After finishing the work, they returned to the emergency room and the clinic. The three students sat on chairs and took a breath. After taking a break, the three students discovered: Hey, why are there no patients?
It can be seen that the family members who brought their children to see the doctor today were scared away by what happened in their clinic. They had to wait for the emergency department nurse to arrange for the patient to come. When he was thirsty and asked for water, Duan Sanbao took out a can of tea from his schoolbag and asked the two of them.
: "Would you like tea?"
Classmate Wei wiped his eyebrows at him without looking at him: You are not afraid that no patients will come? You will have no food to eat.
Dr. Duan is like Dr. Song. It doesn't mean he has no confidence because he keeps his head down. He is not afraid that no patients will come to see him. Soon the parents of these children will know how good he is.
"Drink." Xie Wanying said.
Yingying——Classmate Wei covered his face. Classmate Xie was so nice and always looked after everyone’s face.
Speaking of drinking tea, Duan Sanbao remembered something and asked her: "Is your friend selling tea, Dr. Xie?"
"Yes -" Xie Wanying was surprised. She thought she had just arrived, she had never chatted with anyone, and Fa Xiao had never been to Shuer. Doctor Duan actually knew what she was doing.
Upon receiving her questioning look, Duan Sanbao turned his head away guiltily, fearing that she would discover the secret later. He had heard everything about her from his grandmother.
When no patients came, Wei Shangquan couldn't help but go to his fellow internal medicine classmates to take a look at other cases. Dr. Tian from the internal medicine department was about to find a surgeon to consult a patient. He heard that their group happened to be free. Tian, who had learned Xie's skills last night,
The doctor immediately shouted: Thank you, classmate, come on, come on.
Hearing Teacher Tian's call, Xie Wanying and her classmates came to the emergency bedside.
The patient was a nine-year-old girl who came to see a doctor due to recurrent urinary tract infections. The child's repeated condition alerted the clinician.
For children, many recurring symptoms are later confirmed to be congenital diseases. Not only children, adults also have this clinical phenomenon.
Based on this, Dr. Tian suspected that there was something wrong with the child's ureterovesical orifice. The normal physiological structure of the ureter and bladder is destined to prevent urine from flowing back from the ureter to the bladder. There is a congenital disease called congenital ureteral valve disease.
There is a transverse folded and protruding mucosa at the junction of the ureter and the bladder, which is called a congenital malformation valve. This transverse foreign body will inevitably hinder the normal flow of urine to the bladder, and the urine cannot be discharged smoothly, resulting in repeated urinary tract infections and an increase in urinary stones.
and other illnesses.
To determine whether this is the disease, it is best to do angiography. Before that, you can do a B-ultrasound to check whether there are any abnormal signs such as ureteral dilatation. A urine test can also be done to see if there are red blood cells and infection. The above tests are also characteristics of urinary stone disease.
, it is difficult to identify for a while.
Doctor Tian showed several examination reports that he had available to Student Xie. He imagined that Student Xie's third eye brain could help her clarify her suspicions.
Xie Wanying received the request from the teacher. The problem was that after seeing the patient and reading the report, which only included B-ultrasound and urine and blood tests, she could not find out the congenital disease that Teacher Arita suspected of the child. Ask her to say, Teacher Tian
My vigilance was right, but my suspicions seemed to be in the wrong direction.
"What did you say she was?" Dr. Tian was surprised when he heard her feedback.
"Teacher, children also have "cause" (homophone for "****itis. I see her hands keep scratching the bottom." Xie Wanying, who just came out of the obstetrics and gynecology department, was deeply impressed by this disease. Speaking of which, there are few facilities in China.
Children's specialty hospital with pediatric gynecology department.
