Chapter 1760 Past History Is Not Important (Monthly Ticket 500 Plus Update × 1)
"Has she been sick many times in the past?" Zheng Ren asked.
"Well, the diagnosis in other places is similar, basically gastroenteritis or something." Zhou Litao said: "This girl is also tortured and going crazy."
"Mr. Zhou, what medical history is there? Think about it." Zheng Ren looked up at the roof and said to Zhou Litao casually.
"Well...diagnosed, it seems that she has been diagnosed with depression recently, and she was given oral medication for treatment. Then she was diagnosed with intestinal ascariasis!"
"Ascaris?" Zheng Ren pondered, "Ascaris disease is typically characterized by sub-xiphoid colic, the patient is sweating profusely, restless, accompanied by nausea, vomiting, abdominal pain, and sometimes vomiting ascaris, and intermittent abdominal pain may disappear completely."
Zhou Litao looked at Zheng Ren in surprise and sighed in his heart.
Boss Zheng seems to focus on the female patient who is about to jump off the building. Is this a subconscious reaction from reading too much?
"Nausea and vomiting are only suitable for a small amount of time. The severe abdominal pain is not a drill-like pain. It's a drill-like pain..." Zheng Ren said, thinking of the two patients with loach in their abdominal cavity.
I don't know how much the pain will be, but I guess it will be very painful.
It should be like this.
"Boss Zheng, the diagnosis of chronic gastroenteritis doesn't look very similar to me." Zhou Litao said, "Loss of appetite, upper abdominal discomfort, belching, nausea, vomiting, recurrent stomach pain, etc. are all very consistent."
"10-year-old chronic gastroenteritis, 16 years of onset." Zheng Ren still looked up, Zhou Litao felt that he was like a cheetah that was preying, ready to go.
But the man who fell from the sky, what did he want to do when he was ready to go?
"Mr. Zhou, we can't be so sloppy as doctors. Some patients seem to be fine, but in fact, their condition is very serious. It's a big delay." Zheng Ren said lightly, his voice was very low and light.
But every word fell so clearly in Zhou Litao's mind.
The little freckles on his face are a little shy.
"Zheng... Boss Zheng, what do you think is the disease?" Zhou Litao asked.
"I don't know." Zheng Ren said, "I haven't seen the patient, and I haven't even seen the test sheet. Do you think it can be diagnosed like this?"
"..."
Zhou Litao was completely speechless.
"Have you had a gastroenteroscopy examination?" Zheng Ren asked.
"I checked, there is no problem." Zhou Litao said.
"It's all right, where is the chronic gastroenteritis." Zheng Ren saw that the girl upstairs suddenly sat down, then turned around, her body was shaking, she didn't know if it was because of the pain or she was crying. .
He breathed a sigh of relief.
Then a faint light appeared in the night sky, and Su Yun's figure appeared, sitting beside the girl.
Zheng Ren was finally relieved, looked at Zhou Litao, smiled slightly, and said, "Gastrointestinal endoscopy is fine, CT and B-ultrasound are fine, blood test is fine, is that so?"
"Yes." Zhou Litao replied immediately.
"What about the past history?" Zheng Ren asked.
"No history of surgical trauma, unmarried, no children, no hypertension, coronary heart disease..."
"Is it all right?"
"Yes." Zhou Litao answered with certainty.
"What about family history?" Zheng Ren asked.
"Uh..." Zhou Litao was startled, "I didn't ask that."
"When the patient's mood is stable, ask about the family history." Zheng Ren turned around and walked to the emergency department.
"..." Zhou Litao smiled bitterly.
Is this the case with big bosses? family history? Does the emergency department need to ask about family history?
Generally, patients with heart disease have a history of heart disease at home, which is not important at all.
Therefore, family history is a medical history that is often ignored by lower-level hospitals. Even in the emergency department of 912, Zhou Litao thought it was not important.
"Does it make sense?" Zhou Litao chased after him and asked, "It's just a stomachache, and the family has inherited abdominal pain?"
"Ask, I don't have any clues now, I can only learn more about the situation." Zheng Ren said, "By the way, you look at her, is there anything special about her?"
Zhou Litao was startled for a moment, special?
"Boss Zheng, what are you thinking about?"
"I said that I didn't think about it. What I just meant was that special circumstances include environmental factors, family factors... No!" Zheng Ren suddenly said, "She is not from the Imperial Capital."
"No." Zhou Litao said, "It's a migrant worker."
"Then these two points can almost be ruled out." Zheng Ren sighed and said, "The environment has changed, and the place of residence has also changed, and the abdominal pain has not improved but aggravated."
"Boss Zheng, I think the diagnosis of depression can solve all problems." Zhou Litao said.
"Depressed from the age of 10? How severe is that?" Zheng Ren's tone changed.
Zheng Ren has always been cautious about diagnosing mental illnesses, and this time was no exception.
"Assumption, I say hypothetical. Assume that the patient has depression since childhood, and then it became more and more serious. Later, when Dao Didu worked and worked overtime, the depression became more serious." The more Zhou Litao said, the more he felt that his analysis was correct.
Zheng Ren suddenly stopped, turned his head and glanced at Zhou Litao, and said with a smile, "Mr. Zhou, to diagnose depression, you need a medical history. Did you ask?"
Zhou Litao was a little slandered, didn't this just say this.
You can't always ask a patient in the emergency department and ask if it's wrong.
"The emergency department is too busy, I can't just ask a patient." Zheng Ren smiled immediately, said what Zhou Litao was thinking, turned around and continued to the emergency passage of the emergency department, "I'm not wearing white clothes, you Check it out in a while, and if there's nothing wrong, take a look up."
"What are you looking at?" Zhou Litao asked subconsciously, and immediately froze.
Of course it's a medical history.
He took out the paper and was about to start writing down what Boss Zheng needed to ask.
The test results were recorded when the 120 was just released on the paper.
Zhou Litao was stunned for a second, and immediately asked: "Boss Zheng, you said, I remember, what do you need to ask."
"Mr. Zhou." Zheng Ren was dumbfounded.
"what?"
"Normal inquiries about medical history, observe your words and expressions, I think you usually do well." Zheng Ren smiled, "Go take a look and ask, I won't go up."
"you……"
"If you don't wear white clothes, you won't go. You should also be careful and see that the patient's mood is stable and unstable." The moment Zheng Ren walked into the emergency corridor, he turned around and saw that the air cushion was put away, knowing that it was all right.
Returning to the emergency department, there was nothing wrong after looking around. Zhou Litao said hello when he saw Zheng Ren sitting in the waiting hall, and went upstairs to check the situation by himself.
On the top floor, a group of people have come down one after another. The security guards and firefighters of the hospital are very relaxed. Obviously, the girl was persuaded to come down like this, and the stones in everyone's heart fell to the ground.
Su Yun walked side by side with the female patient in the middle, and now the female patient is still being closely guarded.