Liu Qingqing asked the female patient to lie on the treatment bed and bend her knees so that her abdominal muscles could relax.

The female patient was really thin and had a sunken abdomen with a scaphoid abdomen.

Liu Qingqing couldn't help but say: "Damn, you're so thin." ”

Behind the bed curtains, the patient's husband complained, "She doesn't eat breakfast!" If you don't eat breakfast every day, you can get fat! "The results of the physical examination, the tenderness in the upper abdomen is not particularly obvious, but the tenderness in the right upper abdomen, the muscles are tense, well, it seems that I have felt a mass, this should be the gallbladder!

Liu Qingqing swept towards her upper right abdomen and saw that there was a gallbladder stone.

Gallstones can also cause pain and discomfort in the middle and upper abdomen, somewhat similar to the symptoms of gastritis.

In addition, after a full meal, the gallstones block the cystic duct with the outflow of bile, causing biliary colic, which may also be because of this, the patient mistakenly thinks that he is having a gastritis attack.

Of course, this female patient does have gastritis and does not like to eat breakfast.

Skipping breakfast is one of the bad habits that can easily induce gallstones.

Skipping breakfast for a long time will increase the concentration of bile, which is conducive to the reproduction of bacteria and easily promotes the formation of gallstones.

Liu Qingqing returned to the front of the computer and prescribed a blood routine, a B-ultrasound list, and a gastroscopy list.

The patient's husband was satisfied that Liu Qingqing finally prescribed a gastroscopy order, but when he saw it, he had to do B-ultrasound and blood routine, and he felt that these two examinations were unnecessary!

He said: "Doctor, I have already done a gastroscopy, so I don't need to do B ultrasound, right?" ”

Liu Qingqing said: "What I want to do with B ultrasound, I just felt a lump in her upper right abdomen, and I need to do a B ultrasound examination." Sometimes pain in other organs can be confused with stomach pain. ”

The patient's husband was still very unhappy, pulling his hips and face, "What about the blood routine?" There's no need for an extra blood draw, right? ”

"Blood routine should be done." Liu Qingqing said.

Because gallstones may cause cholecystitis, which is common in acute cholecystitis, leukocytosis and left shift of the nucleus, a complete blood count is done to check for cholecystitis.

Liu Qingqing did not prescribe unnecessary checklists.

But the family didn't understand, and muttered, "Little doctor, I just want to generate income, Nana." ”

Liu Qingqing could feel the family's distrust of her, and she even wondered if the family would tear up these checklists immediately after they went out, and then re-register the ordinary number, find other small doctors, and give a gastroscopy list, if that happens, it will cause a missed diagnosis.

Liu Qingqing's mind turned quickly, and he immediately thought of a countermeasure, "In this way, after you finish the B-ultrasound, go to Room 515 to find Director Qian, and ask him to add a number to you, and you can show Director Qian the B-ultrasound results." ”

Qian Jianghong is also in the outpatient clinic today, and he deliberately arranged for Liu Qingqing to go to the outpatient clinic today, so that if Liu Qingqing has any questions, he can ask him questions at any time.

When the patient's family heard that it was the director, they asked, "Are you talking about the expert Director Qian Jianghong?" ”

"That's right, it's him."

The patient's family showed a surprised expression, UU reading the book but couldn't believe it, "I hung his number in the morning, and I couldn't hang it anymore." ”

"That's for sure, he's an expert, and his trumpet is hard to hang up." Liu Qingqing said that she saw the patient's husband nodding like a chicken pecking rice, and thought to herself, Director Qian has a reputation, and when Director Qian says a word, it will be more useful than her Liu Qingqing's words.

But the patient was worried: "Is Director Qian willing to give us a plus sign?" We don't know him. ”

"It's okay," Liu Qingqing said, "just say that I asked you to find him." ”

"Oh, well, thank you!" The patient's husband was happy at this time, and his attitude towards Liu Qingqing changed greatly, and he couldn't help but bow to her and thank her.

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