Xie Wanying walked over and said to her classmates: "I have written your study and life plan and gave it to Senior Brother Tao for review. The results should be available in the afternoon. The group will re-discuss your treatment plan in the afternoon, so there is no need to rush."
When it comes to this Buddha, Zhao Zhaowei has always had a moderate level of trust in him, but he has more trust in Xie, the female top student in the class.
"Yingying, please help me with the palpation." Zhao Zhaowei invited her to examine him.
Xie Wanying understood that her classmates were still uneasy and nodded in agreement.
Lying back on the hospital bed, Zhao Zhaowei opened the patient's gown, bent his knees, relaxed his abdomen, and said, "You touch my liver. I feel like I have a little back pain."
"Does your back hurt?" Xie Wanying asked.
"right."
"I'll touch it, please relax." Xie Wanying said to her classmate, wearing gloves on both hands according to the department's regulations before palpating him.
Put four fingers together and place them on the lower edge of the liver parallel to the costal margin on the right side of the classmate while observing the classmate's breathing. When the classmate exhales, before the abdomen sinks, Xie Wanying presses her fingers down in advance and feels it with the side of her fingers.
Instead of using your fingertips to touch the liver, you can touch the liver again if you raise your hand and pat it slowly when the student inhales.
"It hurts." Zhao Zhaowei reflected, exhaling and feeling sad about his obvious tender points, because it showed that his liver was diseased.
In addition to palpation, the liver is also percussed. Xie Wanying percussed the classmate again, and the classmate's pain became more obvious. Fortunately, the preliminary results of palpation and percussion did not show a special increase in the size of the liver. What needs to be paid attention to now is
What classmate Zhao himself said was back pain.
There are many reasons for pain in the right side of the back. If there is a suspected problem with the internal organs in this area, the possibility of lower lung and renal ureteral disease needs to be ruled out.
While the classmate was hospitalized, other parts of the body were examined. Neither the imaging nor the ultrasound report showed abnormalities in the lungs, kidneys, or ureters. The focus returned to the possibility of back pain caused by gallstones and cholecystitis, which was one of the clear causes in the ultrasound report.
one.
Xie Wanying carefully felt where her classmate's back pain point was, and said to her classmate: "I will tell Senior Brother Tao and others about your situation during the meeting in the afternoon."
Zhao Zhaowei told her what was going on: "Yingying, I believe you more. I know what kind of temperament that Buddha has. He is too careful in doing things. I don't quite believe that he would be willing to take the risk to help me find out the cause of the disease.
I want to cure it completely, but I may need an operation to explore it."
The classmate actually thought about having an operation? Xie Wanying was stunned for a moment, and then fell into serious thinking.
In my classmate's case, it cannot be ruled out that the stones are blocking the hepatic and bile ducts. Some of the stones are in too tricky locations and may not be visible on ultrasound. Otherwise, there is no way to explain why my classmate continues to suffer from jaundice and pain.
The student in question’s situation is not critical. It’s a bit like her grandfather. It’s difficult for doctors to accept the suggestion of surgery.
"Yingying?" Zhao Zhaowei glanced at her expression, his heart pounding, fearing that she would not dare to say anything either. Previously, a group of boys from Li Qian's class came to see him, and one by one persuaded him to listen to the doctor's advice and seek treatment, but no one was willing to help him.
Giving advice to doctors. It must be because the medical student is afraid of accidentally offending the clinical teacher, and is afraid that she will not be able to work in the clinic in the future. Will she be the same?
Xie Wanying thought about it and realized that her classmate's situation was much better than that of her grandfather. There was no indication for surgery at all, and it was a choice that could be done or not. If after discussion, her classmate needed surgery, she would try her best to help her classmate no matter what.