This Doctor is Great

out of the ward,

Zhou Mo picked up his mobile phone and reported to the teacher through the corporate WeChat.

"Teacher, what's the problem with this patient?"

"Several hospitals, most of the inspections have been done, why can't we find the problem?"

Zhou Mo made a detailed report on the medical records of the patient Li Dongxue.

Zhang Luojia quickly replied to the message: "I don't know either... But you can check the literature, specifically to check that kind of special disease..."

Zhou Mo: "Okay."

I don't know if it was luck, when Zhou Mo was flipping through the paper, he suddenly saw a title paper:

"Crohn's Disease Often Misdiagnosed as Gastroenteritis"

Zhou Mo: "??????"

What?

Often misdiagnosed as gastroenteritis?

Isn't that what the patient is doing? Most doctors thought it was gastroenteritis, and the result was 0 treatment effect.

Could it be that this patient Li Dongxue is this "Crohn's disease"?

Zhou Mo opened the paper and read it.

Above, there is an introduction to Crohn's disease:

*Crohn's disease, a chronic inflammatory granulomatous disease of the gastrointestinal tract of unknown etiology.

*All segments of the digestive tract can be affected, from the mouth to the anus.

(picture)

*Clinically characterized by abdominal pain, diarrhea, weight loss, abdominal mass, fistula formation and intestinal obstruction.

"Abdominal pain, diarrhea, weight loss..."

"Isn't this just the case with the patient being very thin and suffering from abdominal pain and diarrhea, does it correspond?"

* May be accompanied by systemic manifestations such as fever, as well as extraintestinal lesions such as joints, skin, eyes, and oral mucosa.

*The disease has a tendency to recur throughout life, and severe patients are not cured, and the prognosis is poor.

*This disease is more common in Western Europe and America, and there is an increasing trend. The domestic incidence of this disease is not high.

Zhou Mo saw this,

I feel that this patient is too similar!

"Crohn's Disease"!

It is a "disease of wealth" that "focuses on" young people with strong resistance. This means that Crohn's disease may be a disease caused by an immune deficiency.

Moreover, there is currently no cure for this disease, and it can only be controlled and alleviated through a variety of methods, so it is also called "green cancer".

After reading the paper, Zhou Mo brushed the World Health Organization's guidelines for the diagnosis and treatment of Crohn's disease, and then flipped through several papers.

"Ding...you read "Crohn's Disease Often Misdiagnosed as Gastroenteritis"..."

"Ding...you read the "Guide"..."

"Ding...you..."

Seven or eight in a row,

Finally, I have a very deep understanding of this disease.

"about there…"

Zhou Mo got up, left the duty room, and went to the ward.

79 beds.

"Doctor Zhou!"

"Doctor Zhou!"

The patient's parents, after seeing Zhou Mo, quickly stood up.

Zhou Mo: "I just went back to chat with my teacher. I probably thought it might be a relatively rare disease called "Crohn's disease", but some tests are needed to confirm the diagnosis..."

"what?"

"found it?"

Parents are excited.

Very good!

"Doctor Zhou, what is Crohn's disease?"

Zhou Mo pondered for a while: "In layman's terms, the intestines are full of ulcers, and all the nutrients are difficult to absorb or even unable to absorb... Therefore, diarrhea continues to occur, malnutrition and thinning..."

Zhou Mo explained it in detail.

The parents nodded while listening, "That's right, my daughter's condition is almost exactly the same!"

And Li Dongxue, who has been playing games, has no response to the outside world. And at this moment, he couldn't help putting down his phone and looked at Zhou Mo.

There seems to be more light in his eyes!

Zhou Mo hurriedly said: "Don't expect too much for now, this is just my guess, everything needs to be checked..."

"an examination!"

"Check now!"

The patient's parents were impatient.

Zhou Mo waved his hand: "Wait a minute, don't worry, the most direct method for diagnosing Crohn's disease at present is "small intestine capsule endoscopy". "

Small bowel capsule endoscopy is different from ordinary colonoscopy.

Ordinary gastroscopy can go all the way down from the mouth, down to the duodenum, and finally stop at the front of the small intestine.

Ordinary colonoscopy can go up from the steel door, all the way up to the cecum, and finally stop at the back of the small intestine.

(picture)

(Combined with the diagram of the digestive system, to understand.)

One up and one down, to solve the endoscopic function of all pathways except the small intestine.

Because the small intestine (jejunum + ileum) is too thin and too long, colonoscopy and gastroscope cannot be performed.

And "small intestine capsule endoscopy" is to solve the dilemma of difficult inspection of the small intestine!

(Image of small bowel capsule endoscopy)

It is a small camera the size of a capsule. The patient swallows it orally, then walks through the digestive tract and excretes it from the anus.

During this process, the camera will continue to record, and you can clearly see whether there are obvious ulcers, polyps, tumors, etc. in the stomach, small intestine, cecum, colon, rectum, etc.

When the photos taken, the inside of the patient's intestines has the appearance of a 'cobblestone road', it can be diagnosed as 'Crohn's disease'.

"That's what this 'small bowel capsule endoscopy' means..."

"Its price is about 4,000 yuan..."

"If you don't want to use this test, you can also try using MRI and CT to confirm the diagnosis..."

Father: "Is it the most accurate capsule endoscopy?"

Zhou Mo nodded: "The clearest and most intuitive!"

"That's it!" Father said decisively: "There is no problem with money!"

They have been heartbroken for their daughter.

Not to mention the mere 4,000 yuan, even if it is 400,000, they have to deal with it!

Zhou Mo nodded: "Okay... Now let me tell you about the requirements for this inspection..."

First, fast for more than 12 hours.

Because of the presence of food, the camera will be blocked.

"In addition...if your daughter has symptoms of abdominal pain, nausea and vomiting after the capsule endoscopy, please report it to the nurse in time..."

The parents nodded again and again: "Okay, okay!"

Sign it, make a doctor's order.

Then Zhou Mo reported the case to the teacher.

Zhang Luojia agrees with the possibility of Crohn's disease.

…

In the evening, at 22:00, Zhou Mo wrote a quarter of the paper.

Then watch the patient swallow the endoscopic capsule.

Zhou Mo got off work.

…

The next day, UU read www.uukanshu.com in the morning.

Room rounds.

79 beds.

As soon as Zhou Mo arrived, his father asked anxiously, "Doctor, when will my daughter be pulled out? Is it possible to come out in the morning?"

Zhou Mo sweated madly and said soothingly: "It's not that fast, the human digestive system is very slow, and it usually takes 24-48 hours, or longer, for the endoscopic capsule to be discharged..."

In this way, the family of three waited, waited, waited for a day, but did not wait for the capsule to be pulled out.

…

On the third day,

When Zhou Mo was rounding the room in the morning, his father shouted to Zhou Mo with great excitement.

"Dr. Zhou, Dr. Zhou, the endoscopic capsule, pulled out!"

Happy flying!

.