My Medical Skills Give Me Experience Points Chapter 629 - 264: Unraveling Diagnosis, Misfortune Targets

Zhou Can truly sympathized with this patient, who had been suffering for so many days that, under ordinary circumstances, would have suffered from prolapse.

"If it weren’t for the fact that the young man is in his twenties, at the pri of his health, he might have already been admitted to the Intensive Care dicine Departnt. Now that the type of diarrhea has basically been determined, what is the next step in investigating the cause of the diarrhea? Dr. Zhou, do you have any insights?"

Director Zheng discussed the patient’s condition with Zhou Can on equal terms.

This patient’s illness is difficult to treat, mainly because each diagnostic approach encounters invisible high walls.

For example, hypokalemia has been diagnosed, known to be caused by alkalosis, but it’s hard to make any further breakthroughs after this step.

Now by shifting the diagnostic approach to directly investigating diarrhea, through small bowel perfusion tests and routine stool tests, it has been confird to be secretory diarrhea. But the cause of the diarrhea remains elusive.

The causes of secretory diarrhea are nurous.

Now it’s Zhou Can’s job to clear the fog layer by layer, seeking truth from falsehood.

The complexity in pathological diagnosis lies in the encounter with complex diseases, where the true cause is as elusive as the answer to an applied problem, only uncoverable step by step until the correct answer is found.

Zhou Can’s mind quickly flashed through various causes of secretory diarrhea.

Cholera, a class A contagious disease notorious in ancient tis for claiming countless lives.

Even today, with highly developed dical technology, cholera remains a dangerous disease.

The patient’s diarrhea continued unabated for several days, with symptoms matching those of cholera.

The second disease that ca to mind was pancreatic endocrine tumors. Pancreatic cancer is known as the king of cancers for a reason. The unexplained diarrhea it causes can lead to severe anal prolapse, an irrediable condition.

During his training in the Intensive Care dicine Departnt, Zhou Can had witnessed patients whose intestines were pulled out.

The third was Carcinoid Syndro, a disease also associated with cancer causing diarrhea.

From here, it’s apparent that if soone has prolonged diarrhea, they must promptly go to the hospital for examination as such prolonged diarrhea is highly associated with cancer.

All cancers are best diagnosed and treated early.

In so developed countries, the prevalence of cancer is actually very high.

But they place great emphasis on physical examinations, and their consur mindset is entirely different from the simple, frugal approach of the people in China. They think about traveling and buying interesting items when they have money.

For them, pre-spending or overspending is nothing out of the ordinary.

Chinese people, even if experiencing so discomfort, rarely seek dical examination proactively unless it is severe, fearing the costs and work interruption.

The fourth disease Zhou Can thought of was Thyroid dullary Carcinoma. The patient’s symptoms of hypokalemia and diarrhea highly matched those of Thyroid dullary Carcinoma.

Besides the previously ntioned diseases, which could cause both hypokalemia and severe diarrhea, intestinal villous adenoma could also lead to severe diarrhea.

Within monts, Zhou Can had listed six or seven diseases that highly matched or correlated with the patient’s symptoms.

Which exact disease it was required further investigation.

Just conducting routine blood and stool tests, and small bowel perfusion tests was not enough to provide a solid diagnostic basis.

"Director Zheng, is it possible to arrange an abdominal ultrasound for the patient?"

At this point in his diagnosis, Zhou Can felt stuck.

"Getting an abdominal ultrasound is absolutely no problem. What is your current diagnostic thinking?"

Zheng Hongtao knew that Zhou Can had a reason behind each request for additional tests.

But this ti, he was sowhat puzzled and didn’t know which specific aspect Zhou Can wanted to investigate.

"I want to check if there is a tumor present in the patient’s abdominal cavity. I analyzed the possible diseases causing the patient’s secretory diarrhea just now, several of which are related to malignant tumors. Currently, the data from the tests is too sparse to make further diagnosis. The abdominal ultrasound might provide new insights."

Zhou Can explained honestly.

"This kind of bizarre continuous diarrhea might indeed be related to cancer, and checking the abdominal cavity is a good idea. Let’s hope it’s not cancer. The young man is still so young, and he seems to be from a single-parent family. His mother raised him and supported him through college. He had just started working officially when he contracted this illness. Truly, misfortune strikes without sparing, seeking out the most vulnerable."

Director Zheng sighed deeply.

Having practiced dicine for many years, he has seen too many human tragedies.

With frequent exposure, rather than becoming numb, he grew more resigned, akin to the broad-mindedness found only in temple deities.

Whether people ca to temples to burn incense and pray, deities never spoke.

Perhaps there are no gods in the world, but people still enthusiastically believe in them.

Not for anything else, but because being human inherently involves facing diverse sufferings and troubles throughout life, necessitating a belief to strengthen conviction.

Doctors, after facing too many powerless situations, unknowingly change their perspective. Full of compassion for humanity, they silently seek all ans to help their patients.

When they truly can’t help, they can only choose to detach.

"It’s already past working hours today, and the dical technology departnts are definitely off. We can only arrange the abdominal ultrasound for the patient tomorrow morning."