When Tang Lou walked to the patient's ward, a nurse stopped Tang Lou.

Nurse Yuan Ji has straight bangs, a pair of big watery eyes, a pointed chin, and a beauty mark.

The most unforgettable thing is that she has deep cheekbones like Westerners, and her face looks three-dimensional and distinct, giving her a different kind of beauty.

Yuan Hu grabbed Tanglou and whispered, "You want to go see Hu Jindong. It's best not to go there now."

"What's wrong?"

Tanglou asked with some confusion.

"Last night, Dr. Ma and Dr. Wang tortured the patient all night and did seven or eight examinations. In the morning, the patient still had a high fever and his condition was a little worse than before. The patient's family was already dissatisfied. All morning

, Doctor Ma finally got out."

"If we draw conclusions now that we couldn't draw in the past, I'm afraid the family members will get into trouble."

Yuan Aldehyde is the nurse responsible for cooperating with Hu Jindong, and she has seen this kind of situation many times.

The patient was asked to undergo various examinations by the doctor, such as CT, color ultrasound, blood tests, and urine routines. There are many patients in the city's first hospital, and each examination does not have to be queued for a long time, let alone every examination.

Everything costs a lot of money.

The patient's condition worsened again, and the family members naturally blamed the doctor's incompetence, and even felt that part of it was due to the repeated examinations.

The emotions of anxiety, pain, and distrust are on the verge of breaking out.

Tang Lou walked gently to the door of the ward and looked inside. Sure enough, some of the patient's family members were sitting and some standing.

The patient's mother's eyes were red, and the patient's uncle was already there cursing.

"How many days have it been? The county hospital was not working and I was transferred to the city's first hospital. I thought that the tertiary hospital could cure the disease with medicine. But I did a lot of tests yesterday and thought I could find something. But what happened? Are these doctors good?

?”

"I would say that Dr. Ma should not have been allowed to leave this morning, even if the results were not given. Look at the Near East, what will happen if this continues?"

"well."

The patient's wife sat by the bed and became increasingly sad when she heard her brother's complaints. She held her husband's hand with one hand and secretly wiped away tears.

"Dr. Tang, you'd better leave quickly. Dr. Ma has already gone to Dr. Qing to discuss it. If it doesn't work, Director Cheng and other experts are still there. You, an intern, can't help, so don't get into trouble."

Yuan aldehyde kindly persuaded me.

Tanglou looked at the painful look of the patient's wife, lowered his head and thought for a moment. It was probably futile to rely on previous examinations alone. After all, there are too many possibilities for high fever after surgery, and many complications are very similar. To investigate the cause, sometimes it is necessary to

luck.

For doctors, as long as they have enough time, they can rule them out one by one, but for patients, time is the last thing they can afford.

If some complications are not diagnosed in time or are misdiagnosed, the patient may die.

By then it would be too late to regret. Tang Lou figured this out and took a deep breath. Even if he knew his one-star diagnostic skills, he might not be able to detect it, or the patient might vent his grievances on him.

But who wants to be a doctor?

"Doctor Tang, you!"

When Yuan Hu thought Tang Lou was about to turn around and leave, he walked into the ward without caring that he would be in trouble.

"This...sigh..."

Yuan Hu naturally did not think that Tanglou could find problems that even Ma En Qingping and other experts could not find.

But I somewhat admire Tanglou’s courage.

Yuan Aldehyde gritted his teeth and followed with courage. Even if he was scolded, it would be her share.

Who told him to be the nurse in charge of Hu Jindong?

In the ward, the patient's family members obviously did not expect that another doctor came in at this time, and he looked younger than the previous Dr. Ma.

"Why do we need to do more tests? We checked so many last night and they weren't enough?"

The patient's uncle looked at the tenement building rudely and felt a little conflicted.

"Dr. Tang is Dr. Ma's intern. Come here to check the patient's vital signs so that he can report to Dr. Ma as soon as possible."

Yuan Hu thought for a while and found a reason for Tanglou to check his physical signs, but the family members couldn't say anything. Moreover, Tanglou was only an intern under Ma En, so it was hard for the family members to embarrass an intern.

"Check, check, check! Did you find anything? Come on, come on, let's see, let's see."

The strong man quarreled some more, wrinkled his nose, and looked down on the tenement building.

"Why doesn't the director come? He always sends some useless interns."

The more the strong man thought about it, the angrier he became, and he started to curse in front of Tanglou.

"Okay, brother, please stop arguing. It's not easy for a young doctor."

The patient's wife has a somewhat gentle temperament. Even though she is very sad, she still controls her emotions and makes room for the tenement house.

Tanglou has a very stable mentality, and he can understand the emotions of the patient's family members.

Under diagnostic techniques:

[Patient: Hu Jindong, male, 24 years old

Symptoms: persistent high fever after appendicectomy

Symptoms of hypertoxemia include high fever, chills, liver pain, hepatomegaly, ascites, splenomegaly, and nausea.

Total bilirubin 118.1 umol/L↑, direct bilirubin 103.4 umol/L↑. White blood cells 17.01×109/L↑, neutrophil ratio 0.894↑

...

Diagnosis: Suppurative portal vein inflammation, Doppler ultrasound can show portal vein blood flow

Special note: Portophlebitis is one of the serious complications of abdominal infection and is difficult to diagnose. Its clinical manifestations include fever, jaundice, upper abdominal pain, nausea and other symptoms. Portophlebitis is easily misdiagnosed as common diseases such as biliary tract infection.

The high mortality rate is partly caused by delays in treatment.

Principles of treatment of acute suppurative portophlebitis:

(1) First actively and effectively deal with the primary lesion

(2) Preoperative and early postoperative anti-infective treatment, use broad-spectrum antibiotics targeting Gram-negative bacilli, and can be combined with anti-anaerobic drugs

(3) Glucocorticoids can be used appropriately: hormones have anti-inflammatory, anti-allergic, anti-viral, and anti-shock effects. At the same time, hormones can reduce capillary permeability, inhibit inflammatory exudation, and stabilize lysosomal membranes.

(4) Supportive treatment and hepatoprotective treatment can be strengthened. Patients without obvious bleeding diseases can use anticoagulants to prevent portal vein thrombosis, but attention should be paid to rechecking coagulation function.]

Tanglou's heart finally dropped, but he immediately had a headache. After all, as an intern, how could he convince the attending doctors and residents of the department?

Tanglou thought about Ma En, but Dr. Ma would definitely think that he was talking nonsense. After all, it would be impossible for an intern to find the cause of the disease by guessing.

As for Qing Ping, be serious. If you go and tell him that you checked the patient and suspect it is portal vein inflammation, he might even scold him for not preparing properly for appendicitis surgery and for messing around.

Tanglou thought about it and decided to go directly to Cheng Jian to give it a try.

After thinking about it, Tanglou didn't even bother to explain anything, turned around and was about to rush out of the ward.

After all, the earlier the diagnosis is made, the sooner the patient will be out of danger.

"???"

Yuan Hu and two family members looked at the tenement building, glanced at Hu Jindong, and ran away, somewhat unexpectedly.

"Hey, what do you mean, little doctor?"

The patient's uncle was like a powder keg, Tang Lou's actions completely set him on fire!

Isn't it too perfunctory to check vital signs and leave after just one look?

Stopping Tanglou, he said angrily: "Hey, what do you mean? Do you know how to be a doctor? You can't leave today without an explanation!"

Yuan Aldehyde was also confused for a while. You said you were pretending to do an inspection, so you checked it out and looked at it for a while. The intern was just unreliable. Yuan Aldehyde cursed in his heart.

Fortunately, she has experienced a lot, so she quickly made up for it:

"Dr. Tang, I forgot to bring my record book. I went back to get it."

Yuan Hu stood between Tanglou and the patient's uncle, and said with a smile:

"After all, Dr. Tang has only been here for less than a month and is a little unfamiliar with the process. I'm really sorry."

While Yuan Aldehyde was apologizing, he pulled Tanglou's clothes to signal Tanglou to apologize and appease the family members.

Yuan Hu turned around and winked at Tanglou, but he saw a pair of very calm eyes, showing no signs of panic at being questioned by his family members, and no intention of apologizing.

Yuan Aldehyde has a big head, brother, what are you doing?

The atmosphere became slightly stiff.
Chapter completed!