Chapter 1548： Menopause
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Early the next morning, I came to the hospital.
"Zheng boss, someone is looking for you, arrived early in the morning." The doctor on duty told Zheng Ren.
"What about people?" Zheng Ren asked.
"I said that you are a fellow, I have to go to the office and wait."
After changing clothes, Zheng Ren came to the office.
Liu Zewei arrived early, and today I have to leave the hospital, accept patients, and be busy.
Moreover, it is very likely that these patients will go to the community hospital after observing one day after completing one operation.
So he came very early, it was a good future, and witnessed a great jump in the career of Zheng Boss.
Although there are countless things waiting to be done, he is chatting with an ordinary middle-aged man. The man holds a thick pocket of paper in his hand, and at a glance he knows that the old director Pan said.
"Hello, you are the family of the patient said by the director." Zheng Ren came in and asked directly.
"This is Zheng boss." Liu Zewei introduced.
Middle-aged men, whether they look or wear, are extremely ordinary and look honest.
Although he was surprised by Zheng Ren’s youth, he was still honest and honest, showing his respect for Zheng’s boss.
According to people's introduction, the emperor has been seeing a doctor, and he basically has the feeling of seeking medical advice. This is a door-to-door request, first of all, the attitude will be correct.
Zheng Ren smiled and asked: "The patient is your lover? Let me talk about the situation."
Said, he took the film in the hands of the patient's family.
"Zheng Zong, the patient is my lover, I am 42 years old. One month ago, she said that it was pain around the navel. It was relieved immediately after the initial pain. I thought it was diarrhea, but I didn't care." The middle-aged man said.
Zheng Ren nodded and motioned to know that he was starting to watch the time on the film.
According to the chronological order, from the very beginning, the patient's condition can be better understood and cognizant.
"The first episode, the time is not long, it is not a serious matter. But two or three days later, my stomach hurts again. The frequency of pain is getting higher and higher. I am worried that there is something big, I will die and take her to the hospital. A glance."
Zheng Ren found the film 23 days ago and took it out and inserted it on the reader.
The time is not one month, but the patient's family describes the matter, and a slight deviation is normal.
It is a flat abdominal film. There is no free gas shadow under the two eyes; the left colon has a slight gas accumulation, and the right lower abdomen sees two "irregular" small vapor-liquid levels; other no obvious special changes are seen.
This kind of right lower abdomen "small" gas-liquid level, considering the possibility of incomplete intestinal obstruction, the diagnosis of the first hospital in Haicheng is completely no problem.
"At the time..." The middle-aged man began to look at the film bag and said after the time: "This is the film. The diagnosis is incomplete intestinal obstruction. I suggest we go back and observe."
Incomplete intestinal obstruction, there are many predisposing factors, can be admitted to the hospital for observation, or you can go home to observe.
Zheng Ren considered the doctors in the Haicheng Emergency Department to find out the predisposing factors after the consultation.
It is enough to use the point to open up the dew.
He is familiar with the doctors in the emergency department of Haicheng.
Although there are minor problems, there is no special treatment, and patients and their families are also very difficult to receive hospitalization.
"Later?" Zheng Ren took the test sheet at the time and began to look around, and asked casually.
"After returning home, it will be better after the painfulness of the pain. Later, it will hurt for almost a day, and it will hurt for about 20 minutes." The middle-aged man said: "When it doesn't hurt, it is the same as a good person, so I didn't care about my lover."
"Three days ago, another abdominal pain, this time is not good, the painful cold sweat has come down." The middle-aged man said: "No way, I had to call the 120 ambulance and take her to the hospital."
"The diagnosis of the emergency department is ‘espec acute abdomen.' It is said that it is necessary to observe in the emergency department. I don’t think it’s the case. I asked the director to go to the hospital and go to the general second department.”
Zheng Ren smiled and picked up the inspection at the time and looked at it carefully.
Imaging examinations are indeed a manifestation of incomplete intestinal obstruction, but the symptoms are much more serious than the last time.
This can also be judged when the patient's family describes the medical history.
The blood test and other tests are the same, in line with the judgment of imaging.
White blood cells are slightly higher in blood routines, and neutrophils are also higher. Hemoglobin is low, middle-aged women, anemia is not a rare thing.
Zheng Ren Shen Shen, look at the test sheet one by one.
Liver function... Transaminase is a bit high? It seems that there is not much problem. Bilirubin is normal, and others are not enough to make a diagnosis.
After admission, the Department of General Surgery gave symptomatic supportive treatment such as fasting, gastrointestinal decompression, laxative, fluid replacement, somatostatin to inhibit intestinal secretion and anti-infection.
The diagnosis is clear, and the treatment is still quite satisfactory, which is in line with Sun’s style. Smooth and steady mess.
However, the patient's abdominal pain was still not relieved after treatment, and then a oral enteroscopy was performed. The return: duodenal descending diverticulum, non-atrophic gastritis with bile reflux.
The gastroscope also diagnoses patients with atrophic gastritis.
This is not very common years old, on atrophic gastritis?
But it is not a big deal. It’s just rare, even rare.
Zheng Ren looked at the test list and made his own judgment in his mind.
Looking through the test sheet, there are many problems, but they are not big events, and it is impossible to give a clear diagnosis. Or, the diagnosis of Sun’s face is correct, and Zheng Ren has no opinion on this.
Zheng Ren inserted the abdominal CT into the reader, and held the right hand, carefully reading the film.
"Boss, it seems to be a bit of a problem here. It is quite obvious that the intestinal obstruction is not good?" Su Yun stood on one side and pointed to the obstruction position on the piece, said.
Zheng Ren nodded and continued to read the film.
After the reconstruction, the whole image looks too bad.
There is atrophy of the renal tubules. It doesn't look like a 42-year-old middle-aged woman. It is more like the imaging performance of a 70-year-old talent.
Excessive aging?
Zheng Ren recalled a few clinical case reports, and the diagnosis was directly denied by him.
"What kind of medicine does your lover usually eat? In addition to stomach pain, is there any other uncomfortable thing?" Zheng Ren asked while watching the film.
"This is not over 40, menopause, temper is a bit violent." Middle-aged man thought about it and said: "Always say that I have no interest in my life, and I can't earn money. I used to cook for me, in recent years. If you don't cook, you will complain every day. If you don't want to dress up, run out of class reunion."
"..." Zheng Ren quickly stopped the middle-aged man's topic.
If this is said, it may become a family ethics drama.
Seven years... eight years... Ten years of itching, left hand holding the right hand, began to pay attention to dress, and then went out to find a classmate.
"What I asked was, is there any discomfort, and then what medicine has been taken." Zheng Ren repeatedly asked again.
Early the next morning, I came to the hospital.
"Zheng boss, someone is looking for you, arrived early in the morning." The doctor on duty told Zheng Ren.
"What about people?" Zheng Ren asked.
"I said that you are a fellow, I have to go to the office and wait."
After changing clothes, Zheng Ren came to the office.
Liu Zewei arrived early, and today I have to leave the hospital, accept patients, and be busy.
Moreover, it is very likely that these patients will go to the community hospital after observing one day after completing one operation.
So he came very early, it was a good future, and witnessed a great jump in the career of Zheng Boss.
Although there are countless things waiting to be done, he is chatting with an ordinary middle-aged man. The man holds a thick pocket of paper in his hand, and at a glance he knows that the old director Pan said.
"Hello, you are the family of the patient said by the director." Zheng Ren came in and asked directly.
"This is Zheng boss." Liu Zewei introduced.
Middle-aged men, whether they look or wear, are extremely ordinary and look honest.
Although he was surprised by Zheng Ren’s youth, he was still honest and honest, showing his respect for Zheng’s boss.
According to people's introduction, the emperor has been seeing a doctor, and he basically has the feeling of seeking medical advice. This is a door-to-door request, first of all, the attitude will be correct.
Zheng Ren smiled and asked: "The patient is your lover? Let me talk about the situation."
Said, he took the film in the hands of the patient's family.
"Zheng Zong, the patient is my lover, I am 42 years old. One month ago, she said that it was pain around the navel. It was relieved immediately after the initial pain. I thought it was diarrhea, but I didn't care." The middle-aged man said.
Zheng Ren nodded and motioned to know that he was starting to watch the time on the film.
According to the chronological order, from the very beginning, the patient's condition can be better understood and cognizant.
"The first episode, the time is not long, it is not a serious matter. But two or three days later, my stomach hurts again. The frequency of pain is getting higher and higher. I am worried that there is something big, I will die and take her to the hospital. A glance."
Zheng Ren found the film 23 days ago and took it out and inserted it on the reader.
The time is not one month, but the patient's family describes the matter, and a slight deviation is normal.
It is a flat abdominal film. There is no free gas shadow under the two eyes; the left colon has a slight gas accumulation, and the right lower abdomen sees two "irregular" small vapor-liquid levels; other no obvious special changes are seen.
This kind of right lower abdomen "small" gas-liquid level, considering the possibility of incomplete intestinal obstruction, the diagnosis of the first hospital in Haicheng is completely no problem.
"At the time..." The middle-aged man began to look at the film bag and said after the time: "This is the film. The diagnosis is incomplete intestinal obstruction. I suggest we go back and observe."
Incomplete intestinal obstruction, there are many predisposing factors, can be admitted to the hospital for observation, or you can go home to observe.
Zheng Ren considered the doctors in the Haicheng Emergency Department to find out the predisposing factors after the consultation.
It is enough to use the point to open up the dew.
He is familiar with the doctors in the emergency department of Haicheng.
Although there are minor problems, there is no special treatment, and patients and their families are also very difficult to receive hospitalization.
"Later?" Zheng Ren took the test sheet at the time and began to look around, and asked casually.
"After returning home, it will be better after the painfulness of the pain. Later, it will hurt for almost a day, and it will hurt for about 20 minutes." The middle-aged man said: "When it doesn't hurt, it is the same as a good person, so I didn't care about my lover."
"Three days ago, another abdominal pain, this time is not good, the painful cold sweat has come down." The middle-aged man said: "No way, I had to call the 120 ambulance and take her to the hospital."
"The diagnosis of the emergency department is ‘espec acute abdomen.' It is said that it is necessary to observe in the emergency department. I don’t think it’s the case. I asked the director to go to the hospital and go to the general second department.”
Zheng Ren smiled and picked up the inspection at the time and looked at it carefully.
Imaging examinations are indeed a manifestation of incomplete intestinal obstruction, but the symptoms are much more serious than the last time.
This can also be judged when the patient's family describes the medical history.
The blood test and other tests are the same, in line with the judgment of imaging.
White blood cells are slightly higher in blood routines, and neutrophils are also higher. Hemoglobin is low, middle-aged women, anemia is not a rare thing.
Zheng Ren Shen Shen, look at the test sheet one by one.
Liver function... Transaminase is a bit high? It seems that there is not much problem. Bilirubin is normal, and others are not enough to make a diagnosis.
After admission, the Department of General Surgery gave symptomatic supportive treatment such as fasting, gastrointestinal decompression, laxative, fluid replacement, somatostatin to inhibit intestinal secretion and anti-infection.
The diagnosis is clear, and the treatment is still quite satisfactory, which is in line with Sun’s style. Smooth and steady mess.
However, the patient's abdominal pain was still not relieved after treatment, and then a oral enteroscopy was performed. The return: duodenal descending diverticulum, non-atrophic gastritis with bile reflux.
The gastroscope also diagnoses patients with atrophic gastritis.
This is not very common years old, on atrophic gastritis?
But it is not a big deal. It’s just rare, even rare.
Zheng Ren looked at the test list and made his own judgment in his mind.
Looking through the test sheet, there are many problems, but they are not big events, and it is impossible to give a clear diagnosis. Or, the diagnosis of Sun’s face is correct, and Zheng Ren has no opinion on this.
Zheng Ren inserted the abdominal CT into the reader, and held the right hand, carefully reading the film.
"Boss, it seems to be a bit of a problem here. It is quite obvious that the intestinal obstruction is not good?" Su Yun stood on one side and pointed to the obstruction position on the piece, said.
Zheng Ren nodded and continued to read the film.
After the reconstruction, the whole image looks too bad.
There is atrophy of the renal tubules. It doesn't look like a 42-year-old middle-aged woman. It is more like the imaging performance of a 70-year-old talent.
Excessive aging?
Zheng Ren recalled a few clinical case reports, and the diagnosis was directly denied by him.
"What kind of medicine does your lover usually eat? In addition to stomach pain, is there any other uncomfortable thing?" Zheng Ren asked while watching the film.
"This is not over 40, menopause, temper is a bit violent." Middle-aged man thought about it and said: "Always say that I have no interest in my life, and I can't earn money. I used to cook for me, in recent years. If you don't cook, you will complain every day. If you don't want to dress up, run out of class reunion."
"..." Zheng Ren quickly stopped the middle-aged man's topic.
If this is said, it may become a family ethics drama.
Seven years... eight years... Ten years of itching, left hand holding the right hand, began to pay attention to dress, and then went out to find a classmate.
"What I asked was, is there any discomfort, and then what medicine has been taken." Zheng Ren repeatedly asked again.
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