Elder Gushan screamed. Around the hospital bed, the barbarian crew members gathered in a circle, and suddenly there was a small commotion.
"Can't it be treated directly..."
"Yes, we elders treat it directly every time..."
"It hurts so much, why do you still press..."
Gretel didn't even need to look back to know that they were murmuring and questioning him. Maybe it was because he had caused the elders pain and was a little annoyed.
Fortunately, these doubts were only verbal. Whether it was because he had cured several people, or because Ms. Silver Dragon was there to hold the battle, in short, no one abused him, and no one came to take action. Thank God, Amitabha.
The only intervention was Ms. Yinlong, who poked her head in and asked curiously:
"Hey little guy, what are you pressing?"
"Let me see what's wrong with him..."
The voice became lower and lower, turned into muttering, and then turned into silent mumbling. Never be the pancreas, never be the pancreas, never be the pancreas...
The right upper abdominal muscle is tight, the right upper quadrant is tender, and there is severe pain after meals. The first thing to consider is that there is a problem with the gallbladder or pancreas. However, the gallbladder can still survive. After the pancreas is removed, he does not have insulin on hand!
If it really gets to that point, boss, your treatment skills must be great! Even if the pancreas is necrotic, it must be saved!
Grete continued to palpate while praying. The size of the liver was normal, and the gallbladder...the gallbladder felt a little wrong. As for the pancreas, it was located deep and could not be touched by touch.
Gretel changed his hand, placed the palm of his left hand flat on the old man's upper right abdomen, raised the pad of his thumb, pressed it against the gallbladder point under the right rib, and commanded in a deep voice:
"Breathe deeply!—Breathe in!"
...No response. The old man was twitching in pain and ignored him...
"Breathe in!" Someone behind him repeated the command. The voice was clear, high-pitched, and unquestionable. It was Ms. Silver Dragon's voice that he had heard so well these days. The elder shook, and instinctively followed the command, deeply
Take a deep breath——
The diaphragm moves downward, the abdomen bulges, and drives the gallbladder to move downward. Halfway through, it touches Grete's waiting thumb, and a sharp pain immediately comes.
There was cold sweat on the old man's forehead, and he instinctively held his breath. His belly, which had just swelled a little, froze in place, and even shrank slightly.
Grete breathed a sigh of relief. Murphy's sign was positive, typical Murphy's sign was positive. With this sign, acute pancreatitis can be ruled out. Basically, it can be determined that it is a gallbladder problem!
"Little mage, do you see what the problem is?" Behind him, Ophelia asked with a smile. Grete nodded slightly:
"It's tentatively confirmed. I'll check it out in detail."
He continued to press along the patient's right upper abdomen. The fact that it was a gallbladder disease did not mean that he could stop there.
Cholecystitis itself will have a lot of complications. Besides, other diseases may also occur at the same time. For example, cholecystitis combined with acute appendicitis is not a rare thing——
There was no abnormality in the left upper quadrant physical examination!
Physical examination of the left lower abdomen showed no abnormality!
Physical examination of the right lower quadrant showed no abnormality!
The sphygmomanometer has not come out yet, the electrocardiogram has not come out yet, and routine blood tests cannot be done... OK, then the next step is X-ray and B-ultrasound...
By the way, can B-ultrasound and X-ray be done under hospice surgery?
Gretel quickly turned his brain.
As for whether the muscles can still work...
The recipient can still breathe normally. During previous laparotomy operations, he could feel the tightening force of the muscles. From this, it can be inferred that the control of the muscles by the nerves should not be completely cut off, and the digestive tract can also move normally.
?
At least the smooth muscles are still working normally, well, that should not affect the B-ultrasound detection. As for whether there is mutual interference between magic and magic, that is another issue.
"Madam, please take away the pain for him." He half-turned around and nodded slightly in greeting. Then he touched his chest pocket, pulled out the [Endless Ink Pen], and stuffed it under the old man's body...
…
…
Can't see anything clearly...
Obviously, Elder Gushan's professional level has far exceeded level four.
In other words, with the circle of patients that Grete is currently exposed to, the [Endless Ink Pen] is almost not enough, and the X-ray light source should be replaced by a cannon.
Now, in front of Ms. Silver Dragon, is it appropriate to borrow a headdress from her niece?
Will he be treated as a scammer?
Grete hesitated for a moment and decided to do a B-ultrasound first. Fortunately, there is no level limit for B-ultrasound. Just apply glycerin and put it on your fingertips, and there will be immediate feedback in the meditation environment.
"Huh?"
The two silver dragons looked at each other. Serira stretched her ears outwards, and unknowingly, she had revealed her dragon shape; Ophelia didn't reveal her dragon ears, but she couldn't help but take a step forward to see with the naked eye.
Go, there are thin ripples in the air outside the ear.
"What did you hear?"
"sound."
"Yes, it's a very sharp, very weak sound... Can you tell where there is a disease just by relying on this sound?"
The aunt and nephew looked at each other, neither of them able to explain what was happening. Ophelia took advantage of Gretel's unpreparedness and secretly released a sound amplification magic, directly transmitting the voice to her ears:
"The echo of the liver parenchyma is enhanced, and the light spots in the liver are thick and uneven, with spots... The bile duct wall is rough, thickened, and the echo is enhanced... The gallbladder is enlarged, the gallbladder wall is thickened, rough, and no stones are seen... There is a ring around it
The hypoechoic area...no obvious abnormalities were found in the spleen and pancreas...no abnormalities were found in both kidneys...the intestines...the bladder...the pelvic cavity..."
Other than "nothing unusual", he didn't understand anything else. And, since the identification was based on sound, why did he talk about things like light spots and thickening?
Ophelia's curiosity aroused. How about going back to discuss with him, teach him more magic, and use this method of diagnosing illnesses with sounds?
She was taking stock of the inventory and considering how many magic spells she could exchange. Gretel had already wiped off the glycerin used for B-ultrasound and turned around. His eyes were solemn and slightly worried:
"It should be cholecystitis. Acute, acalculous cholecystitis. It hurts like this. Considering the course of the disease, we should consider perforation——"
"Is there something wrong with your courage? It can be cured!" Ophelia was anxious to discuss spells with Gretel, and the healing spells were thrown away. One, two——
"Huh? Why isn't it healed yet?"
"...I haven't finished speaking yet." Gretel wiped his sweat:
"His gallbladder is unlucky and has formed gangrene. The treatment needs to be more intensive, and after it is cured, it is recommended to drain some bile to see. I suspect there are other problems——"