Cao Yanhua, who had a clear conscience, began to worry after the patient came.
The patient is young and is in the second grade of junior high school this year. At five o'clock in the afternoon, it should be the time when school is over and all the children are happily going home from school. But 13-year-old Ji Youfu is sitting in her seat, stunned.
He looked at the clean blackboard and remained motionless.
When the head teacher in charge of Ji Youfu's class was conducting a routine inspection, he found Ji Youfu sitting in his seat.
Speaking of which, the teachers are also a little worried. Since the beginning of winter, Ji Youfu, who has always been lively and cheerful, suddenly changed her temper. She has become quiet and introverted. She rarely plays with her classmates. Even she often
All the small groups we were together broke up.
Ji Youfu's homeroom teacher, whose surname is Liu, has worked in Ningyuan City No. 4 Middle School for more than 30 years. Her many years of work experience as a homeroom teacher made her suspicious of Ji Youfu's changes in circumstances. Children of this age group generally do not
Such a drastic change in personality occurred. However, no matter how she inquired about the class leaders, consulted school surveillance, or even made multiple surprise home visits, she could not find any signs that Ji Youfu might have been bullied or domestically abused.
But this afternoon, Ji Youfu sat motionless in the classroom. By the time Teacher Liu found her on patrol, it was already 5:40 pm.
"Consciousness disorder, the answer is irrelevant." Sun Lien watched Cao Yanhua's preliminary diagnosis from the sidelines. Ji Youfu looked like a pretty and smart girl, but now she seemed to be dreaming. She was ignorant and basically only responded to external stimulation.
Simple body reflexes remained. What opened Sun Lien's eyes the most was her reaction when answering the doctor's questions.
"Little girl, do you know where you are?" Doctor Cao Yanhua asked the question while checking the little girl's head for signs of injury.
"Home..." Ji Youfu replied in a low voice, her voice was extremely low, and her answer was vague.
After Cao Yanhua finished examining the little girl's head, he started to examine her limbs. "Is this your home? What's your name?"
"Sun... Li'en." The little girl looked blankly at Sun Li'en, who was recording the situation in a notebook. After scanning his body for a few times, she looked at the nameplate hanging on Sun Li'en's chest and replied.
Cao Yanhua laughed, "What a coincidence, your name is Sun Li'en? Do you know who I am?" He pointed to his nose, "Do you know who I am?"
The little girl withdrew her eyes from the nameplate on Sun Lien's chest and turned to look at Cao Yanhua. She looked at Cao Yanhua and whispered, "Fourth... Central Hospital."
What she answered was not the question, but all the words that her eyes could see.
After finishing the basic examination, Cao Yanhua asked Teacher Liu who looked anxious, "What was the situation when she was found? Please tell me again."
Here, Cao Yanhua was asking Teacher Liu about the specific situation, while Sun Lien looked at the top of the little girl's head.
"Ji Youfu, female, 13 years old, has an unknown mass on the left lower abdomen."
Unknown mass? Sun Lien looked at the little girl lying on the bed hesitantly. What connection could there be between the mass and her mental symptoms?
"No matter how I called her, she didn't respond. Even if I suddenly shouted behind her, she didn't respond at all." Teacher Liu was anxiously calling to urge Ji Youfu's parents to come to the hospital. "I feel something is wrong.
, I quickly called 120. Then the ambulance sent us here."
After asking the basic questions, Cao Yanhua came back with a frown. After pondering for a while, he asked, "Xiao Sun, what do you think?"
"Me?" Sun Lien originally planned to watch the fun, but he didn't expect that Cao Yanhua directly asked him what he thought. And the reminder of "unknown mass" really made Sun Lien a little concerned. He simply walked down the slope and made his request.
, "Can I do a physical examination on her?"
Naturally, Cao Yanhua had nothing to refuse. He arranged for the nurses to collect blood samples from Ji Youfu and sent them to the laboratory for examination. Then he took out a pair of latex gloves from the box on the wall and motioned to Sun Lien to put them on, "You can do it.
, I’m watching from the side.”
Sun Lien didn't say much. After putting on gloves, he began to palpate the little girl's abdomen. First, the liver area was soft to the touch and moved normally. Then he moved his hands to the stomach and left and right kidneys. Everything was still normal. There was no abnormal sensation to the touch.
.
After checking the left kidney, he gently pressed the lower left side of the little girl's bladder, and the touch suddenly felt different.
It was not the feeling that a normal organ should have. Instead, it felt a bit like a bouncy ball with a manufacturing problem. It was a bit hard.
"Dr. Cao, please feel and look here." Sun Lien quietly made a space and pointed at the area he just pressed, "It doesn't feel right here."
Cao Yanhua pressed his doubtful hands and frowned. "This is..." He pressed a few more times, "It doesn't feel right. It feels very smooth."
"This position... is the position of the uterus and bilateral appendages." Cao Yanhua's expression became serious, "Do a B-ultrasound to check." He glanced at Teacher Liu, who was still anxiously on the phone, and said in a low voice to Sun Lien,
"Be smart and call Lao Wu over immediately if there is a problem."
If it is an ectopic pregnancy, then this 13-year-old girl will have a big problem. At least the police will definitely need to intervene. Sun Lien's expression was also a little serious. He nodded towards Cao Yanhua and pretended to push the B-ultrasound machine.
By the way, I got my mobile phone back from the duty desk, unlocked it and put it in my pocket, ready to call the police officer Lao Wu at any time.
The coupling agent was applied to the ultrasound probe. Sun Lien took a nervous breath and placed the probe on Ji Youfu's lower abdomen. When the cold coupling agent is applied to the abdomen in this weather, people should always have some reaction. But
Ji Youfu had no reaction other than shaking slightly. She felt like a breathing doll.
"This..." After the two of them looked at the sound wave imaging on the monitor for a long time, they shook their heads and said, "It doesn't look like an ectopic pregnancy."
Ultrasound examination of Ji Xiaofu's left ovary showed a strong echo group with a relatively regular appearance, about 5 cm * 3 cm * 4 cm in size. The echo inside the echo group was uneven and the boundaries were unclear.
"Doctor Cao, look here." Sun Lien's eyes suddenly widened. He held the probe with one hand and clicked on the echo group on the screen with the other. "Is there an arterial pulse here?"
"No." Cao Yanhua looked at it and suddenly said, "I think it looks like primitive heart tube pulsation."
A fetus with primitive cardiac pulsation must generally be at least eight weeks old. However, an eight-week-old fetus will never grow into a regular-looking strong echo mass, let alone appear on the ovaries.