Chapter 594 The strange girl with abdominal pain(2/2)
Now the girl has severe abdominal pain. As a doctor, she has to first consider the possibility of gynecological diseases such as ectopic pregnancy or threatened abortion.
"Little sister, don't worry, how long have you been having abdominal pain?"
"Auntie, we were shopping outside just now, and then I started to feel pain. It has been for almost an hour now. I have had pain several times this month alone. It is an old problem. I have had recurring pain in the past few years, but this month
The pain is more frequent and lasts longer.”
How many years have you had recurring pain?
Is it not caused by pregnancy? Is it possible to lie? This age group happens to be the rebellious period, and it is also the age when it is easiest to lie.
Dr. Yan recalled the palpation he had just performed. He found that there was a slight tenderness in the right lower abdomen, which was not too obvious. There was no rebound tenderness. It seemed that acute appendicitis could not be ruled out.
So he said to the girl: "There are many reasons for stomach pain, but we cannot rule out other possibilities. To be on the safe side, go and hold your urine. We will check your urine and take a urine pregnancy test."
The girl was confused and looked at the young man. Both of them were anxious:
"Doctor, we, we are innocent."
After all, they have taken hygiene classes, and no matter how stupid they are, they still understand what pregnancy means.
The crowd of people watching suddenly said "Oh~~~" in unison, and then had expressions on their faces as if it was true.
Dr. Yan asked again with a straight face: "When did your period end last month?"
The girl lowered her head and whispered: "It should be here in the next two days, but it hasn't come yet..."
"That won't work. You have to do a urine pregnancy test."
Dr. Yan's attitude was tough and he became angry.
As a mother, even if Yan Changhong is not a doctor, she cannot bear to see a girl not loving herself and causing such shameful things to happen.
From a doctor's perspective, for such a beautiful girl, delayed menstruation may mean pregnancy. If it is indeed pregnancy, misdiagnosis and mistreatment will lead to disaster.
Ectopic pregnancy can cause severe abdominal pain, and many doctors have suffered from it. It can be said that once bitten by a snake, you will be afraid of it for ten years.
Although the girl was a little reluctant, she still followed the doctor's request and quickly disappeared from the clinic together with the young man who accompanied her.
About an hour later, the two came back, and the report showed that the urine pregnancy test was negative.
Seeing this result, both Dr. Yan and the people around him breathed a sigh of relief. After all, no one wanted this young girl to be ruined for the rest of her life.
The 1980s were different from later generations. In these days, chastity was still valued very highly. If she really doubted it, even if she finally married her current "boyfriend", she would be looked down upon by her husband's family after the marriage.
If you don't marry your current "boyfriend", it will be even worse. If you don't get married on the wedding night, the relationship between the couple will not be reconciled.
If the rumor of having an abortion spreads again, divorce is 100% certain.
"It's okay, it's okay. It's really not pregnancy. It's okay if it's not. It may be abdominal pain caused by other reasons. I'll prescribe an ultrasound for you next. You can check your lower abdomen. There shouldn't be any major problems."
Dr. Yan was not as serious as before. He smiled and said to the boys and girls. While talking, he ordered an ultrasound.
The boy and girl obviously breathed a sigh of relief and helped each other out again.
Dr. Yan asked the girl to have a B-ultrasound, but he was also cautious. He was afraid that the urine pregnancy test would be inaccurate, so he specially added a gynecological B-ultrasound.
After a round of inspection, no obvious problems were found.
The appendix seems to be a little thicker, and the gallbladder, kidneys, and ureters are all fine, with no stones.
Considering that the girl had no history of overeating, and the pain was not mainly on the left side, it was probably not acute pancreatitis. However, for safety reasons, Dr. Yan still drew blood to check blood amylase, and the result was still normal.
Could it be appendicitis? Dr. Yan thought to himself.
I specifically asked the girl if the abdominal pain started around the navel and later moved to the right lower abdomen?
If this is the case, then appendicitis is highly suspected, because metastatic right lower abdominal pain is a typical manifestation of acute appendicitis.
The girl shook her head and said she had pain in the right lower abdomen from the beginning.
Now Dr. Yan had no choice but to do the examination three or four times. Fortunately, the two children were patient. If they were patients, they would have quarreled long ago.
However, Dr. Yan believes that appendicitis is the most likely possibility. After all, atypical appendicitis can develop in different locations, and the pain is also various. It is not necessarily like the textbook says, first the pain is around the umbilical cord, and then moves to the right lower abdomen.
So Dr. Yan picked up the internal phone and prepared to ask a gastrointestinal surgeon for a consultation to see if it was appendicitis and whether he should be admitted to the hospital for surgery, etc.
"Are you a surgeon? Come here quickly. I have an acute abdomen here."
Chapter completed!