Chapter 15 She Got Gill Cleft Fistula
Cold sweat ran down his back, and Liu Tong was very embarrassed, but he was not like Li Fan, who wouldn't make a diagnosis without being completely sure?
As long as the diagnosis is made in a serious manner, the patient will be fooled as long as he knows what he knows.
Treatment varies from person to person, environment and climate. Even for the same disease, there are priorities. With the same treatment, some people will be cured and some will have a delayed recovery, which is normal.
So Liu Tong regained his composure and showed an inscrutable expression on his face:
"Little girl, you don't have to worry. It's just a complication caused by a bacterial infection caused by poor healing from the previous surgery. Just do a puncture and drainage, then reduce the inflammation, and I'll prescribe you some medicine. Just take it on time. It will be done soon.
It has recovered. But you must pay attention to hygiene in the future. If the wound becomes infected, it will recur."
Liu Tong said seriously.
"Okay, doctor, I must pay attention to the wound. It has indeed happened many times. The doctor also said before that the abscess was infected and it was all my fault for being too careless."
Huang Ye pursed his lips in grievance. Naturally, he was extremely convinced of the doctor's diagnosis and felt very guilty in his heart.
Huang Ye's uncle also echoed from the side: "Doctor Liu is absolutely right. Xiao Ye just didn't pay attention to the wound and kept getting infected. It happened several times. I hope it can be cured this time."
"Well, it's okay. The hospital will arrange for you to undergo puncture and drainage to drain the pus, give you antibiotics, disinfect it, and then suture it. You can rest assured that you will be fine."
Liu Tong gave a gentle conclusion and gave the precautions for Tiger Balm: "During this period, pay attention to avoiding cold and spicy food, drinking more hot water, and sleeping regularly."
Huang Ye hummed obediently.
"Then follow my diagnosis arrangements, Dr. Li."
Liu Tong looked at Li Fan, ordered his subordinates, and then looked at Tang Lou: "This is the basic quality of an attending physician, instead of always tormenting patients with various irrelevant and cumbersome examinations."
After hearing Liu Tong's words, several patients and their family members believed deeply.
"Really?"
Tanglou did not agree with Liu Tong's warning, but took a step away and stood in front of Huang Ye's bed.
"Tanglou, what are you doing?"
Liu Tong was very surprised that the man in Tanglou did not understand the dignity of the hospital and ignored his own instructions and went to the patient. What was he going to do?
...
...
[Patient name: Huang Ye, age: 13
Symptoms: Sore throat progressively worsened for 8 days, left neck pain for 1 day, anti-inflammatory treatment for 1 week, low-grade fever, no chills. I had a history of neck abscess 2 years ago and underwent puncture and drainage.
The left anterior neck area was swollen and tender, and there was a surgical scar in the middle, about 1cm in diameter.
Huge abscess on the left side of the neck, reaching the posterior pharyngeal wall and paravertebral
System prompt: This is an acute and severe infectious disease. There is a risk of rupture leading to skull base infection. Early misdiagnosis will lead to progressive aggravation of the condition. It is very important for doctors to understand the cause. The characteristics of this type of disease can enable early diagnosis and early treatment.
Diagnosis: Second branchial fistula and infection (the branchial cleft fistula is a branchial sac, and the gill grooves are connected or the gill grooves do not disappear to form the external fistula and the entire process of the branchial cleft fistula. Because the fistula is located in the neck, it is also called a cervical fistula.)
X-ray lipiodol angiography through the fistula can confirm the diagnosis.]
[Mission: Justice prevails in the hearts of the people! The system has detected that Liu Tong has a problem with his medical ethics, and the host needs to severely criticize him! Let him lose face. Reward 1 gold coin]
...
...
"Tanglou..."
Li Fan also shouted in confusion.
Tanglou turned around with a bit of embarrassment on his face. This system is really tough and iron-clad!
When an intern angrily criticizes the attending physician, isn't he looking for death?
It's so hard for me!
Looking at Li Fan, he suddenly had an idea, who made you my cheap master!
Tanglou felt at ease and was ready to share the pot with Li Fan: "Doctor Li, I think you are too cautious. You are already 90% sure and must conduct the final inspection and confirmation rigorously and responsibly."
"ha?"
Li Fan looked at Tanglou with some confusion.
Liu Tong also frowned and felt guilty. He scolded with an unnatural expression on his face: "Tanglou, what nonsense are you talking about!"
"This word should be given to you by me!"
Tanglou looked at Liu Tong sharply, his sharp edge clearly displayed.
"What do you mean."
Liu Tong took a step back unconsciously, feeling a little uneasy in his heart. However, when he thought that the other party was Li Fan, he felt relieved again. He couldn't tell it, but he could still find out the reason!
"It means that you didn't make a good diagnosis at all, just like the quack doctor who misdiagnosed Huang Ye before. You jumped to conclusions without sufficient evidence and talked about ordinary abscess infection. Did you know that you would miss it like this?
The best time for treatment.”
“Is the system enough?”
【What about tickling?】
"..."
Tang Lou cleared his throat and said righteously: "Although Dr. Li wasted a little time on the review, it was so that the patient could prescribe the right medicine and be completely cured. And although you have made a conclusive statement in a short period of time, you can't do anything with the medicine."
He looks like a magician who can cure diseases, but do you know that being so hasty may delay the patient's life!"
"How is it? How is it?"
【Almost, almost, continue!】
"..."
"Liu Tong, you deserve the name of a doctor!"
Hearing Tang Lou's harsh words, Liu Tong's face turned blue and white, and he was so embarrassed and angry: "Tang Lou, if you can't say one, two, three today, I want you to look good! A little intern, unexpectedly,
Such contradiction and slander against me."
"Do you know how to respect teachers? Originally, I still cherished talents, but it seems that your internship career can end early!"
Liu Tong almost lost his composure, like a cat whose tail was stepped on.
[Ding! Mission: Justice is in the hearts of the people, completed, rewarded with 1 gold coin]
"System, please stop messing with me. I'm panicking."
Tang Lou leaned towards Li Fan and blinked obediently.
"Dr. Li, originally I wanted to wait for the test results, but I really can't stand it when Dr. Liu humiliates you so much. I have to tell you the true cause of Huang Ye's recurring attacks that you discussed with me before."
"ah?"
Li Fan's mind was in a mess at the moment, his facial features were crowded together, looking at Liu Tong's murderous eyes, he instinctively blocked Tanglou.
"you say!"
Liu Tong gritted his teeth and urged in shame and anger.
"What I want to say is, ah, Dr. Li said before that Huang Ye was not an ordinary abscess with repeated infections. She was misdiagnosed. During the first treatment, she looked in the wrong direction. If she presses the button again today,
Ordinary abscess treatment is very likely to cause ulceration and risk of skull base infection.”
"No way?"
Huang Ye's uncle suddenly stood up. For nearly two years, they had been treating ordinary abscesses.
Hearing Tanglou's discussion, I broke out in a cold sweat.
Liu Tong was also startled, with a flash of uneasiness in his heart as he stared at the Tanglou.
"Actually, Dr. Li and I both thought it was a common abscess infection at first, but Xu Lanlan reminded us."
"Hey?" Being cueed suddenly, Xu Lanlan's heart skipped a beat, and she looked at Tanglou with some flatterment. How could she have made a meritorious deed?
Li Fan watched Tang Lou start talking nonsense seriously, and for some reason, he suddenly found it very interesting.
Seeing Liu Tong's face that looked like he was about to be constipated, he felt a little relieved. He touched his big belly and pretended to say: "Yes, what Xu Lanlan said suddenly awakened every bit of this disease deep in my memory.
, but with a rigorous attitude, I want to verify it through experiments. But it’s no good if I don’t say it now, and we can’t misdiagnose.”
Li Fan licked his lips and looked at Tanglou. His acting skills were pretty good!
Tanglou also cast a glance: This pot is handled with certainty and ruthlessness!
"What did I say???"
Xu Lanlan's face is full of black question marks. Looking at Li Fan and Tang Lou who are serious about it, she is a bit smart!
"That's right, take a closer look at Huang Ye's neck. If the abscess disappears and the scars from the previous surgery are removed, will it look like fish gills?"
"Eh!" Xu Lanlan's eyes lit up. It was really true. She thought Huang Ye looked like a fish-man at first, but then it became swollen and the scars became more conspicuous. Everyone was led astray.
"I'm such a clever little guy. It's true, the emergency department is all relying on this fairy today."
Xu Lanlan was very happy to be able to help Tanglou and the emergency department, and looked at Liu Tong proudly.
"Yes, Huang Ye is not actually an abscess caused by a bacterial infection at all. What she suffered from is a branchial cleft fistula, to be precise, a second branchial cleft fistula. Due to the accumulation of pus, the previous quack doctors misdiagnosed it, so they just wanted to get faster.
Doctor Liu was naturally led astray."
"impossible."
Chapter completed!