Chapter 4475【564】Guide on the maze
Before taking action, it is best to conduct a physical examination for the child.
Dr. Song is too lazy to do it himself.
After King Xie Juan said those words, he expressed his attitude.
Dr. Bao will conduct another physical examination on the patient and let two expert teachers take a look at the situation.
Regardless of whether the child has been examined for physical examination before, ensure that the doctor conducts an abdominal physical examination on the child again in a disciplined manner and in accordance with the standard physical examination procedure.
As for whether the two capital experts could see anything from the physical examination of the child, Dr. Bao was not sure at the moment because these two experts had never shown their skills in front of him.
Other doctors stood far away to avoid frightening the family members, and they were also watching.
“I can see it, but I really can’t see any symptoms for the time being.” Doctor Xiao Yang frowned and said.
Indirect inguinal hernia, the most typical symptom is a swelling in the groin area.
Since no incarceration occurs, the "swell" can be recovered. The "tumor" can be retracted by a gentle push from an outsider's finger, or the "tumor" can retract itself when the patient's own abdominal pressure and other forces on the "tumor" are reduced.
In the latter case, the examiner can try to push down to see if there is a "tumor" that is about to enter the groin area.
This "experimental prediction" is undoubtedly risky, especially as the doctors have discussed before. This risk is very likely to cause incarceration.
Doctor Bao would definitely not dare to do this.
All the doctors were holding their breath in their chests. Next, they needed to rely on what Dr. Xie and Dr. Song could see to make the filming a success.
Dr. Bao’s physical examination was over. He just raised his head when he heard Dr. Xie say to him: Please describe and record the physical examination you just had.
Physical examination must be recorded in the patient's medical record. Dr. Xie’s request is not excessive, it is a reasonable reminder.
Everyone can hear the question. This is a test question for the King of Xiejuan.
Dr. Bao sweated on his forehead first as a sign of respect. What he never expected was:
When the Xiejuanwang asked the questions, there were actually many people who wanted to answer the questions and rush in.
For example, Dr. Fan Yunyun took the lead and picked up a pen to swipe at the notebook, fully demonstrating that Senior Sister Xie’s questions must be meaningful and not rushing to answer them is the essence of an idiot.
Others who are not lagging behind, when they see one person writing, they immediately react and find paper and pen to draw.
You have to draw, and you can draw the approximate location of the various organs in the abdominal cavity of the child, so you know how to place them. Medicine is always a down-to-earth science, and you should do it step by step.
According to the previous case discussion, if partial intestinal obstruction or indirect hernia is suspected, it is necessary to know where the intestinal tube is located in the abdominal cavity. It is necessary to know that the organ where indirect hernia usually occurs in female infants can be the intestinal tube, or the uterus, ovary, fallopian tube and other accessories. These Be clear about where the organs are.
Where the indirect hernia occurs, the inguinal canal should be highlighted and circled.
After drawing, everyone’s ideas became clear.
Dr. Bao lamented: Experts in the capital are great, and it is boss style to give advice. They will not try to trick you at all. On the contrary, they will clear away the clouds and see the blue sky. They will point you to a path that you can do. This is the way to do it. A true master of science.
It is precisely because of this painting that the doctors gained an additional understanding: the logic of the initial speculation that Dr. Fan wanted to say was not rigorous.
If only partial intestinal obstruction causes indirect hernia, the partial intestinal obstruction can be relieved. Dr. Xie Wanying directly pointed out that surgery was necessary, indicating that the partial intestinal obstruction could not be relieved, that is, it was possible that the indirect hernia reacted on the partial intestinal obstruction, causing the two forces to collide and cannot be relieved.
"Actually, there is a place in the middle that may be stuck, so every time the patient's bowel movements try to relieve the intestinal obstruction, the result is that the indirect hernia will be further deepened." Dr. Xiao Yang said that he once again admired Xie Juan Wang's medical speculation. Walk far ahead of everyone.
Dr. Jiang is older and has more medical experience than Dr. Xiao Yang. His face is more serious. He thought of another sentence Dr. Xie said before and said: "Maybe this operation cannot be done locally, so it has to be sent to the provincial capital to have it done."
(End of this chapter)
