Clinical patients are often like this. They can¡¯t feel where they feel pain.
???????????????????????????????????????? When it comes to leg pain, the whole leg is touched, when it is said of waist pain, the whole waist and even the front abdomen are touched, and when it is said that the stomach pain is even more exaggerated, I wish I could touch all the digestive tract organs in my body.
When encountering this kind of patient, the first step for the doctor must be to determine where the patient is hurting. There are many digestive organs in the human body, and I don¡¯t know which one the problem is and how to treat it. The problem is that for a patient like this who likes to feel the whole belly, if you palpate him, he may feel pain wherever you press him.
The patient said that he had stomach pain, but the gastroscopy was fine, but he had black stool?
"Have you had fecal occult blood? There is only one plus."
"That's right, that's why the doctor said it's not serious."
The patient¡¯s answer definitely did not understand the deeper meaning of the doctor¡¯s words. Xie Wanying knew that Teacher Tan meant that the fecal occult blood was weakly positive, but it was not necessarily gastric bleeding. It could also be hemorrhoids or small intestinal bleeding.
"What do you usually like to eat?"
Dietary habits are the biggest causative factor of digestive tract diseases, so you need to ask clearly.
"I usually work in the company and eat lunch boxes."
"drink wine?"
Men drink and smoke. Drinking and smoking are also high risk factors for disease.
¡°I rarely drink or smoke.¡± The patient denied.
It doesn¡¯t look like the patient is lying when he answers the questions. Smell the smell, there is no strong smell of cigarette or alcohol on the patient.
When asked, the doctor stopped. The atmosphere in the room suddenly became subtly quiet.
The young man looked at the two doctors in front of him. He didn't know what was going on, and there was a little puzzled look in his eyes. He obviously didn't say anything wrong just now.
Xie Wanying paused the pen she was holding on the medical record paper.
Teacher Tan next to her was deep in thought, and she was also thinking nervously.
Based on the previous consultation, this patient does not seem to have any major problems. The physician at our hospital also performed a gastroscopy, and there was no major problem.
Is it possible that the patient has a mental problem? Are you too nervous about your body? Otherwise, why did he not have black stool after a little black stool? He had a gastroscopy and found nothing, but he came back to be the deputy chief of surgery.
Some young people are more afraid of death than the elderly. They make a fuss over a minor illness and have to find an expert for consultation to feel at ease. Such patients are not uncommon in outpatient clinics.
Seeing that the doctor didn't speak, the young man was worried and explained: "My friend said that the internist can't see it, so if he can't see it, go to the surgery department."
It turned out that this was the reason why the patient suddenly came to the surgery.
If internal medicine is not good enough, you can seek surgery, but if there are indications for surgery, there must be indications for surgery.
What should an expert doctor do after hearing this? Neither crying nor laughing.
Xie Wanying didn¡¯t need to look at the expression on Teacher Tan¡¯s face to know that Teacher Tan was a complete Buddha.
Time passes by second by second, and you have to make it clear to the patient.
How about prescribing some medicine to aid digestion?
"Is your stomach bloated?" Xie Wanying asked. After she finished speaking, she realized that she had forgotten Teacher Sun's instructions. She should not interrupt without the teacher's instruction.
Glancing at Teacher Tan. Teacher Tan didn't give her a silent look.
"Swelling." The patient replied.
Belly bloating is a common symptom of digestive tract diseases. One problem cannot determine anything. The patient shrugged after answering, thinking that the doctor's question was in vain. Unexpectedly, the young female doctor opposite suddenly said: "Do you often eat hot pot?"
"I, I don't eat it often." The young man's tone was a little uneasy, as if he himself knew that it was not good to like hot pot. (Remember the website address: www.hlnovel.com