Chapter 245 241. Application of Hen in Internal Medicine(2/2)
In front of the patient, the dispute between internal and surgical departments seems insignificant.
Kawei got the approval and went forward to do the most basic abdominal examination - palpation. The starting position was in the middle of the upper abdomen he was covering just now: "Does it hurt here?"
"It hurts!" The patient raised his body slightly, and wanted to stop him from pressing down with both hands, "Tap gently."
Kavey didn't give him a chance and immediately moved to his lower abdomen: "What about here?"
"It's okay here." The patient breathed a sigh of relief.
"Here?" This time I moved to the lower right abdomen.
The patient shook his head: "It doesn't hurt."
Kawei nodded and quickly switched the palpation point to the upper abdomen. This time, he was obviously for diagnosis, so the patient screamed as soon as he touched it: "It hurts, it hurts so much!!!"
Oluke, who had always followed the principle of not touching the patient, looked at the patient and shouted, but he didn't understand the reason for Kawei to do so. But he did not interrupt Kawei's diagnosis and just stood by the bed and watched.
The nurse had no concentration of his, and couldn't help but whisper: "Doctor, he did this."
Oluke put his finger in front of his mouth and shook his head: "He is a student of Ignaz, chief surgeon, and he always makes sense."
However, the patient's screaming had not stopped. After the tenderness was positive, his Murphy sign was also positive. As Kawei quickly pulled away the right hand that was pressing his belly, the pain swept through his whole body again. This time it was so painful that he couldn't speak.
Here I came, I endured it for a long time before I got through this pain.
"The right upper abdomen is tender and the backlash is painful, and the shoulders were also hurt before?"
The patient wanted to scold her, but Kawei said it all: "It hurts to her shoulders."
"It should be cholecystitis caused by gallbladder stones." Kawei gave his own diagnosis.
The diagnosis was very sudden, and Oluke didn't even have time to react: "How to treat this situation?"
"You can choose surgery or conservative treatment," Kavey said. "But in this case, even if you survive these days with conservative treatment, it will turn into chronic inflammation and cause repeated pain."
"What about the surgery?"
Kawei immediately considered the transfer conditions and the rear hospital, but still felt that it was inappropriate: "The operation is also very troublesome. The conditions here are too poor, and there is a chance of an accident."
"I think it's better to treat it conservatively."
Unexpectedly, at this time, the patient who was in great pain spoke: "Can the surgery be cured?"
"Yes, but the chance is not high."
"I don't want it to be so painful in the future. It's better to have surgery!"
Chapter completed!