Doctor Zhao, help!

Chapter 14 Rare foreign object?

"Besides finding an abdominal mass, what other symptoms does the elderly have?"

Zhao Sheng pondered for a moment and asked the middle-aged woman.

Although the abdominal mass, weight loss, and abdominal CT suggest space-occupying lesions, it is basically certain that it is an abdominal malignant tumor.

To a certain extent, the doctor at the local hospital made a correct diagnosis. From most experience, only a medical examination is needed to make a final determination.

But out of rigor, Zhao Sheng decided to inquire about the medical history in more detail. This step is something that many young doctors today lack.

"I just have a little fever and lost a little weight, but nothing else."

The middle-aged woman thought about it very seriously and said.

"Does your stomach hurt?"

After hearing what the middle-aged woman said, Zhao Sheng seemed to have some ideas and continued to ask.

"A little bit, it doesn't hurt very much."

The middle-aged woman replied.

It was obvious that she knew her old mother's condition very well, and it was obvious that since her old mother fell ill, she had always been by her side to take care of her.

"Do you have any symptoms such as abdominal bloating and blood in the stool?"

Zhao Sheng nodded and asked again.

"No."

The middle-aged woman shook her head.

"Did you bring the abdominal X-ray?"

At this moment, Zhao Sheng already had some ideas in his mind, but he was not sure yet.

"Well, I brought it."

The middle-aged woman quickly handed the paper bag in her hand to Zhao Sheng.

Zhao Sheng took the paper bag, took out the abdominal CT film, and looked at it carefully.

After a while, Zhao Sheng asked slowly: "Does the old man have the habit of eating fish?"

"what?"

When Zhao Sheng asked this, not only the old man's children, but also Song Wei and Yu Ning were stunned for a moment.

Aren't you looking at malignant tumors?

Why did he suddenly talk about eating fish?
"Yes... yes."

The middle-aged woman hesitated for a moment. Although she didn't know why Zhao Sheng asked, she still answered.

"Well, judging from the abdominal CT film, it does look like a space-occupying lesion caused by an abdominal malignant tumor. However, I suggest you do a three-dimensional scan of the abdomen and take a closer look."

After hearing the middle-aged woman's affirmative answer, Zhao Sheng made up his mind and said slowly.

"Doctor, isn't this a malignant tumor on my mother's part?"

After hearing what Zhao Sheng said, the middle-aged woman thought of a possibility that she had never thought of before, and asked with a trembling tone.

When she asked this question, the middle-aged man's expression also changed. Even the old lady no longer looked like she wanted to wait for death before.

After all, there is a saying that life is worse than death. If you can live, no one wants to die.

The old lady is only 67 years old. She has been doing farm work all year round and is in good health. Under normal circumstances, she would have at least more than ten years left.

"Go and check first."

Zhao Sheng did not answer. Before the results come out, some speculations cannot be directly told to the patients and their families. This is the rigorous and professional attitude that a doctor must have.

"Okay, okay, doctor, please do the examination and we'll do it."

The middle-aged woman seemed to see a glimmer of hope in Zhao Sheng's attitude, because Zhao Sheng's attitude was slightly different from the regretful and lamentable tone of the oncologist at the local hospital before.

People are like this sometimes, a little bit of hope will make them pursue it desperately.

After a while, Zhao Sheng ordered an enhanced three-dimensional scan of the abdomen, called the imaging department, and asked Yu Ning to take the old lady for a check-up.

If we were queuing up for a [-]D scan, we didn’t know how long it would be. Zhao Sheng also sent Buddha to Xixi. Since he had seen it, he had to be responsible to the end, so he called the imaging department.In the First Affiliated Hospital, Zhao Sheng still has some face.

04:30 in the afternoon.

Zhao Sheng had just seen a patient. Yu Ning held a paper bag containing CT films and helped the old lady in with the middle-aged woman. The middle-aged man followed behind.

"Teacher Zhao, the results are out."

Yu Ning helped the old lady sit down, handed the paper bag to Zhao Sheng and said.

The old lady and her children both looked anxious and worried. Amidst the anxiety, there was still a glimmer of hope.

"Ah."

Zhao Sheng took the paper bag, took out the enhanced three-dimensional scan of the abdomen, and looked at it carefully.

At this glance, Zhao Sheng's previous guess was instantly confirmed, and his expression relaxed and became much softer.

Seeing that Zhao Sheng's expression suddenly softened, several people in the consulting room looked at Zhao Sheng eagerly.

"Look, this is the location of the abdominal mass. This is the result of three-dimensional imaging after multi-slice CT tomography."

Zhao Sheng saw that several people were very anxious, so he didn't show off. He put the film on the reader, pointed at a place, and said.

"Uh-huh."

The middle-aged woman and middle-aged man nodded.

However, no matter how hard they looked, they couldn't see why.

"Judging from the scan of abdominal malignant tumors, this is indeed a very obvious space-occupying lesion. But if you take a closer look, what is the difference between this space-occupying lesion?"

Zhao Sheng continued.

different?

After hearing Zhao Sheng's words, several people were confused.

After a long while, the sharp-eyed Yu Ning said with some uncertainty and hesitation: "Teacher Zhao, it looks like a fish bone to me..."

As soon as Yu Ning said these words, the old lady and her children were shocked.

[Fishbone] and [Malignant Tumor], these are two completely different results.

"Yes, even if it is not a fish bone, it is still a foreign body. If it is really a tumor occupying a space, the edge cannot be so clear and the shape cannot be so definite."

Zhao Sheng nodded, agreeing with Yu Ning's guess.

He also carefully asked the old lady's medical history and found that she had a very clear onset time, and judging from the abdominal CT films, the shape of the abdominal mass seemed too regular, so he made such a guess.

This is a completely different outcome for the old lady and her family members.

If it is a malignant tumor, then the chance of radical cure for such a large space-occupying lesion has been lost. The focus of treatment measures can only be on chemotherapy and radiotherapy. The purpose is to prolong life as much as possible and improve the quality of life during the final period. , alleviated the pain.

But if it is not a tumor but some kind of foreign body, then surgical exploration and debridement are all that is needed.

According to the principle of "curable" in diagnostics, that is, when two suspicious diagnoses are difficult to establish, one diagnosis has little hope of cure, and the other diagnosis has optimistic prospects of cure, then no matter what, the diagnosis and treatment decision should be directed towards the hope of cure. direction.

"Doctor, is this true? Is it really not a tumor?"

The middle-aged woman said in disbelief that since her old mother was [diagnosed] with malignant tumor, the family has not been able to eat well or sleep well. It can be said that during this period, every minute and every second has been a burden to the family. Torment and torture.

Now that she suddenly heard that her old mother might not have a tumor, the middle-aged woman felt like she couldn't believe it.

"It's very likely not. Let's just stay here and control the infection first, and then transfer to the surgery department for surgery."

Zhao Sheng said with great certainty.

After the results of the enhanced abdominal CT and three-dimensional scan came out, combined with the old lady's medical history, Zhao Sheng was able to determine that the old lady was not an abdominal tumor, but most likely an internal abscess caused by a foreign body wrapped in the abdomen.

"Okay, okay, thank you, thank you doctor."

The middle-aged woman said with tears in her eyes.

The old lady's expression at this moment was no longer as gray as it was in the morning, and she also had a trace of life.

The middle-aged man was obviously suppressing his inner excitement.

(End of this chapter)