Chapter 468
Zhou Yewu's mind was spinning rapidly. There were too many aspects to consider when Baihe's abdominal pain...
For example, acute pancreatitis!
This is also a possibility of acute pancreatitis.
Blood tests are needed for amylase and lipase, and abdominal B-ultrasound or CT to see if the pancreas is leaking.
Then for acute cholecystitis and cholangitis, liver function tests must be performed to see if the aminotransferase and bilirubin are elevated, and also to see if the abdominal B-ultrasound or CT are present, to see if there are gallstones, whether the gallbladder and bile ducts are enlarged and expanded, etc.
Even if there is intestinal obstruction, the abdominal x-ray film must be improved to see if there is a gas-liquid plane to eliminate it. However, the patient has intestinal rumbling sounds. When asked Zhou Yewu about medical history, he found that Shirakawa had a bowel movement in the morning, so intestinal obstruction does not support it!
A young man did nothing, so this is a good person, so there shouldn't be any intestinal obstruction, right?
Zhou Yewu's eyes fell on Baihe's pale face: "You can be responsible for what you said... You can't hide anything from me. You have confirmed that your bowel movements have been solved. You haven't had any surgery before, right?"
Zhou Yewu was careful and repeatedly confirmed that the matter of the tuberculosis patient in Chen Riyuan's respiratory department was still vivid in my mind, so Zhou Yewu was also paying special attention to these details when dealing with them.
He also has a basis for asking about the surgical history and stool, because generally, if there are patients who have undergone abdominal surgery, they should consider the possibility of intestinal obstruction, because there may be intestinal adhesion after the operation, causing obstruction.
But now it doesn't look like Shirakawa!
Baihe was a little anxious and kept asking Zhou Yewu: "Doctor, what's wrong with me? I have some doubts, right?"
Zhou Yewu's tone was still indifferent: "Let's talk about it when the auxiliary examination results come out. There is no auxiliary examination. Now, combined with your clinical symptoms and signs, I can't diagnose anything for the time being."
"Is there really no approximate answer to this?" Baihe asked repeatedly.
Zhou Yewu was also a little guilty when asked...
I know a fucking diagnosis!
With just your simple medical history, can I diagnose it directly with an abdominal pain?
He was a little helpless.
But in the end, in order to comfort Baihe, hesitated: "You are like an ordinary gastroenteritis, but you still have to wait for the results to come out before talking about it."
While writing the prescription, he told Baihe.
By the way, I would like to use some antispasmodic medicine. Seeing Bai He's face pale and bloodless.
"Doctor...I'm in pain."
"Stop yelling, I'll prescribe antispasmodic medicine for you, and I'll feel comfortable later."
Zhou Yewu and Shirakawa's communication seems casual, and the communication between peers seems to be indifferent.
"What is antispasmodic medicine?" Baihe asked.
This sudden problem surprised Zhou Yewu, but he still explained patiently: "Antispasmodic drugs are to relieve intestinal spasms and can relieve pain. There are also anti-inflammatory drugs. Use some levofloxacin to kill and sterilize it and get better quickly."
He explained casually.
There are actually many antispasmodic drugs commonly used in clinical practice.
For example, atropine, scopolamine and belladona are m receptor blockers that can block choline receptors and prevent the transmitter acetylcholine from binding to the receptors, showing the opposite effect of choline drugs, such as relaxing gastrointestinal smooth muscle, inhibiting gland secretion, dispersing large pupils, and accelerating heart rate.
These drugs are used clinically in various departments, especially for patients with abdominal pain. These drugs can be said to be cheap and easy to use.
Some female patients feel very painful in their menstrual pain, and they feel comfortable with just one injection of phlogenes...
Zhou Yewu carefully recorded Baihe's medical history in his hand, for fear of neglecting something.
It should be almost the same?
My question feels perfect.
Zhou Yewu paused for a moment, and after confirming that there was nothing missing, he handed the issued inspection application form to Baihe: "You go and do the inspection."
The social security card was handed back to Daobaihe's hands.
Baihe also breathed a sigh of relief: "I can finally do a checkup, and I can't stand the stomachache."
...
Baihe stood up and walked to the door, staggering.
Zhou Yewu looked at Baihe and said kindly: "Do you need a caregiver to push the wheelchair and let you do the examination?"
Shirakawa shook his head: "Thank you, the doctor... No, I can do it."
"Okay." Zhou Yewu sat on his chair and was about to dial the triage desk to get some patients in.
Baihe suddenly stopped: "Doctor... I've been tired these two days. Why don't you write me a sick leave form and I'll ask the company for a few more days off."
Zhou Yewu nodded.
Indeed, Baihe is like this, it is still suitable for a good rest and not to walk around.
"Then I'll make it for you for three days." Zhou Yewu took out the leave request form from the drawer as he spoke, with the official seal of Tianfeng Hospital.
Baihe turned around and felt a little embarrassed: "Why don't you give me a few more days? Three days don't feel enough."
Zhou Yewu winked: "You don't want to take a few more days off by asking for leave, right?"
Baihe spread his hands and smiled: "Doctor, okay, okay."
Zhou Yewu was a little helpless. This leave note was not issued casually. The hospital has its own rules and regulations.
He handed the leave note to Baihe and said politely: "Let's discuss this matter again. I'll give you three days off first. If there is more, gastroenteritis is not a serious illness... If it really doesn't work, you won't get better after three days. I'll give you a new leave note."
Zhou Yewu sent Baihe with a few words...
Baihe was a little sad, but he still satisfied and decided to go for a check-up first when he looked at the leave note.
Zhou Yewu waved his hand and agreed to Baihe's request.
But I felt a little panicked again...
If Shirakawa is fooling people and has no abdominal pain at all, then Zhou Yewu will be finished.
He is just like he is engaging in a leave request...
Zhou Yewu didn't dare to go down and think about it.
Soon, Baihe went to draw blood to check for routine blood, liver and kidney function, and electrolytes.
When all the reports were released, Zhou Yewu took a closer look and found that there was no major abnormality, and it was most likely that it was acute gastroenteritis...
So I didn't think much about it.
...
Intra infusion.
The bustling crowds and relatives visiting relatives made the whole room very noisy.
The whole environment is like boiling boiling water, restless and uneasy.
Baihe lay expressionlessly on the chair, hanging with a few drops. He looked up at the medicine bottle. Except for knowing what this sodium chloride is, the other medicines cannot be named.
"It's so uncomfortable, my head hurts no matter how hard it is." Baihe covered his head and felt a hint of hotness.
Is the medicine effective?
He closed his eyes and thought about everything that happened in the treatment room.
Baihe thought to himself that he should just endure it again.
So, he fell asleep while lying in bed.
He stood up until the nurse who was off work reminded him that he had finished all the chewings.
When I stood up, I almost couldn't stand firm and fell down after staggering.
Chapter completed!