Chapter26：This disease is not so simple

Xiao Jie is on duty today and is a bit busy and exhausted.

The patients in the general internal medicine department are quite complex, with all kinds of diseases. At this time, Xiao Jie has already admitted two patients, one with stomachache and one with fever.

Xiao Jie is writing test orders. In this case, the test orders need to be written by hand, which is quite troublesome.

Jiang Chu walked in at this time.

"Xiao Jie!" Jiang Chu stepped forward and said hello.

Xiao Jie raised his head and glanced at Jiang Chu, feeling slightly unhappy.

She has a good relationship with Ye Qingxuan,

When Jiang Chu and Ye Qingxuan got married, Xiao Jie went to attend the wedding. After that, the three of them stayed close to each other for a while.

However, Jiang Chu's whole person changed due to fainting from stage sickness. He gave up on himself and even hit or scolded Ye Qingxuan, which made Xiao Jie look down on him.

Gradually, Xiao Jie stopped dealing with Jiang Chu.

Although the two were high school classmates and were in the same hospital, they never had any interactions except for consultations.

Xiao Jie didn't know why Jiang Chu came to see him?

"Is something wrong?" Xiao Jie lowered his head and continued to write test orders.

"I have something to ask you for help." Jiang Chu also knew that the other party had objections to him, but he had no choice. Who would let him seek death? Of course, you need to pay for the mistakes you made!

"I'm a little busy now. If you're not in a hurry, we can wait for another day?" Xiao Jie quickly opened the test sheet in his hand. The two new patients must be examined as soon as possible.

"Doctor, my wife still has a stomachache. Can you give me a painkiller first?"

At this moment,

An old lady walked in tremblingly, looking at Xiao Jie with a pleading look on her face.

"He is old and I don't let him drink. He just doesn't listen. He insisted on drinking last night. When he woke up in the morning, he started to have stomach pain. Even after taking several stomach medicines, it didn't help. We had no choice but to come to the hospital." The old lady said it again.

"Auntie, please wait a moment. I'll do the blood work. If everything's okay, I'll take painkillers." Xiao Jie glanced at the old lady and then said.

"Why draw blood?" The old lady was puzzled: "My wife has a stomachache because he drank alcohol. There is no need to draw blood. You can give us some painkillers first. This man looks so uncomfortable!"

"Auntie, I just checked the uncle's condition. It's very likely that stomach pain caused by drinking alcohol may even lead to gastric bleeding. In this case, we need to complete some examinations first before treatment. Blindly taking painkillers will cover up the situation. Sickness!"

Xiao Jie patiently explained: "If you are thoughtful, appendicitis will cause stomachache!"

"When I just asked about the medical history, didn't you say that the patient has chronic appendicitis? We must rule out this problem first, otherwise taking painkillers will cover up the condition, which may worsen the condition and even lead to appendicitis perforation, which will cause trouble then. Got it!"

"That's it, okay then, but when will the blood results be available?" the old lady asked worriedly.

"About three hours."

"Oh well "

The old man was a little unwilling and turned around and walked outside.

"Auntie, if this is not the case, I will ask Dr. Jiang to take a look. He is a surgeon. If there is no problem with the appendix, let's take painkillers first, okay?"

Xiao Jie suddenly saw Jiang Chu, his heart moved, and he said quickly.

"Okay, okay!" When the old lady heard this, she suddenly smiled.

"Doctor Jiang, could you please give me a consultation?" Xiao Jie looked at Jiang Chu and said.

"Okay." Jiang Chu nodded and agreed.

immediately,

Xiao Jie took Jiang Chu to the patient's bedside.

The patient is an elderly man in his sixties, with some gray hair, rosy complexion, and refreshed, but with a somewhat painful expression on his face and his hands covering his stomach.

"Zhang Zhongyi, this is Dr. Jiang Chu from the General Surgery Department. Let him come for consultation to see how your pain is." Xiao Jie briefly explained the situation.

The old man Zhang Zhongyi nodded.

"Lie down on your back and let me check your body. Curl your legs and loosen your belt a little."

Jiang Chu helped and got into position.

Then, Jiang Chu began to diagnose and treat the abdomen.

It's not about where it hurts, just touch it wherever you go.

The diagnosis and treatment of Western medicine is divided into vision, touch, touch, and hearing. However, during abdominal examination, the order changes slightly, including sight, hearing, touch, and touch.

It is similar to the vision, smell, inquiry, and palpation of traditional Chinese medicine.

After looking at the patient's abdomen, it was slightly bulging, with no obvious abnormalities. It seemed that his daily life was good.

Auscultation revealed no abnormalities.

Then, Jiang Chu started percussing,

The reason why percussion is performed first is because there is no external interference in the abdomen at this time and the bowel sounds do not change.

Next is the visit.

Starting from the left lower abdomen, proceed counterclockwise and palpate each site.

Soon, the inspection is over.

"Dr. Jiang, how is my wife's condition? Is it appendicitis?" The old lady looked at Jiang Chu nervously and asked anxiously.

Xiao Jie also looked at Jiang Chu.

Xiao Jie also saw the palpation just now.

Zhang Zhongyi had no obvious pain in the appendix area of his right lower abdomen.

Tenderness, rebound tenderness, and muscle tone were absent.

Therefore, Xiao Jie judged that Zhang Zhongyi's pain was not caused by appendicitis.

Based on the comprehensive medical history and physical examination, it is still caused by acute gastric mucosal damage or even bleeding caused by drinking!

This situation is too common,

Xiao Jie can always be encountered when he is on duty.

"Old man, the patient's condition does not look like appendicitis." Jiang Chu said.

"Sure enough." Xiao Jie thought to himself that his judgment was still very accurate.

Seeing Jiang Chu for consultation is just a formality. If there is no problem with the appendix, you can safely give the patient medicine.

In fact, there are many such patients. The reason why they don't get better after taking stomach medicine is because they are in the acute stage. They will get better after a day or two of relief.

"That's great! It's great if it's not appendicitis!" The old lady let out a long sigh of relief, and a smile appeared in the corners of her eyes.

"Old man, don't drink anymore! Next time, just wait at home. I will definitely not send you to the hospital!" The old lady pretended to be angry and said to Zhang Zhongyi.

"Okay, I listen to you and never drink again." Zhang Zhongyi also laughed.

"I'm going to prescribe some painkillers right now." Xiao Jie turned around and left.

"etc!"

At this moment, Jiang Chu suddenly spoke.

"I'm afraid things are not that simple." Jiang Chu said calmly.

"Huh? Do you have any questions?" Xiao Jie looked at Jiang Chu with some confusion:

"Abdominal disease has been ruled out. The patient has a history of drinking. Based on the medical history, chief complaint, and physical examination, it is obvious that the patient has acute gastritis."

"I suspect that the patient may have acute myocardial infarction!" Jiang Chu said solemnly with a solemn expression.

"What? Impossible!" Xiao Jie cried out.