It lasted nearly two hours, and Yu Zhiming completed the dystocia position of eight pregnant women in labor, and one fetal position adjustment with the umbilical cord around the neck for three weeks.

Subsequently, he rushed to the examination room in the cardiology department and started a physical examination for the Gu family.

The first person to undergo a physical examination was found to have a problem with Yu Zhiming.

Liver cysts.

It is a clinically common liver disease.

Most liver cysts are simple liver cysts that are small, slow growing, have no obvious symptoms, and generally do not require treatment.

However, the 51-year-old patient examined by Yu Zhiming had a liver cyst about eight centimeters in diameter.

Although there are no obvious symptoms now, if it is larger, there will be obvious symptoms of pain and fullness in the upper abdomen.

With such a large cyst, there is also a risk of rupture.

Surgical excision is necessary.

The second person to walk into the examination room was a woman in her early forties.

As soon as she came in, she told Yu Zhiming that she had been constipated in recent months and often had to rely on medication to help her defecate.

It is hoped that Yu Zhiming can find out the exact cause and solve her painful bowel movements.

This made Yu Zhiming grin secretly.

Although constipation is not a major problem, its causes are varied.

There are both organic and functional causes.

If it were to be concrete, it would be enough for medical experts in this field to talk about it for ten days and half a month.

With this less than ten minutes of full body examination, Yu Zhiming found out the exact cause of constipation, which must have been deliberately difficult for him.

Although Yu Zhiming thought so in his heart, out of the honor of maintaining his medical genius, he didn't want to be really stumped by this woman, so he focused on the physical examination.

First, a brain exam.

One of the organic causes of constipation is neurological diseases, such as central brain diseases, stroke, multiple sclerosis, etc.

Yu Zhiming did not find that the woman's brain had brain problems that deserved special attention.

The next step is to check the neck.

Yu Zhiming focused on her thyroid gland.

Endocrine or metabolic diseases, such as diabetes, hypothyroidism, parathyroid disease, etc., can also sometimes cause constipation symptoms.

Yu Zhiming then examined the woman's breasts, heart, left and right lungs, stomach and other visceral organs......

After not detecting the problem that needed attention and treatment, Yu Zhiming moved his hands to the woman's abdominal cavity again.

After examining the kidneys, gall bladder, reproductive organs and other organs in the abdominal cavity, Yu Zhiming left the most important woman's intestinal system examination last.

He first quickly probed the woman's intestinal system.

Yu Zhiming first confirmed that the woman did not have organic intestinal lesions, such as tumors, inflammation or other causes of intestinal lumen narrowing or obstruction.

In addition, causes of constipation, such as pseudo-intestinal obstruction, Hirschsprung's disease, and megarectum, have also been ruled out.

Further exploration was done, and intestinal polyps, rectal prolapse, hemorrhoids, rectal muscle hypertrophy, pelvic floor disease and other conditions were also ruled out by Yu Zhiming one by one.

This woman's intestinal system is still quite healthy.

Perhaps, is constipation caused by a functional cause?

For example, if you eat a small amount of food, or if you don't eat enough fiber, or if you don't have enough water, you will be less stimulated by colonic motility and more likely to cause constipation.

In addition, emotional stress, fast pace of life, and changes in work and lifestyle habits may also cause constipation.

Abuse of laxatives, which can lead to over-dependence on medications, can also cause constipation.

Just when Yu Zhiming wanted to ask about the woman's diet, life and medication habits, he suddenly noticed something.

The woman's colon seems to have grown a little

Normal anatomy in adults, ascending colon length 15 cm, transverse colon 55 cm, descending colon 20 cm, sigmoid colon 40 cm.

If the normal value is exceeded and the range of motion increases, the diagnosis of colonic prolongation is made.

After a detailed examination by Yu Zhiming, it was found that the length of the woman's sigmoid colon was nearly 44 centimeters.

This is proper colonic lengthiness.

Lengthy colon is also one of the causes of constipation.

Just when Yu Zhiming was about to inform the woman of his discovery, he realized that something was wrong.

The woman said that she had only developed constipation symptoms in the last few months.

If it is constipation caused by a long colon, it should be long-term intractable constipation, which has been present since childhood.

That is, the main culprit for the woman's constipation in recent months is not this colon lengthiness.

At best, it's a secondary bonus.

Could it be that today you have to be defeated by a little constipation, so that your reputation will be damaged?

Yu Zhiming's gaze fell on the woman's lower abdomen again.

There is no noticeable small belly.

At a woman's age, the lower abdomen is quite flat, which shows that she still attaches great importance to the maintenance of her figure.

At the very least, pay attention to your diet, and exercise.

Exercise?

Yu Zhiming thought of this word, stretched out his finger and poked the woman's lower abdomen.

The abdominal muscles are not as tight as expected, and the resilience is slightly insufficient.

Perhaps the abdominal and pelvic muscles are not strong enough to push the stool out of the body?

"How much can you do with sit-ups?"

Yu Zhiming finally opened his mouth and asked a question.

The woman, who was still lying on the examination bed, said distressedly: "Doctor Yu, I used to be able to do fifty or sixty sit-ups. ”

"I can't do it lately, and I can't get up if I do a dozen of them."

"I'm still sore at every turn!"

Backache?!

This made Yu Zhiming think of the damage to the nerves in the lumbar spine, which in turn affected the control of abdominal muscles, pelvic muscles, and intestinal peristalsis.

"You roll over, I'm going to check your spine."

Generally speaking, Yu Zhiming's physical examination does not require the physical examination subject to turn over.

Because if there is a problem with the spinal cord or the intervertebral nerves, it will manifest itself in other aspects of the body.

Yu Zhiming made discoveries and suspicions, so he asked the subject of the physical examination to turn over and do an in-depth exploration of the spine.

Like this one......

Yu Zhiming made a detailed exploration of the woman's spine from the cervical spine to the top to the bottom.

When he explored the woman's second lumbar vertebrae, he finally made a major discovery.

In the spinal canals of the second and third lumbar vertebrae, two peanut-sized neuraxial tumors were found.

This made Yu Zhiming finally breathe a sigh of relief.

Once again, it proves that the name of a medical genius is not stumped by a little constipation!

"What? Do I have a neuraxial tumor? Is my constipation in the past few months due to a spinal canal tumor? ”

The woman was shocked and a little incredulous.

Yu explains: "Spinal cord injury caused by spinal canal tumor invasion may affect the nerves that control intestinal peristalsis. ”

"This causes bowel movements to slow down, and the emptying of the intestines slows down, which leads to constipation."

"It can also affect the nerves that control the abdominal and pelvic muscles, so they don't have enough strength to push for bowel movements."

Yu Zhiming explained, and comforted: "Judging from the situation I explored, the tumor in your spinal canal is only the size of a peanut, and the edge is quite regular. ”

"The possibility of complete surgical resection is considerable......

After sending the somewhat battered woman out, Yu Zhiming hurriedly let the third physical examiner in.

He spent a little too much time on the woman, a full sixteen minutes.

In the later physical examination, he needs to speed up some progress.

Fortunately, the physical examination of the next 28 people did not have any major problems.

There were three people with cardiovascular and cerebrovascular problems, some of which were serious, and Yu Zhiming reminded them to go for examination and treatment.

There is also a 61-year-old man whose stomach also needs to be properly maintained and maintained......

At 5:20 p.m., Yu Zhiming completed all the work in Ning'an Hospital.

When he moved his wrists, arms, and twisted his waist, stretching his body to relieve fatigue, Gu Qingran walked into the examination room.

"The results of my aunt's MRI have come out, and they are exactly the same as they were described."

Gu Qingran sighed lightly and said, "Even if she saw the image map, she still couldn't believe it. ”

"She didn't expect that she was looking for you to check for constipation, but she didn't expect to find a tumor in the spinal canal in the end."

Yu Zhiming smiled and said frankly: "Fortunately, she first proposed to let me investigate the cause of constipation." ”

"Otherwise, I wouldn't have looked into it. Maybe I missed the neuraxial tumor. ”

Gu Qingran smiled and said: "This is also your ability, other doctors may not check if they find a long colon." ”

Yu Zhiming was slightly stunned, with a look of displeasure.

"Test me again?"

Gu Qingran hurriedly explained: "Zhiming, don't get me wrong, this is definitely not arranged by us. ”

"It's my aunt's own idea, and she just told me about it."

"She had her done tests at other city hospitals, and she had colon surgery."

"She was scared, so she came to the seashore, and she didn't believe that it was the reason for the lengthy colon, so she wanted to confirm it through you."

"I didn't expect you to be extraordinary as soon as you made a move, and found the ultimate crux of the problem."

Yu Zhiming snorted twice.

Gu Qingran laughed again and apologized: "Zhiming, in the final analysis, this is not good for our organization, and we didn't make it clear to them in advance, and we will put an end to such things in the future." ”

"Let everyone in the family have something to say, and don't come to you with a tentative idea to check your body."

"...... like this"

Gu Qingran apologized again: "Aren't you going to buy some red wine and white wine?" I'll give you two boxes of each as an apology. ”

Yu Zhiming refused: "No, this code is one yard, and I can't take advantage of you." ”

"I can understand this so-called test, just don't take it as an example."

After a pause, he asked again, "What about Lime and Zhou Mo?" ”

Gu Qingran smiled: "There is a wound on my face, I am embarrassed to see people, I have already taken a step to hide in the car and wait for you......"

Yu Zhiming walked into the parking lot and heard a cheerful voice coming over.

"Momo, the name of the report to Ming is really useful, and it really got a place."

"Haha, we're going to have a great meal tonight."

Yu Zhiming heard Zhou Mo smile again: "Judging from the matter of booking a seat in the restaurant, Dr. Yu's reputation has surpassed that of your brother." ”

"You can shame him......"

When Yu Zhiming heard their cheerful conversation, the worry in his heart disappeared.

Or friends......

Ask for support such as monthly passes, recommended tickets, etc!!

(End of chapter)