Is The Nurse’s Girlfriend Cute? She Stabs People And Avoids Vital Points

Chapter 92 I Went To See A Doctor With My Friend, But It Turned Out That She Wasn’T Sick And I Was?

Looking at Gao Qiaoling's wet pants, she then heard Su Yaoyang's description.

Lu Ming guessed that Gao Qiaoling might have had a ruptured bladder!

That is, bladder rupture caused by holding in urine!

The medical definition of bladder rupture is a tear in the bladder wall.

It will cause urine and blood to flow into the abdominal cavity, causing symptoms such as urinary disorders, peritonitis, uremia and shock.

"Have you ever been hit?"

If the bladder ruptures, consider what caused it.

Is it simply a matter of holding in too much urine, causing the bladder to swell and rupture, or is it a fracture of the pelvis or nearby bones, causing the bladder to be stabbed or scratched.

If there is a fracture, immediate surgical treatment is required.

Urinary diversion, drainage of extravasated urine, and closure of the defective bladder wall are performed.

But if it is only a mild bladder injury, conservative treatment can be adopted.

Su Yaoyang shook his head, "Probably not, but I braked suddenly on the road. Did it have any impact?"

"Sudden brakes?"

"Let's do a blood routine and imaging examination first."

After Lu Ming thought about it, he prescribed several necessary inspection items for Gao Qiaoling.

However.

When the inspection report came out, Lu Ming was stunned.

In routine blood tests, hemoglobin decreased and hematocrit decreased.

This is normal and there is no problem. After all, there must be some bleeding symptoms in the body.

However, during the imaging examination, it was found that there was a mass in the pelvic cavity and there was blood accumulation in the pelvic cavity.

And during the abdominal examination, rupture of the corpus luteum was clearly discovered!

Therefore, Gao Qiaoling actually did not have a ruptured bladder, but a ruptured corpus luteum!

Her bladder, without any problems, was intact.

"Corpus luteum rupture?"

Su Yaoyang was stunned for a moment. Isn't holding back urine related to the bladder?

What does this have to do with the corpus luteum?

"Yes, it's a rupture of the corpus luteum.

"As for the cause of the rupture, it should also be related to holding in urine.

Lu Ming said and put forward his conjecture.

first.

The corpus luteum is a vascular gland-like structure that rapidly transforms from a follicle after ovulation.

In other words, the corpus luteum is a physiological characteristic unique to women and not found in men.

Just like the prostate is a physiological characteristic unique to men, it is not available to women.

However, women also have physiological characteristics similar to the prostate, that is, Bartholin's gland, also called Bardolin's gland.

Its purpose is to secrete liquid for lubrication during sexual intercourse.

For more physiological knowledge, those who are interested can learn about it themselves.

Back to the corpus luteum.

There are two types of corpus luteum.

The corpus luteum formed before fertilization is called menstrual corpus luteum, and if fertilized, it is called corpus luteum of pregnancy.

The corpus luteum secretes progesterone.

Progesterone is a natural progesterone that has a significant morphological effect on the estrogen-stimulated endometrium in the body and is necessary to maintain pregnancy.

If some pregnant women do not secrete enough progesterone, they will be asked to supplement their intake of progesterone.

Therefore, the existence of the corpus luteum is still very important.

Rupture of the corpus luteum means that the corpus luteum has ruptured due to various reasons.

It is more common in women of childbearing age between 14 and 30 years old.

After the corpus luteum ruptures, abdominal pain usually occurs.

At the same time, it may be accompanied by nausea, vomiting, dizziness, anal swelling, decreased blood pressure, clammy limbs, and even shock.

There are many causes of corpus luteum rupture.

For example, during sexual intercourse, excessive force and rough postures can lead to increased tension and damage to the corpus luteum.

Therefore, if some women feel persistent pain in their lower abdomen and vaginal bleeding after sexual intercourse, they should consider whether there is a rupture of the corpus luteum, and it is best to seek medical examination in time.

In addition, diseases such as pelvic inflammatory disease can also cause rupture of the corpus luteum.

Finally, the corpus luteum ruptured due to increased abdominal pressure.

This is also the reason why Gao Qiaoling's corpus luteum ruptured.

Because Gao Qiaoling held back a lot of urine, the intra-abdominal pressure increased, which led to the rupture of the corpus luteum.

Similar behaviors of increasing abdominal pressure include vigorous running, forced coughing, and severe impact on the abdomen.

In addition, pooping too hard may also cause the corpus luteum to rupture.

Of course, the corpus luteum is actually not that fragile, but it is best to know what behaviors may cause the corpus luteum to rupture.

In this way, if you encounter a similar situation, you will be able to seek medical treatment immediately.

"Doctor, so you mean."

"My wife held her urine for too long. Her bladder didn't explode, but her corpus luteum exploded?"

Su Yaoyang felt a little unbelievable.

"Yes, this should be the only reasonable explanation."

"Otherwise, I can't think of any other reasons that could cause the patient's corpus luteum to rupture."

Because through previous examinations, Gao Qiaoling's pelvic cavity did not have inflammation or other diseases, and there were no other diseases.

"Then doctor, what should my wife do now?"

Su Yaoyang asked Lu Ming what treatment method he would take.

"In terms of treatment methods, there are generally two types of treatment: conservative treatment and surgical treatment."

"When the amount of bleeding is not large, conservative treatment is performed for the purpose of stopping bleeding and anti-infection."

"But if the rupture is severe and the amount of bleeding is large, surgical treatment will be required."

"As for the patient's situation..."

Lu Ming thought about it, because Gao Qiaoling's situation was between the two.

In other words, both conservative treatment and surgical treatment can be performed.

However, if efficiency and safety are taken into consideration, Lu Ming recommends surgical treatment.

Moreover, laparoscopic surgery is only a minor surgery and will not cause much harm to the body.

It depends on what Su Yaoyang will choose as a family member.

"Patients can undergo conservative treatment or surgical treatment."

After telling Su Yaoyang the stakes, Su Yaoyang fell silent.

And Lu Ming didn't push him, waiting for Su Yaoyang to give the answer.

"Let's have surgery."

Su Yaoyang finally chose surgical treatment.

He feels that since treatment is required, the best treatment plan should be chosen to ensure that all hidden dangers are eradicated.

Lu Ming heard this and nodded, "Okay, I will arrange laparoscopic surgery for her later."

soon.

Lu Ming performed laparoscopic surgery on Gao Qiaoling.

Laparoscopic surgery is a very simple minor surgery.

After the patient is given general anesthesia, keep the patient in a supine position.

Immediately, Lu Ming made a small one-centimeter incision at the lower edge of the belly button.

Then insert the air needle and inject gas to maintain a certain pressure in the abdominal cavity.

Then pull out the air needle, insert the sheath, and place the laparoscope into the sheath.

Use laparoscopy to find the ruptured corpus luteum, which is the bleeding point.

After the rupture is treated accordingly, the abdominal cavity is flushed with physiological saline.

After sucking out the excess fluid and blood in the abdominal cavity, remove the sheath and suture the surgical incision.

In this way, the entire operation is completed.

"Doctor, how is my wife?"

As soon as Lu Ming walked out of the operating room, Su Yaoyang came over to ask about the situation.

"Don't be nervous, I told you this is a minor operation."

"The operation was successful. Your wife is fine and will be discharged from the hospital in a few days.

Lu Ming smiled and patted Su Yaoyang on the shoulder.

When Su Yaoyang heard this, he immediately breathed a sigh of relief.

Then he expressed his gratitude to Lu Ming.

After Lu Ming told Su Yaoyang some postoperative precautions, he left directly.

As soon as we returned to the emergency room, the ambulance came back with a patient.

Seeing this, Lu Ming stepped forward and offered a hand.

"How is the patient doing?"

Lu Ming asked casually.

"stomachache."

Doctor Zuoche said.

"I have a stomachache again? Where does it hurt?"

Lu Ming looked at the patient Jiang Zhemei on the gurney.

Hearing this, Jiang Zhemei touched her lower abdomen with her hand.

Lu Ming blinked, acute appendicitis?

What Jiang Zhemei was pointing to happened to be the location of the appendix.

However, perhaps out of some intuition, Lu Ming felt that Jiang Zhemei probably did not have appendicitis.

Lu Ming's intuition became even stronger when he saw Jiang Zhemei holding a folding black umbrella in her other hand.

"Take her for a laparoscopy and do a blood test."

Lu Ming directly gave the inspection plan.

After hearing this, the doctor in the car nodded and took Jiang Bangmei for examination.

soon.

The test results are out.

After Lu Ming learned the test results, she was slightly stunned.

Because this is another case of corpus luteum rupture!

It shows that his previous intuition was right!

Jiang Zhemei does not have appendicitis!

"Interesting coincidence."

Lu Ming smiled and touched his chin.

Immediately, he asked Jiang Zhemei if she had done anything before she had a stomachache.

Jiang Zhemei tried hard to recall, and then said that when she closed the umbrella, she pressed the umbrella handle against her stomach. After doing this, she started to have some stomach pains.

When class started, my stomach hurt even more.

And when the course ended and she returned to the dormitory, she was in so much pain that she couldn't straighten her back, and in the end she just curled up on the ground and couldn't move.

So she called the emergency number.

After Lu Ming listened, he nodded slightly.

It was quite different from what he had guessed.

From the moment he saw the black umbrella in Jiang Zhemei's hand, he guessed that it was the problem with the black umbrella.

There are some folding umbrellas, and it is very laborious to fold the handle.

There are some girls who are relatively weak, or girls who carry something in one hand and can only use one hand.

They will put the umbrella handle on their belly and use their body strength to close the umbrella.

In this way, abdominal pain will appear.

Eventually, the corpus luteum will rupture due to increased abdominal pressure as Lu Ming mentioned before.

Once or twice is probably fine.

But recently, because of the continuous rain, Jiang Zhemei has been using an umbrella. This frequent action of closing the umbrella caused the corpus luteum to finally be unable to withstand the pressure and rupture.

so.

Girls, stop using your belly to close your umbrella!

Of course, boys should not use their belly to close the umbrella. There is a certain probability that it will increase intra-abdominal pressure, leading to intra-abdominal bleeding or edema of internal organs.

In this way, Lu Ming simply performed a laparoscopic surgery on Jiang Zhemei.

night.

Lu Ming joined as a helper.

Not long after I sat down for duty, two people came into the consulting room.

It's two girls.

One of the girls was being supported by another girl and was bouncing on one foot as she walked.

It looked like one leg was injured.

"What's going on?" Lu Ming asked.

"Doctor, my leg hurts so much, I feel like I have a cramp.

Dai Yaping was sweating profusely in pain.

"Having cramps? Come and see."

Lu Ming asked Dai Yaping to sit down and then held her legs.

"Ah! It hurts, it hurts..."

When Lu Ming touches Dai

Dai Yaping almost jumped out of pain when she touched Yaping's left calf.

"You have a muscle spasm. The calf muscles are spasming."

"Did you just go for a run?"

Lu Ming looked at Dai Yaping's outfit. She was wearing casual sportswear and sports shoes that were obviously worn for running.

So I guessed that Dai Yaping must have just finished exercising.

"Yeah, I was just running at night."

"I got cramps in my legs after I returned to the dormitory after running at night."

Upon hearing this, Dai Yaping nodded and confirmed Lu Ming's conjecture.

"It's not a big problem. It's not a disease, it's just a normal muscle spasm after exercise."

"Swimming, football, long-distance running, weightlifting, high jumping and other sports may cause muscle spasms."

"I'll just give you a massage."

Lu Ming asked Dai Yaping to sit up straight and relax her body as much as possible.

"Do you want to pay the fee first?"

Dai Yaping was worried about the cost.

"No need, just a massage by the way."

Lu Ming waved his hand, then squatted on the 290 ground, picked up Dai Yaping's calf, and put it on his knee.

"hiss"

Dai Yaping suddenly grimaced in pain as she touched her cramped calf again.

"Relax."

As Lu Ming spoke, he slowly and forcefully stretched Dai Yaping's feet back.

Dorsi extension means that the toes are raised, and the instep and the front of the calf are brought together.

That is to say, push the patient's sole with the palm of your hand and press it down at an angle of about 20 degrees.

The first time she made it, Dai Yaping only felt the sour and refreshing taste, which she would never forget.

But when she did it for the second time, Dai Yaping clearly felt that the pain was less.

When she repeated it for the third time, Dai Yaping found that she no longer cramped!

"Doctor, I'm fine!"

"This is so amazing!"

"If I get cramps again in the future, can I just give myself a massage like this?"

Dai Yaping looked happy, knowing that Lu Ming's medical skills were good.

"That's not true. Spasms occur in different locations and require different massage methods.

"If you massage yourself randomly, it will only aggravate the spasm.

"So, if the cramping pain is unbearable, it is recommended to go to a regular hospital for formal treatment."

"Of course, some people may believe that strong force can produce miracles, and they may hit the cramped area hard. This practice...

"how to say."

"It's hard to comment, but it's not impossible. It's equivalent to pain transfer surgery."

Dai Yaping and her classmate Wu Xinxin who came with them burst into laughter.

God damn pain transfer surgery, doctor, you understand contemporary young people.

When Dai Yaping started, she really hit her hard a few times.

But he didn't get better, so he came to the hospital.

"Doctor, should I go back directly?"

Dai Yaping asked while putting on her shoes.

"Um."

Lu Ming nodded.

But just when Dai Yaping stood up to leave, Lu Ming shouted again: "Wait a minute.

Dai Yaping immediately looked at Lu Ming in confusion, "Doctor? Is there anything else?"

"There's nothing wrong with you."

"But she......"

Lu Ming pointed to Wu Xinxin next to Dai Yaping.

Dai Yaping couldn't help but look at Wu Xinxin.

Wu Xinxin also pointed to herself with a puzzled face, "Me?"

Lu Ming nodded, "Let me put it bluntly, you may be sick.

Dai Yaping and Wu Xinxin were stunned when they heard this.

"I'm sick?"

Wu Xinxin looked in disbelief.

"what's the situation?"

Dai Yaping also looked confused.

"I suggest you go get a call and I'll give you a checkup.

Lu Ming's eyes revealed seriousness and sincerity.

Seeing that Lu Ming didn't look like he was joking, Wu Xinxin suddenly lost her guard.

Tired of logging!

Who knows?

Accompanying a student to see a doctor, it turned out that the classmate was not sick, but the doctor pointed out that he was sick?!

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