Chapter 324： 【324】The elusive disease

Chapter 324 [324] The elusive disease

Clinical patients are often like this, and they can't tell where they hurt.

When you say that your leg hurts, you can touch your entire leg, when you say that you feel your back pain, you can touch your entire waist, or even touch the front belly. When you say that your stomach hurts, it's even more exaggerated.

When encountering such a patient, the first step for the doctor must be to determine which part of the patient is hurting. There are many digestive organs in the human body, and I don't know which one is the problem and how to deal with it. Question: This kind of patient who likes to touch the whole belly, if you palpate him, he may feel the pain of your pressing everywhere.

The patient said that he had a stomachache, but it was okay to have a gastroscope, but he had a black stool?

"Have **** occult blood? Only one plus."

"That's right, so the doctor said it's not heavy."

The patient's answer must not understand the deep meaning of the doctor's words. Xie Wanying knew that Mr. Tan said a plus in the mouth meant that the stool was weakly positive for occult blood, but it was not necessarily stomach bleeding, but it could also be hemorrhoids or small intestinal bleeding.

"What do you usually like to eat?"

Eating habits are the biggest risk factors for digestive tract diseases, so ask them clearly.

"I usually work in the company and eat lunch boxes."

"drink wine?"

Men must drink and smoke. Drinking and smoking are also high risk factors.

"I rarely drink or smoke." The patient denied.

Seeing the patient's face answering a question does not seem like a lie. Smell, there is no strong smell of smoke or alcohol on the patient.

asked this, the doctor stopped. The atmosphere in the room was subtly quiet.

The young man looked at the two doctors in front of him. He didn't know what was going on, and there were little puzzled eyes in his eyes. Obviously he didn't say anything wrong.

The head of the pen Xie Wanying was holding rested on the medical record paper.

Teacher Tan beside her was thinking, and she was also thinking nervously.

According to the previous consultation, this patient does not seem to have any major problems. The internist in our hospital also did gastroscopy, no major problem.

Could it be that the patient has a mental problem? Are you stressing your body too much? Otherwise, I didn't pull the black stool after a little black stool. I had a gastroscopic examination and it was all right, but I actually came back to the deputy head of the surgical department.

Some young people are more afraid of death than the old people, and if they make a fuss about minor illnesses, they have to find a specialist for consultation and peace of mind. Such patients are not uncommon in outpatient clinics.

Seeing that the doctor didn't speak, the young man was worried and explained, "My friend said that the internist can't see it, so I can't find a surgeon."

It turned out that this was the reason why the patient suddenly came to the surgery.

If internal medicine is not available, you can find surgery, but if you have indications for surgery, you need surgery indications.

What can the expert doctor do after hearing this? Crying is neither laughing nor laughing.

Xie Wanying doesn't need to look at Teacher Tan's expression to know: Teacher Tan is a complete Buddha.

The time goes by every second, so we have to make it clear to the patient.

Why don't you prescribe some medicine to help digestion?

"Is your stomach bloated?" Xie Wanying asked. After speaking, she realized that she had forgotten Teacher Sun's advice, and there was no teacher instructing her not to take the initiative to interrupt.

Take a look at Teacher Tan. Teacher Tan didn't give her a silent look.

"Bloat." The patient replied.

Stomach bloating is a common symptom of digestive tract diseases, and a problem cannot be identified. The patient shrugged his shoulders after answering, thinking that the doctor asked this question in vain, but without thinking about it, the young female doctor opposite suddenly said this: "Do you often eat hot pot?"

"I, I don't eat it often." The young man's tone was a little nervous, as if he himself knew that it was not good to like hot pot.

(end of this chapter)