Boom, boom, boom!

There was a knock on the door, which was so pleasant to the ears.

I will get off work soon. The probability that this person is a follow-up patient is very small.

Generally, follow-up patients will be concentrated in the morning or the beginning of the afternoon.

Zhou Can is ready and waiting to earn experience points.

"Please come in!"

Dr. He's voice is always so gentle and strong.

The door of the consulting room was pushed open, and a man about forty years old walked in with the support of his family. He pressed his abdomen with one hand and looked in pain.

"Ah yo, ah yo... Doctor, I have a severe stomachache. Please help me take a look!"

The man's face turned pale in pain, and cold sweat broke out all over his forehead.

"Sit down first!"

Dr. He seemed very calm and calm.

"When did the pain start?"

"It's been two days, it's been hurting for two days, ah yo..." The man kept groaning miserably.

To inflict such pain on a middle-aged man, the level of pain must be quite high.

"You didn't eat anything poisonous, right? For example, poisonous mushrooms, toads, and farmed vegetables and fruits."

"No, definitely not. I have been eating at home these days, and my wife and children are fine."

"Do you smoke or drink?"

"Um."

"Do any family members have a similar medical history?"

"No!"

"Here, help him lie down on the bed, and I will do a physical examination."

Dr. He directed the family members to help the patient lie down on the bed and began to perform examinations.

Zhou Can also got up and followed him to take a look.

Based on the patient's description and symptoms, he has begun to make pathological inferences.

However, due to the lack of examination data and his lack of experience in clinical diagnosis, it was difficult to clarify the patient's pathological mechanism.

Because there are so many reasons that can cause abdominal pain.

Peritonitis, gastroenteritis, gallstones, appendicitis, etc., many diseases can cause severe abdominal pain.

Dr. He presses the patient's abdomen with his hands.

"Ah yo... be gentle, be gentle..."

The patient immediately screamed.

"This is the only place that hurts, right?"

"I also have pain in my right shoulder and right back, but it's not as severe as my stomach."

After hearing this, Zhou Can immediately understood that this was radiating pain caused by severe pain in the upper abdomen.

Just like throwing a stone into a pond, with the point where the stone hits the water as the center, a circle of ripples will be formed that spreads out in all directions.

Pain is the same.

It is transmitted through nerves to surrounding areas.

This phenomenon is called radiating pain in medicine.

Now it can be basically concluded that the initial pain area is in the right upper quadrant.

"Did your abdominal pain suddenly appear two days ago, or did it appear slowly?"

"It appeared suddenly. There was no sign. It suddenly started to hurt, one after another. And every time it hurt, the pain would get worse. Later on, the pain was so unbearable that I even vomited several times."

The patient provided another clue.

Therefore, consultation is still very important.

Don't be afraid of trouble, you must ask for more relevant information.

"Since the pain is so severe, it shouldn't be possible for you to delay coming to see a doctor until now, right? Have you been treated in other hospitals?"

Dr. He has rich experience in diagnosis and treatment. He can immediately infer some truths that the patient has not disclosed based on the patient's description.

"Uh... I did go to a small clinic. I was given an infusion, which was said to be anti-inflammatory. It had no effect. The owner of the clinic was afraid that something might happen, so he advised me to go to a big hospital for treatment."

Those small clinics always give patients infusions.

Various antibiotics are overused, and small clinics are the most guilty.

For some minor colds or minor symptoms, intravenous infusion and antibiotics can indeed take effect very quickly.

As everyone knows, this is a bit like drinking a dove to quench thirst.

I recovered quickly this time, but my body's immune system has been disrupted and weakened, making me more likely to get sick next time. The illness will be more serious.

Repeatedly, a vicious cycle is eventually formed.

When patients really need antibiotic treatment, they will sadly find that no medicine is available.

Because the virus in the patient has developed severe drug resistance.

Even a cold may cause the emergence of a super virus.

"In addition to abdominal pain, right shoulder pain, and right back pain, are there any other symptoms? When I touch your abdomen, it feels a little hot!"

The physical examination is the initial examination after the doctor's consultation.

This is very important.

It can help doctors discover some hidden diseases of patients.

Some patients may feel embarrassed or think it is not important, and may deliberately conceal some symptoms. This requires a sharp eye on the part of the doctor.

"I feel like I have a fever and chills."

"Well, let me take your temperature, heart rate, and blood pressure first. Relax a little and don't be nervous. When you get to us, we will definitely do our best to treat you."

After Dr. He comforted the patient, without waiting for his instructions, Zhou Can quickly rushed to measure the patient's blood pressure, heart rate, and temperature.

How can senior doctors do these basic tasks themselves?

Be more diligent and Dr. He will definitely be happy to see it.

If you ask to take him to a consultation next time, the probability of agreeing will increase a lot.

"The body temperature is 39.6, the pulse is 98/min, and the blood pressure is 120/mmhg. Percussion of both lungs shows no abnormality. No murmur is heard in the chest during breathing, and the breathing is about 25 times/min."

Zhou Can made a series of measurements on the patient.

The range of 39.1 degrees to 41 degrees is considered a high fever.

This patient's condition is more serious and complicated than imagined.

"Let's do a blood routine and ultrasound examination first. If the results are not satisfactory, we may need to do a further CT examination." Dr. He said this not only to the patient, but also to Zhou Can.

Zhou Can quickly ran to the computer to apply for a medical examination.

"Because your condition is complicated, the outpatient department will be closed soon. Before your examination results come out, the cause of the disease is unclear and cannot be admitted to the hospital. I suggest that after you complete the examination, you can go to the general surgery department of the inpatient department to find Dr. Fang. I will follow up.

He explained the relevant situation well."

The patient's condition may deteriorate further at any time.

Doctor He didn't dare to take it lightly.

If the condition is not serious, the patient is usually asked to come back the next day.

After the patient left, Dr. He stood up and prepared to leave work.

"Xiao Zhou, how are you? Follow me for a whole afternoon of consultation. Have you gained anything?"

"I have gained a lot. I have benefited a lot from the procedures and methods of handling various patients, especially the medical ethics and style. You have set a very good example for me."

"Haha, you have such a sweet mouth. Okay, it's time for the nurse at the consultation desk to come and close the door. Let's go."

After Zhou Can followed Dr. He out of the consulting room, he was still thinking about what disease the last patient had.

There is only 1.4 experience points left, and he is not willing to give in!

There was severe pain in the right upper quadrant, which radiated to the right shoulder and right back. The patient also had a habit of smoking and drinking. In addition, the patient had a high fever and chills. All these symptoms together seemed like a problem with the bile duct.

Could it be common bile duct stones?

Zhou Can seemed to have caught something, his eyes became as bright as stars.

Every time a doctor diagnoses a patient, it's like doing a math problem.

After calculating the results, you will feel a special sense of accomplishment.

[Pathological diagnosis experience value 0.4.]

The experience points that you have been longing for appear again.

It’s just that I added a little less!

Only increased by 0.4.

Under normal circumstances, for clinical diagnosis, as long as the answer is correct, 1 experience point will be added.
Chapter completed!