The light and shadow flickered, and Ji Xiang opened his eyes.

A sharp pain came, it was pain in the right lower abdomen, and then Ji Xiang felt nauseous and wanted to vomit.

This feeling is very similar to the feeling of a stone in the right urinary system, especially like it. A similar situation occurs during an acute appendicitis attack, with pain in the right lower quadrant, accompanied by nausea and vomiting.

For a moment, Ji Xiang even felt that he was feeling urinary stones.

No, it should be testicular torsion.

It's a sudden illness! Ji Xiang tried to sit up, but there was no desk lamp, so he could only pick up his phone and take off his underwear to take a closer look.

There was nothing wrong with the testicles, and Ji Xiang checked carefully and did not find the symptoms of redness, swelling, heat and pain described in the book.

No, it should be testicular torsion, could it be that the system is wrong? Ji Xiang was a little puzzled.

However, a patient who was sent to gastrointestinal surgery felt it himself and found no abnormality, and the initial diagnosis was that the symptoms of appendicitis silently told Ji Xiang that there must be a problem.

He struggled to get out of bed, no slippers on, barefoot and bent over to turn on the light.

The lights were bright, and Ji Xiang looked carefully again, but still found no problem.

Let's go to the hospital, Ji Xiang took out his mobile phone and checked the map, ruled out two district-level hospitals that might be of average level, and found the largest hospital nearby.

Fortunately, it was not far away, Ji Xiang endured the pain, put on his clothes, moved out of the house step by step in a strange posture, and got into the car.

When he came to the hospital, Ji Xiang took advantage of the fact that he still had energy and physical strength, and the pain could barely be endured, so he bent over like a prawn and went to register first.

Ji Xiang really hated the emergency registration, but when he thought about it, the patients were piled up at the door of the emergency department, and it was the same.

When will everyone have their own doctor, Ji Xiang thought to himself.

But complaining is complaining, but it doesn't waste time.

Ji Xiang is well aware that there is only 6 hours of testicular torsion, and these 6 hours are called the golden time.

If delayed, surgical excision is required.

Although the removal of one side will not make a child, and now he is empathizing in the virtual space, Ji Xiang does not want something similar to happen.

What to do in case of a psychological shadow.

"Doctor!" Ji Xiang bent down and tried to squeeze in through the crowd piled up at the door of the emergency department.

"Is there a bit of quality!"

"I don't know if I'm in line, I don't know anything about such a big person."

"Something, hurry to reincarnate."

Piled up at the door of the emergency room and the patient's family, the patient yelled.

Ji Xiang hurriedly smiled, endured the severe pain, and squeezed in cheekily.

It's only 6 hours, to put it mildly, Ji Xiang would rather be in hemorrhagic shock than die there.

Hemorrhagic shock will not die as long as the bleeding is not very rapid, and it will be fine for several hours, but testicular torsion will not work.

Necrosis after six hours, and it was really lonely

Thinking of this, Ji Xiang couldn't settle down at all.

If you don't have quality, you don't have quality, it's really urgent.

"What's wrong with you?" After seeing a patient, the doctor saw Ji Xiang come in bending over and holding his stomach, so he asked hurriedly.

There are so many patients piled up outside, and the doctors are also in a hurry.

If you really want to be a patient with obsessive-compulsive disorder and dense phobia, you can't be an emergency doctor.

During peak hours, the clinic is clogged with water, and doctors can only decide on the priority based on experience and the patient.

"Doctor, I may be testicular torsion." Ji Xiang didn't care about being shy, even if there were female patients and their families not far away, he still directly stated his judgment.

“！

！ ”

The emergency surgeon's buttocks seemed to be yellow, and he was suddenly "bounced" from his chair.

"Lie down!" The emergency surgeon's voice became slightly sharper, "Does it hurt so much?" ”

As he spoke, he closed the curtain and did the simplest physical examination. Then he waved his hand and pushed the other patients out.

The emergency priority of testicular torsion is quite high, and the emergency physician can clearly carry it.

Ji Xiang finally breathed a sigh of relief, and after lying down, he lowered his pants to his knees, "Doctor, it doesn't hurt down there, but I have pain in my right lower abdomen." ”

“！

！ ”

The emergency doctor stared at Ji Xiang with a perverted gaze.

"But I think it's testicular torsion." Ji Xiang insisted.

"Testicular torsion is common on the left side, and your testicles don't hurt, tell me about a ball," the emergency doctor almost scolded.

If it weren't for the fact that Ji Xiang was a patient, and there were still a lot of patients and their families outside, he would have scolded him.

The emergency doctor glared at Ji Xiang in disgust, and finally put on disposable film gloves, for fear that Ji Xiang had an infectious disease, and then began to check his body.

Ji Xiang was positive for right lower quadrant tenderness, with slight rebound tenderness, no muscle tension, and negative percussion pain in the renal area.

Typical signs of appendicitis.

"Get up and put your pants on." The emergency physician finished the examination and removed the gloves, "Consider appendicitis." ”

"Doctor, isn't it testicular torsion?" Ji Xiang was about to cry.

Although he also thought it was appendicitis, the disease that the system made him empathize with was testicular torsion.

If this is necrotic, will there be a psychological shadow on me?

Ji Xiang didn't know.

The emergency doctor opened an examination and handed the list to Ji Xiang, "What about the family, go and pay for the examination." The urinalysis requires holding the urine and you buy your own bottle of water. ”

"Doctor, I"

"You!" The emergency doctor was really speechless by Ji Xiang.

Psychotic!

Obviously it is a very typical sign of appendicitis, and the patient has to say that he is torsion of the testicle, is it so easy to twist?!

The only thing that Ji Xiang and testicular torsion patients have in common is their young age.

It is more common in young people.

Other than that, there is no evidence!

The emergency doctor even felt that he was being harassed, and he insisted that Ji Xiang was a pervert.

Maybe it's exhibitionism.

Throw the list to Ji Xiang, and the emergency doctor directly calls the next patient.

The patient is a big man, five big and three coarse, he was just curious, and after hearing the conversation between Ji Xiang and the emergency doctor, he was extremely disdainful of Ji Xiang.

Even when passing by, the five big and three thick patients also bumped Ji Xiang with their shoulders.

The next step is what you see, what you do and what's going on.

But Ji Xiang honestly lowered his head and bent over and walked out of the consultation room.

The five big and three rough patients said disdainfully, "What a person! It's amazing to have egg yolks. also twisted, he especially wanted to look at Lao Tzu, and if he didn't twist Lao Tzu, he also gave him the egg yolk and twisted it. ”

The emergency doctor sighed, "You can meet any patient in the emergency department, what's wrong with you?" ”

"And the same as him?" The five big and three rough men looked rough, but they were extremely gossipy, and asked curiously.

"One night, a student came to see a doctor and said that he had let out a particularly loud fart during his evening self-study."

“”

"He asked me how I could fart without making a sound."

"What did you say?" The five big and three rough men asked.

"The patient said that there was a book that said that if you break your buttocks, you won't have a loud fart, and he tried it and found that if he had the opportunity to break it, he wouldn't care if it made a sound. If there are many people, there is no chance to break it. ”

"You guys are really, anyone can meet you." The five big and three rough men were surprised.

"No way, the window of society. They are all sick and very anxious. The emergency physician sighed.

"You let the kid go back?"

"Yes, I said in my heart, if you really don't fart sound, it is estimated that it is a senior zero, why bother." The emergency physician chatted with the patient for a couple of words and asked, "What's wrong with you, hurry up, don't say it's useless." ”

Ji Xiang was like a walking prawn, his legs trembling.

He also knew that the emergency doctor was afraid that he had misunderstood him, let alone the emergency doctor, and he didn't feel like testicular torsion.

But I don't know much about testicular torsion, and I really hate it when I use it.

Ji Xiang was anxious to sweat out of his head.

Even if it is perforated, appendicitis rarely kills people, and the chance is too low. Even a few hours of delay is not in the way, unlike testicular torsion, which only has six hours of prime time.

What to do?

Ji Xiang's heart flashed, and he suddenly realized that he would definitely not be able to do things step by step.

He didn't pay at all, but bent down and went directly to the urology ward.

Ji Xiang still remembers his first day as an intern on the night shift in Corey, ready to see what the clinic was like. As soon as I slept that night, I heard someone shouting at the door for a doctor, my stomach hurts!

So, a busy night.

Since then, Ji Xiang has not been able to listen to this sentence.

Today, this sentence was like a life-saving straw on Ji Xiang's lips, and he was ready to shout it out as soon as he entered the urology ward.

however

Ji Xiang moved forward with difficulty, and when he was still one step away, a roar came from the urology corridor.

"What's wrong with my leave! Can't employees have holidays? You're peeling. ”

"Reason? Didn't I tell you to attend the funeral? Can't understand people? ”

"Who's? your! If you don't agree, it's yours! ”

It should be the night shift nurses, who are all like machine guns and directly silence the person on the other side of the phone.

"Doctor, I have a stomachache."

Ji Xiang walked into the urology ward with difficulty, if it weren't for something bigger, Ji Xiang didn't want to provoke such an irritable nurse.

A nurse in her thirties was holding her mobile phone angrily, her hands were clenched so hard that the sound of creaking could be faintly heard from far away Ji Xiang.

Seeing a prawn walk in, the nurse seemed to be a master of changing her face, and her anger disappeared in an instant, and her voice was countless times softer.

"What's wrong with you?"

Ji Xiang was stunned for a moment.

He is also a rookie in the clinic, and every time he sees a nurse treating patients very gently, he thinks it is right.

But the person I met today was ready to die with someone one second, and it was really not easy to smile at himself the next second.

"I have a stomachache, is the second-line professor here? Is there always a hospitalization? Ji Xiang asked.

"Stones?" The nurse looked at Ji Xiang carefully, "You're a medical student?" ”

"Well, I'm a student, so I'm thinking it's testicular torsion." Ji Xiang immediately said the diagnosis.

The nurse behaved like the emergency doctor, as if the four words testicular torsion had magic, like a needle, piercing the doctors and nurses and driving them to run.

"Lao Zhu, Lao Zhu, come out quickly!"

The nurse regained her violiness and stood in the hallway yelling loudly.

The other side answered, and the nurse heard it and took Ji Xiang to the disposal room.

She helped Ji Xiang to lie on the consultation bed, "Take off your pants." ”

Looking at the nurse, Ji Xiang was a little embarrassed.

When he saw a similar situation before, he also felt incredible, when was it, how could he still be embarrassed?

But it happened to me, it was so smooth.

Fear of testicular torsion, necrosis, and excision do not affect shyness and embarrassment.

"Old man, I'm not afraid to look at it, you're still ashamed." The nurse said disdainfully, "Hurry up, who rarely sees it." It's been a few hours, and you'll have to cut it off later, so you can wait and cry. ”

"More than two hours, but the symptoms were atypical, I went to the emergency department and was diagnosed with acute appendicitis." Ji Xiang said fifteen-ten.

"What? Appendicitis? A middle-aged man ran in panting.

After only a few steps, he began to gasp for breath, wearing slippers on one foot and barefoot on the other.

"Teacher, I think it's testicular torsion." Ji Xiang worked hard to build his character as a regular trainee, but he was afraid that the doctor would kick him out.

"Left and right?" The doctor who came in asked.

"Right"

"The spermatic cord on the right side is relatively short and rarely appears on the right side." The doctor frowned and began to examine the body.

After a few minutes, he looked at Ji Xiang suspiciously.

"How can you be sure it's testicular torsion, young man?"

"Professor Zhu, I've had it before!" Ji Xiang is blessed to the heart, and it is rare to tell a lie.

The second-line professor frowned and looked at Ji Xiang, and after a few minutes, he said, "Go for B ultrasound, I'll take it with me, and if there is a problem, reset it directly." ”

Ji Xiang let out a sigh.

Professor Zhu turned around to make a call, and the nurse reassured, "You are lucky, the person who does this B-ultrasound must be of a very high level." ”

"I know, teacher." Ji Xiang politely spoke to the nurse.

"It's pretty sweet." The nurse smiled, "It's only been two hours, it's not a big problem, don't worry too much." ”

Soon, Professor Zhu and the general manager of the hospital helped Ji Xiang to the wheelchair and pushed him for a check-up.

"It's a pity that I lost time, otherwise I can give a 99-technetium scan a try." Professor Zhu said.

"What is a 99-technetium scan?" Ji Xiang asked.

"It's all reversed, and I'm still curious." Professor Zhu reprimanded.

Ji Xiang closed his mouth, memorized the term 99-technetium scan, and asked when he was about to return to the system space.

When he came to the B-ultrasound room, Professor Zhu gave Ji Xiang a B-ultrasound.

Soon, it was determined that there was indeed a problem with the blood circulation on the right side!

Professor Zhu tentatively rotated about 30° counterclockwise and asked, "Do you feel relaxed?" ”

It's not big, but it's like magic, and the effect is immediate!

Ji Xiang suddenly felt that his lower right abdomen was loosened, and the pain was immediately relieved.

I'll go!

It works so well!

！

Ji Xiang's surprise.

Professor Zhu knew that it had an effect when he saw Ji Xiang's expression, but he still got a definite answer before he smiled and said, "Come on, do an experiment." ”

Straight leg raise test, this Ji Xiang knows.

It is generally used in the examination of patients with sciatica and lumbar disc herniation.

Its positive rate can reach more than 90, which can reflect the severity of sciatica, lumbar disc herniation and nerve root compression in a certain sense.

However, testicular torsion is also used with this test.

Feminine!

Ji Xiang sighed.

The light and shadow flickered, and the empathy ended, and Ji Xiang returned to the system operating room.

"You don't blush when you lie?" The system NPC asked jokingly.