Chapter 118: Abdominal pain unknown cause
"Doctor Wu, I remember you are not here for consultation today, right?" As Wu Xiangdong arrived on the first floor of the outpatient clinic, the nurse in the pre-examination and triage department at the door recognized Wu Xiangdong at a glance.
After all, there are only so many handsome guys in the hospital, and Wu Xiangdong is a high-tech talent introduced by the hospital, so he naturally attracts people's attention.
Facing the nurse's greeting, Wu Xiangdong said with a smile: "The doctor attending the consultation has something to do today, so I'll come over and cover for him for the day."
"I see you don't look well, so you must get some rest." The nurse saw Wu Xiangdong's swollen eyeballs and said with concern.
After Wu Xiangdong leaned down and signed the duty list, he responded: "Thanks for the reminder. After today's diagnosis, I will go back and have a good sleep."
"Okay, Doctor Wu, your consulting room is in the second one on the left. I'll take you there." The nurse took down the sign with Wu Xiangdong's profile and hung it in front of his consulting room door.
At this time, doctors from almost every room in the entire first-floor clinic were here. Wu Xiangdong looked at his unlicensed clinic and opened the door and walked in.
The layout of the clinic is the same as that of the emergency room, with a table, two chairs, and an examination bed. The only difference is that the left hand side of the desk in the clinic is equipped with a brand new reading machine.
This must have been equipment just purchased by the hospital. Wu Xiangdong turned on the switch of the instrument and saw the dazzling white light emitting from the inside of the whiteboard, illuminating the entire screen.
"It's really good. I finally came across a decent piece of equipment." Wu Xiangdong nodded with satisfaction. Then he walked to the sink nearby and washed his face with cold water before the patient came over.
The cold feeling instantly cured Wu Xiangdong's headache and fever. He took the toilet paper prepared aside, wiped his face briefly, and then patted his face twice with his hands, and finally woke up completely.
Just after finishing all this, before Wu Xiangdong could sit down, he heard the sound of dense footsteps and noisy discussions coming from the corridor outside the door.
However, as a general surgery doctor, one thing that is good about him during consultations is that most of the first wave of patients who seek treatment have nothing to do with his specialty.
Sure enough, the sound of footsteps sounded, followed by the clang of climbing stairs.
Most of the patients who queued up early were heading to the internal medicine department on the second floor. After all, many tests require patients to complete them on an empty stomach in the morning, so it is normal for everyone to come to the internal medicine doctor early in the morning.
Of course, if you are unlucky and have a patient come to the surgical clinic early in the morning, it must be something more difficult.
While Wu Xiangdong was thinking wildly, someone started knocking on the door outside.
Wu Xiangdong raised his eyebrows and immediately sat on the chair in the consulting room. He did not expect that the first patient came so quickly.
"Come in." Wu Xiangdong took out his signature pen, adjusted it, and called out the door.
At this time, a girl in her twenties opened the door and walked in with a painful expression on her face.
Wu Xiangdong stood up immediately and came over to help her. After all, the first symptoms of patients who come to the general surgery department are stomachaches.
This is because there are many solid and hollow organs in the abdominal cavity, including the stomach, liver, gallbladder, pancreas, spleen, kidney, small intestine and large intestine, etc. No matter which one of them has a problem, it can basically cause pain.
"What's wrong? Where do you feel uncomfortable?" Wu Xiangdong looked at the girl and was sweating profusely in pain. She must have been in pain for a long time.
Facing Wu Xiangdong's inquiry, the girl realized that the person attending the consultation today was a male doctor, and her speech immediately became unclear.
"I, um, it's actually a bloated stomach that hurts."
The girl's vague words made Wu Xiangdong a little confused. He said in confusion: "If you have stomach pain caused by bloating, you should go to the gastroenterology department on the second floor. Why did you get admitted to the general surgery department?"
At this point, the girl became even more embarrassed. She hesitated for a long time and then said: "After I explained the situation to the sister in the registration room, she directly admitted me to the general surgery department."
"This shouldn't be the case." Wu Xiangdong suddenly felt worried. Logically speaking, the teachers in the registration room have received professional training, and it is impossible for such an obvious mistake to occur.
Therefore, the root of all problems still lies in the girl in front of me.
"Since the teacher in the registration room asked you to come, there shouldn't be any problem." Wu Xiangdong helped the girl onto the examination bed, and then said: "Please tell me the specific situation carefully. As long as it involves the specialty of general surgery,
I can definitely help you."
The gentle and caring words coming out of Wu Xiangdong's mouth gave him an inexplicable sense of security, which made the girl who came to see the doctor simply put down her grudges.
"Doctor, my bloated stomach doesn't mean the stomach is bloated, but the lower intestines are bloated." The girl said timidly.
"Distended intestines?" When Wu Xiangdong heard the girl's description, a bunch of diseases related to flatulence immediately came to mind.
Wu Xiangdong analyzed every disease in the book, including cholecystitis, pelvic inflammatory disease, irritable bowel syndrome, pyloric obstruction, and liver cirrhosis.
However, it was impossible to make a diagnosis based on flatulence alone, so Wu Xiangdong asked the girl in a tentative tone: "Is it convenient? I still need to conduct further examinations on you."
When she heard that she was going to have an examination, the girl was immediately frightened. Seeing this scene, Wu Xiangdong knew not to act too hastily, as this would put a lot of pressure on the girl.
So he continued to ask: "Are you here alone? Is there any friend of yours outside? You can ask her to come with you."
However, when it came to this, the girl panicked a little. She quickly waved her hands and refused: "No, no, I can do it myself. There is no need to ask them to come over."
This unusual behavior made Wu Xiangdong even more confused. After all, the girl seemed to be in too much pain, so why did she have to hold on by herself?
However, these are the girl's own wishes, and Wu Xiangdong cannot force others, so he can only let the girl lie down by herself, and then direct her to take the next step.
"You show your belly first. I need to identify the painful area through percussion to help you solve the problem."
Wu Xiangdong began to examine the girl according to the procedure for checking abdominal pain and distension, but when his hand touched the girl's lower abdomen, the girl almost jumped in pain.
"No, I can't. It's too uncomfortable. I'm going to die from the pain." The girl cried out in pain, which shocked Wu Xiangdong.
"Does it hurt so much?" Wu Xiangdong frowned. There were no other organs except the intestines where he just touched.
This is because when palpating, you should start from the pain-free area and gradually move to the painful area, so that you can better judge the patient's condition.
Chapter completed!