If only we could do a biopsy and take a specin from the mass for examination, these problems wouldn’t exist.
Of course, the risk is trendous.
From all current indications, that mass is likely a lesion in the intestine.
Performing a biopsy, wouldn’t that just puncture the intestine?
At this mont, Li Jingsheng suddenly thought of a possibility. Since it’s a rare disease, why hadn’t he considered intussusception?
Intussusception is relatively rare among clinical abdominal pain diseases.
The symptoms of this patient have many similarities with intussusception, especially that mass.
Soft, movable, light—these all match so clinical symptoms of intussusception.
The more Li Jingsheng thought about it, the more he felt this possibility was high.
After intussusception, because the intestine is active, torsion can easily occur.
This explains well why the patient’s severe pain is around the navel rather than at the location of the mass in the lower abdon.
Because when the intestine twists, it spreads distally like a twisting rope.
However, the intestine will be anchored by ligants and sentery; when it twists, this force is equivalent to tearing the sentery apart, making it unsurprising the patient is in excruciating pain.
After clarifying these pathological chanisms, Li Jingsheng had essentially diagnosed this case.
Doctor level experience 50, gastrointestinal diagnostic skill proficiency 10, general surgery diagnostic skill proficiency 5, life value 100.
This was his biggest diagnostic gain since being promoted to a senior attending physician.
The proficiency in general surgical diagnosis also increased significantly, benefiting from the gastrointestinal diagnosis.
It’s like two people going to battle, with the gastrointestinal diagnosis taking the lead and general surgical diagnosis shaking the flag behind. After the battle, the flag-waver received a share of the achievents.
Unknowingly, his gastrointestinal diagnostic skill had reached Minor Achievent 727/1000.
Just less than three hundred proficiency points away from advancing to the next level.
Opening a clinic, most patients seen are from respiratory and digestive departnts. There’s also a fair amount of hypertension, diabetes, and such chronic diseases.
However, many patients with these chronic illnesses just co in for a free blood pressure check.
Then buy so dicine to take ho.
"Young man, how about my illness? It’s okay, you can tell the truth, I’m already at this age, I can handle it."
The patient saw the serious look on Li Jingsheng’s face, diligently examining his condition.
He realized that it was likely a serious illness.
Li Jingsheng turned his head to see the patient’s ashen face, looking like a martyr heading to the guillotine, and couldn’t help but smile.
"Please don’t overthink, this is not an incurable disease. Even if I explained it, you wouldn’t understand. I can’t treat it here, but a major hospital can easily resolve it. I’ll write down the diagnostic plan for you, then you can take it to a major hospital. If lucky, you should be admitted today, and the surgery scheduled for tomorrow."
Li Jingsheng originally did not want to explain in such detail.
He only said this after seeing the patient’s expression, thinking he had a terminal illness.
"It’s not... not cancer? I need surgery?"
After hearing Li Jingsheng’s diagnosis, the patient felt much relieved.
During the wait for the diagnosis results, he surely thought a lot and prepared himself for a ’death sentence’.
"Who told you it’s a terminal illness? Stop overthinking!"
Li Jingsheng scolded him.
Of course, he knew deep down that such scolding would not upset the patient; rather, it would make him happy.
"Hehe, I heard about a mass during your examination, and coupled with recent bowel discomfort and difficulty in bowel movents, I thought it was bowel cancer. It seems to be a false alarm."
Despite the intense abdominal pain, the man couldn’t help but chuckle dryly.
Human nature is just like that.
Thinking it was cancer, but it’s just a common disease, that surely makes one happy!
Li Jingsheng escorted the patient out of the diagnostic room, then wrote down his diagnostic plan and handed it to the patient.
"My diagnosis may not be correct, but you can now go to the hospital’s ergency departnt, show this to the doctor, and it should aid their diagnosis. They can also quickly provide you with treatnt."
The patient’s wife received it.
Seeing her husband’s cheerful expression, she knew the diagnosis couldn’t be too bad.
She took a look at it.
"Dr. Li, what are the terms ’intussusception’ and ’intestinal torsion’ you wrote?"
"They are types of rare intestinal diseases. Considering your husband ntioned prolonged abdominal discomfort and difficulty in bowel movents, it’s possible there are polyps in the intestine. You should take this chance to have them checked and possibly resolved by the doctor."
Li Jingsheng gave her a simple explanation.
"As long as it’s not cancer! Thank the heavens!"
After hearing this, the family still had so worries.
However, their expressions beca much more relaxed.
"We’re going to the ergency departnt at the hospital, right?"
"Exactly! Hurry up and go! Although this isn’t a particularly serious illness, it shouldn’t be delayed, or it may lead to extensive intestinal necrosis, posing life-threatening risks."
Li Jingsheng urged the family and patient.
They thanked him and left contentedly, taking a taxi.
The largest hospital nearby is the Second Hospital, but why did the taxi turn towards the scenic area instead?
The patient and family should heed his advice.
Heading in that direction, there’s only one possibility—they don’t want to go to the Second Hospital.
Honestly, even though the Second Hospital is the only large hospital in the southern city area, you can’t force patients to be treated there.
Patients have their own choices.
This is also civilians’ freedom.
Li Jingsheng checked the ti, it was past six.
"Let’s call it a day early! I need to sort out the clinic premises issue."
He said to the three staff mbers.
"But I’ve got etings with two important clients; they had things during the day and said they’d co later." Xiaogao told Li Jingsheng.
"I also want to stay and review today’s dical records. Especially the case of that uncle with abdominal pain just now, it seems tough to diagnose the cause. I also want to achieve the sa diagnostic level as the boss sooner."
Han Siying also didn’t want to end work so early.
The crisis of the clinic’s premises made the staff appreciate the job and their camaraderie more.
Also, Li Jingsheng, the boss, has a charismatic personality, making the three treasure their ti together even more.
User Comments
0 comments from readers