"Have you had chronic gastritis, gastric ulcers, and gallbladder stones before?" Zhou Yewu began to ask about his past situation.

Past history After the medical history is present, the past history can help diagnose faster.

For example, if there were gallbladder stones in the past, then this time, we might consider the aspects related to the gallbladder and pancreas, which can shorten the diagnosis time faster.

"Gabuloskeleton?" Baihe thought carefully, with confusion in his eyes.

Shirakawa: "Doctor, do you suspect I have a gallbladder stone?"

Zhou Yewu shook his head: "I'm asking you if you have any gallbladder stones before. Don't stagger the topic and misinterpret my meaning."

Baihe said softly with aggrievedness, then slowly said, "I have never had gallbladder stones. But my father has gallbladder stones, and he has had surgery. Could this thing be inherited, right?"

"Well... this has certain genetic factors, but the probability is very low." Zhou Yewu recorded this detail.

Baihe's father has a history of gallbladder stones, a history of gallbladder surgery, and has recovered after surgery.

He wrote this thing on his blank paper and took a look, and it felt like it was a useless clue.

"You have already had a physical examination. You should confirm that you have no gallbladder stones, right?" Zhou Yewu asked.

Baihe recalled the school physical examination he had just done a month ago. He had a liver and gallbladder ultrasound program at that time, but the doctor did not tell him anything abnormal.

And he clearly remembered that the examination report did not seem to indicate "gallbladder stones"!

"No." Baihe replied firmly.

He doesn't have this ghost's gallbladder stones.

Baihe still felt that he had a bad stomach... because he often had irregular meals...

There are many snack streets and midnight snacks.

Zhou Yewu asked again: "Since you say you have bad stomach, will you have abdominal pain in your daily life? For example, it hurts when you don't eat, or after you have a full meal. Is there any routine for your stomach ache?"

Zhou Yewu heard Baihe say that he had a poor stomach, so he was naturally willing to think according to the patient's opinions.

Some patients are not sure whether they have gastric ulcers, so they must ask about the specific symptoms. If they do not have frequent stomach pain, they will probably not have chronic diseases such as gastric ulcers.

Young people also suffer from duodenal ulcers, which cause more obvious hunger pain.

...

Listening to Zhou Yewu's question, Shirakawa said without thinking: "No, either. He is usually very healthy, and he can exercise, play basketball, and play football regularly."

"Okay." Zhou Yewu quickly recorded, and was also thinking about the possibility of Baihe's fault.

It seems that there is really no clue at all now.

There are no clues for consultation, and there are no clues for physical examination.

During the physical examination a few minutes ago, he clearly remembered that after pressing Bai He slightly, there was no obvious abdominal tenderness or rebound pain.

There are no signs of acute peritonitis!

Most of the abdominal pain and vomiting of a young person are acute gastroenteritis, but it is also necessary to rule out whether there is appendicitis, cholecystitis, pancreatitis, intestinal obstruction, gastrointestinal perforation, kidney stones, etc.

So he also checked Mai's point at that time, and even Murphy Zheng also checked it.

However, there is no tenderness in the lower right abdomen of Baihe, and there is no history of abdominal pain in the past, it is estimated that the basis for diagnosis of appendicitis is insufficient.

If you have appendicitis, usually there will be tenderness in Mai's spots. The typical manifestation of appendicitis is first upper abdominal pain, then pain around the navel, and finally transfer to the right lower abdominal pain.

This metastatic pain can be said to be very special in the diagnosis of appendicitis...and this is all related to the severity of appendicitis.

At first it was a pain, but later it was a real inflammation that affected the pain caused by local tissues of the appendix, so the final pain would be fixed at the right lower abdomen Mai's point.

"The liver and gallbladder area is negative, and the liver and gallbladder problem is probably not serious. The gallbladder Murphy's sign is also negative, and you have no jaundice..." Zhou Yewu said to himself.

At this time, Baihe seemed to have heard the muttering words from Zhou Yewu.

Baihe: "Doctor, I won't be cured, right? I'm the only young man in our family... My parents are still counting on me..."

Baihe didn't say anything more, and it would be a bit like cursing his parents if he continued.

He originally wanted to say...and expect him to send the two old people to the end...

...

Zhou Yewu had no expression on his face: "You are thinking too much, wait until the auxiliary examination results come out, okay? Don't worry about it too much."

Zhou Yewu's tone was quite cold and ruthless, which made Baihe feel like he didn't know whether he should have a bottom line or not.

Baihe said to himself: "Does the doctors speak like this?"

Zhou Yewu looked at Baihe and thought to himself: "Am I a little too cold just now..."

The two looked at each other and suddenly became silent.

Zhou Yewu thought of a question, that is kidney stones?

Is there such a possibility?

When he thought of kidney stones, he also remembered that he had less examination for Baihe!

That is the pain of kidney area percussion!

"Lying down." Zhou Yewu said coldly.

Baihe was confused, what is this operation...

"Lying down?" Baihe repeated the way Zhou Yewu said.

This made Zhou Yewu want to laugh a little, but he still held it back.

"I'll let you lie down, I'll do some examinations, just lie on the treatment bed." Zhou Yewu pointed to the pillow of the treatment bed.

"Didn't you checked your body just now?" Baihe's reluctance was written on his face.

In fact, every change in position made him feel a little uncomfortable, so he cooperated with Zhou Yewu for examination and felt a little uncomfortable.

Zhou Yewu explained: "I remembered the possibility of your kidney stones, so I will give you a knob pain in the kidney area."

"Kidney stones? How could I have that thing?" Baihe was confused.

Isn’t all the kidney stones that he thinks are easy to get from middle-aged greasy uncles and old people?

Why did he, a young man, have kidney stones?

Baihe looked at Zhou Yewu with some confusion.

Zhou Yewu raised his eyebrows: "Age is a factor, but other problems are also a factor, and it does not mean that young people will not have stones."

After saying that, he asked Baihe to turn over, then told him to put his position and lay on the treatment bed.

Zhou Yewu quickly and simply tapped the kidney area twice, and then said, "Does it hurt?"

Baihe shook his head: "It doesn't hurt, I just have stomachache, but my waist and back doesn't hurt."

Zhou Yewu said "yes".

There is no pain, and it is probably not like renal colic caused by kidney stones, ureteral stones, etc.

He also quickly ruled out common causes of acute abdominal diseases in his heart, such as acute appendicitis, cholecystitis, cholangitis, intestinal obstruction, gastric ulcer, gastric perforation, etc. Baihe now has no history of gallstones, and there is no history of overeating this time, unlike pancreatitis.

Of course, all diagnosis must be supported by objective evidence to draw conclusions...
Chapter completed!