Chen Xia introduced: "You are lucky. This is Dr. Barry Marshall from Australia. This time I will come to our hospital for research. If you have any discomfort, please tell me."

Qiu Yuxing looked at him deeply, lowered his head and took the emergency medical record.

Chen Xia flipped through the patient's emergency information as quickly as possible and began to memorize it silently.

Qiu Yuxing's mother kept urging: "Doctor, hurry up, my husband's condition is getting worse and worse."

Chen Xia quickly translated:

"Dr. Barry, this is the case. The patient, 45 years old, was admitted to the hospital for a 1-hour period of sudden abdominal pain. The electrocardiogram was checked in the emergency department and showed sinus tachycardia. Amylase was significantly increased, exceeding five times the normal value.

The routine blood suggests that white blood cells are also elevated. As for vital signs, in addition to fast heart rate and high blood pressure, the body temperature and respiratory rate are normal, and the emergency department doctors consider acute pancreatitis."

Although Chen Xia's English speaking is not very fluent, there is no problem with basic translation. That's it, the little doctors behind him were stunned.

"Sgaoyi", Chen Laoshi is indeed amazing.

Qiu Yuxing was completely confused. The old lover brought more and more surprises to her. How good was it to be when he was studying? Now he can even do translation?

Regret, she really regrets it.

After hearing the introduction, Dr. Barry Marshall immediately began to conduct a careful physical examination on the patient. Even Dad Qiu was stunned for a moment and forgot to cry out in pain. The foreign doctor touched his stomach and auscultation. This felt so strange.

Chen Xia was still introducing the emergency medical records:

"Electronic gram rule out myocardial infarction, and the emergency department doctor considers acute pancreatitis, because the patient had a history of alcoholism last night, drinking a pound of white wine, and the most important thing is based on the significantly increased amylase and white blood cells."

At this time, Dr. Barry Marshall's palpation of the abdomen just reached the middle and upper abdomen, where there was obvious tenderness and rebound pain, which indirectly supported the diagnosis of pancreatitis.

When he finished the examination, he stood up straight and said to the many young doctors around him:

"Through palpation, the patient's abdominal muscles in the upper and lower abdomen are tense and tender and rebounding, which indicates positive signs of peritoneal irritation. In addition, the patient's heart rate is fast and blood pressure is high, and there are two more diagnoses that should be ruled out, namely gastrointestinal perforation and thoracic and aortic dissection.

In clinical practice, although the significant increase in amylase is mostly a sign of acute pancreatitis, the diseases that can lead to increased amylase are not just pancreatitis. Many acute abdominal diseases may lead to increased amylase.

The gold standard for the diagnosis of pancreatitis, especially the difference between mild and severe cases, is to pass pancreatic enhancement CT examination. So I think this patient needs further examination, and it is too early to diagnose it. Before the diagnosis is confirmed, the treatment methods for different diseases are completely different."

As soon as he said this, many young doctors nodded and quickly lowered their heads to take notes. Even Chen Chun was thinking about what to do if he was the attending physician.

When Dr. Barry Marshall saw that everyone was thinking, he smiled and said:

"Maybe you can use your own experience to speculate on the most likely cause of the disease, boldly assume and carefully verify that our doctors' thinking must not be limited."

Seeing that everyone was eager to try and wanted to say but didn't dare to say it, Chen Xia took the lead in saying a speculation, "I think it is still possible to have digestive tract perforation and peptic ulcers."

"OK, is there any?"

Huang Xiaoping then replied: "Ectopic appendicitis and cholecystitis are also possible."

“This answer is very unique and great.”

Everyone laughed. It was quite interesting for foreign doctors to check in. If they were to check in with the director, they would not be scolded and could it end.

Another young doctor suggested: "Lung and pleuropathy cannot be ruled out."

Dr. Barry Marshall nodded:

"It seems that Chinese doctors have mastered the basic skills well, so how should we rule out the clear diagnosis next? The best way in our country is to do CT and gastroscopy, which can rule out most diseases, but unfortunately..."

Chen Xia laughed as soon as he heard this: "Dr. Barry Marshall, you underestimate us too much. We have CT machines in our hospital, gastroscopy, and they are all the latest models."

"Really? Awesome, I apologize to you for my shallowness. So now arrange for the patient to have a checkup. I will do it myself this time.

In our Australia, doctors must not only know how to see a doctor, but also operate various auxiliary examination instruments by themselves. We are more willing to believe in our clinical ideas and can discover many details that other doctors cannot find."

This is the difference between the standardized training of Chinese and foreign doctors. China pays more attention to clinical practice, while abroad pays more attention to the comprehensive development of doctors, paying attention to the level of a specialist and the overall view of general practitioners.

Just like Chen Xia, Section Chief Chen Da, now the surgeon is doing the work of an internal medicine doctor. Although he is forced, if it is decades later, he will definitely practice medicine beyond the scope of professional registration, and every time he catches, he will be accurate.

After everyone's discussion, Chen Xia said to Qiu Yuxing: "We will issue a checklist now, and you will take your father to do some inspections immediately. Don't worry, with us here, you won't let your father have any trouble."

Qiu Yuxing bit his lower lip and nodded slightly.

Mama Qiu kept thanking her, but she had no idea how the couple advised her daughter to recognize the situation and stay away from a certain villager when something happened to Chen Xia's family.

When Dad Qiu pushed him to the CT room, Dr. Barry Marshall and many doctors were already crowding in the operating room behind the radiation-proof glass window. Even Luo Wei and Shi Zhixian from the CT room were looking at the foreign doctor curiously.

Seeing his skillful operation and careful reading of the film, everyone realized that what is versatile talent is? The gap between us is still too big. We must continue to study in the future.

Through the abdominal CT scan, gastrointestinal perforation was eliminated, and there was no appendicitis, cholecystitis, abdominal aortic dissection, and even acute pancreatitis. The pancreas under CT showed no oozing around it, but the gastric antrum wall was thickened.

So is the patient caused by peptic ulcer? In order to clarify the diagnosis and improve gastroscopy, the results showed that gastric antrum mucosa was congested and edema, and gastritis was considered to be eliminated.

Is it caused by chest disease? Thinking further diverges, such as pleuritis patients may show abdominal pain. However, chest CT ruled out lung and pleuropathy, and there was no thoracic aortic dissection.

Dr. Barry Marshall's operation was as fierce as a tiger, which made the young doctors stunned. It turned out that medical treatment can be so advanced now, and it turned out that doctors can get started with everything.

If I had changed before, there was no CT or gastroscopy, this acute abdominal disease would either wait for death or open abdomen to investigate, and the consequences would be serious.
Chapter completed!