Auto chess in the operating room

Chapter 15 She Had a Branchial Slit Fistula
Cold sweat came down from his back, Liu Tong was very embarrassed, but he was not like Li Fan, who didn't make a diagnosis without full certainty?
As long as the posture of diagnosis is serious and what the patient knows, he will be fooled if he can.

Treatment varies from person to person, depending on the environment and climate. Even for the same disease, there are priorities. With the same treatment, some people are cured, and some people are not well, which is normal.

So Liu Tong regained his composure, with an unfathomable look on his face:

"Little girl, you don't have to worry. It's just that the previous operation didn't heal well, and it's a complication caused by bacterial infection. Just do a puncture and drainage, and then reduce the inflammation. I'll prescribe some medicine for you, just take it on time. You'll be fine soon." It has recovered. But you must pay attention to hygiene in the future, if the wound is infected, it will recur."

Liu Tong said solemnly.

"Okay, doctor, I must pay attention to the wound. It has indeed been repeated many times. The doctor also said that the abscess was infected before. It's all because I was too careless."

Huang Ye pursed his lips aggrievedly, he was naturally very convinced of the doctor's diagnosis, and he blamed himself very much.

Huang Ye's uncle also echoed from the side: "Dr. Liu is right. Xiao Ye just didn't pay attention to the wound, and he was always infected. It happened several times. I hope he can recover this time."

"Well, it's okay. After that, the hospital will arrange puncture and drainage for you to drain the pus, give you antibiotic treatment, disinfection treatment, and suture again. You can rest assured and take care of yourself."

Liu Tong gave his conclusion gently, as well as the precautions for panacea: "During this period, pay attention to avoid raw, cold and spicy, drink plenty of hot water, and sleep regularly."

Huang Ye hummed obediently.

"Then follow my diagnosis, Dr. Li."

Liu Tong stared at Li Fan, as if ordering a subordinate, and then looked at Tang Lou: "This is the basic quality of an attending physician, instead of always tossing patients with various insignificant and cumbersome examinations."

Hearing Liu Tong's words, several patients and family members were deeply convinced.

"Is it?"

Regarding Liu Tong's warning, Tang Lou did not agree, but walked away and stood in front of Huang Ye's bed.

"Tang Lou, what are you doing?"

Liu Tong was very surprised that Tang Lou didn't understand the dignity of the hospital, and even ignored his own admonition, and went to the patients. What is he going to do?
[Patient's name: Huang Ye, age: 13
Symptoms: sore throat worsened for 8 days, left neck pain for 1 day, anti-inflammatory treatment for 1 week, low fever, no chills. 2 years ago, there was a history of neck abscess, which underwent puncture and drainage.

The left anterior neck area was swollen with obvious tenderness, and there was a surgical scar in the middle with a diameter of about 1 cm.

Huge abscess in the left neck, reaching the posterior pharyngeal wall and paravertebral

System prompt: This is an acute and severe infectious disease. There is a risk of rupture leading to skull base infection. Early misdiagnosis will lead to progressive aggravation of the condition. It is very important for doctors to understand the cause. The characteristics of this type of disease can enable early diagnosis and early treatment.

Diagnosis: Second branchial fistula and infection (branchial cleft fistula is the external fistula opening and the entire process of the branchial cleft fistula formed when the gill sac and gill groove are connected or the gill groove does not disappear. Because the fistula is located in the neck, it is also called cervical side fistula.)
X-ray lipiodol angiography through the fistula can confirm the diagnosis. 】

[Mission: Fair and comfortable!The system detected a problem with Liu Tong's medical ethics, and the host needs to severely criticize him!Lose his face.Reward gold coin 1]

"Tanglou."

Li Fan also yelled in confusion.

Tang Lou turned around with a perplexed face, this system is really rigid and tough!
An intern angrily yelled at the attending physician, isn't this courting death?

I'm too hard!

Looking at Li Fan, he suddenly had an idea, who made you my cheap master!
So Tang Lou felt at ease and prepared to hand over the blame to Li Fan: "Doctor Li, I think you are too cautious. You are already [-]% sure, and you have to carry out the final inspection and confirmation rigorously and responsibly."

"what?"

Li Fan looked at Tang Lou puzzled.

Liu Tong also frowned, felt guilty, and reprimanded with a somewhat unnatural expression: "Tang Lou, what nonsense are you talking about!"

"This word should be given to you by me!"

Tang Lou stared at Liu Tong sharply, showing his sharpness.

"What do you mean."

Liu Tong took a step back unconsciously, feeling a little uneasy in his heart, but when he thought that the other party was Li Fan, he felt relieved, he couldn't see it himself, and he could still find out the reason!
"It means that you didn't make a proper diagnosis at all, just like the quack doctor who misdiagnosed Huang Ye before. If you jump to conclusions without sufficient evidence, and even talk about ordinary abscess infections, do you know that you will miss it like this? The best time for treatment."

"Is the system enough?"

[What about tickling? 】

"."

Tang Lou cleared his throat, and said righteously: "Although Dr. Li wasted a little time for reexamination, it was for the patient to prescribe the right medicine and cure him completely. However, although you spoke clearly in a short period of time, a single medicine It looks like a magic stick to get rid of the disease, but do you know that such recklessness may delay the patient's life!"

"How's it going? How's it going?"

[Almost, almost, continue! 】

"."

"Liu Tong, you are worthy of the name of a doctor!"

Hearing Tang Lou's harsh words, Liu Tong's face turned blue and then pale, and he was very ashamed and angry: "Tang Lou, if you can't say one, two, three today, I want you to look good! A little intern, unexpectedly Such contradicting and slandering me."

"You know how to respect teachers! Originally, I still cherished my talents, but it seems that your internship career can end early!"

Liu Tong almost lost his composure, like a cat whose tail was stepped on.

【Ding!Task: Be fair and comfortable, complete, reward gold coin 1]

"System, don't mess with me anymore, I'm panicked."

Tang Lou leaned closer to Li Fan, and blinked obediently.

"Doctor Li, I originally wanted to wait for the test to come out, but I can't bear to see Dr. Liu humiliate you so much. I have to tell you the real cause of Huang Ye's relapse that you discussed with me before."

"what?"

Li Fan's mind was in a mess at the moment, his five sense organs were crowded together, looking at Liu Tong's murderous eyes, he instinctively blocked Tang Lou.

"you say!"

Liu Tong gritted his teeth and urged in shame and indignation.

"What I want to say is, ah bah, Dr. Li said before that Huang Ye was not an ordinary abscess with recurrent infection at all. She was misdiagnosed. During the first treatment, she looked in the wrong direction. Ordinary abscess treatment is very likely to rupture and lead to the risk of skull base infection."

"No way?"

Huang Ye's uncle stood up all of a sudden, and they have been treating ordinary abscesses for nearly two years.

Hearing Tang Lou's discussion, he broke out in a cold sweat.

Liu Tong was also startled, with a flash of anxiety in his heart, staring at Tang Lou.

"Actually, Dr. Li and I thought it was just an ordinary abscess infection at first, but Xu Lanlan reminded us."

"Hey?" Suddenly being cueed, Xu Lanlan's little heart skipped a beat, and she looked at Tang Lou flattered, why did she do such a good job?
Li Fan looked at Tang Lou and began to talk nonsense in a serious manner. For some reason, he suddenly found it very interesting.

Seeing Liu Tong's face as if he was about to be constipated, he felt a little relieved, touched his big belly, and put on a pose: "Yes, what Xu Lanlan said suddenly awakened every bit of this disease deep in my memory. , but with a rigorous attitude, I want to verify it through experiments. But it’s okay not to say it now, and I can’t misdiagnose it.”

Li Fan licked his lips, looked at Tang Lou, his acting skills as a lion and tiger are not bad!
Tang Lou also shot a look: This pot is sure and ruthless!
"What did I say???"

Xu Lanlan's face was full of black question marks, looking at Li Fan and Tang Lou who were serious about it, she was a bit square!
"That's right, take a closer look at Huang Ye's neck. If the abscess disappears and the scar from the previous operation is removed, it looks like a fish's gills!"

"Eh!" Xu Lanlan's eyes lit up. It was really true. She thought Huang Ye looked like a fish-man at first, but then it became swollen and the scars became more conspicuous. Everyone was led astray.

"I'm such a clever little ghost. It's true, the emergency department depends on me today."

Xu Lanlan was very happy to be able to help Tang Lou and the emergency department, and looked at Liu Tong proudly.

"That's right, Huang Ye wasn't actually an abscess caused by a bacterial infection at all. What she got was a gill cleft fistula, to be precise, a second gill cleft fistula. Due to the accumulation of pus, the quack doctor misdiagnosed her before, so she wanted to hurry up." Dr. Liu, of course, was led astray."

"impossible."

Liu Tong's face was pale, but what Tang Lou said made more sense the more he thought about it.

(End of this chapter)