Chapter 251, Child/Uterine Fibroids
Bu Feng said so, it is a gratifying thing that Section Chief Peng Shenglin is about to leave! The cynicism of Li Qi in the past can still be remembered by the people in the whole department! Because Peng Ke was leaving, Bu Feng laughed wildly! What's worse is that the doctors and nurses in the whole department actually nodded in agreement!
This shows how unpopular Comrade Peng Shenglin, section chief, is! But history has long proven this! How damaged is his tone, how gloomy his sneer! Li Qi can understand it more clearly than anyone sitting there!
There are so many horns in the whole hospital, but Peng Ke never claims to be a horn faction! There has never been a little bit of incense! I don't know who he can associate with! Anyway, there is no one in the hospital who has a good relationship! No wonder Bu Feng and they are so happy!
But for Li Qi, it doesn't matter! That life ignored Comrade Peng Shenglin! In this life, he is not regarded as a character! A guy who doesn't pay attention to it, no matter how bad it is, it can't make people ripple at all! It's basically no different from a passerby!
Although Section Chief Peng admitted his mistake to Li Qi a few days ago, he was still a passerby! Naturally, I won't agree with what my disciple Bu Fengzhi said today! Nor will it be opposed! Freedom of speech, personal emotions also have the right to be expressed!
Peng Shenglin's transfer has been completed, and he will go to work at the county hospital next Monday! I haven't been to work for the rest of the week! Li Yuan spoke, let him rest at home for a few days! He even moved all his things! I didn't even give my colleagues a chance to say goodbye!
Li Qi joked that he was also the head of the general department on the third floor! Because he was originally the director of the auxiliary inspection department, there is also a part-time job! All the medical staff on the third floor extended a warm welcome!
In their impression, Li Qi is a good doctor and a good leader who is easy to get along with, easy to talk to, and has excellent skills! In fact, everyone wants to have a good boss at work! Relaxing and enjoyable work not only improves productivity, but also makes people feel happy!
Unfortunately, this is not possible! Li Qi is the section chief, this is just a beautiful idea and proposal! I didn't do it before, and I won't do it now! There are many better and more meaningful things waiting for Li Qi to do!
Li Qi is chatting with everyone like this! Some nurses go to give infusions to others, and some help patients do three tests! Doctors give medical orders and treat patients!
That's probably what working in a hospital is all about! For doctors, the hard thing to do is to write medical records! For nurses, the hard thing is to keep observing patients! Especially after the operation, there is a lot of tedious work such as three tests! But Li Qi felt very familiar and warm! That's how I've spent N years! Although it is said that if you work in a hospital, you can't starve to death and you can't get rich! It's just a job you love! What could be more joyful than doing what you love!
Even though Li Qi is worth a lot of money now, deep down in his heart, he has always had the desire and appeal to be an alternative village doctor! Just when Li Qi was full of joy and nostalgia, someone came over and ruined this beauty!
"Director! Someone came to do the check-up! The little swallow called weakly!
"Oh! Let's go! You do what I watch! Li Qi stood up and went down to the second floor with Xiaoyanzi! Xiaoyanzi also knows that the director is testing before the handover!
It was a woman in her forties who came to check! The B-ultrasound application form stated that in the past three years, menstrual disorders have been irregular, and patients often have dizziness, fatigue, and abdominal pain! Ask for sub/uterine/attachment B ultrasound!
The woman lay on the examination table and exposed her lower abdomen! Xiaoyanzi is coated with lotus root mixture, and then click the B-ultrasound machine to thaw the button! This ultrasound examination has officially begun!
At present, Xiaoyanzi's operation is decent, not brilliant, and there is nothing wrong with it! However, Li Qi personally feels that the technique is not sophisticated enough, and the technique of holding the probe is not good! Of course, it has to do with personal habits! When encountering hard-to-explore parts and cases, you will really know how to hold the probe is the best! This can only be understood by doing more and more time on the individual! It's useless to say that others say it's useless!
Well! The bladder is relatively full! This shows that the urine is sufficient, which is an important prerequisite in the B-ultrasound examination, or the details to be paid attention to! If you want to check for gynecology and stones, you must have urine! A full bladder can better detect diseases! Otherwise, it will be white and white, and it will not be possible to carry out a normal examination!
If the liver and gallbladder are checked, you must fast before doing B ultrasound! Otherwise, you won't be able to do a normal checkup! Generally speaking, these will be written on paper and pasted at the door of room B, which is what patients need to know! In this way, there is also a row of people sitting in front of the door of the B-ultrasound room raising glasses and drinking boiling water! Or say bloating while doing B ultrasound! Or say you're hungry while doing a B-ultrasound!
This woman's son/palace is the anterior! Generally speaking, the sub/palace is divided into the anterior sub/palace and the posterior sub/uterine! There are also special locations, which are relatively few and negligible! There are also big and small children/palaces! The normal sub/uterus is inverted pear-shaped! Lying in the pelvis with a smooth surface!
For B-ultrasound examination, there are advantages and disadvantages of the son/uterine anteriorly and posteriorly! It is not easy to detect pathological changes in the cervix in the anterior position, and it is not easy to detect pathological changes at the bottom in the posterior position! However, this is not a problem for B-ultrasound operation masters! It's just that from a different angle, it's all about the technique!
Checks are ongoing! A 1.5 cm x 1.2 cm circular dark area can be seen in the pelvis! Obviously pelvic effusion! In other words, this woman is guilty of pelvic inflammatory disease! It is a type of gynecological disease! In imaging, the main basis is echoes!
An echo is the image that appears when an ultrasound wave sweeps over the body! Hyperechoic is white, which also indicates a high density of tissues, such as bones and stones! Hypoechoic is a dull black color, indicating a low density of tissues such as fluids, including blood, urine, inflammatory secretions, etc.! Echo is somewhere in between! Such as muscles, intestinal tubes, etc.! There are also some special echoes, so I won't talk about them here!
The check continues! I measured the size of the child/palace, and it was a little bigger! This has a normal value, and it is clear when you compare it! The fallopian tubes on both sides are a little thick, and the echo is similar to the lines of the bands and is dark! The attachment is also inflamed! In fact, pelvic inflammatory disease and adnexitis are minor problems! In severe cases, there is an abnormal round-like echo in the cervix and sub/uterine muscles! The echo is on the high side! This is the imaging feature of sub/uterine fibroids!
Child/uterine fibroids are one of the main gynecological diseases that affect women's lives and work! It is not difficult to diagnose this disease, as long as you do a B-ultrasound, combined with clinical manifestations, you can confirm the diagnosis! The hard part is the treatment! If it's a benign fibroid, it's better! If it is a malignant tumor, that is, the cancer that we often talk about, it will be a tragedy! Especially after metastasis and diffusion, there is no good treatment!
Here, Rong Xiaozi talks about the next child/uterine fibroid! Child/uterine fibroids are a common and common gynecological disease! There are two types: benign and malignant! It can occur anywhere in the seat/uterus! There are many reasons for this, such as frequent gynecological inflammation, lack of attention to personal hygiene, mental factors and some unknown reasons! This is also a type of normal tissue alienation!
Let's talk about benign fibroids first, generally speaking, if you are unwell, you will come to the hospital for examination, and those who have child/uterine fibroids are almost benign! There are single occurrences, and there are multiple occurrences! There are also two kinds of treatment after diagnosis, one is conservative treatment, which is treated with drugs, including oral drugs and intramuscular and intravenous administration! If the fibroids shrink or disappear after medication, it means that the medication is effective, and then the medication is expected to be cured according to the course of medication! If the fibroids do not change, or increase in size! Then it's the second way!
That is, surgical treatment! There are also two types of surgical treatment, partial resection and total subsection/hysterectomy! This depends on the actual situation of the patient! It's a bit complicated here! There is age, personal wishes, medical conditions, etc. are all related! One thing is for sure, the recovery from surgery is relatively good! As for the risks of surgery, it is unavoidable! As for how the surgery is done, it is not discussed here!
Let's talk about malignant tumors, that is, subson/uterine cancer! This malignancy can be transformed from benign and persistent, or it can be malignant from the beginning! The diagnosis can only be confirmed by combining the clinical manifestations with the B examination and histopathological examination! If there is no spread and metastasis, you can consider surgical total resection! It is then supplemented with chemotherapy and medication! I'm not sure after healing! There are those who live well after surgery, and there are those who die during or shortly after surgery!
At least there are no effective treatments and drugs for cancer! It must be emphasized here that the establishment of personal confidence has a positive effect on any disease!
For any gynecological disease, personal hygiene is very important! Equal to personal confidence! It can be said that having these two points is also twice the result with half the effort! There is no doubt about that! It's also a kid's experience! I don't tell him about ordinary people!
Today this woman should be benign sub/uterine fibroids! But there are two, which are counted as multiple sub/uterine fibroids! However, to confirm the diagnosis, tissue samples must be taken for pathological examination! Even if you are sure, you have to do it, that's the responsible thing to do!
In the end, Xiaoyanzi took a few screenshots with clear performance! A report was sent too! That's what the report says!
First, pelvic effusion.
Second, adnexitis (thickening of the fallopian tubes on both sides).
III. Child/uterine fibroids (nature to be investigated).
In the upper right corner of this B-ultrasound report, there are always these words, for clinical reference only!
In other words, the ultrasound results are for the reference of clinicians, and do not have absolute diagnostic efficacy! Just tell you what you see! This is also a good way to avoid medical risks!
Li Qi felt that it was a kind of happiness, but also a kind of sadness!