Chapter 412 Small bowel Crohn's disease with intestinal perforation
412 Small Intestine Crohn's Disease Combined Intestinal Perforation
Su Yang easily established his prestige through the cases of chest pain patients.
A disease that several doctors in the further study could not diagnose. He saw the result after a glance at the video. He did not need to ask for support from other departments, and he completed the operation alone. This ability is really not something that ordinary people can do.
In addition, he gave selfless guidance to several advanced doctors and interns, and even used micro-teaching methods. This scene moved the doctors who studied and interns even more. You should know that even in the main hospital, most departments, those who studied and interns have the lowest status and the least human rights, and are all used as coolies. As for further study and study... it can only rely on personal understanding. There are fewer superior doctors who teach step by step, let alone Su Yang teaches them like this!
So he quickly won everyone's trust.
Naturally, there is no barrier between each other, and the subsequent work will be carried out better.
On this day, Su Yang was studying Guo Jia's treatment plan in the office.
The drug in the system mall still requires him to accumulate a lot of experience and is not available for the time being, so he can only find a way to restore Guo Jia's body and use more acupuncture, massage, and traditional Chinese medicine conditioning methods. However, he is still studying how to do it to be most effective.
He was reading a book and was so thrilling that the knock on the door sounded. When he looked up, he saw that it was the doctor who was studying.
"Boss." The guy who was named Zhang Yang, the last time he treated a chest pain patient, greeted Su Yang with a smile.
"Xiao Zhang, what's the matter?"
Zhang Yang hurriedly walked in and smiled with a coquettish smile: "Boss, I have a fellow villager who came to the General Hospital for treatment. I originally wanted to take him to see the director of the gastroenterology department, but the director of the gastroenterology department has been on business trips these two days, and he was sick just now, so I let him be admitted to our emergency department..."
He said guilty and uneasy.
"Do you want me to help?" Su Yang asked.
"Boss, I know this is not good, but... that guy is a relative of mine. He has been tortured by that disease for a long time. He has taken a lot of medicine and had many treatments, but it has never worked. This time I heard that I was studying in the General Hospital, so I came up specifically. Before I could find the director of the gastroenterology department, I suddenly had an illness again."
Su Yang first signaled Zhang Yang to sit down and say, after the other party sat down, he asked, "Where is the problem?"
"Right lower abdomen pain."
"Abdominal pain in the lower right abdomen?" Su Yang's eyes condensed, and his brain began to think high. After thinking for a while, he said, "Have you brought the examination report?"
"I brought him. I just took him for a detailed inspection, and I also brought him the inspection report I had in the local area.
Zhang Yang quickly stood up, took out a pile of information from his handbag, picked it up with both hands, and handed it to Su Yang respectfully.
Su Yang took it and looked at it one by one.
Patient, male, 42 years old, physical examination: abdominal abdomen bulging, tenderness in the lower abdomen, no rebound pain, and active intestinal rumbling sounds.
Previous local hospitals considered intestinal obstruction and conducted treatment.
The patient had abdominal pain again half an hour ago, with obvious abdominal pain below, total abdominal tenderness, and obvious rebound pain.
cT shows that the gastric tube passes through the posterior wall of the stomach to the gap between the spleen and stomach, and the tip reaches the left abdominal wall; free gas under the diaphragm, part of the small intestine wall thickens, and pelvic effusion accumulates.
Su Yang looked carefully for a while, then raised his head and asked Zhang Yang, "What did you think about it?"
ah?
Zhang Yang was startled.
He came to ask Su Yang for help, but he never thought that Su Yang would have to take the exam.
But it is obvious that he also conducted research on this disease, so he hurriedly said: "Boss, I am considering gastrointestinal decompression caused by gastrointestinal perforation!"
Gastrointestinal decompression causes gastric perforation?
When Su Yang heard this, he blinked his eyes, neither saying it was right, but he didn't say it was wrong. After pondering for two seconds, he said, "Go and call them all in! Also, let your fellow villager wait in the ward, don't run around, does he have family members, and let them wait there."
"Okay boss!"
After a while, the intern doctors brought by Su Yang and the interns entered Su Yang's office, and Li Yun and Yang Xinlinna also came in.
"You can look at these test reports separately, then think about what the patient may be in, and make a preliminary diagnosis first!"
Su Yang gave the task to the interns and advanced doctors. After that, he stood up and winked at Li Yun, Lin Na and Yang Xin.
The three of them were stunned for a moment, but they followed them quickly.
When he got outside, Su Yang whispered to Li Yun: "This patient has Crohn's disease in the small intestine and intestinal perforation. You go and prepare for the operation. I will take them to analyze the condition first. The operation is ready. Come and call me!"
Small intestine Crohn's disease combined with intestinal perforation?
Li Yun and Yang Xin were both stunned when they heard this.
They didn't believe it very much.
Crohn's disease is a relatively rare disease. Not to mention doctors in the emergency department, even those in the gastroenterology department can not be accurately diagnosed. However, Su Yang just looked at the examination report and didn't even see what the patient was like. Then he diagnosed that the patient was the result of Crohn's disease and was also intestinal perforation?
Is this too rash?
If it were before, Li Yun would have pointed at Su Yang's nose and squirted wildly. Fortunately, after this period of contact, he learned an iron truth, that is, Su Yang's cow-pillow cannot be used to speculate with common sense. Therefore, although he was suspicious, he didn't say anything on his mouth and didn't show it much on his face.
Fortunately, he didn't show it, otherwise Su Yang would have been sprayed with bloody spitting.
Since the system upgrade, Su Yang's ability has been improved again. At this time, he can not see the patient in person. He can say that through relevant examination reports and various test reports, he can condense the experimental subjects in the system and then conduct experimental treatment in the system.
Just now, while he was concentrating on thinking, he had entered the system space and examined the patient with laparotomy.
During the operation, a large amount of yellow intestinal fluid was seen in the abdominal cavity; 19o cm from the ileocecal area, about 3o long. Many stenosis and hardness were seen in the intestinal duct, among which the proximal intestinal duct was dilated and perforated, with a maximum diameter of about 1 �
Intraoperative diagnosis: Crohn's disease in the small intestine combined with intestinal perforation.
Therefore, he is so confident at this moment.
Chapter completed!