medical treatment

Chapter 444 Still Friends

After nearly two hours, Yu Zhiming completed the dystocia fetal positions of eight pregnant women in labor, and adjusted the fetal position of one whose umbilical cord was wrapped around the neck for three weeks.

Afterwards, he rushed to the examination room of the Department of Cardiology and performed a physical examination for the Gu family.

Yu Zhiming found out the problem with the first medical examiner.

Liver cyst.

It is a clinically common liver disease.

Most hepatic cysts are simple hepatic cysts, small in size, slow in growth, without obvious symptoms, and generally do not need treatment.

However, the 51-year-old patient examined by Yu Zhiming had a liver cyst with a diameter of about eight centimeters.

Although there are no obvious symptoms now, but when it gets bigger, there will be obvious symptoms of upper abdominal pain and fullness.

With such a large cyst, there is a risk of rupture.

Surgical resection is necessary.

The second examiner who walked into the examination room was a lady in her early 40s.

As soon as she came in, she told Yu Zhiming that she had been constipated in recent months and often had to rely on medicine to help her defecate.

I hope Yu Zhiming can find out the exact cause and solve her pain of defecation.

This made Yu Zhiming grin secretly.

Although constipation is not a major problem, its causes are varied.

There are both organic and functional etiologies.

If it was told in detail, it would be enough for medical experts in this field to talk about it for ten days and a half months.

Yu Zhiming was able to find out the exact cause of his constipation based on the whole body examination in less than 10 minutes.

Although Yu Zhiming thought so in his heart, out of protecting his honor as a medical genius, he didn't want to be really troubled by this woman, so he focused on the physical examination.

First the brain check.

An organic cause of constipation is nervous system disease, such as central brain disease, stroke, multiple sclerosis, etc.

Yu Zhiming did not discover that this woman's brain had brain problems that deserved special attention.

Then check the neck.

Yu Zhiming focused on her thyroid.

Endocrine or metabolic diseases, such as diabetes, hypothyroidism, parathyroid disease, etc., can sometimes cause constipation symptoms.

Yu Zhiming went on to check the woman's breasts, heart, left and right lungs, stomach and other internal organs...

After failing to detect any problems that needed attention and treatment, Yu Zhiming moved his hands to the woman's abdominal cavity.

After checking the kidneys, gallbladder, reproductive organs and other viscera in the abdominal cavity, Yu Zhiming left the most important examination of the woman's intestinal system for last.

He first did a quick search of the woman's intestinal system.

Yu Zhiming first confirmed that the woman did not have intestinal organic lesions, such as tumors, inflammation, or other causes of intestinal stenosis or obstruction.

In addition, the causes of constipation such as pseudo-obstruction, Hirschsprung's disease, and Hirschsprung's rectum were also ruled out.

After further investigation, intestinal polyps, rectal prolapse, hemorrhoids, rectal muscle hypertrophy, pelvic floor disease, etc. were all ruled out by Yu Zhiming.

The woman's intestinal system is quite healthy.

Perhaps, constipation due to functional reasons?

For example, less food intake, or lack of fiber in food, or insufficient water, will reduce the stimulation of colonic movement and cause constipation more easily.

In addition, emotional stress, fast pace of life, changes in work and living habits may also cause constipation.

Abuse of laxatives can lead to excessive dependence on drugs, which can also cause constipation.

Just when Yu Zhiming wanted to ask about the woman's diet, life and medication habits, he suddenly noticed something.

This woman's colon seems to be a little longer

Normal anatomy of an adult, the length of the ascending colon is 15 cm, the transverse colon is 55 cm, the descending colon is 20 cm, and the sigmoid colon is 40 cm.

If it exceeds the normal value and the range of motion increases, it can be diagnosed as colonic redundancy.

After a careful examination by Yu Zhiming, it was found that the length of the lady's sigmoid colon was close to 44 cm.

That's proper colon length.

A lengthy colon is also one of the causes of constipation.

Just when Yu Zhiming was about to tell the woman about his discovery, he realized something was wrong.

The woman said that she only had constipation symptoms in the past few months.

If it is constipation caused by long colon, it should be long-term intractable constipation, which has existed since childhood.

In other words, the chief culprit of the woman's constipation in recent months is not the lengthy colon.

It is at best an auxiliary bonus factor.

Could it be that he was going to be defeated by a little constipation today, which would damage his reputation?

Yu Zhiming's eyes fell on the woman's lower abdomen again.

No noticeable belly.

At a woman's age, her lower abdomen is fairly flat, which shows that she still attaches great importance to maintaining her figure.

At least watch your diet and exercise.

exercise?

Yu Zhiming thought of this word, stretched out his finger and poked the woman's lower abdomen.

The abdominal muscles are not as tight as expected, and the resilience is slightly lacking.

Maybe it's because the strength of the abdominal muscles and pelvic muscles is insufficient, and the driving force for defecation is insufficient, so it is difficult to expel the feces from the body?

"How many sit-ups can you do?"

Yu Zhiming finally asked a question.

The woman who was still lying on the examination bed said distressedly, "Doctor Yu, I used to be able to do fifty or sixty sit-ups."

"It's not working recently. If you do more than a dozen, you won't be able to get up."

"My back hurts if I don't move at all!"

Backache? !
This made Yu Zhiming think that the nerves in the lumbar spine were damaged, which in turn affected the control of abdominal muscles, pelvic muscles, and intestinal peristalsis.

"Turn over and I'm going to check your spine."

Generally speaking, Yu Zhiming's physical examination does not require the subject to turn over.

Because if there is a problem with the spinal cord or intervertebral nerves, it will be reflected in other aspects of the body.

Only when Yu Zhiming discovered and doubted did he ask the examinee to turn over and conduct an in-depth examination of the spine.

Just like this time...

Yu Zhiming made a detailed exploration of the woman's spine starting from the cervical spine and from top to bottom.

When he detected the woman's second lumbar vertebrae, he finally made a major discovery.

In the spinal canal of the second and third lumbar vertebrae, two peanut-sized intraspinal tumors were found.

This made Yu Zhiming finally heave a sigh of relief.

It proved once again that the name of a medical genius was not stumped by a little constipation!
"What? I have a tumor in the spinal canal? Is my constipation caused by the spinal canal tumor?"

The woman was shocked, and a little unbelievable.

Yu Zhiming explained: "Tumor invasion in the spinal canal causes spinal cord injury, which may affect the nerves that control intestinal peristalsis."

"This leads to slower bowel movements, which slows down the emptying of the bowel, which can lead to constipation."

"It could also affect the nerves that control the abdominal and pelvic muscles, making them less forceful to push a bowel movement."

Yu Zhiming explained, and then comforted: "From what I've seen, the tumor in your spinal canal is only the size of a peanut, and the edges are quite regular."

"The possibility of complete surgical resection is quite high..."

After sending the somewhat shocked woman out, Yu Zhiming hurriedly let the third examiner in.

He spent too long on the woman, a full sixteen minutes.

After the physical examination, he needs to speed up the progress.

Fortunately, the physical examinations of the next 28 people did not reveal any major problems.

Three people had serious cardiovascular and cerebrovascular problems, and Yu Zhiming reminded them to go for examination and treatment.

There is also a 61-year-old man whose stomach also needs a good maintenance and maintenance...

At [-]:[-] in the afternoon, Yu Zhiming finished all the work in Ning'an Hospital.

While he was moving his wrists, arms, and twisting his waist to relieve his fatigue, Gu Qingran walked into the examination room.

"My cousin Jing's MRI results have come out, and they are exactly the same as what you said."

Gu Qingran sighed softly, and said, "Even after seeing the image, she still can't believe it."

"She didn't expect that she was looking for you to check for constipation, but she didn't expect to find out a tumor in the spinal canal in the end."

Yu Zhiming smiled, and said frankly: "Fortunately, she first asked me to investigate the cause of constipation."

"Otherwise, I wouldn't check it out. Maybe I missed the tumor in the spinal canal."

Gu Qingran laughed and said: "It's because of your great ability, other doctors may stop checking if the colon is too long."

Yu Zhiming was slightly taken aback, with displeasure on his face.

"To test me again?"

Gu Qingran quickly explained: "Zhiming, don't get me wrong, this is definitely not our arrangement."

"It's my Aunt Jing's own idea, and she just told me."

"She was checked in another city hospital, and she was asked to undergo colon surgery."

"She was scared, so she ran to Binhai. She didn't believe it was the reason for the lengthy colon, so she wanted to confirm it through you."

"I didn't expect you to be extraordinary as soon as you make a move, and you have found the ultimate crux."

Yu Zhiming hummed twice.

Gu Qingran laughed again, and apologized: "Zhiming, in the final analysis, this is because our organization is not good. We didn't make it clear to them in advance, and we will put an end to such things in the future."

"Let everyone in the family talk about it, talk about things if you have something to say, and don't come to you for a physical examination with tentative ideas."

"so……"

Gu Qingran apologized again: "Don't you want to buy some red wine and white wine? I'll give you two boxes each as an apology."

Yu Zhiming refused: "No, this size is one size, and I can't take advantage of you."

"I can understand this so-called test, as long as it doesn't make an example."

After a pause, he asked again, "Where are Qing Ning and Zhou Mo?"

Gu Qingran said with a smile: "I have a wound on my face, I'm sorry to see people, I've already hid in the car and waited for you..."

When Yu Zhiming walked into the parking lot, he heard cheerful voices coming.

"Momo, the name reported to Zhiming is really useful, and I actually got a reservation."

"Haha, let's have a good meal tonight."

Yu Zhiming heard Zhou Mo smile again and said: "Judging from the matter of booking a table in the restaurant, Dr. Yu's reputation has surpassed that of your brother."

"You can really shame him..."

When Yu Zhiming heard their cheerful conversation, all the worries in his heart disappeared.

Still a friend...

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(End of this chapter)