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¡¾777¡¿Believe in your own medical judgment

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    Is this true?  The symptoms of clinical patients are complex, and it is impossible to simply and easily classify the causes.  If it were possible, I wouldn't say that the patient had been hospitalized for three weeks and suddenly discharged.

    Xie Wanying chose this time to listen to the patient¡¯s heart.  If you think about it carefully, there are many strange things about Yangyang's mother's case that deserve further scrutiny.

    For example, if the patient's jaundice is relatively mild, the hepatitis B indicator is positive but the aminotransferase is generally normal, cirrhosis usually means the liver shrinks, while the opposite is true for the positive patient, which is hepatosplenomegaly.

    The patient¡¯s chest X-ray appears to be normal. Only the texture on the left side of both lungs is slightly thickened, the mediastinum is normal, and the heart shadow is generally normal.

    According to B-ultrasound, there is substantial diffuse damage to both kidneys, which is consistent with the performance of ascites in the late stage of cirrhosis.  The liver showed widening of the portal vein.  Due to the ascites, the B-ultrasound doctor's vision was unclear and he could not clearly see whether there was obstruction in the inferior vena cava. However, the B-ultrasound doctor judged that he suspected it based on his own experience.

    With such a result, it is estimated that Budd-Chiari syndrome needs to be ruled out.  Budd-Chiari syndrome is a type of retrohepatic hypertension caused mainly by obstruction of the hepatic veins and inferior vena cava.  Later, we need to ask Dr. Gong why the patient did not undergo another examination related to the inferior vena cava.

    "Take a deep breath." Xie Wanying said to the patient.

    Yangyang¡¯s mother took a deep breath and exhaled a long breath.

    Xie Wanying listened to the patient¡¯s breath sounds from both lungs and found that the patient¡¯s left lung¡¯s breath sounds were thickened, indicating some inflammation.

    Listening carefully to the patient's heart, there is a systolic murmur in the mitral valve area at the apex, but it is relatively weak. It is estimated to be only grade two, which is far from the standard of structural heart disease.

    In fact, the effect of removing ascites for patients like this is average.  Therefore, the treatment plan was later adjusted to salt and water restriction and diuresis, that is, the latter was treated based on the overflow theory, and the effect was actually good.  There was only so much that could be done in the hospital, so the patient's condition improved and he was discharged first.

    Even so, after listening to the patient¡¯s heart, Xie Wanying took the stethoscope and continued to think about it. She felt that this case could be considered more carefully.  Now she will pay more attention to her medical intuition, mainly because the case of Li Yaxi in bed 21 next door has sounded the alarm for her.

    Yangyang¡¯s mother raised her head as if she wanted to talk to her.

    Xie Wanying put her ear to her.

    Yangyang¡¯s mother whispered to her: ¡°The girl next door can¡¯t sleep at night and is very scared.¡±

    Although Yangyang¡¯s mother is seriously ill herself, she never forgets to care about the patients in the same ward.  Maybe in the eyes of Yangyang's mother, a young and beautiful female college student is pitiable when she is admitted to the hospital.

    The medical staff knew Li Yaxi¡¯s fear, so the nurse specially pulled a curtain between beds 20 and 21 to block the patient¡¯s view.  But it¡¯s useless, I¡¯m afraid that in this environment it will become ingrained for some patients.  If the patient himself is not strong, like Li Yaxi, he will feel like he is having a nightmare every night and day.

    "What disease does she have?" Yangyang's mother asked the doctor, probably because she wanted to help the patient.

    Xie Wanying said to the patient: "No matter what kind of disease you have, the doctors will do their best to treat you when you enter the hospital."

    Xie Wanying is confident about Li Yaxi's illness, because Senior Brother Tao has arranged for Dr. Song to take care of it, and there will definitely be a breakthrough.

    Yangyang¡¯s mother felt a little relieved when she said this.

    "I'll discuss it with Dr. Gong when I get back and see if I can do another check-up on you." Xie Wanying said to Yangyang's mother, "The check-up should be clearer. The medicines prescribed in the future will be more targeted and the effect will be better." (Remember  Website address: www.hlnovel.com
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