Doctor Zhao, help!

Chapter 123 A Strange Condition

nine in the morning.

Consulting room.

"next."

Zhao Sheng, who had just seen a patient, said to Song Wei.

"it is good."

Song Wei nodded and went out to the consulting room.

After a while, a middle-aged couple walked in, supporting a boy who looked to be sixteen or seventeen years old, with a pale face, slow steps, sweat on his forehead, and his hands covering his stomach.

Hey!
Zhao Sheng was a little shocked when he saw this boy for the first time.

Bright lips and white teeth, skin as good as snow, weak willow and wind, these words were originally used to describe Sister Lin, but at this moment, Zhao Sheng felt that these words could be applied to the boy in front of him.

If this boy were dressed as a woman, Zhao Sheng was sure that most people would think he was a beautiful girl at first sight.

Well, this is an overly [pretty] boy!

Zhao Sheng thought in his heart.

After the couple helped the boy sit down, Zhao Sheng asked routinely: "What's wrong?"

"Doctor, I've been suffering from fever, stomachache, nausea and vomiting for the past few days. Please take a look at me quickly."

The boy's mother said to Zhao Sheng very anxiously.

My son is now a sophomore in high school and will be a senior in a year. It is a critical period for his studies. He suddenly developed fever, nausea, and stomachache, which made the couple extremely anxious.

You know, in order for their son to enter the current high school, the couple really paid a lot.

It can be said that the whole family's hopes are pinned on their son.

"What's your body temperature?"

Zhao Sheng nodded and turned to ask Song Wei.

Before bringing the boy in just now, he should have taken his temperature. This is a necessary routine operation in the emergency room.

"39.4 °"

Song Wei said.

"How long has it been?"

Zhao Sheng asked the boy again.

Fever, nausea, vomiting, and abdominal pain sound a lot like acute abdomen.

Basically, acute inflammation of the abdomen can cause these symptoms and reactions.

"Three days, doctor."

The boy was covering his abdomen with both hands, and there was still a small amount of sweat on his forehead. He did not answer Zhao Sheng's question. The boy's mother continued.

"Besides these symptoms, where else do you feel uncomfortable?"

Zhao Sheng looked at the boy again and asked.

For this consultation, it is still necessary to ask the patient himself to be more comprehensive and detailed, and no important information will be missed.

This has been learned deeply.

"Obviously, the doctor is asking you, please tell me quickly."

Seeing that her son was still silent, the boy's mother suddenly said anxiously.

She is a child who studies well and has a good personality. The only drawback is that she is too shy.

Another point is that the son is too beautiful for a boy. The couple didn't feel it a few years ago, but in the past two years, the son has become more and more handsome, and even the neighbors can see it.

However, the couple didn't take it seriously. During puberty, secondary development is a blind box. No one knows what the boy will look like after puberty.

Some are potential stocks and will become handsome boys when they grow up. Some are BT development and will be disabled when they grow up.

"It hurts a little here."

The boy endured the pain in his abdomen and pointed to his right shoulder.

"Where did it start to hurt first?"

Zhao Sheng saw the boy pointing at his shoulder, so he thought about it and asked.

Abdominal pain radiating to the shoulders and back is likely to be cholecystitis or pancreatitis.

It would be okay if it was cholecystitis, but if it was really acute pancreatitis, it would be fatal. At this time, Zhao Sheng did not dare to be careless at all.

"It started to hurt together."

said the boy. "Lie down and do a physical examination first."

Zhao Sheng pondered for a moment and said to the boy.

The boy said that there was no order of pain in the abdomen, shoulders and back, but it does not mean that the real situation is like this. The abdominal organs are very tolerant to pain. In many cases, pain occurs only when severe inflammation occurs in the abdomen.

Soon, the couple supported the boy and lay on the examination bed, and Zhao Sheng began to examine the boy.

Putting on gloves, Zhao Sheng lifted up the boy's T-shirt and prepared to perform an abdominal examination first.

However, as soon as he got it, Zhao Sheng was shocked.

The skin on this boy's belly is a little too weird.

how to say?

For a boy, his skin is too good.

Not only is it so white that you can vaguely see the small veins under the skin, but it is also extremely slippery and feels cold.

This boy was probably born with the wrong gender.

Zhao Sheng felt a little emotional at this moment.

"Inhale."

"Does it hurt here?"

Zhao Sheng first examined the boy according to abdominal palpation for cholecystitis.

The location for cholecystitis palpation is at the intersection of the lateral edge of the patient's right rectus abdominis muscle and the right costal arch. Use your thumb to align the above position, and place the other limbs naturally on both sides.

Let the patient inhale while pressing down with the thumb. When the patient takes a deep breath, the position of the gallbladder will move downward, and the thumb will touch the downwardly moving edge of the gallbladder.

If there is inflammation in the gallbladder, the patient will experience severe pain. This palpation method is a commonly used clinical method to diagnose cholecystitis.

"a little bit."

The boy said without any change in his expression.

"A little bit?"

Zhao Sheng was a little confused. Logically speaking, even if it was not cholecystitis, it would not be possible for there to be only a little pain.

Whether it is acute cholecystitis or acute pancreatitis, rebound pain and tenderness are very obvious.

"Yes, only a little."

The boy emphasized again.

Next, Zhao Sheng gave the boy a full set of physical examinations, but there were no special findings.

After getting off the examination bed, Zhao Sheng decided that since there were no abnormalities in the physical examination, he could only prescribe a full set of biochemical tests for the boy, including liver and kidney function, amylase, blood routine, and full abdominal B-ultrasound.

The most critical thing is that when Zhao Sheng used the three-dimensional imaging and detection function of his god's right hand just now to perform an abdominal physical examination on the boy, he did not feel any changes in the abdominal organs.

This is very strange.

It was obviously a symptom of an abdominal emergency, including acute fever, abdominal pain, nausea, and vomiting, but there was nothing abnormal about the abdominal physical examination.

Amazing!

"Doctor, what's the problem?"

After the physical examination, the boy's mother asked Zhao Sheng anxiously.

"Let's complete the inspection first, it's hard to say yet."

Zhao Sheng pondered for a moment and said.

He had not encountered this kind of situation without any clue for a long time.

"Okay, okay, doctor, I'll prescribe all the tests I can."

The boy's mother said cooperatively.

Soon, Zhao Sheng ordered biochemical liver and kidney function tests, a full set of amylase tests, routine blood tests, and a full-abdominal B-ultrasound. The couple took the boy for a checkup.

After the couple took the boy away, Zhao Sheng was still confused about the boy's condition.

After a quick search of the database in his mind, Zhao Sheng finally had some guesses.

Recurrent fever, nausea and vomiting, abdominal pain, and radiating pain in the shoulders and back, in addition to acute abdominal inflammation, are only symptoms of late-stage liver cancer.

This boy?
Advanced liver cancer?

This is absolutely impossible.

No, there is another possibility!
A flash of lightning flashed in Zhao Sheng's mind, illuminating the fog!
(End of this chapter)