The road to the rise of great doctors

Chapter 2 Medicine is a lot of fun

The area was really swollen.

Liu Dong pretended not to hear Teacher Zhu's voice, continued to examine the patient and asked about the medical history, and basically made the diagnosis clear.

Although this disease was the first time he had seen it, it was a hot topic in the media and gossip news. Before coming to the Department of Urology, he had had a heated discussion in his own dormitory.

As a man determined to be a "hexagon warrior", Liu Dong vowed to be both theoretical and hands-on, and to be good at clinical, scientific research and teaching.Therefore, he not only saw the mosaic pictures, but also went to great lengths to get a collection of surgical teaching videos from his senior brothers. After watching them over and over again no less than ten times, Liu Dong asked himself whether he had admitted his mistake.

For a moment, Liu Dong couldn't help feeling complacent and suppressing his eagerness to try.

Immediately afterwards, Liu Dong couldn't help but think of his senior brother's words: "Urology, it also has tumors, trauma and other diseases that other departments have. In addition, it also has sewers, repairs guns and cannons. In terms of knowledge, it can be compared with anyone else." If you give more, you will definitely live a very fulfilling life.”

Sure enough, my senior brother was right. As a new intern who had just been in the department for a week, he could also encounter the problem of "repairing a gun".

Dr. Zhu came to the patient's side.

Dr. Zhu's nickname is Zhu Guoliang, which means "National Pillar". He is a doctoral student who has just graduated from the hospital. He is about 30 years old and already has thinning hair.

He was wearing a white coat and a mask, with a slightly protruding belly and a solemn expression, as if the person who shouted just now was not him.

He also took a mask and a pair of disposable gloves in his hand, handed the mask to Liu Dong, and said, "Xiao Liu, come and report your medical history and physical examination."

After listening, Zhu Guoliang continued to ask questions like a school examination: "Do you know what are the common causes of injuries in this disease?"

Liu Dongdao: "Traffic accidents, married life, clothing zipper hinges, manual entertainment, toy hinges, self-mutilation, etc."

"Yes." Zhu Guoliang put on disposable gloves and continued: "It can also be combined with urethral injuries, especially straddle injuries." He faced the patient and asked: "Looking at this person's situation, he is in the period of sexual intercourse after being married. The tunica albuginea of ​​the corpus cavernosum was ruptured due to external force during the condition. How was your urination after the injury? Did you relieve it? Is it red in color? "

After hearing the reply without redness.

Zhu Guoliang continued: "This kind of injury is a urological emergency. Most require surgical treatment, and a few do not require surgery. However, the consequences of conservative treatment without surgery are that it may become organized after healing, and there may be induration when touched in the future. There may be many indurations. If so, there may be pain, angle distortion, etc., and urethral damage may also be missed. Therefore, if the injury is not long, it is recommended to perform surgical repair in time to reduce complications."

Liu Dong made a teachable expression.At this time, Zhu Guoliang continued to do specialist physical examinations.

While observing the physical examination technique, Liu Dong said: "Mr. Zhu, I have learned about this disease. The main purpose of treatment is to protect the length, protect the function, and be able to urinate normally. His injury is not the most serious, and the bag is too long. , it should not be difficult to protect the length, and leave a urinary catheter after the operation. If it is placed smoothly and there is no hematuria, it also verifies that the urethra is not damaged."

Zhu Guoliang listened and performed examinations while asking Liu Dong to take notes and comfort the patient with a few words.

At this time, the family members of the patient also rushed over, also in a hurry.

"Is my husband's condition serious?" the patient's family asked.

Because this disease is closely related to men and women, although it is embarrassing, it is also something that has to be asked when the matter comes.

Zhu Guoliang straightened his body, his belly was slightly protruding, and said: "The diagnosis of the injury in this part is very clear, and the cause of the injury is clear to you, and no other injuries have been found so far. This kind of operation is required for emergency surgery, and the specific situation requires surgical investigation. Come and see. The family members will come to the doctor's office later, and I will tell you about the general situation of the operation, possible complications and how to deal with it."

The family members of the patient gave a "huh" to indicate that they heard it.

Zhu Guoliang continued: "During the operation, we need to check whether there is any damage to the urethra. If there is no problem or a simple problem, a urinary catheter should be placed after the operation. One is to protect the urethra, and the other is to reduce urine contamination of the wound."

"When can I have surgery?" The patient asked anxiously after Zhu Guoliang had finished speaking.

Zhu Guoliang said: "I will contact the operating room later, and you will also need to do some blood tests. I think the results will be about the same. Don't eat or drink before the operation. I will give you some fluids later."

The patient nodded, glanced at his wife, hesitated and asked, "Can the overlong bag be cured at the same time? Everyone knows that I am in the hospital, and after having a bag, it can be said that this operation was performed."

"Xiao Liu, go ahead and prepare the pre-operative routine." Zhu Guoliang first arranged what Liu Dong had to do, and then said to the couple in a calm tone: "Okay. After the operation, you can fly as high as the sky, no. I am afraid of the floating clouds covering my eyes."

After hearing this, the patient and family members looked over with grateful expressions.

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(End of this chapter)