This Doctor is Great
Chapter 143 Huang Yiming: Let me tell you how awesome my Brother Mo is!
"Teacher, is this a parasite?"
Zhou Mo looked at the cut out 0.5cm circular shadow on the B-ultrasound screen, and couldn't help asking.
Teacher Zhang Luojia looked at the shadow and pondered for a moment.
"Yes, it should be a parasite."
Zhou Mo: "In other words, the suspected tumor nodules you saw just now are parasite eggs?"
Teacher Zhang Luojia nodded: "It should be."
Zhou Mo looked at the patient Chen Qing: "Are you sure you didn't eat anything raw?"
Patient Chen Qing shook his head: "I can't remember, and I'm not sure, but I definitely haven't eaten sashimi."
Zhou Mo: "Where are you from?"
Patient Chen Qing: "I am from northern Guangdong."
Zhou Mo: "Then have you ever been to the border area? Or the coast? Travel? The time is half a year or a year before the onset of the disease."
Along the coast, there are naturally aquatic products such as fish and shrimp.
In the border areas, that is, the northwest and southwest border areas where animal husbandry is relatively developed, the parasitic diseases in those areas are a little more serious than those in the coastal areas.
Chen Qing was taken aback for a moment: "I went to Guilin half a year ago..."
Sudden,
She suddenly remembered.
"By the way, when I was traveling in Guilin, I ate calla lilies, raw..."
In tourist places, many aunts sell calla lilies that have been peeled.
Its existence shows that it is very popular with tourists.
"Calla lilies?"
Teacher Zhou Mo and Zhang Luojia looked at each other.
"Faciform Liver!"
"Faciform Liver!"
The two said in unison!
Combined with the 0.5cm-large circular shadow just now, both of them subconsciously thought in the direction of Fasciola hepatica.
Fasciola hepatica,
(picture)
It often appears on calla lilies, wild rice stems, and raw Houttuynia cordata, especially raw Houttuynia cordata, which is the main source. Many cases are related to patients eating raw Houttuynia cordata in cold salad.
Although calla lilies are rare, they still exist with a probability.
At this time, the patient Chen Qing said: "It seems that at that time, I felt a little uncomfortable. I had a stomachache once, and then I was fine..."
Here.
I even think it's Fasciola hepatica!
By the way, there is another characteristic of Fasciola hepatica parasitism, that is, the absolute value of 'eosinophils' (compared to white blood cells) in the blood routine increases!
Just now on the blood routine, the absolute value has increased by 4 times, which just confirms this point.
Next, it's much simpler.
Blood was drawn directly and sent for blood routine.
Then keep the feces and send them for testing (smear method, precipitation method) to see if there are any eggs or the like (not necessarily found in every feces).
By the way, there is also the ELISA method.
Practice has proved that spot ELISA is fast in diagnosis and strong in specificity, which is very suitable for clinical application.
For these three checks,
Soon, Chen Qing's serum samples were sent for blood routine and ELISA.
As for feces, it's normal for beautiful women to poop, right?
...
...
deal with this patient,
Zhou Mo breathed a sigh of relief.
"good!"
Zhang Luojia rarely smiled, affirming and praising Zhou Mo's performance just now.
Zhou Mo smiled slightly.
The two left the ward, and Zhou Mo returned to the duty room.
just walked in,
Zhou Mo saw Huang Yiming bragging.
Drooling wildly, eloquently.
"What? Brother Mo knows B-ultrasound, you are shocked?"
"Where is this going?!"
"B-ultrasound, that's just basic training!"
It turned out that Zhou Mo had just done a B-ultrasound, and through the mouth of the nurse, it reached the ears of other doctors.
The other doctors were naturally shocked.
Especially the dozen or so medical students were so shocked that their jaws dropped to the ground.
Huang Yiming saw the situation,
hehe,
I was amused!
What's so shocking about that?
Forget it, let me tell you, my brother Mo is awesome!
So, Huang Yiming started to step on the stool, let go of his voice, and started bragging to Zhou Mo, that is called a lotus tongue, full of passion.
"You don't know how awesome my Brother Mo is!"
"He is in the Department of Cardiology, and he is the champion of seven championships! Clinically, he is very good! There are more than 100 doctors in the general examination, and he takes the first place with a perfect score."
"No. 1 in the examination for leaving the department, No. 1 in the SP patient exam... No. 1 in everything!"
"If it weren't for the thesis, I would have won the first place in 8 weeks, eight crowns!"
"B-ultrasound? My brother, I learned it in 3 days. At that time, the doctors in the cardiology department all had the expressions of 'all my friends are stunned'."
"Anyway, I can't do it without me, Brother Mo!"
"By the way, I followed Brother Mo to write a core journal paper, and Brother Mo himself wrote a core journal paper. There are two in total. Do you think it's awesome or not?"
Blow it!
But all the bragging is true, after all, Zhou Mo is really so awesome.
But Zhou Mo was a little embarrassed.
Be low-key, Xiao Ming!
(Huang Yiming: Brother Mo, sometimes you can’t keep a low profile! Let me pretend to be aggressive for you!)
As soon as Zhou Mo entered the duty room,
Immediately, I felt the eyes of many doctors, all looking over.
Those medical students all showed shocked expressions of 'Wow, the boss is back', 'Really boss', 'Awesome, B-ultrasound understands'...
Of course, there are also three "eager to try" gods of learning.
Li Dongmei, Chen Xiaoyu, Xu Yong!
All three are SYS eight-year students!
I have always been very confident, thinking that what others can do, I can do it myself.
They thought:
‘Wow, it turns out that B-ultrasound is so easy to learn’
‘This week, Mo can learn B-ultrasound in only three days. If it’s me, there’s no reason why I can’t do it, I will definitely do it! '
'It's too late to learn now'
'I want to learn B-ultrasound secretly, and then amaze everyone! '
'That's it, I'll go to Zhou Mo for advice on how to learn B-ultrasound later'
Ready to move!
Excited!
At this time, several medical students ran to Zhou Mo and surrounded him.
"Zhou Mo, do you know B-ultrasound?"
"I know a little."
"Awesome, Zhou Mo, if I have something to do here in the future, can you please help me do a B-ultrasound for the patient?"
"Yes, yes."
"It's too troublesome to go to the B-ultrasound room. It takes a few days to make an appointment..."
They all looked at Zhou Mo expectantly.
If Zhou Mo can help with B-ultrasound for diagnosis in the future, I can reduce the time to go to the B-ultrasound room downstairs, which is much simpler and more convenient.
Zhou Mo would naturally not refuse: "You're welcome, as long as I'm free, I'm fine..."
When everyone heard this, they were immediately happy, and quickly thanked: "Zhou Mo is so generous! Thank you!"
Zhou Mo said at this time: "But I don't have a certificate, so I won't issue a report to you."
Everyone nodded: "Okay, okay, thank you very much for providing us with ideas."
surrounded by the crowd,
Zhou Mo's reputation in Gastroenterology +1+1+1+1...
When the crowd is over,
Li Dongmei, Chen Xiaoyu, and Xu Yong came to Zhou Mo's side at the same time.
"Zhou Mo, can you teach me how to learn B-ultrasound?"
"Yes, I also want to learn B-ultrasound."
"Zhou Mo, are you free tonight? I'll treat you to dinner!"
Zhou Mo looked at the longing eyes of the three and nodded.
"Okay, I'll teach you..."
Huang Yiming next to him showed disdain: "Hehe... mortals want to imitate my Brother Mo again!"
...
...
15:00,
The inspection results came out...
ELISA,
Positive!
.
Just this one update tonight... In other words, there are still only 2 updates today, I'm guilty...
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