Dumped At The Start, The First Surgery Shocked The World
Chapter 24 Misdiagnosis
"Misdiagnosed?"
Zhang Ming raised his eyebrows and squinted at Xia Tian.
Boy, you don't want to trick me.
Misdiagnosis can be big or small.
Early detection is good if it does not cause any pain to the patient. Once the diagnosis is misdiagnosed, the treatment time is delayed, and anything happens to the patient, the hospital is responsible. Zhang Ming is 50 years old.
10 years to retire.
He also didn't want to ruin his career because of a misdiagnosis.
"You said the patient is not appendicitis, so what is her disease?"
Summer is fast.
"Director, wait a moment."
He ran out, found the patient's boyfriend, and quickly asked him a few questions.
"Does the patient have habitual diarrhea or constipation?"
Boyfriend nods.
"Have."
"The two of us never cook, and we eat takeout every day. She likes spicy food and occasionally has diarrhea."
"In recent months, the number of diarrhea has become more frequent."
"But it's not very serious. Does diarrhea have anything to do with appendicitis?"
really!
As predicted for summer.
He quickly said to his boyfriend.
"Now we suspect that the patient is not appendicitis, and we need to do the next examination. However, we have given the patient pain relief, and the person has been rescued. You can rest assured and wait for the results here."
When things were urgent, he spoke very fast, and Xia Xia immediately returned to the emergency room before her boyfriend came back to his senses.
"director."
"I suspect the patient has colon cancer."
"Immediately give the patient a colonoscopy and specialist consultation."
Bowel cancer?
Everyone in the emergency room was dumbfounded.
"Appendicitis turns into colon cancer?"
"This span is a bit big."
"Brother Tian, is it true?"
The color Doppler ultrasound clearly shows that the appendix is swollen, and the patient has stomach pain. All the symptoms are consistent with the symptoms of acute appendicitis. How can it be colon cancer?
Xia Xia said: "The early symptoms of colon cancer, abdominal pain, diarrhea, and irregular stools, I just asked the patient's boyfriend, and the patient fits the symptoms."
"In addition, the patient's white blood cells were normal and did not increase, so it was judged that she was not appendicitis."
"As for the swelling of the appendix, it should be colon cancer that has affected the changes in the appendix."
Summer's remarks made the emergency room silent.
Everyone looked at each other.
In the end, everyone turned their attention to Zhang Ming.
The final decision rests with Zhang Ming.
On the one hand, he is the patient, and on the other hand, he is his most trusted apprentice.
tangled...
After 3 seconds, Zhang Ming said quickly: "I will do a color Doppler ultrasound for the patient immediately, and I will take a look at the appendix. In addition, I will notify Director Qian of the Anorectal Department and ask Director Qian to come down for consultation."
"Prepare the colonoscopy."
The emergency room is busy.
Zhang Ming personally performed an abdominal ultrasound on the patient. It was not because he did not believe in Xia Xia, but because he believed in Xia Xia, he needed to make sure that the patient was not at risk of perforation. Once the appendicitis perforated, it would be fatal.
"No bowel perforation."
"Patients can stick to it and schedule an anorectal examination immediately."
Colonoscopy generally needs to be booked three days in advance, take well-digested food within three days, eat as little as possible, eat some liquid food 24 hours before the colonoscopy, and prescribe a bowel laxative to empty the bowel.
But the emergency department can't wait three days.
Two nurses took turns to help the patient to quickly clear the bowels.
At this time, Director Qian of the Anorectal Department came down.
Director Qian is very young, in his early 40s. He is a handsome guy in the provincial hospital. He has white teeth like a spring breeze. When he enters the emergency room, he seems to be in April in the world.
"Someone called me just now and said that I was called to the doctor. I said that my take-out was here, and I went back after eating. The nurse mentioned Director Zhang, and I immediately lost the take-out and rushed over."
"Eating, where is Director Zhang important."
Everyone has known each other for a long time. Zhang Ming has been in the provincial hospital for a long time, and the younger doctors respect him very much.
Zhang Ming smiled.
"It just so happened that I didn't eat either. After reading this patient, I invite you, let's eat together."
"I called you here because there is a patient."
"The patient complained of abdominal pain, and this is her abdominal ultrasound."
Zhang Ming handed the list to Director Qian.
As a doctor, there are some introductions that don't need to be said much. After looking at the film, it is clear what it is.
Glancing at the film, Director Qian smiled.
"Isn't this appendicitis?"
"Do you also need to call me for a consultation for appendicitis?"
Zhang Ming nodded and said sternly: "I initially expected appendicitis too, but my little apprentice said that the patient often has diarrhea. The appendicitis may be misdiagnosed, and it may be colon cancer."
little apprentice?
Director Qian raised his eyebrows and glanced at Xia Xia.
Eyes lit up.
"Ha, isn't this the famous summer intern?"
"This intern is an internet celebrity in our provincial hospital. I've seen his videos. He's bold and careful. It's really good."
"But... just having diarrhea to judge colon cancer is a little tricky."
"The patient is only 25 years old. Today's young people can't cook and eat takeaways every day. How can takeaways be healthy? Diarrhea is also normal, so it's a bit arbitrary to judge bowel cancer?"
Director Qian smiled.
Diarrhea is cancer, and many people have cancer.
Director Qian disagreed.
Xia Xia didn't refute anything, his attitude was indifferent, and he said to Director Qian.
"Since you're here, let's help with the consultation."
"The nurse is ready to start the colonoscopy now."
A flexible tube with a length of 130cm, a fiber tube with a light source and a miniature electronic camera at the end, slowly enters the large intestine, and finally reaches the end.
The nurse was slow, making sure every detail was seen clearly.
Image presentation.
Director Qian and Zhang Ming didn't say much nonsense. The two looked at the image together and discussed what to eat for a while.
"Recently, Joy City has opened a new Haidilao. Director Zhang likes to eat hot pot, right?"
"My treat, bring your little apprentice."
"What's Mr. Zhang's shift today? I'm on the day shift, so I can wait until I get off work, and I can still have a drink. I have to go to work in the afternoon, so I can't drink at noon."
Zhang Ming stared at the screen while chatting with Director Qian.
"I'm on a day shift today, and I can have a drink after get off work."
"and many more!!!!"
Suddenly, Zhang Ming shouted and said to the nurse, "The camera moves back."
In the image, a small black object appeared. The object was close to the wall of the large intestine. From the outside, it looked like a small tumor.
"Did you see Xiao Qian?"
"I see." Director Qian's low voice came.
He pushed the gold-rimmed glasses and said solemnly: "The tumor has turned black, and a biopsy needs to be done immediately, but..."
"It should be colon cancer."
In an instant, everyone's eyes fell on Xia Xia.
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