The next day.

"There aren't many patients who need emergency treatment at noon today. After Ruan Bin came back from a meal, he rarely sat in the lounge for a while, and he planned to squint for a while.

At this moment, Guo Hui came to the door.

"Ruan Bin, are you free?" asked Guo Hui.

"Yes, what's the matter?" said Ruan Bin.

"Come with me to the gastroenterology department, one of my cousins' condition is complicated, and now he has been admitted to the hospital for a day and a half, and he has not yet been diagnosed. I'd like to ask you to take a look and maybe have any good suggestions. Guo Hui explained.

"Even those experts in the Department of Gastroenterology can't diagnose the diagnosis?" Ruan Bin said in slight surprise.

In a big hospital like the First Affiliated Hospital of Modu, there are basically masters in every department. Even these experts can't quickly diagnose it, and it seems that Uncle Guo Hui's illness is not ordinarily complicated.

"Yes, they are also investigating at the moment, and they don't have much clue yet. Guo Hui sighed and continued: "My cousin showed abdominal pain, nausea, and vomiting three months ago. Examination and treatment at the county hospital in my hometown. The doctor thought it was gastroenteritis and prescribed a little medicine. But after a few days, as the disease progressed to difficulty eating, he began to lose weight. The doctor at the city hospital suspected that he had appendicitis, but found that there was no problem with the appendix. Then I thought that the stomach problem might be the greatest, and I did a gastroscopy again, and there was no problem with the examination!"

"Later, I was transferred to another city hospital, and I didn't have a clue after a check-up, so I asked my cousin to come to our hospital directly after I heard about it. I arrived yesterday afternoon, and I asked him to come to the emergency department to see me. After reading it, I didn't have much of a clue, and I couldn't see what the disease was. The most obvious symptom was functional dyspepsia, and there were no obvious positive signs! It's been more than a day since I went in, and the experts over there haven't diagnosed it yet. Guo Hui sighed. He saw that his cousin couldn't eat, and knew that it was not a way to go on like this.

And no one knows if it will suddenly deteriorate, and then, and then it will not be saved.

Now it's best to be diagnosed quickly and treat the problem.

He suddenly remembered Ruan Bin, the other party had helped him diagnose the patient correctly several times before, and he almost hit every shot.

That's why he came to Ruan Bin for help.

In fact, he didn't have much hope in his heart that Ruan Bin would be able to diagnose it. After all, the Department of Gastroenterology is definitely a counterpart, and no one has any way, and Ruan Bin may not be able to do it. But now he is in a hurry to go to the doctor, with the mentality of trying to try his luck with Ruan Bin.

"Yesterday and today were medication treatments for dyspepsia, but there was no sign of improvement at all, but it was more serious!"

"Did you stop vomiting?" asked Ruan Bin with a frown.

The most frightening thing is that there are no obvious positive signs, and this lack of features is the most maddening, and it is difficult to judge where to specifically check.

"I haven't stopped vomiting yet, and I don't vomit as many times after taking the medicine, but I still vomit from time to time. Now my cousin can't eat at all, and can only rely on the stomach tube to get nutrients!" Guo Hui said with a solemn face.

"That's a tricky question. Ruan Bin also understands Guo Hui's feelings.

In fact, when I came to a large hospital, what I was most afraid of was not the treatment problem, but the inability to diagnose it!

If you can't diagnose it, you can't get the right medicine or surgery, so it won't get better at all.

The two chatted and soon came to the gastroenterology department.

When I came to the ward, I happened to meet Li Chaoyang, the director of the Department of Gastroenterology, and Zhong Lin, the deputy director. They were examining his cousin at this time, and there were some inquiries. Still actively diagnosing.

"Director Li, Director Zhong, how is it, do you have a clue?" Guo Hui asked busily.

"I still don't have much of a clue, your cousin is still vomiting today, feeling satiety and flatulence in the upper abdomen, as well as constipation and diarrhea. This symptom does seem to be indigestion. However, the medication did not work at all, and we did a metabolic test of the stomach, but the results showed that there was no problem. Zhong Lin said in a deep voice.

"We wondered if it was something else that was causing the condition, so we did a lot of other tests and hopefully there would be good news then. Li Chaoyang said lightly.

Abdominal pain is the most difficult disease to diagnose.

Because there are five internal organs in the abdomen, there are too many organs, and it is very difficult to investigate!

"Okay, hard work for the two directors. Guo Hui still thanked.

Then he turned his head to look at Ruan Bin and said, "Ruan Bin, help me see if my cousin can be diagnosed." ”

As soon as this sentence came out, it immediately attracted the sideways glances of Li Chaoyang and Zhong Lin.

To be honest, the patient was transferred to their gastroenterology department, and the diagnosis and treatment of the patient were all decided by them. Isn't it a bit too much for you Guo Hui to bring an outsider to diagnose a patient now? Although the patient is your cousin, and you are also a doctor in this hospital, you look down on them a little bit.

At this time, Guo Hui also reacted, and said to the two of them with a slight apology: "Two directors, Ruan Bin is a doctor in our emergency department, and he usually sees a doctor more accurately, but now that everyone has no clue, I want to ask him to come over to help take a look." I'm sorry I didn't greet you in advance. ”

When Guo Hui finished saying this, the faces of Li Chaoyang and Zhong Lin softened.

"Hehe, it's okay, there is a lot of power in numbers. Li Chaoyang said with a smile.

Originally, he wanted to prevent the other party from diagnosing, after all, the patient was now a patient in their gastroenterology department, and there was no consultation. You are simply not qualified to diagnose.

But seeing that Guo Hui is still a good person, he doesn't care so much.

Ruan Bin's name, of course, he had heard of it, the creator of the country's first pre-hospital REBOA. can be described as young and promising, and he can be regarded as a genius. But the other party is just a resident doctor after all, and he doesn't think the other party is very good in clinical terms.

I have been in the Department of Gastroenterology for more than 20 years, and I can't quickly diagnose it, can you see it as a yellow-haired boy?

"Can I see the patient's examination data?" Ruan Bin said pretendly. He also saw that there was some disdain in the eyes of the two directors in front of him.

No way, who calls themselves not bald?

Too young, too handsome, and jealous.

"It's all here. Zhong Lin said.

Ruan Bin took it and looked at it pretendedly, and began to look at it with general diagnosis.

"Diagnosis!"

Patient: Qian Jia

Age: 60 years old

Medical records: primary gastroparesis, hypertension, anemia.

After reading it, Ruan Bin immediately understood. All of his cousin's current symptoms are caused by this primary gastroparesis! This disease is very rare.

No wonder it's easy to misdiagnose and difficult to diagnose!