bookpower Chapter 392
Chapter 392
Hear this,
The adoptive father completely burst into tears~~
"Woo~~~ I'm sorry, it's Dad who is incapable, and he doesn't have the money to treat you..."
"Dad, my parents don't want me, it's you who picked me up and gave me love, I'm already very happy... I hope my father will find a beautiful mother in the future and give me a sister..."
"Woo hoo... Don't say these stupid things, daddy will always raise you ... I've sent more than 100 letters to that hospital, and they'll receive it one day..."
In the past two months, Zhang Zhu, who was spending money everywhere, suddenly heard someone else say something.
The First Municipal Hospital of Peng City used to do an activity to transplant bone marrow to leukemia patients for free, and since then, Zhang Zhu has begun to write letters every day and mail them to the First Municipal Hospital.
But
Things never went unanswered.
More than a hundred letters, gone forever ...
As for the phone,
The call never went through.
"It must be... Don't worry, baby..."
Zhang Zhu burst into tears.
......
......
City First Court,
Department of Administration,
"Boom~~~~~~~~"
A colleague, from the outside, carried a large pile of envelopes and fell to the ground.
"What?"
"So many letters?"
"Yuhua, are you crazy? Where did it come from? "
"Someone sent a letter?"
Colleague Yuhua said: "These are turned over from the old mailbox, which has not been used for a long time, and I don't know why there are so many envelopes... If it weren't for the cleaning aunt running to clean, I guess I wouldn't have known so many letters... By the way, many of these letters were sent by the same person. "
"Huh? The same person? "
At this time, all colleagues gathered around curiously.
"Zhang Zhu... Zhang Zhu... Zhang Zhu..."
"Hey, it's really the same person..."
"Take it apart and take a look..."
"Doctor of the First City Hospital, hello, my name is Zhang Zhu, I have a daughter leukemia... (Full of 6 sheets, thousands of words...) ）"
soon
The letter spread throughout the department,
It caused a lot of discussion!
...
Subsequently, the letter began to reach Wang Chang, the president of the first court of the city.
......
......
At this point,
Lin Feng is working at Harmony Hospital.
The patient in front of me is a fat man,
Aged 33, Huang Wei, male, fund manager.
At lunchtime, he suddenly had a stomachache, took medicine and went to the toilet...
I tried the soil method, drank a lot of water, and tried to pull it out, but in the end it was unsuccessful.
It hurts all the time.
Then, at the suggestion of his wife, he took a car to Harmony Hospital.
But I also tried to go to the toilet, but I didn't get better, I felt a colic in my stomach, and the pain did not ease for more than 2 hours, and I came to the hospital and emergency department under the supervision of my wife.
Then the triage nurse saw that he was more urgent, possibly more dangerous, with an acute abdomen, so he cut the queue and assigned him to Lin Feng.
"Doctor Lin, quickly help me get painkillers... Can't stand it..."
Lin Feng looked at the patient Huang Wei's pale face and sweaty forehead, it should not be fake, it is estimated that it is not the addiction last time - the gentleman wants to deceive Du Lengding.
However, painkillers should not be beaten indiscriminately, and it is easy to disrupt the diagnosis.
"Go to bed, I'll give you a physical examination..."
The patient, supported by his wife, lay in bed...
How long does it hurt? Lin Feng lifted his shirt.
"It's been more than 2 hours..."
"What's the pain?"
"It hurts all the time, it doesn't stop, it can't be pulled out, it's useless to drink water and take medicine..."
"Where it hurts the most, point it out to me." Lin Feng said.
"Here... (pointing to the right lower abdomen)... It hurts everywhere, but it hurts the most here..."
Right lower abdomen...
Lin Feng groaned,
What's in the right lower abdomen?
• Appendix!
・ Cecum!
Ascending colon (one of the right parts of the M large intestine, the direction of digestion is upward, so it is called 'ascending' colon)...
Lin Feng pressed,
There is no feeling of hard state.
Excludes intestinal obstruction, plate abdomen (acute diffuse peritonitis due to acute gastrointestinal perforation or organ rupture, abdominal muscle spasm due to peritoneal irritation).
Consider that most may be appendicitis!
Then, Lin Feng began to ask: "Is it painful here in the first place?" Or is it painful in some other location? "
PS: Review: Appendicitis, often appears first perinavel pain, and then gradually transition to right lower quadrant pain (nerve conduction, brain miscalculation).
Huang Wei recalled a little: "It really seemed that the pain around the navel was worse at the beginning, and then it was the pain in the right lower abdomen..."
Hear this,
Lin Feng was more certain that it was appendicitis.
However, wait to go back to X-ray to diagnose, don't make a conclusion so quickly.
"Do you have nausea, vomiting, and a bloated stomach?"
Lin Feng continued to ask.
"No, I didn't vomit, my stomach didn't swell, I didn't stretch..." said patient Huang Wei.
At this point,
Xiaoru has begun to measure the patient's blood pressure and heart rate, and they are still normal.
Blood sugar is also normal.
"Give me the stethoscope..."
"Give..."
Lin Feng took the stethoscope and began to listen to the intestinal sounds of patient Huang Wei...
• No pronounced bowel sounds.
Further exclusion of intestinal obstruction...
Next, Lin Feng did a "colonic inflation test".
Specifically: The patient lies on his back, pressing the patient's left lower abdomen (descending colon) with one hand to block the intestinal gas, and then squeeze the transverse colon with the other hand. The gas in the transverse colon will run to the left (descending colon) and right (ascending colon), can not run to the left, can only run to the right (ascending colon), all the way retrograde, transmitted to the cecum and appendix, if the appendix has inflammation, then the pain in the right lower abdomen will intensify, this is the "colon inflation test".
Lin Feng began to conduct a "colonic inflation test"...
"Ah~~~~"
really
The patient screamed in pain.
Obviously, there is a high probability of inflammation of the appendix.
99% probability!!
"By the way, what medical history do you have?"
Lin Feng asked.
"Yes, I have had a hernia before, but I haven't had surgery."
Burst~~~~~
Lin Feng didn't turn around all of a sudden.
"Where?"
"Here... (Patient Huang Wei points to his right abdomen)..."
Vozh!
Hernia?
Why didn't you say it earlier!!
Lin Feng was shocked.
If the patient's abdominal pain is not appendicitis, but hernia.
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ps: So much for today, book lovers ~~~
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