Genius remembers in a second [Aishang Novel Network biquge.info] to provide you with wonderful novels to read.

Zhou Xiebo has not been in the officialdom for a day or two, and after knowing the person behind this intern, he naturally will not insist on getting along with Watson. After all, at that time, he also knew that people did not have any responsibility. On the contrary, he is also a lifesaver for his daughter.

"It's really not your responsibility to figure things out. I'm sorry, doctor, our daughter is an only child, and we can't afford to lose her. Therefore, I was very angry when I saw Lele in danger. Zhou Xiebo said.

Watson naturally couldn't see the real face of the politician under the thick mask, and of course he didn't care. His relationship with them is only that of the doctor and the patient's family. Regardless of their status and position.

Watson's grandfather treated the villagers all his life, saving other people's lives and alleviating the pain of others, which was a supreme honor for his grandfather. Watson loved this from a young age. Although he later switched to Western medicine, this has not changed.

"It doesn't matter. This is also human nature. Watson said.

"Brother Hua, don't pay attention to them. One of them only has a career in his eyes, and the other has only an official position. Zhou Le said.

"Lele, that's not right. Where are parents who don't care about their children? Watson said.

"Do you care?" Zhou Le muttered.

After telling Zhou Le some precautions, Watson went to Gan Yangke's office again.

As soon as Gan Yangke saw Watson enter the outpatient clinic, he immediately smiled and said, "Come, Watson, you ask." ”

Watson sat down and asked, "What's your name?" How old is it? ”

"Cui Jianmin, 38 years old." Although the patient was a little dissatisfied with the attending doctor suddenly letting an intern come to see him, he was not able to express himself.

Although Watson heard the patient's dissatisfaction, he continued to ask, "What's the situation?" ”

"The day before yesterday, I had pain in my upper abdomen, and I had severe pain that lasted constantly. The pain also radiates to these locations. The patient touched his right shoulder and right back with his hand.

"Almost an hour after the pain, I felt like I was shivering with cold, and I had a high fever of 4o degrees. Vomited three times. The patient continued.

Watson asked, "Does the vomited stuff have bile?" Is it bitter or not? Are there any special colors? ”

"There's no bile, there's no color, it's the same color as snot. Yes, yesterday, my skin was a lot yellower. The patient said.

"Did you have a bowel movement after being sick?" Watson asked.

"Nope. A few stinky farts were put out though. The urine is reddish yellow. Here are the results of my check. The patient said and handed over some test results.

Ancillary tests: complete blood count/1, lobulation 85%, lymphatic 15%. Abdominal x-ray showed that the right diaphragm was markedly elevated, and no air was released from the diaphragm. Hepatobiliary B showed that the liver was enlarged, the intrahepatic and extrahepatic bile ducts were significantly dilated, the diameter of the common bile duct was 2.ocm, and two strong echoic photoclusters were seen at the end of the common bile duct, with diameters of 2.5cm and 2.ocm, respectively, and the posterior side was accompanied by sound and shadow.

Watson also performed a physical examination of the patient.

Body temperature 39 degrees Celsius, pulse 13o times/mN, breaths 24 times/mN, blood pressure 12.o/8.okpa (9o/6ommHg). Furen ward, acute painful expression, indifferent expression, yellow staining of the sclera, no edema of the eyelids. Yellow staining of the skin. Percussion of both lungs was unremarkable, and no wet and dry sounds were heard on auscultation. The heart boundary is not large, the heart rhythm is uniform, the heart rate is 13o beats/m, and there is no murmur in each valve area. Flat abdomen, decreased abdominal breathing, right upper quadrant tenderness, rebound tenderness, positive muscle tension, palpable enlarged gallbladder in the right upper quadrant, positive tenderness, positive percussion in the hepatic region, upper border of the liver in the 4th intercostal space of the right midclavicle, negative moving dullness, decreased bowel sounds.

Watson wrote down the diagnosis: acute obstructive purulent cholangitis. The principle of treatment is urgent surgery to relieve biliary obstruction and decompress and drain. After the condition is stable, it is advisable to choose thorough surgical treatment after 1-3 months according to the cause.

Gan Yangke looked at the case written by Watson and nodded, and said, "Tell me what is the basis for your diagnosis?" ”

Watson nodded and said, ": Right upper quadrant cramp; chills, high fever; decreased blood pressure; Yellow staining of the sclera and skin. Consistent with chareot pentadosis. ”

"This patient will be treated according to your doctor's instructions, and you will continue to follow up later." Ganyangko said.

Gan Yangke was very unhappy when he saw the patient, but he didn't dare to say it, and said with a smile, "Don't underestimate Xiaohua as just an intern. When it comes to surgical techniques, ordinary old doctors may not be able to compare. Compared to me, it won't be bad. It's just that I don't have a little experience, but with me by my side, I'm sure you'll have no problem. ”

Seeing Gan Yangke say this, the patient finally put his mind at ease. Although I still have some mustard in my heart, I don't want to say anything more.

Watson arranged for a nurse to perform preliminary treatment of the patient and then prepare for the initial surgery.

The business of the First Affiliated Hospital is booming, especially in recent times, the sky over the city has been shrouded in a thick layer of haze, and the number of sick people has been increasing year by year over the years. As a brand-name hospital like the First Affiliated Hospital, it is natural that there are many people.

Since early in the morning, there have been patients queuing outside the clinic with registration slips. The doctor's treatment is also very fast, and each patient can occupy only ten minutes, which is still surgery. If it's like an internal medicine department, it's hard for a patient to get even five minutes.

If the time to diagnosis is too short, the chance of misdiagnosis that occurs naturally increases. But so many patients are waiting for treatment, a little slower, and they will be full of complaints. Except, of course, when you are in the office.

Gan Yangke has been unhurried, "Xiaosheng, you must not be fast when you encounter this situation in the future." We should be very careful in our surgical diagnosis, and we would rather spend a little more time than misdiagnose. Because of our surgical misdiagnosis, it is easy to die. Therefore, our surgical diagnosis must not be fast. Besides, even if you want to be fast, when the time comes, people will have done all kinds of inspections and spent a lot of money. But if you can't schedule surgery, it's easy to get into trouble. ”

Watson nodded, he had seen a lot of them in the past two days. When the patient is impatient to wait, he will take the hospital to vent his anger. But after being a doctor, I also understand that doctors also have the difficulties of doctors. No Sundays, no holidays. While others are in the family and have a good time, the doctor has to work around the clock. Under tremendous pressure.

"Don't worry too much. As long as you are careful and calm, it is not easy to diagnose mistakes. After all, the symptoms of patients who can come to our surgical clinic are already obvious. Gan Yangke laughed.