"What's wrong? Dr. Fang. Yang Zilu asked.

Fang Xian hesitated a little before saying, "It's nothing, you come with me, I'll give you a checklist, these are the basic contents of the preoperative examination." ”

"Okay, okay." Yang Zilu didn't have any special suspicions, and walked out with Fang Xian.

It's just that in the process of leaving the ward door and walking to the doctor's office, Fang Xian asked, "Has your mother always been so thin?" ”

Yang Zilu nodded: "When I was in high school, my mother accompanied me in the county, and she didn't come to Shashi to deliver food until I went to college!" ”

"Doctor Fang, all I know is that my mother has a bad stomach. Is she? Yang Zilu's face turned pale.

"After the examination, I just did a physical examination for your mother, and I felt a hard lump, and I can't determine the nature of it yet. But I expect your mother to be constipated for a while! Fang Xian didn't say the worst, he just picked out the most basic symptom.

Colon cancer, and colon cancer with obstructive nature, the prognosis will not be particularly good!

Of course, it may not be colon cancer, but it is also a disease with very serious symptoms!

Yang Zilu thought for a while: "My mother hasn't gone to the toilet for several days. What is this? ”

"You first take your mother to do a plain abdominal x-ray and a chest x-ray. It's on the B1 floor of the Surgery Building. This one doesn't need to be booked, you can do it in line for basically half an hour, you go down now, there will be someone on duty at noon. ”

Yang Zilu panicked when she heard this, her eyes were red, and she was a little overwhelmed.

But that's the way it is!

Fang Xian was also very helpless.

You can't tell the truth in front of the patient, but you have to tell the truth to the family.

……

When Yang Zilu took her mother to go for an examination, Fang Xian had already notified Wang Chuntao, the chief resident in the department, of the matter as soon as possible, Wang Chuntao was still in the emergency department at this time, so he notified Fang Xian on the phone and asked Fang Xian to report to Xue Li and listen to his opinions.

Fang Xian then called the senior physician Xue Li, and finally got the instruction to follow up the X-ray examination results as soon as possible, and to ask the people of hepatobiliary and pancreatic surgery and gastrointestinal surgery for consultation in time.

When Fang Xianyan heard this, while quickly writing the medical records, he kept refreshing the results of the patient's abdominal plain radiograph, and at the same time called the relevant consulting physician of the general surgery department to inform him of the request for consultation.

Of course, whether it is a doctor of hepatobiliary and pancreatic surgery or gastrointestinal surgery!

They may be accustomed to seeing the corresponding cancer, and they all say that they will consider a flat consultation for the time being, and they will come back in the evening to assess whether they need to be transferred.

Fang Xian didn't continue to write the medical record after hanging up the phone, but slowly breathed a sigh of relief.

Maybe that's the case!

Ordinary people who have a fracture will feel why they have broken their bones, and no one else has them.

But as a trauma surgeon who is accustomed to seeing fractures, I don't think fractures are a serious illness.

So for the doctors of general surgery, even if it is a gastrointestinal tumor, what about it, there are a lot of them in the department.

But!

For the sake of prudence, in the process of writing the medical records, Fang Xian carefully figured out the pathogenesis of this aunt and the inner logic inside.

Almost twenty minutes later, when Fang Xian's big medical record was written for the physical examination, the results of the patient's abdominal plain radiograph came out.

Fang Xian took a look, and he could see signs of gas accumulation in the abdomen, and there were stage stool remnants.

However, at the same time, Fang Xian also found a swollen spleen! ~~

Well??

Wait a minute.

This may not be a lump in the gastrointestinal tract, but may be compression of the transverse colon due to an enlarged spleen.

Yang Zilu specially explained that her mother has a physical examination every year, and during the physical examination, the color ultrasound of the abdomen such as hepatobiliary, spleen and pancreatic color ultrasound is inevitable, and the examination and blood drawing of some tumor factors must also be drawn!

Therefore, the tumor that you suspect may not be established!

But an enlarged spleen?

Cirrhosis? Severe infection? Immunity......

Don't it be a delayed splenic rupture?

It's just that it hasn't broken yet!

The most classic injury to a delayed ruptured spleen is a handlebar injury, also known as a steering wheel injury, which usually occurs when a bicycle is hit in the upper left abdomen.

However, this is just an analogy, the most common case!

In fact, such a diagnosis, as long as all the injuries that cause left upper quadrant trauma, may cause symptoms of late rupture of the spleen.

This aunt didn't do an imaging examination in the outer hospital, but when she was hospitalized there, the doctor in charge of the bed there was not a fool, and they couldn't have done a physical examination when she was admitted to the hospital!

It may not be done in great detail, but a routine cardiopulmonary and abdominal examination will certainly be done, as will a routine blood draw.

If there is a large lump in the abdomen at that time, it can usually be found.

Then, there may not have been any manifestations of giant spleen at the time of injury, but after they decided to transfer to the hospital, they did not pay special attention, so the enlargement of the spleen was ignored.

And it's still a painless lump!

Fang Xian thought of this!

Immediately directly dialed the general inpatient consultation number of the Department of Hepatobiliary and Pancreatic Surgery: "Teacher, the 14 beds in our department need urgent consultation, it is the patient I just told you, his abdominal plain x-ray shows an enlarged spleen shadow, and he has a history of trauma before, I suspect that it may be a precursor sign of delayed splenic rupture, and the spleen capsule has not yet been broken." ”

"X-ray examination number! ~”

"I'm at the computer!" The other party only hesitated for a moment, and immediately asked in a deep voice.

Fang Xian reported it to him.

The other party heard a crackling keyboard sound, and it may have been amplified, so the sound was loud and fast!

After three seconds, the keyboard tapping sound ends.

Five seconds later, the other party threw the mouse, indeed it was thrown, and there was a snap.

Command: "You're a trauma surgeon, aren't you?" ”

"Now you immediately notify your senior physician or the general hospital, let them come to the department for transfer procedures or discharge procedures, and notify the patient's family, let her find a push bed, it must be a push bed, do not use a wheelchair, push directly to the hepatobiliary, spleen and pancreatic surgery, I will let people go to the door to pick them up."

"Do you understand?" His tone was extraordinarily deliberate, and there was not a single nonsense.

"Good!" Fang Xian hurried back.

"That's it, notify the patient and family first, and then go through the other procedures." The other party may be afraid that Fang Xian is inexperienced, so he confessed like this.

Fang Xian hurriedly did so, and he didn't care about the confidentiality and privacy of his phone, so he directly used his mobile phone to dial Yang Zilu's phone number that he had left before.

"Hey, hello, I'm Dr. Fang. Are you and your mom still in the imaging department? Fang Xian asked directly.

"No, Dr. Fang, we were lucky, we just got on the elevator! Now it's on the 2nd floor. Yang Zilu replied, a little happy and entangled.

Obviously, this doctor Fang's temper is better than that of Professor Song and many doctors in the Shonan University Affiliated Hospital.

Not swearing, and careful.

But now, she actually doesn't want to receive Fang Xian's 'enthusiasm'.

"You press the floor where the hepatobiliary and pancreatic surgery department is located, and you push her to the hepatobiliary and pancreatic surgery department! She just did a plain abdominal x-ray and found that the spleen shadow was enlarged, which is very dangerous, so you will go to the hepatobiliary and pancreatic surgery immediately. Fang Xian explained.

"Doctor Fang, me? What's wrong with my mom?" Yang Zilu was young after all, and when she heard this, she began to get anxious, her voice was crying, and she lost her square inch in an instant.

"Now the situation is more urgent, you first press the floor where the hepatobiliary surgery is located, and then push it over, wait for me to come down and explain to you slowly, now what you have to do is to push your mother to the door of the hepatobiliary surgery first, and don't care about the rest first, okay?" Fang Xian naturally didn't explain.

Where is there time to explain.

Tell the other person directly what to do and what is most important.

The other party has been out of proportion!

"Yes, Dr. Fang." The other party is in a hurry.

"Hepatobiliary surgery... Hepatobiliary Surgery ......"

"We're going to hepatobiliary surgery, you ...... with us"

"Doctor Fang, I pressed it."

"After you get off later, get off the elevator right away, and then wait at the door for the doctor inside to pick you in, and then he will give you a rough explanation, and I will come down to you right away, no problem, right?"

"All you have to do is cooperate with the doctors below."

Fang Xian was talking to Yang Zilu on the phone, and at the same time sent a text message to the chief resident of the Department of Hepatobiliary Surgery to edit the current situation, and it was simple-

"Teacher, the patient and his family have already entered the elevator and are not in the imaging department."

"She was pushing a wheelchair, and I told her to get out of the elevator directly on the floor where the hepatobiliary surgery is located, and wait between the floors!"

"Teacher, can you make any other arrangements? When I called, she was already pushing her mother into the elevator in a wheelchair, and it was a waste of time to push the bed out of the elevator. ”

"Good! ~" The other party just gave a reply.

"Doctor Fang, I'm here, what should I do now?" Yang Zilu was silent for a while, and asked helplessly.

"Just wait for the doctor to come."

"They're here, and they've brought a lot of machines, what's wrong with my mom?" Yang Zilu asked again.

"Doctor, my mother ...... her," Yang Zilu seemed to ask the doctor of the hepatobiliary surgeon.

"You come over first, and we'll ask you a little bit about it."

"The phone hung up first! ~”

"This is Dr. Fang from your hospital." Yang Zilu explained.

"The phone hung up! ~"A young man ordered very seriously.

Fang Xian took the initiative to hang up the phone first, and then began to report the situation to the senior doctors and nurses in his department.

Then Fang Xian found that the nurse of the trauma surgery department quickly threw the patient into the transfer sequence, waiting for the hepatobiliary surgeon to receive it, and at the same time said: "Doctor Fang, you stop all the patient's blood examination orders and other examination orders first, and then open an emergency examination in the hepatobiliary surgery." ”

"This patient has been transferred, you can complete the relevant transfer medical records."

"Okay, thank you, teacher." Fang Xian politely hurried to stop the doctor's order and write the corresponding medical records.

After Fang Xian finished writing the medical records of the transfer department, he found that a new 14-bed reservation patient had once again entered the inpatient queue sequence of the trauma surgery department, as if the hospital bed was just a code name for the patient......