It seems like a post-surgical patient.
The fluid in the drainage bag is sowhat cloudy, yellow-white with black specks, perhaps indicating signs of pus and leakage with a small amount of feces. The patient’s temperature is asured to be relatively high, at thirty-eight point nine degrees.
"Is this patient a tumor patient?" Unable to see the dical records, Feng Yicong and Student Xie discuss among themselves. The patient is too young, making the likelihood of him being a tumor patient fairly small.
Xie Wanying agrees with her classmate’s perspective. Not only tumor patients undergo surgery. In her view, the fact that this case is transferred to Guoxie for treatnt indicates that it has so characteristics within Guoxie’s specialized treatnt range. Thus, she boldly speculates: "It could be Crohn’s disease."
Crohn’s disease is a baffling intestinal inflammation. It’s considered baffling because its pathogenesis baffles the dical community even today. It is possible to attribute it to infection, or it could be an immune disease; in short, there are many potential causes.
A disease without an identified cause can only leave doctors at a loss. Therefore, clinically treating Crohn’s disease involves symptomatic treatnt and, based on so existing immunological evidence, employing immune therapy. This is Guoxie’s forte, as its immunology departnt is renowned dostically, ranking first without a challenger for second. If this young man has reached the surgical stage of this disease, it indicates the condition has progressed to a severe phase. It could potentially be intestinal obstruction, fistula, or acute perforation with bleeding.
A very typical clinical feature of Crohn’s disease is fistula formation. Inflammatory lesions penetrate the intestinal wall, reaching outside to other tissues and organs, forming fistulas. These fistulas cause adhesions between various organs and tissues, wrapping into mass-like abscesses. Anyone who has experienced studying general surgery understands how terrifying an abdominal abscess can be.
Once an abscess truly forms, it’s not suitable for imdiate surgical removal of the affected intestinal segnt; first, an incision and drainage of the abdominal abscess should be perford. Incision and drainage of an abdominal abscess involves opening the abdon, not just a simple bedside needle puncture; general anesthesia, spinal anesthesia, or epidural anesthesia are required, to incise the skin, subcutaneous tissue, and peritoneum, open the abdominal cavity, locate the inflammatory mass, isolate it with gauze to prevent infection spread, incise the abscess to drain pus, and finally place a drainage tube before closing the cavity.
As the patient reaches the surgical stage yet is transferred to Guoxie, is it to continue surgical treatnt or to be transferred to dical treatnt?
Having reviewed the dical records, Yu Xuexian went to talk to the relatives. Feng Yicong asked Student Xie again: "Is it necessary to be treated in internal dicine? Post-surgical signs show increased pus. If surgery can’t clean it thoroughly, perhaps conservative treatnt in internal dicine should be considered, as our gastroenterology departnt has considerable research expertise in Crohn’s disease."
Listening to Feng’s words, it fully reveals him as a dical student very familiar with internal dicine.
The patient’s drainage bag accumulates quite a bit of pus, indicating that if the surgery wasn’t well-executed, the relief of the patient’s condition is not very effective. Turning to internal dicine seems to be the usual reasoning.
Not rushing to conclusions, Xie Wanying focuses on the patient’s abdominal drainage tube, beginning to further contemplate.
As a surgery student, she possesses a surgeon’s mindset, which differs from Feng’s dical student mindset, hence their directions for considering the problem are not quite aligned.
Having spent ti in two surgical departnts, besides conducting surgeries alongside ntors and seniors, Xie Wanying has learned most about handling patient issues before and after surgery.
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