The road to the rise of great doctors

Chapter 93 The night has just begun (please collect and read)
"Let's go back and take a nap for a while. Today is okay. Although this kind of operation takes a long time, it is still relatively easy." Wang Shuo walked forward, suddenly jumped up, and made a shooting motion. A wet wipe was accurately thrown into the trash can by the roadside.

Seeing Wang Shuo's sudden energy, Liu Dong didn't say much, but thought to himself, "The night has just begun. This doctor on duty is so out of touch, I don't know what it will be like tomorrow morning."

Liu Dong is a steady person. Although he can be a bit juvenile at times, he is still very steady when in front of others. He likes to make decisions before taking action.Just like reading in your free time, read systematically and build a more solid knowledge system, instead of growing up by listening to other people's words and phrases.

He once saw some remarks about learning on the Internet.

“What is the fastest way to learn knowledge?”

“Attend academic conferences and listen to lectures by famous experts.”

"Attend training classes and take classes."

“Learn and grow on the job.”

At that time, the answer that impressed Liu Dong the most was this passage, "The fastest way to learn knowledge is to read books, literature, and reviews. This is the most systematic way to learn. It is not as good as attending meetings and listening to other people's lectures." Bring over the slide show and read all the documents inside."

"Academic conferences, especially repeated academic conferences, are they really transmitting knowledge? Are there other purposes?"

Liu Dong agrees.Of course, appropriate high-quality academic conferences are still very valuable. Some of the latest achievements and latest data are often presented at academic conferences before the manuscript is published.

However, those academic conferences with little repetition, new ideas or new knowledge are somewhat redundant for those who go there with the purpose of learning.

The two walked back silently. The lights on both sides were sensor-type. They would light up when people came and turn off when people left.Outside the building shrouded in darkness, there is a different feeling compared to the brightly lit inpatient building.

The two walked into the inpatient building and took the elevator to the ward.

When he was about to arrive at the general surgery ward, Wang Shuo's cell phone on duty rang.

His face suddenly darkened, he answered the phone and said, "Hey, General Surgery Department, tell me."

While listening to the voices inside, he responded with "um, um, um", "Okay, I understand."

After hanging up the phone, Wang Shuo turned around and said to Liu Dong, "Let's go to the emergency department. Hey, you didn't call me when you passed by just now. Now it's time to do some leg training."

Liu Dong's eyes lit up, and in the night, Wang Shuo didn't notice that his eyes began to heat up.

This is what he was looking forward to.

"Okay, Doctor Wang."

Liu Dong followed Wang Shuo's footsteps and asked softly, "What kind of patient is he? Trauma?"

Wang Shuo shook his head and said, "No, it's abdominal pain in adults. We won't know the specific situation until we see it."

Liu Dong didn't speak anymore and followed Wang Shuo closely, with some thoughts running through his mind, "Appendicitis? Cholecystitis? Pancreatitis? Intestinal obstruction?"

The most common problem in general surgery is abdominal pain, but the same abdominal pain often involves different diseases.

What is it this time?

After a while, the two of them arrived at the emergency department.

After asking the nurse on duty who called for consultation, I came to the emergency surgery clinic.I saw the doctor on duty typing in front of the computer, and a person standing beside him, with an anxious face, but no expression of pain. He was probably the person who came with him.In addition to this person, there was another person sitting on a stool in the consulting room, with a face showing pain and holding his stomach with one hand, looking like he was hopeless.

This is probably the patient.

"Doctor Wang, here we come. This sitting patient just wants to ask you for consultation." The doctor on duty in the emergency department looked up and noticed the arrival of the two. After nodding, he introduced to Wang Shuo.

"Well, what's the situation?"

"It looks a bit like appendicitis. This is a 28-year-old male. I just asked about the medical history. It is basically a typical manifestation of metastatic right lower quadrant pain.

"Half a day ago, he still had a persistent dull pain in his upper abdomen. He had not eaten anything that looked bad, and there was no trauma. This kind of discomfort suddenly appeared. At that time, he had some nausea and vomiting, and he could vomit out what he had just eaten. I still vomited acidic water after finishing. During this period, I went to the toilet twice and had diarrhea. They were all loose stools with no mucus or pus and blood. However, 2 hours ago, the dull pain in the upper abdomen disappeared and turned into right Persistent pain in the lower abdomen. When I first came to the emergency department, my body temperature was measured at 3°C, and there was no chills. I have not been hospitalized or had any surgery recently."

"Have you had a physical examination?"

"not yet."

"Well, come on, young man, lie down on this examination bed. Just lie flat. Bend your legs a little. Yes, relax. I'll touch your belly."

"Yes, that's it." Liu Dong watched Wang Shuo doing the physical examination seriously. He suddenly pressed it at the junction of the middle and outer third of the line between the navel and the right anterior superior iliac spine, and then released it. .

"Ahhh." The patient suddenly yelled, and then yelled again.

"It hurts when you press it, but does it hurt when you let go?" Wang Shuo said.

"Yes, doctor, it all hurts."

"The diagnosis is basically clear. What are the ultrasound results?"

"Here, this is the ultrasound examination report. Appendicitis is also suspected." After the doctor on duty at the emergency surgery department spoke to Wang Shuo, he also said to the patient, "Acute appendicitis requires surgery."

Liu Dong nodded, yes, according to the characteristics of the symptoms - metastatic right lower quadrant pain, and the physical examination - positive tenderness in the right lower quadrant - it is basically in line with the diagnosis of acute appendicitis.

And based on the current situation, it's basically not too late.

If there is a delay in seeing a doctor and perforation of appendicitis occurs, it will generally lead to diffuse peritonitis, mainly manifested as paralytic ileus, abdominal pain, reduced or stopped exhaust and defecation.After suppuration and necrosis, severe septic shock may occur!
"How are you discussing? The best treatment for acute appendicitis is surgery, and it is an emergency surgery. You can't wait too long, you need to make an early decision, and then do all the preoperative examinations early, and wait for the results to come out Next surgery.”

Just now, Wang Shuo has discussed the diagnosis and treatment plan with the patient and his family, but has not given an answer.

He raised his arm, looked at the time, and couldn't help but urge it again.

The patient still looked like "I'll forget it if it hurts so much". He was too lazy to speak and probably didn't have the energy to say too much.Seeing this situation, the patient's family members briefly communicated with him and nodded in agreement with the surgical plan.

I ordered an examination at the emergency room and called the laboratory department to ask them to do it urgently.

The patient will be hospitalized as soon as possible after taking blood tests and waiting in the general surgery ward.

Liu Dong couldn't help but think of this sentence for the second time, "The night has just begun."

ps: Today and tomorrow are very busy, so I’m missing the word count and will make it up before the end of this weekend.

(End of this chapter)