(Thanks to my friends for getting up and down and waiting for the encouragement of the monthly pass)

"Mr. Liu, why didn't you come with a shirt, and changed to a T-shirt, it doesn't look good. When I went to work the next morning, I saw Liu Banxia as usual, and Xu Yinuo expressed his opinion.

"Hey...... It's not easy to make money. A shirt costs hundreds of dollars, how many times can it be washed? My T-shirt isn't cheap, and it cost me a hundred dollars when I bought it. Liu Banxia said.

Hearing his words, Liang Xiaolin and Qing Kova who followed on the side were very happy.

"Dr. Liang, Qingkova, did you have something fun yesterday? I really regret it, so I should have gone with you. Liu Yiqing asked curiously.

"I'm glad you didn't go, you're going to be crazy. Liang Xiaolin said with a smile.

"You see that he did such a good operation, when he learned to do yoga with Yanzi, the movements were stupid, and he learned it several times, and finally the people in Yanzi's live broadcast room said that he could give up. ”

"Is that to blame me? What can I do, I can't stand it with so many poses. Liu Banxia still said with some fear.

In his heart, he felt that playing Jiaojiao's boyfriend was a difficult task, and it was very easy to help Wang Xiaoyan live broadcast.

Who would have thought that it would be completely reversed, yoga, watching others do beautiful movements, and when you come to him, you really can't play it. However, the effect of the live broadcast is very good, and it is quite fun to watch.

"Mr. Liu, good morning. Wang Chao came over and greeted him seriously.

"I just glanced at it, and there were only three patients left upstairs, and it seems that our emergency department has been really idle lately. I'll make up for both you and Brother Wei during the holidays, won't you?" Liu Banxia said.

"Your reward. Is there anything wrong now? I'll talk to you about something. Wang Chao said mysteriously.

"What's new?" asked Liu Banxia after coming to the side.

"Hehe, the dean has made a move, and there will be some changes in the matter of Lao Qintou going to the Taizheng Group. Wang Chao said happily.

"Is it really fake? Dean Chen still has such great power, and the last thing must have been done by Qin Hai?" asked Liu Banxia in surprise.

Wang Chao nodded, "This matter is paper-wrapped fire, can it be contained? The dean has talked to so many people, and if one person misses something, he can put things together." ”

"Is it stupid for the Taizheng Group to do such a big business? Regardless of whether this matter has anything to do with the Taizheng Group, anyway, the dean is angry, and they have to weigh it. ”

"Originally, the Taizheng Group hired Lao Qin Tou in the past, and it seemed that he was going to make him the director of the physical examination center, but now someone else has been arranged. Although he will still be hired, he is definitely not as beautiful as before. ”

"Actually, if you want me to say, they went a little too far this time. According to my analysis, Lao Qintou has passed, and he plans to make some contributions to the Taizheng Group. But I didn't expect it to be such a thing, which caused public outrage. ”

"It may also be that the Taizheng Group didn't expect Comrade Lao Qin to work so hard, and thought that digging up three or five would be harmless and would not affect the future cooperation between the two sides. ”

"You kid is terrible, you can find out such news. Liu Banxia said with emotion.

"Listen and analyze, Lao Qin can't think about it himself, he can't see the situation clearly, what can he do?" Wang Chao shrugged his shoulders.

Liu Banxia nodded, if Wang Chao's news was accurate, it could only be said that Qin Hai was a ghost, and then he was used as cannon fodder by the Taizheng Group.

If you do it quietly, if you have three or five doctors, it will really not be visible and dewy for such a large hospital. You have to provoke contradictions, just to make trouble for Chen Zhenxing and embarrass him, you stabbed the hornet's nest all of a sudden.

"Mr. Liu, there is a patient with abdominal pain here, and there are still patients in Mr. Wang's clinic. At this time, Su Wenhao ran over, he was the triage doctor on duty today.

"Take it to bed, I'll see. Liu Banxia nodded.

Although it was quite pleasant to chat with Wang Chao, patients with abdominal pain could not delay.

The patient was a man in his thirties, and when Liu Banxia saw him, he was hunched over and holding his stomach, snorting in pain.

"When did it start to hurt, and are there any other symptoms?" asked Liu Banxia.

"I started to hurt last night, I thought it was a stomach upset, and I ate some enteritis spirit, and it hurt even more in the morning. The patient said.

"Colic or dull pain?" Liu Banxia asked again.

"Stomach ache. The patient said.

"Hmm...... , I'll give you a physical examination first, and promise to take your blood pressure and body temperature. Liu Banxia said.

The patient's answer was not what he had just asked, and he could only be sure of one thing, and now the patient was in pain and couldn't concentrate.

First, the patient's McLacer point was checked, and there was no rebound tenderness. The patient's gallbladder was examined again, and the patient was still unresponsive.

At the very least, appendicitis and cholecystitis can be ruled out, and as for omentum inflammation, such a condition is really rare.

"Blood pressure 90/120 and body temperature 37.5 degrees Celsius. Xu Yinuo said.

"Did you go to the toilet last night, did you eat any special food in the past two days, did you have diarrhea?" Liu Banxia then asked the patient.

The patient nodded, "It's just a normal meal, I pulled twice, but I pulled it in the middle of the night, and I didn't pull it after eating it's enteritis spirit, and I didn't eat in the morning." ”

"Well, there are many cases of abdominal pain, and no major problems have been found in the physical examination and auscultation just now. However, we still need to do a blood routine and stool test, and then take you to do a B-ultrasound in a while. Liu Banxia said.

"It is now impossible to tell if it is the pain caused by intestinal inflammation or if there is a lesion in the organs. According to common sense, if it is a simple diarrhea, it will not hurt so much. ”

The patient nodded, "Okay, as long as it hurts, it's really terrible." ”

"Don't worry, as long as you come to our hospital, you will definitely find a way to solve your pain. Liu Banxia comforted.

"Teacher Liu, what do you think of the disease?" asked Xu Yinuo after the patient left to take samples and do B ultrasound.

"How do I know, I'm not an immortal. Let's wait a while to see the results of the examination, the indications are not clear, and we have to look at the results. What are your expressions? Why are you still disappointed? Liu Banxia said with a wry smile.

"Teacher Liu, you are so powerful, we thought we could make a diagnosis at once. Xu Yinuo said.

"It can be regarded as a diagnosis, excluding appendicitis and cholecystitis? Liu Banxia shrugged his shoulders.

"Teacher Liu, why don't you just do an ultrasound examination?" asked Huang Bo.

"Hmm...... , this one, is also a problem. Although we have mobile ultrasound, it is only used in emergency situations. Liu Banxia said.

"The patient had appendicitis and cholecystitis ruled out on physical examination, and the abdomen was soft and peritonitis was ruled out, so the next step was to be tested by a specialized sonographer. ”

"So the question is, if the patient has not yet reached any conclusions that can help the diagnosis, what tests should be done next?"

"X-ray"

“CT”

Xu Yinuo and Miao Rui said in unison.

"It's all right, but it depends on the queue. Even if we have a certain priority in the emergency department, we can't use it indiscriminately, which will cause disgust and contradictions among the rest of the patients. Liu Banxia said.

"In the absence of clear indications, we are almost doing multiple-choice questions, and we have to use the elimination method, step by step, slowly elimination. ”

This was said a little cowardly, but they listened very carefully to Xu Yinuo. This is also a very real problem, and many diseases can only be diagnosed in this way.

After chatting for a while, the results of the examination came out. The white blood cell count is somewhat high in the blood routine, the stool test is normal, and the ultrasound is normal.

"Doctor, now I not only have a stomachache, but also a chest ache, and I still feel a little sore all over my body. The patient said.

Liu Banxia frowned, and gave the patient a careful physical examination. Again, the results of the physical examination are the same, but the difference is that the patient's symptoms have worsened.

Glancing at the consultation room of the internal medicine department, Wang Huan still had a patient, and he couldn't be called over for a consultation.

"Let's do a liver test again, it may also be caused by hepatitis. After the blood is drawn, a combined CT of the chest and abdomen is done, and the intestinal perforation must also be ruled out. Liu Banxia thought for a while and said.

The current patient is really painful and cooperative, and Liu Banxia nodded as soon as he finished speaking. The attitude is very clear, check that you do whatever you want, and you can make yourself not hurt.

This time, Liu Banxia made an urgent arrangement, but because the time for CT was already very long, the waiting time was also a little tormenting.

And the results of this examination also made Liu Banxia even more worried, the liver function was normal, the CT scan was normal, and after so many examinations, there were still no clear indications.

And now the patient has a new symptom, a slight edema, mainly on the eyelids and face.

Liu Banxia didn't dare to wait any longer, and went directly to the internal medicine clinic to call Wang Huan.

After reading the results of the examination, Wang Huan also had a headache, "Do you have any other performance in the past few days, you can think about it." Have you ever had a heart attack?"

"Nothing, it's always been normal. Well...... , I occasionally drink cold and diarrhea, but it's hot, and I don't pull it all the time, just once or twice. I haven't had a heart attack either. The patient thought for a moment and said.

"Dr. Liu, I just took my temperature again, and it's already 38.4 degrees Celsius. Xu Yinuo said with some concern.

"Doctor, I'm not terminally ill, am I? Why don't I do an MRI?" the patient asked.

"Don't worry, we need to have a general direction before we can check on you. Liu Banxia said.

"It shouldn't be food poisoning, if it were, it wouldn't have progressed so slowly, and I should have diarrhea now. ”

Now he is really a little worried, but he didn't expect that just after a day off, he encountered obstacles when he came back to work. It is true that it needs to be checked, but it cannot be done blindly, as it will not only waste time but also have little effect.

Even if it is not possible to give a clear direction at this time, there should be a general direction. He thought about intestinal tuberculosis, but intestinal tuberculosis should not have symptoms of chest pain.