46. ??Check(2/2)
"Oh? What's the problem?"
"The two were dueling, and the skinny 5 bed was stabbed in the chest with a sword. It was a little red and swollen, and the sternum was probably cracked. The fat 28 bed was stabbed in the buttocks with a sword, which was quite deep. I happened to be there at the time and took them all away.
Came over and got checked immediately.
The thin one probably has no problem, and he will be fine after a period of self-cultivation. The fat one is more serious, I found that he has severe hemorrhoids, but fortunately the sword wound is not a big problem."
Carvey quickly described Alphonse's condition: "I treated the wound and packed it with cotton. As for the hemorrhoids, I personally feel that surgery is needed as soon as possible."
Ignatz took the empty medical record from the nurse, picked up a pen and wrote down the admission information on the paper: "You said the sword wound hit the butt?"
"Yes, it was pierced from the lower edge of the gluteus maximus."
"It won't cause an anal fistula."
"I checked with a probe and the wound was not that deep."
"Probe? After all, the probe is only for checking ordinary anal fistulas, and is not suitable for this kind of examination." Ignatz shook his head, "The reason is very simple, because the end of the probe is round and the rapier is pointed. Even if
There is an opening in the anal canal, and the probe may not be able to reach the bottom."
Kawei nodded repeatedly, not only took a piece of paper to write down this paragraph, but also said a bunch of compliments. But in fact, he had already taken this factor into consideration, otherwise it wouldn't have been so painful to go to Alphonse last night.
So powerful.
In the final analysis, the mental damage done to Ignatz yesterday morning was too great. Today, Kawei must show off his weakness and restrain himself: "So that's the case. I didn't consider it."
"You don't deal with many traumas, you just lack experience."
Ignatz quickly wrote a few paragraphs, then threw away the medical records and ran to the examination room to take out his instrument box: "Is this the probe you used here yesterday?"
"right."
"In fact, for the examination of such small fistulas, we usually choose direct observation."
"Observation? How to observe inside the anal canal?"
This time it was Kavi's turn to frown.
If you want to directly observe the internal wound, unless the wound is very large, even if the anus is dilated, it will not be visible at all. But if you can directly see the opening, you don't need to bother to observe it, and you can completely touch it with your fingers.
As for high-end products such as anorectal endoscopy, it was a fantasy in the 19th century, and it was impossible to have it...
“This is the anoscope invented by the Germans.”【6】
Ignatz closed his anorectal instrument box, took out a very strange thing from the ward cabinet, and introduced: "This is a new thing that just became popular a few years ago. I heard it is very useful. It happened that this patient
I also have severe hemorrhoids, so I simply checked them out together.”
“Can you see inside the anal canal with this thing?”
"Yes, as long as it is expanded large enough." Ignatz turned the switch below with great interest and gave a demonstration.
"What about the light source?" Kawei still felt strange. "It's pitch black inside. Without a light source, even if you can put a fist in, you can't see anything."
Chapter completed!