I really don't want to be a doctor

Chapter 174 Mirror Man

The patients in the emergency department came and went in a hurry, and everyone had anxious expressions on their faces.

However, most of them were patients with fever and abdominal pain. The imaginary pesticide poisoning, gas poisoning, and suicide by cutting their wrists did not appear in any of these medical records.

Jing Xiaoran's job is to conduct repeated physical examinations, and then write medical orders on the computer.

Whatever Deng Ying told him to drive, he would drive.

Jing Xiaoran discovered that it is actually quite good to be a salted fish without thinking.

But what he didn't expect was that after the girl's mother left with Deng Ying's checklist, she never came back.

The thin little girl never showed up in the emergency room again.

In the end, Jing Xiaoran didn't know what kind of illness she was, nor did she know whether she had undergone these examinations.

……

When it was almost noon, Deng Ying was about to let Jing Xiaoran go to eat first, and then came to meet her.

"Oh, doctor..."

At this time, suddenly a middle-aged uncle walked into the emergency room with his hands on his lower abdomen, bent over, and a painful expression on his face.

"My stomach hurts to death! Hey, it's about to die! It's about to die..."

"Don't worry, sit on the hospital bed first."

Deng Ying said calmly.

Jing Xiaoran was already used to Deng Ying's way of working, so he immediately stood up and helped the middle-aged uncle onto the bed.

"Uncle, please slow down." Jing Xiaoran said.

At the same time, he took the outpatient card from the middle-aged uncle and handed it to Deng Ying who was in front of the computer.

"Where does it hurt you? Point to yourself, and when did it start?"

Deng Ying began to inquire about the patient's condition.

"I had a stomachache a long time ago, but I just had it again today. I didn't expect this time to be more painful than before!"

The middle-aged uncle lay on the bed with his legs curled up, and said in some pain.

Jing Xiaoran began to give him a physical examination of his abdomen.

"Feel it carefully, does it hurt here?"

"Ouch!"

Pressing down on the lower left abdomen, the middle-aged uncle suddenly wailed.

Now he didn't need to answer, he knew it was painful.

Jing Xiaoran frowned, "Is there tenderness in the lower left abdomen?"

"Uncle, I will suddenly remove my hand later, you are feeling it." Jing Xiaoran began to check for rebound pain, "This pain?"

"Yo yo, it hurts, it hurts..."

The middle-aged uncle kept nodding, shivering in pain.

"There is tenderness and rebound pain in the lower left abdomen." Jing Xiaoran turned to Deng Ying and said.

There is tenderness and rebound pain in the left lower abdomen, which means that the patient has the characteristics of peritonitis.

This time the condition might be a little more serious.

Deng Ying also raised her spirits at this time, took the initiative to walk to the hospital bed, and gave the patient another abdominal physical examination.

"There are indeed these two symptoms." Deng Ying looked at the middle-aged uncle suspiciously, "You said you also had this abdominal pain symptom before?"

"En." The middle-aged uncle nodded.

"I started to feel abnormal pain in the left lower abdomen about a week ago. At that time, I went to a clinic near my home. The injections were effective at the beginning, but the pain has been frequent recently. I ordered anti-inflammatory drugs at the clinic today. It still didn't help, so I hurried Came to the hospital."

"Apart from abdominal pain, are there any other symptoms? Nausea, vomiting, fever?" Deng Ying asked.

The middle-aged uncle shook his head: "No more."

Deng Ying frowned slightly, and there were tenderness and rebound pain, which are the characteristics of peritonitis.

But what exactly is the cause?
The left lower abdomen is where the sigmoid colon, left ureter, and small intestine project.

Is it sigmoid torsion?Ureteral stones?Small intestine causing peritonitis?
"What do you do every time you have abdominal pain? Before or after meals."

Deng Ying continued to inquire about the conditions related to the sigmoid colon and ureter, and checked the percussion pain in the kidney area.

But the strange thing is that Deng Ying may have ruled out all these diseases one by one in the end.

Jing Xiaoran was also puzzled.

"Uncle, do you have any inspection report?" Jing Xiaoran asked.

"No, nothing can be done in the clinic." The middle-aged uncle said, "Doctor, please give me pain relief, it really hurts..."

"Not yet, we have to do some tests before deciding on the treatment method," Deng Ying said.

Clinically, when the etiology is not clear, pain relief treatment measures cannot be easily given.

"Later, you will have a routine blood test, abdominal ultrasound, and chest X-ray." Deng Ying began to explain some of the examination items that patients need to do.

Jing Xiaoran habitually picked up the stethoscope and auscultated the middle-aged uncle's lungs and heart sounds.

As soon as he put the stethoscope on the apex of the middle-aged uncle's heart, Jing Xiaoran felt something was wrong.

Because he found that the heart sound on the left side of the patient was very weak, a bit like a distant heart sound.

Move the stethoscope slightly to the left, and the heart sounds on the right side are more pronounced than those on the left side.

This is completely opposite to normal people, whose heart is on the left side, and all heart sounds on the left side should be more pronounced than those on the right side.

Jing Xiaoran continued to move the stethoscope to the left, and the intensity of the heart sounds became stronger and stronger.

"Could it be the person in the mirror?" Jing Xiaoran was taken aback, and this word suddenly flashed in his mind.

The so-called "mirror person", also known as "mirror person" or "mirror person", means that the positions of the heart, liver, spleen, gallbladder and other organs are opposite to those of normal people. On the right side, while the liver, gallbladder, and appendix of normal people grow on the right side, while those of mirror people grow on the left side. It’s like a mirror image of normal organs.”

Deng Ying also noticed Jing Xiaoran's abnormality, and hurriedly said: "Student, is there any problem with the patient's cardiopulmonary auscultation?"

After a whole morning of getting along, Deng Ying trusted Jing Xiaoran's clinical operations, such as physical examination and auscultation.

"Teacher Deng, come and listen." Jing Xiaoran said.

"Well."

Deng Ying nodded suspiciously, picked up the stethoscope next to her hand and began to auscultate the patient's heart sound area.

"This, this is..."

Not long after, Deng Ying also discovered something unusual.

"The heart sound on the right side is obviously larger than that on the left side, isn't it?"

"En." Jing Xiaoran said.

"It's interesting." Deng Ying took back her stethoscope and looked at the middle-aged uncle curiously, "Have you ever had a chest X-ray or chest CT before?"

The middle-aged uncle shook his head: "I used to be in good health, and I have never had any examinations before."

"Well, I already understand your condition." Deng Ying said, "In addition to the examinations just now, I need to do a chest + full abdomen CT now."

"Okay, I'll listen to you, and arrange for me to go for an examination."

Lying on the bed, the middle-aged uncle shouted weakly.

Jing Xiaoran immediately finished all the examinations for the middle-aged uncle.

He then left the emergency room for tests.

"Student, do you know what disease this is?" Deng Ying asked after the middle-aged uncle left.

(End of this chapter)