?
The various directors also quickly searched for this abnormal reaction in their brains. After all, it is very abnormal to feel pain in almost the whole abdomen when pressed.

Tanglou’s words reached everyone’s eardrums:

"Pain on pressing the waist, it can be speculated that the small intestine is pathological, and appendicitis is in the early stage."

The patient pursed his lips, but still felt pain. He instinctively pressed his neck lightly, and his whole body tended to curl up into a ball.

Begging for mercy from Tang Lou: "Little doctor, slow down, take it easy!"

Not only did Tang Lou's cold movements not stop, but he sped up a bit.

"I…"

The patient took another deep breath.

Tang Lou's hand had already touched the patient's lower right abdomen, and he spoke at a frighteningly fast speed:
"Right lower quadrant pain, suspected appendix, ileocecal, right appendix, mesenteric lymphadenitis, inguinal hernia, spermatic cord lesion."

Song Luo looked at the serious Tang Lou, his heart twitched for some reason, he couldn't understand this young man.

He is more solid than he imagined, and he is also very assertive. Could it be that his previous abnormal behavior has discovered something, but he is just not sure?
Song Luo thought so, but he had reached the end of the compression and was too embarrassed to stop it, and he couldn't stop it. Tanglou was too skilled and too fast.

"By pressing the patient's lower abdomen, we can speculate about bladder lesions."

Tang Lou deliberately paused here, and even used a little more force on purpose.

"Ouch! Little doctor, please lighten up. Ouch, it hurts. Shout out to Xile"

The patient almost jumped up, but he still held it back and pinched the sheets with one hand.

That kind of powerless and full-strength grasping, the collection of grievances and sadness, can be used as a close-up of a movie...

Tang Lou ignored it, and coldly pressed the last lower left abdomen again, and here he pressed a little lighter. Although the patient was in pain, it was much better than the previous pain.

The reaction was not so strong, but with tears in his eyes, he looked at Tang Lou with some hatred, what kind of a morally depraved face and what a pair of distorted hands were in the blurred tears!
"I'm Nima. I won't drink any more in the future. It hurts me to death."

After Liu Dishi finished pressing in Tanglou, he took a few heavy breaths, as if after giving birth, his whole body was weak and his face was pale.

"hu~hu~hu~"

"Doctor Song, after pressing and checking, the patient's entire abdomen is tender, which is very abnormal, but during the pressing process, the patient's lower abdominal pain is particularly obvious."

Liu Dishi was lying on the bed. If he could stand up, he really wanted to give Tang Lou a kick. Your lower abdomen was pressed desperately. If it hurts the most, there will be ghosts!
"So you suspect that there is a lesion in the patient's bladder?"

Song Lou was a little surprised. During such an abnormal physical examination, even he was a little confused, but Tang Lou's tone was very firm, so assertive.

"No, I don't suspect bladder disease, but I have a bold guess. Is it possible that the patient's bladder ruptured, resulting in full urine, and the patient's abdomen swelled, which also explained why the patient had abdominal pain."

"You said the patient was urinating all over the place?"

Song Luo couldn't believe it.

"You're just pissing, woo hoo."

The patient didn't know whether it was pain or anger, he couldn't speak, and couldn't stand the grievance in his heart.

Tang Lou didn't hide it anymore. After a round of pressing, everyone was officially puzzled, and Tang Lou activated his talent to listen at the same time.

[Talent: Listening, can instantly appease the emotions of patients, family members or passers-by, and quietly listen to the host's words.Activated: Countdown 1098]

"I know Dr. Song will definitely refute it. After all, bladder rupture must be caused by external force or other impacts. It is obvious that the patient is just drunk and lying on the bed, which is too far-fetched. However, I am not aiming without aim."

"Common acute abdominal pain is divided into three categories: visceral pain, radiating pain, and body pain. The patient's pain is obviously radiating pain. Due to the conduction problem of the common nerve pathway, the lesion in a certain position causes pain in other positions. Therefore , easy to misdiagnose or miss diagnosis.”

"In addition, the patient's abdominal dullness supports my inference. Perhaps Dr. Song will think it is abdominal bleeding, but it doesn't matter."

【Countdown: 32】

"To sum up, my inference is very likely. I suggest that the patient should be taken out of the paracentesis first, and the fluid should be routinely checked, which is conducive to early diagnosis and treatment!"

After Tang Lou finished speaking, everyone woke up from a strange feeling. When Tang Lou spoke just now, it was as if the only quiet voice in the universe was Tang Lou's voice, so convincing, calm, agree.

Song Luo was somewhat persuaded by Tang Lou, but the bladder ruptured spontaneously?Is it really possible?
After all, Tang Lou is just an intern. Is it possible that he just wanted to make a big splash for the sake of perfect assessment?
While Song Luo was hesitating, a figure came over, it was Lin Fang, the director of the emergency department of the city's first hospital:
"Xiao Song, do what Doctor Tang says!"

(End of this chapter)