"It was said that it was done two minutes ago, and the patient is walking back." Zhou Litao said, "I urge the other party to hurry up and upload the film. Boss Zheng, please give me a look."
Zheng Ren took the patient's information from Zhou Litao's hand and read it bit by bit.
As Zhou Litao just said, the patient's physical signs and self-reported pain are contradictory; the X-ray and B-ultrasound are also contradictory.
Su Yun's eyebrows wrinkled, and it seemed that he was not very sure why this happened.
There was something odd about the patient's whole situation.
It is quite common clinically if physical signs and self-reports are contradictory. But can objective inspection still go wrong
Ordinary doctors are very superstitious about objective examinations, but sometimes objective examinations are contradictory to each other.
"Look at the CT scan." Zheng Ren quickly read the patient's examination report and then strode towards Zhou Litao's duty room.
This place has become Boss Zheng's office in the emergency department.
The computer was on. Zhou Litao found the patient's CT image and moved away.
The Ct image supports the B-ultrasound judgment. It can be seen that the patient has hydronephrosis on the right side and a stone shadow is stuck in the proximal ureter.
Zheng Ren was also confused. He inserted the X-ray plain film into the reader and began to compare the difference with the CT image.
"Weird, the X-ray images look very standard." Su Yun's eyebrows furrowed a little tighter.
They are all standard, but contradictory. Similar situations are not common in clinical practice.
Zheng Ren said nothing, holding his chin, looking left and right, rebuilding in his mind.
"Go see the 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 returned from the examination. The painkillers have worn off and his pain is getting worse.
The man did not go to the hospital bed, but curled up on the flat car, clutching his lover's hand desperately, looking very pitiful.
The pain in the urinary tract 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 when faced with the doctor's inquiries, they had no choice but to say the same thing over and over again.
"The left side of my stomach hurts." Although the patient's family members were still cooperative, they were beginning to become impatient.
"Doctor, this side hurts." The patient said, holding the left side of his stomach. His lover's hands were covering his waist, trying to increase the temperature as much as possible. Perhaps doing so would relieve his pain.
As expected, the pain was on the left side. Zheng Ren then turned the patient to his normal side and wanted to do a physical examination. But the patient was like a frightened bird, and said in panic: "Doctor, please don't hit my waist. If you hit me once, it will be like death."
"..." Zheng Ren looked at his expression. It didn't look like he was pretending, and he was speechless.
This is being hurt.
"Okay." Zheng Ren looked at his system panel and nodded gently.
The diagnosis of the system panel is the same as that of CT and B-ultrasound, which is contrary to the patient's self-reported symptoms—right urinary tract stones and right hydronephrosis.
Zheng Ren dug out a lot of relevant information, and he was thinking about it while looking at the system panel.
"Doctor, what is the disease?" The patient asked pitifully as he curled up on the hospital bed.
At this time, he looked so helpless, his face was pale, and there was cold sweat on his forehead and temples.
Even his clothes were ripped through, which was really pitiful.
This was pretty good. There were many tall and round men lying on the flat car, yelling like they were killing pigs. Zheng Ren had seen this scene countless times in Haicheng City No. 1 Hospital.
"It's okay, it's okay." Zheng Ren smiled and comforted the patient, "It's a small problem. Let's study it and make it pain-free as soon as possible."
His smile seemed to carry some unknown power, and the patient felt that the pain was lessened.
It’s just that the patient’s family members were very irritated and looked at these “useless” doctors viciously as they left.
Returning to the duty room, Zheng Ren said in a deep voice, "Admit him to the hospital."
"..." Mr. Yu was speechless. He didn't expect Boss Zheng to give such an explanation.
He knew that he was admitted to the hospital and there was no need for Boss Zheng to say whether it was okay or not.
"Boss Zheng, what disease are you considering?" Mr. Yu asked cautiously.
"Hydronephrosis on the right side and ureteral stones on the right side. Hurry up and get the stone broken. If the hydronephrosis gets worse, the kidneys may not be saved," Zheng Ren said.
"What about the left side? The patient can complain of pain on the left side." Su Yun asked.
"Consider it 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 was not sure whether what he was thinking was 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 movie and nodded.
"Generally, mirror pain is bilateral pain." Su Yun put forward a different opinion.
"Physical examination. Mr. Zhou's physical examination showed pain on both sides. The patient complained of pain on the left side. I don't think this is important." Zheng Rendao.
"Zheng... Brother Yun, what is mirror pain?" Zhou Litao had never encountered it before and was a little confused.
"After being injured on one side of the body, they will feel pain in the same position 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 weirder situation is that... If a nerve is damaged on one side, the corresponding nerve on the other side of the body will also be damaged.”
“…”
Is this science? Or was it just a casual joke? If Brother Yun and Boss Zheng hadn't said so, Zhou Litao would have stood up and cursed.
If one side of the nerve is damaged, the other side will also be damaged. This is simply 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: "Dr. Oakland, MD, a neuroscientist at Massachusetts General Hospital, said: This was studied and she named the final mirror pain."
"Boss, mirror pain occurs more often in cases of herpes zoster virus infection, but rarely in the urinary tract." Su Yun was also confused.
"Few, but yes."
Zhou Litao looked at Su Yun pitifully as if he had kidney stones, waiting for Brother Yun to explain to him.
"It is usually more common 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, "But the wounded in the war can also suffer from the loss of one limb due to the other side of the body." Pain on one side.”
Zhou Litao suddenly remembered that he had indeed encountered a similar patient in the emergency department, but the uninjured limb was not injured. He did not pay attention to it, but thought it was a kind of hysteria.
Unexpectedly, there is really a saying about mirror pain.
…
…
Note: I wrote a mistake in a single chapter. I took a break to read this chapter while I was busy at work. I was shocked. I thought there was such a big difference and I didn't notice it. Facts have proved that, just like the first case in Asia, the old man can’t count. Apologize here and bow. The monthly ticket for additional updates has officially been paid off and you can return it to the leader for additional updates~~~
Also, for comparison, on the mobile phone - book details page - character bar at the bottom of the page - click the "Compare Heart" hand next to the character's name. You can click it once a day. It is best to click on all 6 characters~~~ ~