Chapter 1764 The Most Intense Pain (Monthly Ticket 2500 Plus More × 5)

912, Urology Department, Mr. Yu, who is on duty, is very distressed.

Sitting in front of his computer, he looked at a patient's medical record, pondering what went wrong.

This is a patient with renal colic. RBC +++ was found in the urine routine, but no organic lesions were found in either B-ultrasound or CT. The most important thing is that no stones were found.

Try giving the patient oral opioid analgesics, which works just fine.

But you can't always use analgesics. No, where is the problem? Two or three consultations were organized in the department, but in the end, no answer was obtained.

It is already the 6th day, considering urinary tract infection, try antibiotics. Instead of remission, the patient's condition worsened.

Yu is always worried.

I have no choice but to ask the whole hospital for consultation tomorrow.

What department do you want to hire? Simple renal colic seems to have nothing to do with other departments.

It was really distressing, Mr. Yu sat in the chair, frowning at the CT film, there was really nothing he could do.

After sitting quietly for an hour, he searched through all the test sheets and imaging materials, but still found nothing.

Yu gave up the struggle.

Looking at the time, it was already three o'clock in the middle of the night.

He took out his mobile phone and hesitated for a long time before sending a WeChat message.

[Brother Yun, there is a patient who really doesn't understand, can you take a look at me when you get up? 】

After the message was sent, President Yu shook his head and went back to the duty room to sleep in deep thought.

...

...

When it was dawn, Su Yun woke up and saw the message sent by Mr. Yu with his mobile phone in his hand.

He knew that when he said he was looking for him, he was actually asking his boss to see what was going on.

What can the urology department have, it is certainly not that the urinary catheter cannot go in. Their urethral probe, Su Yun, felt pain just thinking about it. Just looking at it gave the illusion that the urinary tract was torn.

No matter what, get up first.

Consultation or something, the boss sees the operation in the morning, and then I will sort it out myself.

As usual, the days are dull and hurried.

After breakfast, I went downstairs to the community hospital to see patients after surgery.

More than 60 patients have accumulated here, and in the foreseeable future, there will be more and more patients here.

As for whether to add an extra bed or not, Zheng Ren has not yet thought about it, it mainly depends on the working ability of the training doctor.

Lao Liu is not bad, but his body is close to being overdrawn.

If you add more weight, Zheng Ren is afraid that Liu Zewei will collapse directly. Given the intensity of work in front of him, even a young man might not be able to hold it, let alone a lousy old man like Liu Zewei.

Room rounds, shifts, ward rounds, and surgery are a set of workflows every day. Like a running machine, it roared without hesitation.

Although it was a little fresh at the beginning, it would get boring after a while. It's just that Zheng Ren doesn't think that it's still very happy to be able to spend a dull and fulfilling day.

At the end of the operation in the morning, Zheng Ren watched the professor inside tear off the sterile gown and came out. The operation of the day was over.

After that, I had dinner, and then went to the system library to read.

"What's for lunch?" Zheng Ren asked.

Su Yun came 10 minutes ago, and he was extremely accurate in estimating the surgical level of Professor Rudolf Wagner and Liu Zewei and the operation time.

"Are you going to eat first, or do you have a consultation first?" Su Yun asked leisurely, sitting on the sofa behind with Erlang's legs crossed.

"Consultation? What patient?" Zheng Ren asked.

"A patient in the urology department had renal colic, no stones, and no organic changes. After checking around, he didn't find any problems." Su Yun already knew Zheng Ren's choice, but he still waited in a funny way.

"Go, go see the patient." Zheng Ren Huo stood up.

Have a meal? Faced with a difficult case, this option simply does not exist.

Renal colic? Most of these pains are caused by a kidney stone falling into the ureter.

The pain level is said to be very high, surpassing fractures, and even more painful than childbirth.

The pathogenesis is the rapid movement or sudden incarceration of the stone in the renal pelvis and ureter, resulting in acute obstruction of the upper urinary tract. Due to the increased tension on the inner wall of the lumen, the pain receptors in these parts are stretched and cause severe pain.

Subsequent ureteral or calyceal wall edema and smooth muscle ischemia increase inflammatory mediators, activate more pain receptors, and further aggravate pain perception.

It's just renal colic, what's so good about it?

Renal colic without stones?

Zheng Ren stood up and stopped, thinking about the simple medical history and what Su Yun just said.

"What do you think?" Zheng Ren looked at the lead glass, where Xie Yi people were cleaning up medical waste. Just looking at the back, Zheng Ren felt that he would never get tired of watching it for the rest of his life.

"Just because I have no idea, I came to ask you." Su Yun said: "The medical history is very simple. I went to see the patient and asked about various conditions in person, but I still have no idea."

"Look at the patient." Zheng Ren said.

"I'm all ready, let's go to the classroom in the community hospital."

Zheng Ren thought about it for a while, and it seemed to be fine.

Start from the case and various auxiliary examinations. If you really can't tell what the disease is, then you will use the ability of the big pig's hoof.

"Kidney colic, is Fuguier interested in visiting?" Zheng Ren invited Professor Rudolf Wagner.

But the professor was obviously not interested in anything other than the Nobel Prize, and he pretended not to understand.

Zheng Ren smiled and then said, "Let's go."

"I called Chang Yue and President Yu." Su Yun said, "Chang Yue's diagnostic level is too poor. As the first gatekeeper and gatekeeper, you can't always be like this."

Zheng Ren didn't care, he didn't bother to guess what Su Yun was thinking.

On the other hand, the patients with renal colic are a little interesting. I have never heard of renal colic without stones.

Is the stone hidden?

Zheng Ren's heart was already flying, and he really wanted to check the situation right away.

"Yiren, I'm going to the consultation, noon..."

"Sister Yue told me, you go first, I'll go later." Xie Yiren said while packing up, "You guys consult, I'll see what to order. What do you want for lunch?"

"Uh...whatever." Zheng Ren said, "Then I'll wait for you for a while."

"Alright, let's go together." Xie Yi accelerated the speed of packing up.

Another nurse wanted her to go directly, but was rejected by the Shei people. As a nurse in the operating room, she does not clean up medical waste after the operation. She feels that the work is not finished and she feels uncomfortable.

Zheng Ren wanted to help, but was pushed out by Xie Yi, who thought he was clumsy and got in the way.

"Su Yun, tell me about the medical history first." Zheng Ren asked after feeling bored.

"Boss, it's too much." Su Yun crossed Erlang's legs and looked at Zheng Ren with a smile.

"Um?"

"I did the 1-hour courseware, just for this consultation, do you have to listen to the medical history first? What if you don't pay attention at that time?"