This Doctor is Great

come out of the ward,

Zhou Mo picked up his mobile phone and reported to the teacher through the enterprise WeChat.

"Teacher, what's wrong with this patient?"

"Several hospitals, most of the inspections have been done, why can't the problem be found?"

Zhou Mo gave a detailed report on the medical records of the patient Li Dongxue.

Zhang Luojia quickly replied: "I don't know either... But you can check the literature, specifically for that kind of special disease..."

Zhou Mo: "Okay."

I don't know if it was luck. When Zhou Mo was flipping through the paper, he suddenly saw a title paper:

Crohn's Disease Often Misdiagnosed as Gastroenteritis

Zhou Mo: "?????"

What?

Often misdiagnosed as gastroenteritis?

Isn't that what patients do? Most doctors thought it was gastroenteritis, but the treatment effect was zero.

Could it be that this patient, Li Dongxue, is the "Crohn's disease"?

Zhou Mo opened the paper and read it.

Above, there is an introduction to Crohn's disease:

*Crohn's disease, a chronic inflammatory granulomatous disease of the gastrointestinal tract whose etiology is not yet fully understood.

* From the mouth to the anus, all segments of the digestive tract can be affected.

(picture)

*Clinically characterized by abdominal pain, diarrhea, weight loss, abdominal mass, fistula formation, and intestinal obstruction.

"Abdominal pain, diarrhea, weight loss..."

"Isn't this just corresponding to the patient who is very thin and suffers from abdominal pain and diarrhea?"

*It may be accompanied by systemic manifestations such as fever and extraintestinal damage such as joints, skin, eyes, and oral mucosa.

*The disease has a tendency to relapse throughout life, and severe patients are protracted and have a poor prognosis.

* This disease is more common in Western Europe and the United States, and there is an increasing trend. The domestic incidence of this disease is not high.

Zhou Mo saw this,

I feel that this patient is so similar!

"Crohn's disease"! !

It is a "rich man's disease" that "focuses on" young people with strong resistance. This means that Crohn's disease may be caused by an immune deficiency.

Moreover, there is currently no cure for this disease, and it can only be controlled and alleviated through various methods, so it is also called "green cancer".

After Zhou Mo finished reading the paper, he read the World Health Organization's guidelines for the diagnosis and treatment of Crohn's disease, and then flipped through a few papers.

"Ding...you read "Crohn's Disease Often Misdiagnosed as Gastroenteritis"..."

"Ding...you read the "Guide"..."

"Ding...you..."

A series of seven or eight articles,

Finally, I have a very deep understanding of this disease.

"about there……"

Zhou Mo got up, left the duty room, and went to the ward.

79 beds.

"Doctor Zhou!"

"Doctor Zhou!"

The patient's parents stood up quickly after seeing Zhou Mo.

Zhou Mo: "I just went back and checked some information. I probably think that your daughter's disease may be a relatively rare disease called "Crohn's disease". However, some tests are needed to confirm the diagnosis..."

"What?"

"found it?"

Parents are excited.

Very good!

"Doctor Zhou, what is Crohn's disease?"

Zhou Mo pondered for a while: "In layman's terms, the intestines are full of ulcers, and all nutrients are difficult to absorb or even unable to absorb... Therefore, diarrhea will continue to occur, malnutrition and thinning..."

Zhou Mo explained in detail.

The parents nodded while listening: "That's right, my daughter's condition is almost exactly the same!"

Li Dongxue, on the other hand, has been playing games and has no reaction to the outside world. And at this moment, he couldn't help but put down his phone and looked at Zhou Mo.

There seems to be more light in the eyes!

Zhou Mo hurriedly said: "Don't expect too much for now, this is just my guess, everything needs to be checked..."

"examine!"

"Check now!"

The patient's parents can't wait.

Zhou Mo waved his hand: "Wait a minute, don't worry, the most direct method for diagnosing Crohn's disease is "Small Intestine Capsule Endoscopy". "

Small bowel capsule endoscopy is different from ordinary colonoscopy.

Ordinary gastroscopy can go from the mouth, all the way down, down to the duodenum, and finally stop at the front of the small intestine.

Ordinary colonoscopes can go all the way up from the steel door, up to the cecum, and finally stop at the back of the small intestine.

(picture)

(Combined with the diagram of the digestive system, to understand.)

One up and one down, solve the internal vision function of all paths except the small intestine.

Because the small intestine (jejunum + ileum) is too thin and too long, neither colonoscopy nor gastroscopy can be done.

And "Small Intestine Capsule Endoscopy" is to solve the dilemma of difficult inspection of the small intestine!

(Picture of Small Bowel Capsule Endoscopy)

It is a small camera the size of a capsule. The patient swallows it orally, then walks around the digestive tract and excretes it from the anus.

During this process, the camera will continue to take pictures, and you can see clearly in the middle, whether there are obvious ulcers, polyps, tumors, etc. in the stomach, small intestine, cecum, colon, rectum, etc...

When the pictures taken show the appearance of a 'cobblestone road' inside the patient's intestines, it can be diagnosed as "Crohn's disease".

"This 'Small Intestine Capsule Endoscopy' is what it means..."

"Its price is about 4,000 yuan..."

"If you don't want to use this test, you can also try MRI and CT to confirm the diagnosis..."

Father: "Is this capsule endoscopy the most accurate?"

Zhou Mo nodded: "The clearest and most intuitive!"

In fact, the normal process should be to do CT, but the patient has already had CT in the top two provinces, and it was negative. So Zhou Mo considered not doing CT, and went directly to capsule endoscopy.

"That's it!" The father said firmly: "Money is no problem!"

For their daughter, they have broken their hearts.

Let alone more than 4,000 yuan, even if it is 400,000 yuan, they have to deal with it! !

Zhou Mo nodded: "Okay... Now tell you about the requirements for this inspection..."

First, fast for more than 12 hours.

Because of the presence of food, it will block the lens.

"Also...if your daughter develops symptoms of abdominal pain, nausea and vomiting after the capsule mirror, please report to the nurse in time..."

The parents nodded again and again: "Okay, okay!"

Sign and write a doctor's order.

Then Zhou Mo reported the case to the teacher.

Zhang Luojia agrees with the possibility of Crohn's disease.

...

In the evening, at 22:00, Zhou Mo wrote a quarter of the thesis.

Then watch the patient swallow the endoscopic capsule.

Zhou Mo got off work.

...

the next morning.

rounds.

79 beds.

As soon as Zhou Mo arrived, his father asked anxiously: "Doctor, when will my daughter be pulled out? Is it possible to come out in the morning?"

Zhou Mo sweated wildly, and comforted him: "It's not that fast, the human digestive system is very slow, and it usually takes 24-48 hours, or longer, before the endoscopic capsule is discharged..."

In this way, the family of three waited and waited for a whole day, but the capsule was not pulled out.

...

the third day,

During Zhou Mo's rounds in the morning, his father shouted to Zhou Mo excitedly.

"Doctor Zhou, Doctor Zhou, the endoscope capsule has been pulled out!!"

Happy to fly!

.

I coded it in the morning, and forgot to update it... tragic...