Font
Large
Medium
Small
Night
Prev Index    Favorite Next

2071 Mirror Pain (monthly ticket 73500147)

"Two minutes ago, the patient was walking back." Zhou Litao said, "I urge that side to hurry up and upload the video. Boss Zheng, please give me a look."

Zheng Ren took the information of the patient in Zhou Litao's hands and looked little by little.

Just as Zhou Litao said, the patient's physical signs and private complaint pain are contradictory; x-ray orthotopic films and b-ultrasound are also contradictory.

Su Yun frowned, and it seemed that he didn't know very well why this situation happened.

The patient's whole situation is a bit weird.

If the signs and private prosecution are in conflict, clinical practice is still common. But can objective examinations still make mistakes?

Most young doctors are very superstitious about objective examinations, but sometimes objective examinations can conflict with each other.

"Look at the eye ct." Zheng Ren quickly read the patient's examination report and then strode towards Zhou Litao's duty room.

This place has become the office of Boss Zheng in the emergency department.

The computer is on, and Zhou Litao found the patient's CT image and moved the position aside.

The CT image supports the judgment of B-ultrasound, and you can see that the patient has hydronephrosis with a stone stuck in the proximal end of the ureter.

Zheng Ren was also confused. He inserted the X-ray vertical flat film into the film viewer and began to compare the differences between them and CT images.

"It's strange, and the X-ray image looks very standard." Su Yun's eyebrows frowned a little longer.

They are all very standard but conflicting, and similar situations are not common in clinical practice.

Zheng Ren didn't say anything, held his cheek, kept looking around and rebuilding his mind.

"Go and see the patient." Zheng Ren said in a deep voice after being silent for nearly 10 minutes.

Zhou Litao handed over two white clothes, Zheng Ren and Su Yun put them on and walked out of the duty room.

The patient has returned after the examination. The painkiller has passed, and the pain is even worse.

The man did not go to the hospital bed, but curled up on the flat car, holding his lover's hand desperately, looking very pitiful.

The pain in the urinary tract hurts... No matter what pain, it will be fatal. Zheng Ren came to the patient and whispered, "Where do you think the pain?"

The patient's family was very impatient, but when faced with the doctor's inquiry, they had to say the same thing over and over again.

"The stomach hurts on the left side." Although the patient's family was still cooperative, they were already impatient.

"Doctor, this hurts." The patient said, covering his left belly. His lover's hand covered his waist to increase the temperature as much as possible. Perhaps doing so would relieve his pain.

Sure enough, there was pain on the left side. Zheng Ren then wanted to turn the patient sideways and wanted to have a physical examination. But the patient was like a frightened bird and said in panic: "Doctor, don't knock my waist. Tap once is like dying."

"..." Zheng Ren looked at his expression, and he didn't seem to be pretending, and he was speechless.

This is scared of pain.

"Okay." Zheng Ren looked at his system panel and nodded gently.

The diagnosis of the system panel is the same as that of CT and B ultrasound, which is contrary to the patient's private complaint symptoms, right urinary stones and right nephrosis.

Zheng Ren fetched out a lot of relevant information, and he was thinking while looking at the system panel.

"Doctor, what disease is?" the patient curled up on the hospital bed and asked pitifully.

At this moment, he looked so helpless, with a pale face, and a cold sweat from the pain on his forehead and temples.

Even the clothes were penetrated, which was really pitiful.

This is pretty good. Many men with big arms and round waists lie on the flat car, screaming like slaughtering pigs. This scene has been seen countless times in Haicheng First Hospital.

"It's okay, it's okay." Zheng Ren smiled and comforted the patient, "We will study it for a little problem and make it less painful as soon as possible."

His smile seemed to have some unknown force, and the patient felt that the pain was a little lighter.

But the patient's family was very irritable and watched the "useless" doctors leave fiercely.

Back at the duty room, Zheng Ren said in a deep voice, "Please go to the courtyard."

"..." Mr. Yu was speechless, and he didn't expect that Boss Zheng would give such an explanation.

I was admitted to the hospital, and I knew that Boss Zheng didn’t have to say whether it was OK or not.

"Boss Zheng, what disease are you considering?" Mr. Yu asked cautiously.

"Hydragon on the right side and ureteral stones on the right side. Grab the stones as soon as possible. If the hydronephragon continues to be severe, the kidneys will probably not be able to be protected." Zheng Ren said.

"What about the left side? Patients can complain about the pain on the left side." Su Yun asked.

"Think of it is mirror pain." Zheng Ren said.

Mirror pain?

This term rarely appears in clinical medicine.

Zhou Litao looked confused. Mr. Yu had some experience, but he was not sure whether he was thinking right or wrong. "Boss Zheng, is it the mirror pain that causes pain on the left side?"

"Yes." Zheng Ren was still watching the movie and nodded.

"Generally, mirror pain is bilateral pain." Su Yun put forward different opinions.

"I don't think this is important for Mr. Zhou's physical examination. Mr. Zhou's physical examination is bilateral pain. The patient complains about the left side. "I don't think it's important." Zheng Ren said.

"Zheng... Brother Yun, what is mirror pain?" Zhou Litao had never encountered it before, and was a little confused.

"After one side of the body is injured, they will feel that the same position on the other side of the body will also hurt. This study began on a large scale after World War II, and there is no conclusion yet." Su Yun said, "The strange situation is that one side of the nerve is damaged, and the corresponding nerve on the other side of the body will also be damaged."

“…”

Is this science? Or is it just a joke? If Brother Yun and Boss Zheng hadn't said this, Zhou Litao would have come forward to curse people.

One side of the nerve is damaged, the other side can also be damaged. This is simply too idealistic to believe.

"In fact, it was the beginning of intensive research after World War II, and similar research began as early as after the American Civil War." Zheng Ren held his chin and continued to watch the film, saying: "Oakland, a neuroscientist at Massachusetts General Hospital, conducted research on this, and the final mirror pain was also named."

"Boss, mirror pain occurs more frequently in cases of shingles virus infection, and there are very few urinary tracts." Su Yun was also confused.

“Seldom, but there are.”

Zhou Litao looked at Su Yun pitifully as if he had a kidney stone, waiting for Brother Yun to tell him.

"It is generally common in shingles. A reasonable explanation is that shingles virus enters the spinal cord and then spreads to the other side of the body." Su Yun said, "But injured people in the war will also cause pain on the other side due to lack of limbs on one side."

Zhou Litao suddenly remembered that he had indeed encountered similar patients in the emergency department, but his limbs were not injured, and he had never noticed that they were just thinking that this was a hysteria.

Unexpectedly, there is really a saying of mirror pain.

...

...

Note: I wrote it in the single chapter. I took a break from my busy schedule to read this chapter. I was shocked and thought I was so much different. It turned out that like the first case in Asia, the old man would not count. I apologize here and bow. I will update the monthly tickets, and I will pay it back officially. I can add updates to the leader~
Chapter completed!
Prev Index    Favorite Next