Sleepless Doctor

Text 1147 Long search to no avail

Zhang Zimo thought for a long time after receiving the call from Lin Daoshi.

Spicy strips? What the **** is the spicy strip? !

Because he didn't know what Latiao was, Zhang Zimo even searched the Internet and called two nurses in Corey to ask about Latiao.

It turned out to be gluten. After eating this thing, will it cause abdominal discomfort for more than half a year? Zhang Zimo felt that this statement was rather loose.

If the patient has any discomfort, it will not be caused by gluten.

Although he felt that Lin Daoshi was troublesome, Zhang Zimo gave him great respect. After he hung up the phone, he contacted the relevant nursing staff and waited for the patient to come to see a doctor.

After waiting for nearly an hour, Zhang Zimo received a call from the patient’s family and saw the patient himself.

The patient was 10 years old, thin and looked like malnourished.

Zhang Zimo's first feeling was a parasitic disease.

After asking about the medical history, I learned that the patient and his classmates bought a pack of spicy noodles in a small shop outside the school in July last year, and shared them with each other.

The weird thing is the spicy strips.

Only the patient has a problem, and no one else responds.

The patient complained of abdominal distension and abdominal pain that night when everyone ate the spicy strips together. He went to the local town hospital for treatment. The doctor thought it was indigestion, so he orally took Jianweixiaoshi tablets.

This is the beginning of a nightmare, and the child's mother remembers it clearly. So she insisted that it came from eating spicy strips, and Zhang Zi had nothing to say about it.

If there is a problem with spicy strips, why are the other kids okay? The child's mother couldn't explain this question, but Zhang Zimo could see her stubbornness.

However, the patient did not get any better. After half a month, the child's belly became more and more bulging, and the family was worried, so he took the patient to the county hospital for treatment.

The patient’s family members also brought the B-ultrasound results, and Zhang Zi silently saw the thickening of the intestinal wall and the diagnosis of ascites.

Do you have ascites when you eat Baoli Teow? Zhang Zimo doesn't think so, he thinks these are just coincidences.

The doctor in the local county hospital considered the high probability of tuberculosis ascites, and asked the child to go to the infectious hospital to continue the diagnosis.

After being transferred to the infectious disease hospital, the doctor also considered the ascites caused by tuberculosis and was hospitalized for examination. However, no matter how the sputum culture was checked, Mycobacterium tuberculosis was not detected, and the diagnosis could not be made, and only symptomatic treatment could be done.

The diagnosis has not been confirmed for a long time, and the patient's father took the patient to the Pediatrics Department of Linzhou First People's Hospital in a fit of anger.

The pediatrician denied the possibility of tuberculous ascites, because of the previous history of oral irritating food (hot strips), and the initial diagnosis was Henoch-Schonlein purpura.

Because it is a self-limiting disease, only symptomatic treatment and enhanced nutrition are given.

After that, the child improved slightly, but within half a month he experienced abdominal pain again. There was no way at home, so I had to go to a higher-level hospital—the Pediatric Department of the First Hospital of Provincial Medical University.

Zhang Zimo knew that this had reached the limit for a rural patient.

The diagnosis by the doctors of the First Hospital of Medical University is the same as the diagnosis of the Pediatrics Department of Linzhou Hospital-Henoch-Schonlein purpura.

The patient's past history is up to this point, and the diagnosis is made, but the patient has not improved. The pain in her abdomen worsened yesterday, so during the epidemic, the father of the patient had the courage to take the child out to see the doctor.

After understanding the medical history, Zhang Zimo's physical examination found that the patient had pain in his entire abdomen.

Allergic purpura? Because of the delay? Zhang Zimo doesn't think so. He consulted several directors of pediatrics, but no results.

Zhang Zimo sits on wax.

When he thought of Lin Daoshi, he didn't know what it was like.

Similar patients should be sent to the pediatrics department instead of looking for a director who is critically ill. He knew that Mr. Wu Mianwu was very busy, so he could not trouble Mr. Wu as much as possible.

You can only contact Director Liang.

If there is no epidemic, Director Liang will bring his own people to the Fifth Hospital of Malay Medical University in the next year. As his own, Zhang Zimo doesn't particularly care.

After listening to Zhang Zimo's introduction, he drove and took a look at the patient. Director Liang pondered for a long time.

"Director Zhang, why do I think this diagnosis is unreliable."

"Then what do you think?"

"I feel like a rare disease-eosinophilic gastroenteritis."

"Uh, this is too rare." Zhang Zi said silently.

Eosinophilic gastroenteritis is a rare disease, not particularly rare, Zhang Zimo said nothing wrong.

"Generally speaking, eosinophilic gastroenteritis usually affects the gastric antrum and proximal jejunum. I have seen a few cases. Didn’t you see it?" Director Liang said, "Let’s take a gastroscope and see. significance."

"Director Liang, what have you seen?"

"Generally, it is a solid or rubber-like, smooth, sessile or pedicled polyp-like mass that protrudes into the cavity and can cause pyloric obstruction." Director Liang said affirmatively, "Lao Zhang, let me ask you a few things."

"you say."

"The child has ascites, how do you think about it?"

"There are too many possibilities. Cardiovascular disease, liver disease, peritoneal disease, kidney disease, dystrophic disease, abdominal metastasis of malignant tumors, ovarian tumors, and connective tissue diseases may all cause it."

"This is a child. For the time being, there is no possibility of cardiovascular, liver, kidney, or malignant tumors~www.wuxiaspot.com~ My first thought was caused by intestinal tuberculosis, but the test was negative. This is temporarily ruled out.

After all, the patient is still a child, and if there is no rheumatic immune disease, eosinophilic gastroenteritis is more likely. "

Zhang Zimo didn't quite understand the evolution of this disease. He looked at what Director Liang said for sure, and could only remain silent.

Almost no one performed gastrointestinal endoscopy during hospitalization, inspections, and catching up with the epidemic.

So there was no need to make an appointment, and I greeted Matthew De and went through the consultation procedures. The next day, Director Liang gave the child a gastrointestinal endoscopy.

Unexpectedly, the child's test result was negative.

In other words, the final diagnosis was not a rare disease that Director Liang thought might be eosinophilic gastroenteritis.

Suddenly the two of them were helpless, Director Liang whispered that it shouldn't be.

However, he did not see any signs of eosinophilic gastroenteritis in the endoscopy, and the diagnosis was invalid. After racking their brains, Director Liang and Zhang Zimo did not give a definitive diagnosis.

Zhang Zimo even wanted the patient to visit the Imperial City.

However, at Jianxie Hospital, the last checkpoint is to consult with Teacher Wu.

See how the patient's luck is, Zhang Zimo dialed Wu Mian's phone.

"Director Zhang, something is going on?" Wu Mian quickly connected to the phone and asked. The patient's luck is still good.

"Teacher Wu, are you busy?"

"Well, something happened. I'm reading a paper."

"Thesis?" Zhang Zi was taken aback in silence.

The situation in Tianhe City is very severe. Batches of medical teams rushed over to provide support, but the situation has not been reversed. Why is Teacher Wu still in the mood to engage in scientific research.

"I'm thinking about the virus's choice. By the way, you can tell me what's the matter with me first."

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