Section 107
There was obvious tenderness in the abdominal gallbladder area and the pancreas.
"Do you have diarrhea? Have you eaten anything recently?"
The boy nodded: "I have a little diarrhea..."
Taking off his gloves, Zhang Yi glanced at Chen Fang and said:
"The location of the tenderness is near the gallbladder. It is initially estimated that there is inflammation in the gallbladder, but it is not necessarily cystitis. Let's do an ultrasound first."
Chen Fang was confused, but he did as he was told.
Make an order and place a medical order for examination.
However, if inflammation of the gallbladder is not cholecystitis, what else could it be?
Behind the boy.
The two old men didn't quite understand, so they asked:
"Doctor, please ask, what is my grandson's disease?"
Zhang Yi did not answer directly, but continued to ask about the medical history:
"Does this child usually drink raw water or eat raw food?"
The two old men thought for a while and said:
"The water we country people drink is natural water from the mountains. Does this have anything to do with stomachache? Our water is pure natural and very clean."
Zhang Yi shook his head and said:
"Let's do this. You go for an ultrasound first and then do a blood test. If your stomach feels uncomfortable, kid, there is a wheelchair here for you, okay?"
The little boy was about to nod, but asked cautiously:
"Doctor...does this wheelchair cost money?"
Zhang Yi smiled lightly:
"Silly boy, it's just a wheelchair. It's free. If you feel uncomfortable, just sit and get checked."
"Okay, thank you doctor."
The two old men helped the boy into the wheelchair and went out to check.
Half an hour later, the boy was sent back.
He also held several checklists in his arms.
Zhang Yi picked up the B-ultrasound and took a single look.
The top is a picture of a black shadow, and the bottom is the B-ultrasound doctor’s diagnosis:
Strong rope-like echoes were seen in the gallbladder area.
Diagnostic opinion: gallbladder roundworm.
On the side, Chen Fang was also shocked!
Depend on!
No wonder Zhang Yi just said that there is inflammation in the gallbladder, but it is not necessarily cholecystitis!
It turned out to be gallbladder roundworms!
Why!
Chen Fang slapped his thigh!
Why didn't he think about this disease?
Cholecystic ascariasis is more common in children and adolescents.
And the reason why roundworms are more common in the gallbladder is because roundworms like alkali but not acid.
Bile is alkaline, so it always likes to burrow into the gallbladder.
It is easy to treat.
Antibiotic treatment, plus maggots.
If the problem still persists after a set of treatments, you may consider surgery to remove the worms.
Zhang Yi looked at the black picture on the ultrasound sheet.
Not to mention, he suddenly discovered that he could not understand the B-ultrasound and CT scans of some diseases.
It seems that I have to learn some relevant knowledge about auxiliary treatment examination.
At the same time as the surgery is done well, all the auxiliary examinations must be done well.
What if it comes in handy in the future?
Zhang Yi prescribed infusion medicine, anthelmintics, and painkillers to the little boy.
And told them:
"Remember, kid, you must drink boiled water at home from now on.
All vegetables should be washed and fried.
Otherwise, you're going to get worms in your gallbladder again, you know, kid?
At that time, it may not be just medicine and infusion, but surgery may be required to cure it. Do you understand? "
Zhang Yi glanced at the two old people, worried that they didn't understand this, and asked:
"Where are the child's parents?"
He thought that it would be easier for the child's parents to communicate if they were younger.
The old man smiled and said:
"He's working outside and won't be able to come back for a while. Just tell us and I will give him a good warning when I get back."
Zhang Yi sighed.
Well, this child is a left-behind child.
"Okay, then you remember, you can take one pill of this medicine now, and there is another infusion sheet. You can take it to the infusion room next to you later and ask the nurse to give you the infusion. The fever will be gone in a few hours. .
Also, this medicine is for maggots. Take it for two days first, and then do an ultrasound and stool test two days later. Remember not to eat in the morning, come here on an empty stomach.
I also try to wait until I come to the hospital for a check-up before having a bowel movement. "
"Remember, kid?"
The little boy nodded.
The two old men behind him also nodded.
Zhang Yi tore off a nearby doctor's order, wrote his phone number on it and said:
"This is my phone number. If you have anything you don't understand when you get back, you can always ask me."
Chapter 85 The second banner in Zhang Yi’s life
The two old men looked at the phone numbers in their hands and felt moved.
This doctor is so good!
He quickly nodded gratefully and thanked:
"Thank you so much, doctor, thank you."
"It's okay." Zhang Yi waved his hand.
…
The busy afternoon passed quickly.
Zhang Yi returned to his dormitory after get off work.
As soon as he arrived at the dormitory, he couldn't wait to start the operation!
He has accumulated a lot of gratitude points during this time.
But what he wants most right now is not surgery.
Rather, it is the ability to read and check various auxiliary checklists.
What if one day the doctor in the laboratory fails to give a diagnosis.
In this way, you can tell what the problem is when you take a look at the list.
【Ding! Congratulations on gaining the knowledge of circumcision surgery! 】
【Ding! Congratulations on gaining the operational knowledge of cataract extraction! 】
【Ding! Congratulations on gaining knowledge on abortion surgery! 】
Zhang Yi:......
Is it impossible to draw the diagnostic ability of the laboratory report at a difficulty level lower than three stars?
So Zhang Yi changed to draw at a difficulty level of four stars!