My Medical Skills Give Me Experience Points Chapter 1188 - 469: Airway Obstruction, All Diagnoses Correc
This makes its total absorption area reach an astonishing more than 200 square ters.
Imagine, what concept is this?
The houses most of us live in are over a hundred square ters, and its area is about the size of two small three-bedroom houses.
Continuing to check further, the fifth and sixth groups of the child’s small intestine are swollen and appear granular, with bleeding spots found on the mucosal surface.
An ulcer was even found in the sixth group of the small intestine.
The area is not large, only about 2.5mm*2.5mm. It is covered with a white coating, and Zhou Can’s mucosa is even obviously congested.
By this step, there is no need to check further, a diagnosis of celiac disease is certain.
"Identifying the cause of the illness is great, just treat it as celiac disease. Hope that child can recover soon."
Zhou Can finished reviewing the examination results and sighed in relief.
Every ti he successfully identifies the cause of a patient’s illness, or sees a patient recover and be discharged after treatnt, he feels especially happy and accomplished.
The purpose of studying dicine is to help patients relieve their pain.
For example, this child, so many experts had examined and treated him, but the illness continued to recur. When the family brought the child to Tuya Hospital for diagnosis, they were probably already quite desperate inside.
This is also the real portrayal of many patients and their families.
If a disease doesn’t show any improvent after treatnt in two or three hospitals, they will lose confidence. They believe the illness is very tricky and difficult to cure.
Zhou Can had just finished replying to a ssage when Director Tang Fei directly called him.
Connected.
"Has Dr. Zhou finished the surgery?"
"Yes, I just finished surgery, eating in the cafeteria."
"Do you have any suggestions for the treatnt of this child?"
Treating celiac disease, Pediatrics is completely fine.
This disease mainly remains difficult to diagnose. Especially, such atypical cases are easily treated as duodenal ulcers or enteritis.
During capsule endoscopy, an ulcer was indeed found in the sixth group of the small intestine.
However, if really treated as an ulcer, it won’t have much effect.
Director Tang Fei sincerely asked Zhou Can for treatnt advice, entirely out of respect for him.
"There’s nothing much else, the key is to strictly adhere to a gluten-free diet, and considering the patient has almost no diarrhea symptoms, hormone therapy might not be necessary. Lastly, communicate well with the family to prepare them for long-term treatnt and re-examination."
Zhou Can indeed had no special suggestions.
So thods, techniques, and experiences for treating celiac disease should be credited to several chief physicians of the Digestive Internal dicine. When Zhou Can was training in this departnt, these chief physicians provided him with a lot of guidance and never held back anything.
Director Tang Fei accepted his treatnt suggestions in full.
Just after talking with Director Tang Fei, Director Le from Cardiothoracic Surgery sent him a private ssage as well.
After examination, the patient who had a surgery for esophageal cardia cancer and a total gastrectomy had results. Consistent with Zhou Can’s inference, the patient was experiencing severe pain due to bile and pancreatic fluid reflux, invading the esophageal mucosa.
The cause is clear, but the surgery is already completed, making it quite difficult to resolve.
"To resolve her situation, a second surgery is probably needed. However, it can only provide relief and is difficult to completely solve."
Zhou Can replied to Director Le.
For this surgery, it was entirely due to Director Le’s surgical plan not being comprehensive. When performing a total gastrectomy, if post-operative bile and pancreatic juice reflux had been considered, so buffer should have been left, adopting another relatively difficult surgical thod.
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