Call it complicated, but it's also simple.

Because the bleeding has been basically determined, it is diffuse bleeding in the large intestine.

The large intestine mainly includes the cecum, appendix, colon, rectum, and anal canal.

The appendix can be ruled out first.

If there is something wrong with it, the patient will be in excruciating pain and it will not last more than half a year.

And it will rot in the abdominal cavity.

The anal canal can basically be eliminated.

Then there are only three parts left: the cecum, colon, and rectum.

Starting from these three parts, I am afraid it will be difficult to gain anything.

His current pathological diagnosis level is at the average level of a resident doctor. No matter how arrogant he is, he cannot be more arrogant than the chief physician.

He has been able to achieve success repeatedly because of his alternative diagnostic thinking.

By looking at problems from different angles, you can see some blind spots and blind spots that other doctors cannot see.

This is one of his advantages.

"Could it be that there is a malignant tumor in the large intestine and then infiltration occurs?"

He couldn't help but think of a possibility.

The patient had a routine blood test and leukemia could be ruled out.

Generally speaking, the first step for unexplained bleeding is to screen for leukemia and bleeding disorders.

If there is a malignant tumor, it should be discovered when the patient undergoes angiography.

Zhou Can tried again to recall the angiography report, and finally, he initially ruled out the possibility of malignant tumor infiltration.

That leaves only the last inference.

He boldly speculated whether the cause of the disease would appear in the small intestine?

The adult small intestine is about 7m long, with the shortest length reaching 5m. It is the main nutrient absorption organ of the human body.

The reason why the patient was so thin was of course due to long-term bleeding.

But it's also possible that the bleeding is just a smokescreen.

It is for this reason that doctors are guided by it when making diagnoses. In other words, doctors fall into this almost iron-clad misunderstanding in their diagnosis.

When Zhou Can first learned about the patient's condition, he heard that the patient had blood in his stool for more than half a year before he came to the hospital for medical treatment.

It is also instinctively believed that the patient's weight loss is caused by procrastinating for too long.

It would be impossible for any person to maintain weight without losing weight if he had bloody stools for more than half a year.

"Yes, the small intestine should be checked."

The more Zhou Can thought about it, the more it made sense and his ideas became clearer.

The alternative diagnostic thinking allowed him to break the inherent iron rules and get rid of diagnostic misunderstandings.

There is a problem with the small intestine section, what is the most likely cause?

First, a condition must be met.

When the dirty liquid discharged from the small intestine enters the large intestine, it can cause large intestinal bleeding.

This can also well explain that the bleeding site in the large intestine is not fixed.

Zhou Can decided to ask the patient's attending physician about the situation.

The attending physician who treated this patient was named Xia Ping, an attending physician in the Department of Gastroenterology.

After finishing our meal in the hospital cafeteria, it was already half past six.

The gastroenterology clinic must have closed early.

But there will definitely be a doctor on duty in the inpatient department.

Zhou Can has a good relationship with Director Tan and Director Yin Hua of the Department of Internal Medicine. They are all top bosses in the Department of Internal Medicine.

At this time, go to the internal medicine inpatient department and ask Dr. Xia Ping about the situation. There should be no problem.

He is a man of action, he does what he thinks and never lets his dreams come to nothing.

We walked quickly to the inpatient department of gastroenterology.

"Hello, I am Zhou Can, a trained doctor in the Department of Critical Care Medicine. I would like to find Dr. Xia Ping, a doctor in the Department of Gastroenterology."

Zhou Can could only ask the girl at the nurse station.

"I'm sorry, Dr. Xia is off work. If you're not particularly urgent, you can come see him again tomorrow."

The attitude of the nurse sister is pretty good.

The reason why she is called Sister Nurse is because she is at least over thirty years old.

Much older than Zhou Can.

Only when you meet a fresh nurse in her twenties can you call her a nurse girl.

"The matter is not particularly urgent, but it is related to the safety of a patient in the intensive care unit. I would like to ask Dr. Xia now to inquire about that patient's condition. You can also give me Dr. Xia's phone number."

Zhou Can is really worried that the patient in bed 7 will not last long.

Because when I had a bowel movement today, my intestines came out.

Moreover, the patient's physical condition is already extremely weak. Finding the cause of the patient's bleeding one day earlier would be of much greater significance.

"We don't have a doctor's phone number here! You can go to the doctor's duty room and ask the doctor on duty."

Nurses deal with a large number of family members every day.

Each one is very slippery.

If you want to ask them something, unless you are a doctor from the department with whom you have a close relationship, don't even think about it.

Zhou Can finally understood the lesson and walked directly into the doctor's office without wasting time.

Boom, boom, boom!

The office door was open, the lights were on, and there was only one doctor sitting with his back to the door.

Knocking on the door is a sign of politeness.

"Please come in!"

The doctor looked back.

"It's you! If you don't work in the emergency department, why did you come to our gastroenterology department?"

This male doctor is none other than Dr. Chi, who went to the emergency department last time.

He should have a very deep impression on Zhou Can.

Otherwise, it would be impossible to recognize it at a glance.

"Hello, Dr. Chi!"

Zhou Can tries his best to respect each other.

Last time, Dr. Chi went to the emergency department and was so arrogant that he ended up in disgrace.

Zhou Can will naturally not mention the embarrassing things in the past again.

"Is something wrong?"

Dr. Chi's expression was somewhat unnatural, and he probably remembered what happened last time. There was definitely some embarrassment.

"I would like to ask Dr. Xia Ping about a patient. Can you give me your phone number?"

Zhou Can lowered his attitude and asked.

"Dr. Xia's phone number, okay, I'll look for it, wait a minute!"

Dr. Chi didn't make things difficult. He actually put down what he was doing and looked for Zhou Can's phone number.

"Here, this is Dr. Xia's mobile phone number. You can just dial it. But it's off duty now, so I can't say whether I can get in touch with him."

"thank you!"

Zhou Can called the number on the duty list.

Fortunately, I got through.

He didn't shy away from asking questions about the patients directly in the office.

"Hello, Dr. Xia, I am Zhou Can, a trainee in the Department of Critical Care Medicine. I would like to ask you about the condition of a patient named Guo Ziyang with gastrointestinal bleeding in bed 7. Is it convenient now?"

Zhou Can asked.

"Convenient, convenient, you name it!"

The voice on the other end of the phone was calm and full of magnetism.
Chapter completed!