Chapter 88 Whether the patient is a tumor or not

As soon as Zhang Jun came out, Ai Kelong hurriedly followed and asked, "How is it?" ”

Zhang Jun made a gesture that was no problem, and then looked at Chen Qi who was sitting on the side:

"Student Chen, the diagnosis of this patient is still very simple, I believe you can see it at a glance, don't be nervous."

Chen Qi smiled and didn't speak, but just took the patient's examination report and looked at it, and Lan Lijuan also sat next to him and read it together.

On the examination list, everything else showed that there was no problem, only the B-ultrasound single showed that the patient's intrahepatic bile duct was dilated, the confluence of the left and right hepatic ducts was interrupted, the local suspicious hyperechoic spots, and the common bile duct was not dilated.

Chen Qi glanced at Lan Lijuan, who was sitting next to him, and asked, "How is it, what is the first impression?" ”

Lan Lijuan thought for a moment: "Tumor? And is it malignant? There are suspicious soft tissue shadows, all of which are compressing the biliary tract and causing obstruction,"

Chen Qi chuckled: "Zhang Jun must think so too, but not necessarily!" ”

Lan Lijuan was just about to ask why, but Chen Qi had already stood up and walked into the ward with a blank medical record.

Lying on the hospital bed was a male patient in his 50s, although he was wearing a wide hospital gown, it was difficult to hide his fat body, and in this era, fat people are still very rare.

Chen Qi thought to himself, sure enough, there is a lot of oil and water in the non-staple food factory.

Director Zhu's face was very bad, and at this time he was lying on the hospital bed thinking wildly, and his eyes were full of deep despair.

Yesterday, during the physical examination of the leaders at or above the deputy section level in the region, Director Zhu, who was indifferent, was happily lying on the examination bed, but the B-ultrasound doctor repeatedly checked his abdomen back and forth for half an hour.

Finally, he told him with a worried face that there was something next to his bile duct, which compressed his bile duct and caused a stenosis, which made him go to the hospital for surgery.

Those who can become factory directors are all human beings, and Director Zhu immediately realized that there was a big problem with his gall and liver.

You must know that in these days, unless it is a traumatic injury or an emergency, or a very serious illness, who will be hospitalized, otherwise who has the spare time to go to the hospital?

If there is really any disease, the doctor also prescribes some medicine, and even hanging needle infusion is rare.

The unwilling Director Zhu took the physical examination report and immediately slipped to the outpatient clinic and found a familiar doctor to let him take a look, but the doctor stopped talking, his expression was like constipation, and he only said that he should be hospitalized as soon as possible for careful examination.

Director Zhu didn't know how he got out of the People's Hospital.

All I thought about in my mind was, could it be that I had eaten too much meat over the years? Retribution? What kind of terminal illness is this?

As the director of the non-staple food factory, he has a wide range of roads, and a phone call to the head of the medical education department of the People's Hospital asked for a bed, but he was anxious, but the hospital asked him to practice for the intern?

Zhu Qingsan has an urge to scold his mother.

But when he thought of inviting Dean Guo Yidao to treat his illness later, he could only endure it, but his face was very good-looking.

As soon as Chen Qi entered the ward, he saw Director Zhu with an iron face, and a middle-aged woman wiping tears next to him, knowing that interns were not welcome, and this kind of face was too common in the hospital.

Not to mention interns, in the eyes of some people, even ordinary attending doctors don't give a good face.

But Chen Qi was overjoyed when he saw Director Zhu's iron-blue face, because he didn't see the patient's face yellow.

Jaundice is the earliest and most important symptom of bile duct disease, and about 90% to 98% of bile duct cancer patients have varying degrees of skin and scleral jaundice.

"Hello, you are Comrade Zhu Qingsan, right? I'm Chen Qi, an intern at the People's Hospital, and I have a few questions for you. ”

"Ask, ask, I've just asked it once and asked it a second time, it's really boring."

"In the past six months, have you had any pain, bloating or discomfort in your right upper abdomen? That's it. ”

Chen Qi asked while pointing to the location of the liver and gallbladder.

Zhu Qingsan and his wife thought about it for a long time, and then shook their heads hesitantly: "Probably not, my weight is a few pounds fatter than half a year ago." ”

"Do you have indigestion, poor appetite, and especially nausea at the sight of fatty meat?"

Director Zhu didn't hesitate this time, and said directly:

"I didn't have it for half a year before, I eat it well, my favorite thing is fatty meat, but don't say it, yesterday B ultrasound said that I had a problem, I immediately felt that I couldn't eat, I couldn't sleep, and the fat was not fragrant, doctor, did I win the jackpot?"

Chen Qi didn't answer this question positively, and now he is still in the state of consultation, where is it easy to make a diagnosis?

However, the patient did not have symptoms such as progressive jaundice, itchy skin, weight loss, indigestion, and upper abdominal distension and discomfort, and this diagnosis was still relatively optimistic in Chen Qi's eyes.

"Director Zhu, it's too early to say whether you have won the jackpot, don't worry too much, I'll do some checks for you now, if you feel bad, show it immediately."

"Okay, doctor, you can press it."

Chen Qi was not polite, and began to palpate the abdomen, but after pressing a circle, Director Zhu did not even frown, obviously there was no pain.

Director Zhu is now in a sensitive period, and asked suspiciously: "Doctor, I can't feel any pain at all, is it a painless tumor as others say?" ”

Chen Qi chuckled:

"Director Zhu seems to know a lot, don't worry, at least my diagnosis is still relatively optimistic, but I will have to do a few tests to determine whether surgery is necessary."

As soon as these words came out, the wife of the factory director sitting next to her was unhappy: "This doctor, the doctor who came in front of me didn't say that, which of you is more accurate?" ”

Director Zhu looked at his wife without concealment: "Of course, this doctor is more accurate, do you want me to have an accident?" ”

The factory director's wife was startled: "What nonsense are you talking about, of course I hope you're okay." ”

Chen Qi didn't care about the couple's bickering, but withdrew from the ward, as soon as the door was closed, a large group of secondary school classmates such as Wang Shannong outside the ward were waiting, obviously they didn't have the heart to go to work in the afternoon.

"Chen Qi, how is it?"

Chen Qi patted Wang Shannong's shoulder and comforted: "Everything is going well, I probably know what the disease is, now I'm going to write a medical record, you wait a minute." ”

Chen Qi walked into the nurse's station and began to write the first diagnosis and major medical records directly in front of everyone.

At this time, Zhang Jun was already halfway through the writing, looked at the secondary school student next door, and snorted lightly.

He also had a diagnosis in his heart, and he thought that this diagnosis was too simple, and he was afraid that Chen Qi, a secondary school student, could also see it at a glance, so he seized the time to write a big medical record, and wanted to take the first step for the dean to take a look.