Sleepless Doctor
Chapter 1176
Zhang Zimo thought for a long time after receiving a call from Taoist Lin.
Spicy strips? What the hell?!
Because he didn''t know what spicy strips were, Zhang Zimo also specially searched the Internet and called two little nurses in Cori to ask about spicy strips.
It turned out to be big gluten. Will it cause abdominal discomfort for more than half a year after eating it? Zhang Zimo thinks this statement is quite lax.
If the patient has any discomfort, it will not be caused by large gluten.
Although he thought Taoist Lin was a bit busy, Zhang Zimo still showed great respect. After he hung up the phone, he contacted relevant nurses and other patients to see a doctor.
After waiting for nearly an hour, Zhang Zimo received a call from the patient''s family and saw the patient himself.
The patient was 10 years old, thin and looked malnourished.
Zhang Zimo''s first feeling was parasitic diseases.
Only after asking the medical history did we know that the patient bought a bag of spicy strips with his classmates in a small shop outside the school last July.
It''s strange. It''s strange on the spicy strip.
Only the patient had problems, and no one else responded.
On the evening of eating spicy strips together, the patient complained of abdominal distention and abdominal pain and went to the local town hospital. The doctor thought it was dyspepsia and asked him to take Jianwei Xiaoshi tablets orally.
This was the beginning of the nightmare, and the child''s mother remembered it clearly. So she insisted that she came because she ate spicy strips. Zhang Zimo had nothing to say about it.
If there''s something wrong with the spicy strip, why are the other children okay? The child''s mother can''t explain this question, but Zhang Zimo can see her stubbornness.
However, the patient did not get any better. After half a month, the child''s stomach became more and more swollen. The family was worried, so they took the patient to the county hospital for treatment.
B-ultrasound results were also brought by the patient''s family. Zhang Zimo was stunned to see the thickening of intestinal wall and the diagnosis of ascites.
Do you have ascites when you eat spicy strips? Zhang Zimo doesn''t think so. He thinks these are just coincidences.
The doctor of the local county hospital considered that the probable rate was tuberculous ascites and asked the child to go to the infectious hospital for further definite diagnosis.
After being transferred to an infectious hospital, the doctor also considered ascites caused by tuberculosis and was hospitalized for examination. However, no matter how sputum culture was checked, Mycobacterium tuberculosis was not detected, so it could not be diagnosed, and only symptomatic treatment could be done.
The patient''s father was so angry that he took the patient to the Pediatrics Department of Linzhou first people''s hospital.
Pediatricians denied the possibility of tuberculous ascites, because they had a previous history of oral irritant food (spicy strips), and were initially diagnosed as Henoch Schonlein purpura.
Because it is a self limiting disease, we only give symptomatic treatment and strengthen nutrition.
After that, the child improved slightly, but abdominal pain occurred again in less than half a month. The family had no choice but to go to a higher hospital - the first hospital of provincial Capital Medical University for pediatrics.
Zhang Zimo knows that this has reached the limit for a rural patient.
The diagnosis of doctors in the first hospital of Medical University is the same as that of Pediatrics in Linzhou hospital - Henoch Schonlein purpura.
So far, the diagnosis has been made, but the patient has not improved. Yesterday, her abdominal pain worsened, so under the epidemic, the patient''s father dared to take his child out to see a doctor.
After understanding the medical history, Zhang Zimo found that the patient had total abdominal pain.
allergic purpura? Because what is delayed? Zhang Zimo doesn''t think so. He consulted several Pediatrics directors, but there was no result.
Zhang Zimo waxes.
When he remembered Taoist Lin, he didn''t know what it was like.
Similar patients should be sent to pediatrics instead of finding a serious director. He knows that Mr. Wu Mian is very busy, so he can try not to bother Mr. Wu.
You can only contact director Liang.
If there is no epidemic, director Liang will take his own people with him in two years. The fifth hospital of Malay Medical University is his own, and Zhang Zimo doesn''t care much.
After listening to Zhang Zimo''s introduction and driving to see the patient, director Liang pondered for a long time.
"Director Zhang, why do I think this diagnosis is unreliable."
"What do you think?"
"I feel like a rare disease - eosinophilic gastroenteritis."
"Er, this is too rare," Zhang Zimo said.
Eosinophilic gastroenteritis is a rare disease, not particularly rare. Zhang Zimo is right.
"Generally speaking, eosinophilic gastroenteritis usually involves the gastric antrum and proximal jejunum. I''ve seen several cases. Haven''t you seen them?" director Liang said. "Let''s have a gastroscope. Other examinations are meaningless."
"Director Liang, what have you seen?"
"It''s usually a solid or rubber like, smooth, sessile or pedicled polypoid mass, which protrudes into the cavity and can lead to pyloric obstruction." director Liang said definitely, "Lao Zhang, I''ll ask you a few things."
"You say."
"The child has ascites. What do you think?"
"There are too many possibilities. Cardiovascular diseases, liver diseases, peritoneal diseases, kidney diseases, nutritional disorders, abdominal metastasis of malignant tumors, ovarian tumors and connective tissue diseases may all lead to."
"This is a child. For the time being, there is no possibility of cardiovascular, liver, kidney and malignant tumors. My first thought is caused by intestinal tuberculosis, but the test is negative, which is ruled out temporarily.
After all, the patient is still a child. If there is no rheumatic immune disease, eosinophilic gastroenteritis is more likely. "
Zhang Zimo didn''t quite understand the evolution of this disease. He saw director Liang''s affirmation and could only keep silent.
In hospital, check-up, catch up with the epidemic, and almost no one does gastroenteroscopy.
So I didn''t need to make an appointment. I said hello to Matthew and went through the consultation procedures. The next day, director Liang gave the child a gastrointestinal endoscopy.
Unexpectedly, the child''s test result was negative.
In other words, the final diagnosis was not a rare disease that director Liang thought possible - eosinophilic gastroenteritis.
All of a sudden, they were helpless. Director Liang whispered that it shouldn''t be.
But he didn''t see any signs of eosinophilic gastroenteritis in the endoscope, so the diagnosis was abandoned. Racking their brains, director Liang and Zhang Zimo didn''t give a definite diagnosis.
Zhang Zimo even wants the patient to go to DIDU.
But in jianxie hospital, the last hurdle is to consult Mr. Wu.
Let''s see how lucky the patient is. Zhang Zimo calls Wu Mian.
"Director Zhang, what''s up?" Wu Mian quickly answered the phone and asked. The patient was still lucky.
"Miss Wu, are you busy?"
"Well, there''s something. I''m reading the paper."
"Paper?" Zhang Zimo was stunned.
The situation in Tianhe City is very serious. A batch of medical teams rushed to support, but there was no reversal of the situation. How can Mr. Wu still be in the mood to engage in scientific research.
"I''m thinking about the choice of the virus. By the way, what can I do for you first?"