Chapter 356: Emergency Consultation
Liu Qingqing was finally reinstated, and when she heard that her senior brother Jiangling had resigned automatically, Chen Bo's group was one less person, so he transferred Yang Haidong under Qian Jianghong.
Yang Haidong can also be regarded as "getting what he wants", he has always been worried that Qian Jianghong will be partial to Liu Qingqing, causing him to be unable to learn things.
But now Qian Jianghong is still open-mindedly biased towards Liu Qingqing.
As for the "Big Bend Incident", everyone kept it secret, no one mentioned it again, and Qian Jianghong did not talk about it with Liu Qingqing again.
In the early morning of this day, Liu Qingqing came to the surgery department and found that there were very few patients in the back group wards, and many of the wards were empty.
It turned out that Chen Bo had applied for a scientific research project of the National Science Foundation before, although there were no results yet, but there was an international exchange meeting in Shanghai, so he went.
As a result, the latter group is now leaderless, and there is an attending doctor, Li Runquan, who is temporarily the head of the chicken, and he can't receive many patients.
Qian Jianghong, as the director of the department, is naturally a little anxious, the doctor's income mainly depends on the bonus linked to the workload, so many beds are empty in vain, and many doctors in the department will drink the northwest wind this month.
Therefore, Qian Jianghong decided to send more people to the outpatient clinic, and Liu Qingqing was also among the alternatives.
On this day, after the morning shift was over, Qian Jianghong said to Liu Qingqing: "Starting from next week, you will have your turn to go to the outpatient clinic, depending on the schedule." ”
Liu Qingqing nodded in agreement.
As he was talking, the nurse brought a consultation order from the emergency room, which was still urgent.
Qian Jianghong wanted to accept the patient, so she took Liu Qingqing down to the emergency room together.
The patient was a woman under 50 years old, slightly fat, with dark and yellowish skin, short hair that was a little dirty, knotted into locks, and was lying in pain on a bed in the emergency room, with a pair of dry and chapped hands covering the position under the xiphoid process of her stomach, crying out in pain, and the conjunctiva of both eyes was yellow.
Qian Jianghong looked at it and said, "Jaundice, is there a problem with the liver or bile ducts?" ”
Wang Kaifu, a doctor in the emergency room, said: "It should be, the patient has been in severe pain in his right upper abdomen since yesterday, accompanied by nausea and vomiting. Sent in at 5 a.m., examination of right upper quadrant tenderness, muscle tension, positive murphy sign. ”
Qian Jianghong asked: "Have you done B ultrasound?" ”
Wang Kaifu said: "I have done it, and the suggestion is that there is a problem with the bile duct." ”
Qian Jianghong took a look at the B-ultrasound single, which showed that the bile duct had a strong echo, but it didn't look like a stone.
While the two were talking, the female patient kept vomiting, and she hadn't eaten for about a day, and all the gastric juice she vomited was dark green.
"It's weird." Qian Jianghong muttered, "If it's cholangitis, you usually won't vomit so violently." ”
Wang Kaifu said: "I also think it's strange. "Wang Kaifu is in the emergency department of general internal medicine, for example, according to the patient's symptoms, he is more inclined to acute gastroenteritis, but the ultrasound shows the problem of the bile duct. If it weren't so strange, Wang Kaifu wouldn't need to be in such a hurry to ask the surgeon for a consultation.
The patient's son said, "My mother may have taken medicine to break it. ”
"No, it won't." Qian Jianghong said, "Some medicines may cause liver damage, but it is impossible to eat the problem of the bile duct at once." ”
But the patient's son was very sure, "It must be a matter of taking medicine, you listen to me." That's right, the night before yesterday, my dad had a fever, so he borrowed two antipyretic pills from a neighbor's house and ate one, but after eating it, his stomach hurt so much that he vomited and pulled, and my brother took him to the hospital. ”
"My dad was very seriously ill last night, and the local hospital said it couldn't be treated, so my brother sent my dad to H City."
"Later, my mother also felt a little headache, and she felt a little feverish, so she took the remaining one antipyretic, and as a result, my mother also started to have stomach pain, vomiting and diarrhea."
"I went home last night and brought my mother out. My mother's symptoms were similar to those of my father, and I thought the local hospital would not be able to cure them, so I sent them directly to your hospital. ”
"However, my mother and my father have the same problems, and they must be bad by taking medicine."
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