Doctor's Life Simulator

Chapter 172 Admiration, Dr. Qin has thought of it a long time ago

Qin Lang is no ordinary rookie. In the treatment center of the burn department, under Wei Guoqiang, which doctor does not respect him, respects him, and with dozens of imitations, Qin Lang has long developed the air of a superior doctor. field.

Regarding Dr. Liu's self-righteousness, Qin Lang shook his head and insisted: "Dr. Liu, I don't think the patient simply has a perforated appendix combined with peritonitis, so I still need to invite a doctor from the gynecology team to come over for a consultation and do a peritoneal puncture at the same time."

"Because appendix perforation peritonitis is the most common disease, we need to be cautious and careful, especially for female patients. I think that in addition to the general medical history, we should do a serious auxiliary examination according to their physiological characteristics. I will go to ask now. Physicians from the gynecology team came for consultation."

After Qin Lang finished speaking, he left the consulting room straight away, watching Qin Lang's leaving back.

Dr. Liu frowned, a little helpless, young doctors nowadays are so assertive, so tough?

When I was a newcomer, if a senior doctor said a word, I didn't even dare to fart.

"I don't believe it. You can really find out something after consulting with a gynecologist and performing a peritoneal puncture."

Dr. Liu sighed. After all, he was a resident doctor in the burn department, so he couldn't manage it himself.Young people, you know humility when you hit a wall.

After a while, Peng Yun returned to the consulting room after rounds. Dr. Liu thought about it, but he was still worried:

"Doctor Peng, you stay here and watch. I'll go to the observation room. There is a patient with perforated appendix and peritonitis. I'll go check again."

Dr. Liu is going to check again in person, lest Qin Lang's nonsense will delay the patient's good opportunity for surgery.

Soon, Dr. Liu came to the observation room. The little girl was still in pain, lying on the hospital bed, looking very pitiful.

Seeing this scene, Dr. Liu was also a little puzzled, why Qin Lang would ask such exaggerated words, a [-] or [-] year old girl, who has a perforated appendix like this, can still ask her about her life history, Is the leucorrhea abnormal, this is what people do?
Qin Lang, maybe he has some special hobbies, Dr. Liu shook his head and walked over.

And when Dr. Liu was about to conduct an examination on the patient himself, a figure that made him a little terrified walked in outside the observation room.

Doctor Liu turned around and called out respectfully, "Director Zhuang, why are you here?"

The person who came was the chief director of the emergency department, Zhuang Tong. In the emergency department, director Zhuang was also a fierce figure who overshadowed the sky.

So, seeing Director Zhuang, Dr. Liu, a little resident doctor, had trembling legs.

When Director Zhuang saw Liu Peichun's quail appearance, he felt unhappy, but he didn't express it: "What's the condition of this patient?"

Liu Peichun said with some lack of confidence: "It is suspected to be perforated appendix complicated by peritonitis."

Zhuang Tong was a little dissatisfied with Liu Peichun's hesitation: "I'll watch from the sidelines, you can check it carefully."

Doctor Liu responded, then turned around to examine the patient again, and at the same time asked about the patient's condition again.

When Dr. Liu asked, Zhuang Tong on the side also listened carefully.

The patient saw so many doctors. After all, she was just a 17-year-old girl. She was a little scared and replied weakly:

"Yesterday I had a fever at first, and then I started to have abdominal pain. At first, the abdominal pain was here, here."

The little girl pointed to her lower abdomen, the suprapubic area.

Dr. Liu began to palpate and pressed the patient's lower abdomen, and the patient screamed out.

Seeing the patient's reaction confirmed his thoughts again, Dr. Liu looked back at Director Zhuang:
"The patient had obvious signs of peritonitis and tenderness in the lower abdomen. I thought it was peritonitis complicated by appendix perforation."

After all, Director Zhuang is not comparable to Dr. Liu. Although it is very similar to a perforated appendix, he can still tell the difference.

Then he asked out: "Are you sure you had a fever first, and then the abdominal pain?"

Seeing Director Zhuang's strong aura, the patient felt a little timid, so he nodded honestly: "Yes."

"Then when you started to have pain, it was in the lower abdomen, upper abdomen, or around the navel, have you ever had any pain?"

The little girl recalled and shook her head: "Before, I just vomited a few times, and my abdomen was swollen, and there was no pain in my upper abdomen."

Director Zhuang has roughly figured it out. Indeed, this symptom is too similar to perforated appendix combined with peritonitis, and it is indeed easy to make mistakes.Even when he was young, he made this kind of mistake, so when he encounters this kind of patient again, he will pay more attention, especially this kind of female patient, so he said to Dr. Liu:
"Peichun, although the patient does have abdominal pain and fever, and the clinical manifestations are very similar to those of perforated appendix peritonitis, but there is still a difference in your subtle distinction. Think again?"

Hearing what Director Zhuang said, Dr. Liu's complexion changed drastically. It really wasn't appendicitis, what was it?
Dr. Liu's brain was completely blank. Suddenly, he had a flash of inspiration. He thought of some operations of Qin Lang before, and then bit the bullet and said tentatively:

"Because the patient is a woman, in addition to the general medical history, an auxiliary examination should be done carefully based on the physiological characteristics? And some questions should be asked, such as the history of niche contact, secretion examination, and even a preoperative paracentesis?"

Director Zhuang was a little surprised when he heard Dr. Liu say such ideas. He had underestimated him before. Being able to think of these shows that his ideas are very broad and he has deep accumulation.

The most rare thing is that it seems that it can still be cultivated to break the habitual thinking of emergency physicians.

Zhuang Tong's face softened a little, and he gave a rare compliment: "Young children can be taught, like this, you go ask the doctor on duty in the gynecology department to come over for a consultation."

Zhuang Tong stepped forward and looked at the little girl with a serious face and a strong tone:
"The following questions I ask must be answered truthfully, otherwise there will be major mistakes in judging your condition. Answer me after thinking clearly. Do you have a history of contact with unclean niches recently, or do you have a boyfriend? Smelting travel history."

Qin Lang had already asked this question before, but now that such an old doctor asked this question again, the little girl finally understood that the abdominal pain in her opinion was inextricably related to those people before.

The little girl nodded honestly: "Yes. The day before yesterday, last Wednesday, last Monday night, and last Monday noon"

Physician Liu at the side felt his scalp tingling, and the question asked by Director Zhuang was exactly the same as that asked by Qin Lang.

Director Zhuang was expecting this. He has seen many girls like this. Although they are young, they are not clean at all, and there are even some with special occupations.

Director Zhuang continued to ask: "Then, have you had any abnormal leucorrhea or thick-smelling discharge from the ear-moon passage in the past few days?"

When Dr. Liu heard this question again, he was breathless again. It turned out that he really blamed Dr. Qin before.

Just, how did he know?
Facing Director Zhuang's cross-examination, the little girl finally broke down, crying and saying:
"Well, there's been a lot of leucorrhea in the past few days, and the discharge still has some pus and smell. Moreover, when I urinate, there is some burning pain at the opening of the urethra. I thought it had nothing to do with the abdominal pain, woo woo woo"

Listening to the little girl's explanation, Director Zhuang has basically confirmed the result, and now he needs to consult a gynecologist for an examination.

Turning his head, he looked at Dr. Liu who was still standing there, and reminded him again: "Hurry up and go to the gynecology department and find the doctor on duty for consultation."

Doctor Liu smiled wryly, and said a little ashamedly:

"Actually, Dr. Qin has asked all the questions you just asked, and he has already gone to the gynecology department for consultation. He also suggested a paracentesis."

Just as Liu Peichun finished speaking, Qin Lang walked in with Tan Yuexin, the chief physician of gynecology.

(End of this chapter)