Xie Wanying walked over and said to her classmates: "I have written your study and life plan and handed it over to Brother Tao for review. There should be results in the afternoon. The group will discuss your treatment plan again in the afternoon, so you don't have to hurry."
Speaking of this Buddha, Zhao Zhaowei has always trusted him in a moderate degree, but he has a sense of trust in the female student in the class, Xie.
"Yingying, please help me with palpation." Zhao Zhaowei invited her to check her body.
Xie Wanying understood that her classmate was still not relieved and nodded in agreement.
Lying back on the hospital bed, Zhao Zhaowei pulled the patient's clothes himself, bent his knees to relax his abdomen, and said, "You touch my liver. I feel a little back pain."
"Does your back hurt?" Xie Wanying asked.
"right."
"I'll touch it, you can relax." Xie Wanying told her classmates that she would wear gloves on her hands and then palpate him according to the department's regulations.
The four fingers were put together and placed on the lower liver edge parallel to the student's right rib margin, observing the student's breathing. Before the student's abdomen sinks when exhaling, Xie Wanying pressed her finger down in advance, and at the same time used her finger to feel the liver instead of using her fingertips. If the student raised her hand and patted her slowly when inhaling, she could touch the liver again.
"It hurts." Zhao Zhaowei reflected, exhaling, feeling sad about his obvious tenderness, because it means that there is a disease in his liver in his body.
In addition to palpation, the liver also has percussion. Xie Wanying gave her classmates a percussion, and the pain felt even more significant. Fortunately, from the preliminary results of palpation and percussion, neither showed a particularly enlarged liver size. What needs to be paid attention to now is what Classmate Zhao himself mentioned.
There are many reasons for the right back pain. If you suspect that there is a problem with this part of the body, you need to rule out the possibility of lung and renal ureteral lesions.
During the hospitalization, the student underwent examinations on other parts of the body. No abnormalities in the lungs and renal ureters were found in imaging and ultrasound reports. The focus fell back to the possibility of back pain caused by gallstone cholecystitis, which is one of the clear causes of ultrasound reports.
Xie Wanying carefully felt where the back pain point of her classmate was and said to her classmate: "When the meeting is in the afternoon, I will tell Senior Brother Tao and the others about your situation."
Zhao Zhaowei told her what happened: "Yingying, I believe in you more. I know what kind of Buddha is. He is too careful in doing things. I don't really believe that he will be willing to take the risk of helping me find out the cause of the disease. I want to cure it, but it may require surgery."
The classmate actually thought about surgery? Xie Wanying was stunned for a moment, and then fell into serious thinking.
The students' situation cannot be ruled out that the stones block the liver ducts and bile ducts inside. Some stones are too tricky and may not be able to be detected by B-ultrasound. Otherwise, it will be impossible to explain why the students' continued jaundice and pain are aggravated.
The problematic classmate is not in critical condition, a bit like her grandfather, and the doctor has difficulty accepting the suggestion of surgery.
"Yingying?" Zhao Zhaowei glanced at her expression, his heart pounding, afraid that she would not dare to say anything. Previously, a group of boys in Li Qi'an's class came to see him and advised him to listen to the doctor's words to treat the doctor, but no one was willing to give him advice to the doctor. It must be because the medical student was afraid of offending the clinical teacher accidentally, and was afraid that he would not be able to get involved in clinical practice in the future. Will she be the same?
Chapter completed!