Chapter 2070 Mirror Pain (Monthly Ticket 73500 Plus More × 147)
"Two minutes ago, it was said that it was finished, and the patient was walking back." Zhou Litao said, "I urged that side to hurry up and upload the film. Boss Zheng, please help me."
Zheng Ren took the patient's information from Zhou Litao's hand, and looked at it bit by bit.
As Zhou Litao said just now, the patient's physical symptoms and self-reported pain were contradictory; X-ray films and B-ultrasound were also contradictory.
Su Yun's eyebrows frowned, and it seemed that he didn't know exactly why this happened.
There was something odd about the patient's whole situation.
If the signs and self-reports are contradictory, it is still common in clinical practice. But can objective inspection go wrong?
Generally, young doctors are very superstitious about objective examinations, but sometimes there are contradictions between objective examinations.
"Look at the CT." Zheng Ren quickly read the patient's examination report before striding towards Zhou Litao's duty room.
Here, it has become Boss Zheng's office in the emergency department.
The computer was on, and Zhou Litao found the patient's CT image and moved out of the way.
The CT image supports the judgment of the B-ultrasound, and the right hydronephrosis of the patient can be seen, and a stone shadow is stuck in the proximal end of the ureter.
Zheng Ren was also puzzled. He inserted the X-ray upright plain film into the viewer, and began to compare the difference with the CT image.
"Weird, the X-ray images look standard." Su Yun's eyebrows frowned a little more.
They are all standard, but they are contradictory, and clinically similar situations are not common.
Zheng Ren didn't speak, he rested his chin and kept looking around, rebuilding in his mind.
"Go to the eye patient." After nearly 10 minutes of silence, Zheng Rencai said in a deep voice.
Zhou Litao handed over two white clothes, Zheng Ren and Su Yun put them on and walked out of the duty room.
The patient has come back from the examination, and the painkiller medicine has expired, and his pain is getting worse.
The man didn't go to the hospital bed, but curled up on the flat car, desperately holding his lover's hand, looking very pitiful.
Pain in the urinary tract, it hurts...no matter what kind of pain it is, it hurts like hell. Zheng Ren came to the patient and said softly, "Where do you feel the pain?"
The patient's family members were very impatient, but they had to say the same thing over and over again in the face of the doctor's questioning.
"The left side of the stomach hurts." Although the patient's family members are still cooperative, they are already impatient.
"Doctor, this side hurts." The patient said while clutching his left stomach. His lover's hand was covering his waist, trying to increase the temperature as much as possible, perhaps doing so would relieve his pain.
Sure enough, it was the pain on the left side. Zheng Ren then turned the patient sideways normally, and wanted to check the body. But the patient was like a frightened bird, and said in a panic: "Doctor, don't hit my waist, it's the same as death once."
"..." Looking at his expression, Zheng Ren didn't seem to be pretending, and he was speechless.
This is being scared.
"Okay." Zheng Ren looked at his system panel and nodded slightly.
The diagnosis of the system panel is the same as that of CT and B-ultrasound, and is contrary to the patient's self-reported symptoms-right urinary stones and right hydronephrosis.
A lot of relevant information was dug out by Zheng Ren, and he pondered while looking at the system panel.
"Doctor, what is the disease?" The patient curled up on the hospital bed and asked pitifully.
At this time, he looked so helpless, his face was pale, and there were cold sweats on his forehead and temples.
Even the clothes were torn through, which is really pitiful.
This is not bad. Many men with big arms and round waists are lying on the flat car, screaming like killing pigs. Zheng Ren has seen this scene countless times in Haicheng No. 1 Hospital.
"It's okay, it's okay." Zheng Ren smiled and comforted the patient, "Small ailment, let's study it and get rid of the pain as soon as possible."
His smile seemed to carry some unknown power, and the patient felt that the pain was a little lighter.
It's just that the patient's family members were very upset and watched these "useless" doctors leave viciously.
Back in the duty room, Zheng Ren said in a deep voice, "Take it to the hospital."
"..." Mr. Yu was speechless, he didn't expect Boss Zheng to give such an explanation.
I also know that I am admitted to the hospital, and there is no need for Boss Zheng to say whether it is good or not.
"Boss Zheng, what disease are you thinking about?" Mr. Yu asked cautiously.
"Right hydronephrosis, right ureteral calculi. Hurry up and crush the stones. If the hydronephrosis gets worse, the kidney will probably be lost." Zheng Ren said.
"What about the left side? Patients can complain of pain on the left side." Su Yun asked.
"Think about mirror pain." Zheng Ren said.
Mirror pain?
This term rarely appears in clinical medicine.
Zhou Litao looked confused, Mr. Yu had some experience, but he wasn't sure whether he was thinking right or wrong, "Boss Zheng, is it the stone on the right side that causes the mirror pain on the left side?"
"Yeah." Zheng Ren was still watching the film and nodded.
"Generally mirror pain is bilateral pain." Su Yun put forward different opinions.
"Physical examination, Mr. Zhou's physical examination showed bilateral pain, and the patient complained of left side, I don't think it's important." Zheng Ren said.
"Zheng...Brother Yun, what is mirror image pain?" Zhou Litao was at a loss as he had never encountered it before.
"When one side of the body is injured, they will feel pain in the same place on the other side of the body. This research started on a large scale after World War II, and there is no conclusion yet." Su Yundao, "The strange situation is that a When a side nerve is damaged, the corresponding nerve on the other side of the body is also damaged."
"..."
This is science? Or are you just joking around? If Brother Yun and Boss Zheng hadn't said that, Zhou Litao would have stood up and cursed people a long time ago.
If one nerve is damaged, the other will be damaged too, which is too idealistic to believe.
"In fact, intensive research began after World War II, and similar research began as early as after the American Civil War." Zheng Ren held his chin, continued to watch the film, and said in his mouth: "A neurologist from Massachusetts General Hospital, Dr. Oakland She did the research, and she named the final mirror pain."
"Boss, mirror pain occurs more often in cases of herpes zoster virus infection, and the urinary system rarely occurs." Su Yun is also very puzzled.
"Rarely, but there are."
Zhou Litao looked at Su Yun pitifully as if he had a kidney stone, waiting for Brother Yun to explain to him.
"It is usually seen in herpes zoster. The reasonable explanation is that the herpes zoster virus enters the spinal cord and then spreads to the other side of the body." Su Yundao, "However, the wounded in the war will also cause another limb loss due to the loss of one side of the body. Pain on one side."
Zhou Litao suddenly remembered that he had indeed encountered similar patients in the emergency department, but the healthy limb was not injured, and he didn't pay attention to it. He just thought it was a kind of hysteria.
Unexpectedly, there is really a saying about mirror pain.
...
...
Note: There is a mistake in the single chapter. I read this chapter while I was busy at work and said that I was shocked. I thought I didn’t find it after so many mistakes. Facts have proved that, like the six characters in the first case in Asia, the bad old man can't count. Apologies here, bows down. The monthly ticket has been added, and it has been officially paid off, and the leader can be returned~~~
In addition, please compare your heart, mobile terminal - book details page - character bar at the bottom of the page - click on the little hand next to the character's name, you can click on it once a day, it is best to click on all 6 characters~~~ ~