Since 1981 Health School

  Chapter 88 Is the patient a tumor?

  As soon as Zhang Jun came out, Ai Kelong quickly followed up and asked, "How is it?"

  Zhang Jun compared a no-problem move, and then looked at Chen Qi who was sitting on the side:

   "Mr. Chen, the diagnosis of this patient is still very simple. I believe you can tell it at a glance. Don't be nervous."

  Chen Qi smiled and didn't speak, but just took the patient's examination report and read it, and Lan Lijuan sat beside him and read it together.

  On the checklist, everything else showed no problems, only the B-ultrasound sheet showed: the patient’s intrahepatic bile duct was dilated, the confluence of the left and right hepatic ducts was interrupted, local suspicious hyperechoic spots, and the common bile duct was not dilated.

  Chen Qi glanced at Lan Lijuan who was sitting beside her and asked, "How is it? What's your first impression?"

  Lan Lijuan thought for a while: "Tumor? And is it malignant? There are suspicious soft tissue shadows, which are oppressing the biliary tract and causing obstruction,"

  Chen Qi chuckled: "Zhang Jun must think so too, but not necessarily!"

  Lan Lijuan was about to ask why, but Chen Qi had already stood up and walked into the ward with a blank medical record.

  A male patient in his 50s was lying on the hospital bed. Although he was wearing a loose hospital gown, it was difficult to conceal his fat body. In this era, fat people are still very rare.

  Chen Qi thought to himself, it really is because the non-staple food factory has a lot of oil and water.

  Director Zhu's complexion was very bad. At this time, he was lying on the hospital bed, thinking wildly in his mind, and his eyes were filled with a deep sense of despair.

  Yesterday, during the physical examination of the leaders above the sub-department level in the district, the director Zhu, who was indifferent at first, lay happily on the examination bed, but the B-ultrasound doctor repeatedly checked his abdomen back and forth for half an hour.

   Finally, with a worried face, he told him that something had grown next to his bile duct, which oppressed his bile duct and caused a narrowing, which made him immediately hospitalized for surgery.

   Those who can become the factory director are all good people, and the factory director Zhu immediately realized that there was a big problem with his guts and liver.

   You must know that these days, unless it is a trauma, an emergency, or a very serious serious illness, you will be hospitalized. Otherwise, who has the spare money and time to go to the hospital?

   If there is any illness, the doctor will prescribe some medicine, and it is rare to even have a needle for infusion.

Not reconciled, Director Zhu took the physical examination report, and immediately slipped to the outpatient clinic, and asked a familiar doctor to let him have a look, but the doctor was hesitant to speak, with a constipated expression, and only said to let him be hospitalized as soon as possible. check carefully.

  Director Zhu didn’t even know how he got out of the People’s Hospital.

   All I can think about is, is it because I have eaten too much meat these years? Received retribution? What terminal illness is this?

   Simply as the director of a non-staple food factory, he has a wide range of connections. He made a call to the chief of the medical education department of the People's Hospital and asked for a bed. As a result, he was very anxious, but the hospital asked him to practice for interns?

  Zhu Qingsan has an urge to scold her mother.

  But when he thought of inviting Guo Yidao to treat his illness later, he could only endure it, but his face looked better.

  As soon as Chen Qi entered the ward, he saw Director Zhu with a livid face, and a middle-aged woman wiping tears beside him. He knew that interns were not welcome. This kind of expression is too common in hospitals.

   Not to mention interns, in the eyes of some people, even ordinary attending doctors don't give a good face.

  But when Chen Qi saw Director Zhu's livid face, he was overjoyed, because he didn't see the patient's sallow complexion.

  Jaundice is the earliest and most important symptom of cholangiocarcinoma. About 90% to 98% of cholangiocarcinoma patients have different degrees of yellow staining of the skin and sclera. Director Zhu obviously does not have this main feature.

   "Hello, you are Comrade Zhu Qingsan, right? I am Chen Qi, an intern at the People's Hospital. I have a few questions for you."

   "Ask, ask, just ask again, it's really boring."

   "Have you experienced pain or discomfort in the upper right abdomen in the past six months? This is the position."

  Chen Qi asked while pointing to the location of the liver and gallbladder.

  Zhu Qingsan and his wife thought about it for a long time, then shook their heads hesitantly: "I don't think so, but my weight is a few pounds heavier than half a year ago."

   "Do you have indigestion, poor appetite, especially the feeling of nausea when you see fat?"

  Director Zhu did not hesitate this time, and said directly:

"I haven't had it in the past six months. It tastes delicious. Fat meat is my favorite. But don't tell me. Yesterday, the B-ultrasound said that I had a problem. I immediately felt that I couldn't eat or sleep. Fat meat It's not good anymore, doctor, have I won the lottery?"

  Chen Qi didn't answer this question directly, and it is still in the state of asking for a doctor. How can it be easy to make a diagnosis?

  However, the patient did not have symptoms such as progressive jaundice, itchy skin, weight loss, indigestion, and upper abdominal distension and discomfort. This diagnosis is quite optimistic in Chen Qi's eyes.

   "Director Zhu, it's too early to say whether you've won the jackpot. Don't worry too much. I'll do some inspections for you now. If you feel bad, please let me know right away."

   "Okay, doctor, you can press it."

  Chen Qi was not polite, and began to palpate the abdomen, but after pressing it around, Director Zhu didn't even frown, obviously there was no pain.

  Director Zhu is now in a psychologically sensitive period, and asked suspiciously: "Doctor, I can't feel any pain at all. Is it a painless tumor as others said?"

  Chen Qi smiled lightly:

   "Director Zhu seems to know a lot, don't worry, at least my diagnosis is relatively optimistic, but there are still a few tests to be done to determine whether or not to have surgery."

  As soon as the words came out, the wife of the factory director who was sitting next to her was upset: "This doctor, the doctor who came up just now didn't say that. Which one of you is more accurate?"

  Director Zhu looked at his wife honestly: "Of course this doctor is more accurate. Do you want me to have an accident?"

  The factory manager's wife was taken aback: "What nonsense are you talking about, of course I hope you are okay."

  Chen Qi didn't care about the couple's bickering, but left the ward. As soon as the door closed, Wang Shannong and a large group of technical secondary school classmates were waiting outside the ward. Obviously, they were not in the mood to go to work in the afternoon.

   "Chen Qi, how are you doing?"

  Chen Qi patted Wang Shannong's shoulder and comforted him: "Everything is going well, I probably know what's wrong, now I'm going to write the medical records, just wait a moment."

  Chen Qi walked into the nurse's station and began to write the first diagnosis and major medical records in front of everyone.

  At this time, Zhang Jun had already written half of it. He looked at the technical secondary school student next door and snorted softly.

  He already had a diagnosis in mind, and he thought it was too simple, and he was afraid that Chen Qi, a technical secondary school student, would be able to see it at a glance, so he took the time to write the big medical record, and wanted to show it to the dean first.

  (end of this chapter)