638 Bleeding from unknown cause
"Take it." Xie Kai replied simply, then looked at Zhao Zhe and said, "Zhao Zhe, how is Deputy Director Zou's level? Don't find a weak professor with a low level to see us."
"I'll tell you, this is my child's teacher, you know." Xie Kai was worried and gave another reminder.
Of course, Zhao Zhe knew the importance of a teacher.
"Don't worry, Deputy Director Zou is an expert from the First Affiliated Hospital. We have been in contact with him and his level is quite high." Zhao Zhe was still indifferent to Xie Kai's ridicule, as if he hadn't heard it. He replied with a smile, "You know how severe bleeding from the lower gastrointestinal tract is removed after imaging."
"I know." Xie Kai's expression suddenly became sober when he heard Zhao Zhe say this.
This procedure is not very famous because many hospitals dare not do it. After all, it is a destructive operation and there are many things. If you are not careful, there will be serious consequences.
"In the First Affiliated Hospital, Deputy Director Zou performed this type of surgery."
Xie Kai nodded and went to explain to Teacher Sun a few words.
"Doctor Ji Xiang!"
Just as everyone was about to leave, Lin Jiuze appeared and waved to greet Ji Xiang.
"Doctor Lin, hello." Ji Xiang smiled, "Have you not returned to the United States yet?"
Lin Jiuze seemed a little hesitant, but in just a moment, he walked to Ji Xiang, "I want to wait and see. There are still some days on the holiday, so don't rush to go back."
"You are..."
"There is a patient with bloody stool. I will take her to see Deputy Director Zou."
Lin Jiu looked at the patient and talked to Ji Xiang about the last episode of the show last night.
He is very familiar with him, not as cold as he faces others, Ji Xiang doesn't care, and he talks about whatever Lin Jiu said.
When he came to the Department of Gastroenterology, Deputy Director Zou took the patient to the pharmacy for a physical examination.
First, I asked about my medical history. The patient was a 31-year-old woman who denied her history of hypertension. She went to the emergency department of ly City Hospital for more than 10 days due to intermittent abdominal pain, poor sensation, vomiting, and diarrhea.
The gastroenteroscope report was handed over to Deputy Director Zou, and he took the report and checked it carefully.
The patient's condition looked very simple, but Ji Xiang always felt something was wrong. He focused on the patient and thought about the specific situation.
"Doctor Ji Xiang, what do you think of the patient?" Lin Jiuze asked with a smile.
"I don't know. Normally, intestinal tumors or vascular diseases are considered, but the patient's condition is a bit strange. I think about it again."
Lin Jiuze smiled slightly. He took out a notebook from his pocket and wrote and painted it on it. After writing, he looked up at the patient and then lowered his head to continue writing.
Indeed, as Ji Xiang said, the patient's condition looks simple and simple.
But once you think deeply and do differential diagnosis, you will find that each diagnosis has nothing to do with her bloody stool.
Similar situations may occur in clinical practice, such as fever, which is called anonymous fever, which is actually a diagnostic name.
It's really tricky.
Just as Lin Jiuze was writing and stopping, Ji Xiang concentrated and entered the system operating room.
At the same time, Lin Jiuze's brows became tighter and tighter.
The diagnosis and treatment he wrote were not correct, and the patient's condition was quite special.
This is what Lin Jiuze didn't expect.
Originally, he wanted to show Ji Xiang his skills, but Lin Jiuze was quite complicated, but he hit the iron plate.
Deputy Director Zou let out a saliva and was also concentrating on thinking.
"Deputy Director Zou, what do you think is the situation?" Xie Kaike asked politely.
When she met a doctor from a higher-level hospital, Xie Kai suddenly became much more honest and did not have the domineering spirit when she talked to Zhao Zhe.
"I'll think about it again."
Deputy Director Zou was in a dilemma.
The patient's examination at the local hospital was complete, and all the evidence pointed to the intestinal polyps.
But if the polyps have bloody stools, it seems something is wrong.
Generally speaking, polyps will bleed, but the patient has undergone gastroenteroscope. The description of the polyps under the microscopy is that the surface is smooth and there are no ulcers.
The pathological changes of polyps start with ulcers, corroding blood vessels, and bleeding, but the situation seen under the microscope is different from the patient's symptoms.
It is possible to diagnose colon polyps rashly, but what after that?
The patient has a doctor around him, and the reason why he comes to the higher hospital is because they don’t believe in the diagnosis.
Deputy Director Zou encountered difficulties.
Lin Jiuze also encountered difficulties.
One of them was saliva, the other frowned and lowered his head to write something, and looked up at the patient.
The atmosphere in the pharmacy became a little weird.
You can't just talk face to face. Deputy Director Zou let out a deep sigh and prepared to ask the patient to do more relevant examinations, and use the exclusion method to investigate it bit by bit.
He believes that there is only one way now.
"Did you urinate normally recently?" Ji Xiang's voice suddenly appeared, breaking the silence.
Deputy Director Zou and Lin Jiuze were stunned at the same time.
The patient had intestinal bleeding, Ji Xiang asked the patient to urinate...
Although the normal medical records require a similar situation, there is also a description of the lower body in the medical records. You can't just encounter a patient and ask someone to take off his clothes and pants.
If you do this, you will probably be on the hot searches in the next day.
The first department of Xiaoji's regular training is said to be the urology department. Does he have physiological reflexes? If he hits a patient, the first thing he will do is to check if it is a urology department disease?
Although Deputy Director Zou felt that Ji Xiang was stupid in his mind, he remained silent and did not stop him.
"Doctor Ji Xiang, it should not be a disease of the urinary tract." Lin Jiuze didn't have so many concerns. He had already written 4 pages of paper and his hair was almost standing up.
"If there is any problem with urine volume, it should not be all diseases of urology or nephrology." Ji Xiang said lightly.
"..." Lin Jiuze was stunned for a moment.
What does Jixiang mean?
"I urinated less a while ago, but I recently recovered..." The patient hesitated, "but it seems that I have recovered a little. I have drunk a lot of water and urinated a lot recently."
As he said that, the patient's face turned red, "Sorry, I want to go to the bathroom."
After the patient left, the eyes of several doctors became much deeper, as if there were some problems. Frequent urination and urgency were usually caused by urinary tract infection.
However, the patient's main complaint was bloody stool.
Is it diabetes?
Is it high in urine potassium?
Is it hypercalcemia?
Countless possibilities appeared instantly, Deputy Director Zou looked solemn, "Doctor Xiaoji, what are you thinking?"
"Patients will take their blood pressure after they come back." Ji Xiang did not answer Deputy Director Zou's question positively, but suggested that the patient take their blood pressure.
"Take blood pressure? The patient said she has no history of hypertension." Lin Jiuze said.
"A normal body check, take your blood pressure and take a look."
"Doctor Ji Xiang, are you considering the bleeding stool caused by the patient's hypertension?"
Lin Jiuze's question just asked, and he thought it was ridiculous.
High blood pressure will not cause bloody stools.
What does Jixiang mean?
Chapter completed!