"Hello, my name is Gretel Nordmark, priest of the God of Nature. What is your name?"
"Galina. Galina Thain."
"How old are you this year?"
"Fifteen."
"Where does it hurt?"
"Stomachache……"
Grete sat cross-legged on the edge of the felt and asked softly, while writing down notes:
Female, 15 years old, looks like a barbarian due to her race. She was hospitalized due to severe abdominal pain... There is no such thing as being hospitalized. The patient is unmarried and has no history of miscarriage. She has regular menstruation, normal menstrual cycle, menstrual period and amount, and no dysmenorrhea.
history.
Ms. Silver Dragon’s [Charm Human] is really useful. When I asked her if she had ever had a miscarriage, she actually didn’t jump up and hit me!
In the past life, when asking young women about this kind of problem, the doctor would always feel like he was facing a formidable enemy. He had to watch the patient's words, fight wits and courage with the patient, and also be on guard against being beaten by the patient's parents. It's not like now, where he just says what he asks, and listens to the patient's heart and lungs.
From now on, I asked her to lie down for a physical examination and she was obedient...
Grete glanced at Miss Silver Dragon gratefully. It was so convenient to have her here. To diagnose and treat young female patients, there was no need to find ways to recruit a female nurse. What? She is Silver Dragon?
Silver Dragon is a girl too!
Grete sighed and focused his energy on Galina's abdomen. With just one glance, his face became serious:
Partial.
The distended abdomen is not the highest in the middle and symmetrical, but is obviously tilted to the right.
This is a bit troublesome... The swelling is on the right side, hepatomegaly? Right kidney? Intestine? If the swelling reaches this level, the inflammation is already very serious...
"Gretel, is she pregnant?"
"Shh!"
Grete scoffed lightly without raising his head, telling her not to speak. He rubbed his hands together, carefully placed them on Galina's abdomen, put his four fingers together, and touched little by little along the periphery of the bulging area:
A huge mass can indeed be touched. It reaches up to the xiphoid process and down to the level of the umbilicus... At this position, pregnancy can basically be ruled out... If you are pregnant, the swelling will go down a little further, and it will be located in the pelvic area, below the level of the umbilicus. Therefore,
If the girl's father scolds her again, he will immediately retaliate:
Not pregnant! Where is the pregnancy? At least, such a big belly is not caused by pregnancy!
Confirming that she is not pregnant does not solve the problem. Grete continued to check and found that the right side of the tumor reached the front axillary line, and the left side... reached the mid-clavicular line... This is a bit biased! After a little push, there is no mobility, tsk, it's a bit troublesome.
…
Gretel glanced at the medical record next to him, and then returned his attention to the patient. Cerira followed his gaze, her eyes lit up, and she waved, and a breeze blew out, rolling up the paper and pen together.
In her hand:
"Grete, tell me, I'll remember it!"
"Don't make trouble!"
Grete drank lightly. It is not that easy to write medical records. Even interns who have studied medicine for several years will be scolded by their teachers the first time they take dictation of medical records. You know nothing about medicine, how do you write it?
——Also, put down my [Endless Ink Pen]!
That's the X-ray light source! We'll need it soon!
"Let me write it!"
Cerira pouted in dissatisfaction. She knew the importance and did not reach out to grab Gretel's arm, but several small colorful light balls popped up and floated up and down not far in front of him to express her dissatisfaction.
.Grete looked at her helplessly:
"Okay, okay, I want you to write - come on, start. The whole abdomen is distended, and the shape does not change significantly when you move the body -"
"What is the word for bulge?"
"You are empty first. No gastrointestinal pattern or peristaltic waves are seen, the right lower abdominal muscle is tense, and McFarland point tenderness——"
"Wait wait! What and what?"
"...Look, I'll write it."
Cerela directly stuck the medical record on his face.
Well, considering Miss Silver Dragon's strength, this paste is already very gentle.
Grete shook his head, shook down the medical record book, and continued to palpate. Well, there was no abnormality in the right attachment area, and a cystic mass half the size of a palm could be touched in the left attachment area. The movement was poor and there was no tenderness. Again.
It's a trouble, tut, and he's not good at gynecology.
For surgeries, we always ask gynecologists to come down for consultation!
There is a joke in clinical practice: a general surgeon, a urologist and a gynecologist collaborate to perform an operation. The general surgeon pulls the intestines while praying not to damage the ureters and fallopian tubes;
The urologist freed the ureter while praying not to damage the intestines and fallopian tubes;
While the gynecologist was loosening adhesion, he prayed not to damage the intestines and ureter...
Every other line is like a mountain, it's so sad.
Grete murmured in a low voice and inserted the [Endless Ink Pen] under the patient's body. Well, seeing that there was no intestinal obstruction in the intestines, so painful and screaming, the first thing to consider was appendicitis. Also, there was a huge swelling in the right abdomen.
Object, what exactly is it?
Grete pondered and moved the [Endless Ink Pen] upward. His pupils shrank instantly:
Inside the mass on the patient's right abdomen, he saw calcification points that should not exist at this location!
Okay, it seems that the B-ultrasound is about to come on. Grete quickly finished the abdominal X-ray, took out the baby bottle, and applied ultrasound coupling agent to the patient's abdomen-actually glycerin. Well, it's cheap, energy-producing, and has a wide range of uses.
It can also be used to synthesize a variety of useful gadgets...
Even if this thing is used for B-ultrasound, and its accuracy is inferior to that of the water-based coupling agent in the previous life, it will not prevent Grete from carrying a large bottle with him.
Grete's fingers formed into claws, and the tips of her five fingers were pressed against the patient's abdomen. She closed her eyes and concentrated, activating the B-ultrasound magic. In an instant, Serela's eyes lit up, she reached her head, and her long pointed elf ears spread out in a circle.
Revealing a round of sharp thorns and a translucent membrane stretched by the thorns:
"What sound? What are you doing making this sound?"
She even tried to touch Gretel's fingers. Gretel slapped her away:
"Don't make trouble! It's about to be checked!"
The size and echo of the right appendage are normal; the echo of a cystic light group is seen in the left appendage. The size... The feedback from the meditation field of vision is about larger than half of his hand, that is, 6cm to 5cm, and the internal fluid is thick. Upper right
belly……
As his fingers moved little by little, Gretel's expression became serious little by little:
"A cystic light group echo was seen in the right upper quadrant up to the subcostal area and down to the level of the umbilicus, from the right side to the anterior axillary line, and from the left side to the left midclavicular line... There were separations, and the internal fluid was clear... The liquid level was visible, and there was strong reflection.
Sound and light group!!!”
"How is it? Is she pregnant?"
Serila leaned her head over again, and if it weren't for the thorns on the helix, her chin would almost be on Gretel's shoulder. Gretel frowned slightly, silently:
Pregnancy is definitely not pregnancy, but...
Suddenly there was a burst of noise outside the door. A dry, hoarse male voice that had no resemblance to the female patient’s father shouted from a distance:
"Child! My child! Give me that child!"
Cerira pressed the floor and jumped up. After a moment, she pinched a thin and dry necromancer dressed in black and came in:
"Is that child yours?"
"It's a ghost baby! I raised it! Of course it's mine!"