Section 41

Awesome!

Such a difficult-to-distinguish disease was diagnosed by Zhang Yi right away!

The patient was soon brought into the treatment room to prepare for puncture and fluid extraction.

As a result, the patient's family members just came over.

Zhang Yi informed his family that he was critically ill.

The family members didn't react for a while, squatting at the door of the emergency room and crying.

"Isn't my mom just suffering from stomachache and fever? Why do she still need to sign this critical illness notice? Ugh...what's wrong with my mom? Is she going to be okay?"

The family members are very anxious.

A person who was fine a few days ago suddenly went to the hospital for emergency treatment today.

Zhang Yi had no choice but to comfort them, saying that they would be fine once the ascites was removed.

I am also glad that this patient came in time. It would have been more difficult to treat sepsis in the late stages.

In the treatment room, Chen Fang was preparing to wear gloves for puncture.

Zhang Yi walked in: "Shall I do it, Teacher Chen?"

Chen Fang glanced at him.

All right……

You come, you come...

Who makes you awesome...

Chen Fang felt more and more that he was just a follower who signed autographs everywhere for Zhang Yi...

Wear gloves and a mask.

Zhang Yi inserted a 50 ml empty needle into the right side of the patient's abdomen.

Pump hard.

Wow!

A stream of dark liquid was drawn out.

The nurse next to me frowned and quickly came over with a drainage bag to connect it.

In less than half an hour, more than a thousand milliliters of fluid was drained out.

The patient's stomach was also visibly deflated.

Take samples for bacterial culture and make a diagnosis:

"1. Bile duct stones combined with acute cholangitis 2. Acute pancreatitis 3. Gallbladder stones 4. Sepsis."

Chapter 37 When can we catch up with Zhang Yi?

Aspirate effusion, make diagnosis, and prescribe medical advice.

Done in one go.

All the doctors around him were confused.

Boss! Please accept my worship!

Suddenly, an intern boldly asked:

"Dr. Zhang...why are you so sure it's bile duct stones combined with cholangitis?"

Zhang Yi glanced at him and asked, "Have you memorized the things I was asked to memorize in school?"

The intern was confused, and then lowered his head in embarrassment.

He really couldn't remember what the diagnosis had to do with the endorsement.

Zhang Yi shook his head helplessly: "What is Reynolds' Pentalogy, please memorize it and I will listen."

Zhang Yi asked questions like a teacher while taking out his gloves.

The intern was stunned by the question and froze on the spot.

What?

What the hell is Pentalogy? !

It seems very familiar!

But I just can't remember...

Only after hearing Zhang Yi's words did Chen Fang react!

"So that's how you made the diagnosis!"

"Reynolds' pentalogy refers to abdominal pain, high fever, jaundice, shock and mental and mental changes. As long as these five symptoms appear together, it must be acute obstructive suppurative cholangitis."

"Acute obstructive suppurative cholangitis can also be called bile duct stones combined with acute cholangitis."

Chen Fang explained to the intern after thinking about it.

His own diagnosis of biliary pancreatitis just now was simply wrong.

Abdominal pain, fever, and jaundice should be considered as cholangitis.

Combined with Pentalogy of Reynolds, it is not difficult to distinguish between ordinary cholangitis and severe cholangitis.

In the end, I still end up endorsing myself less!

It seems that memorizing more endorsements is really beneficial.

After hearing Chen Fang's explanation, Zhang Yi nodded in agreement:

"Yes, the symptoms this patient just had just add up to exactly this disease."

"Memorize these key points and you will be able to differentiate between these similar cholecystitis, pancreatitis and cholangitis."

The interns and trainees cast admiring glances at Zhang Yi.

"We understand Dr. Zhang!"

They were both regular training students, and some of them started regular training half a year earlier than Zhang Yi.

I didn’t expect the gap to be so big!

Why!

How can I catch up with Zhang Yi?

Zhang Yi and Chen Fang took the 1,000 milliliters of black ascites to their family members waiting outside.

The family members looked panicked when they saw the bag of black water.

"Isn't this what came out of my mother's belly?" the family member asked first.

Zhang Yi nodded: "Yes, was your mother diagnosed with gallbladder or bile duct stones earlier?"

The family members’ eyes flickered for a few times before they responded with shame:

"Last year...it was checked out, but at that time my family was really poor and there was nothing we could do. Both of my children were sick and we were both in a hurry for money..."

"Then my mother took some anti-inflammatory medicine, and then she said she was fine...so I thought she was not serious... wuwu... I thought she was not serious..."

The family member is a little girl in her early twenties.

Becoming a mother at a young age is not easy.

Zhang Yi sighed and said:

"Your mother was diagnosed with stones last year. It is impossible to get better by just taking anti-inflammatory drugs. She must have suffered from abdominal pain and fever during this year. It's just that she hasn't spoken out for the sake of your own small family and two children."

"There are some things that I, a doctor, probably shouldn't say, but..."

"You are a mother, and you want to give the best to your children, but your mother thinks the same way. She doesn't want to burden you, so she keeps enduring the pain."

"This pain from kidney stones is not something that most people can bear. Look at this black fluid in her belly. I wonder how long your mother has endured it."

"She came to the hospital yesterday and couldn't bear it, but she only went to the outpatient clinic for infusion and didn't come for a comprehensive examination. If she hadn't fainted today, I don't dare to think about what would happen next."

"So, if you have nothing to do, go home and visit your mother more often. Don't ignore your parents when you have a child."

"It's such a blessing to have parents in life. Don't regret it when your parents are gone one day."

Others have parents but don't know how to cherish them.

What about Zhang Yi.

I want to cherish and be filial, but my parents are gone long ago.

So don't wait until the tree wants to be quiet but the wind doesn't stop...

After listening to Zhang Yi's words, the family member looked down at the big bag of black fluid and burst into tears.

"Woo... Mom... I'm sorry..."

The family member was hit hard.

She didn't know that her mother had endured so much pain for so long!