Just as he was sighing, the phone rang again.
The landline phone in the emergency ward is different from the one in Director Pan's office. When the old director's phone rang, most of the time it was because of administrative disputes between various departments in the hospital.
When the phone in the emergency ward rang, it was most likely that the emergency department had sent the patient, or that the emergency department was unable to diagnose the patient's condition and needed Zheng Ren's consultation.
After picking up the phone, Zheng Ren answered a few times, stood up and walked downstairs.
"Boss, what's going on?" Su Yun asked.
"Intestinal obstruction, 15-year-old girl." Zheng Ren said.
"Let's go take a look." Su Yun followed Zheng Ren, and the two of them went to the emergency department.
Intestinal obstruction, or intussusception in infants and young children, leading to obstruction. Either it is because of old age and decreased intestinal function, causing obstruction.
It is rare for intestinal obstruction to occur at the age of 15 or 6, when the body is at its best.
When we arrived at the emergency department, the emergency physicians were already very busy. There were a lot of people in the clinic, most of whom were middle-aged and elderly patients over 60 years old.
This is the case in the Northeast. Most of the promising, energetic and skilled young people or young and middle-aged technical backbones have gone to the south to work. Those who stay are mainly the elderly.
This is a side effect of population loss, and it has just begun. This situation will become more serious in the future. This is reflected in hospitals, where there are fewer and fewer doctors and patients are getting older and older.
Seeing Zheng Ren coming, the doctor from the emergency medicine department first comforted the old man in front of him, then hurriedly came to Zheng Ren and took Zheng Ren to the emergency room. As he walked, he said: "The patient is a 15-year-old female patient who suffered from abdominal pain and... He came to our hospital for treatment after vomiting for 2 days. Physical examination revealed that the patient's abdomen was distended, soft to touch, with widespread tenderness and no rebound tenderness. Abdominal CT examination revealed: dilated intestinal loops and a large number of fecal stones were visible in the right abdominal cavity."
Her voice was a little hoarse, and you could tell that she had said countless words since she went to work in the morning, and she didn't even have time to drink water.
"What was done?" Zheng Ren asked.
"Hypertonic saline enema was used, but the effect was not good." The emergency medicine doctor replied: "After the enema, a standing abdominal plain X-ray was done. It can be seen that the degree and quantity of the small intestine increased, and air-liquid levels appeared."
"Yeah." Zheng Ren pondered.
When I came to the treatment room, I saw a girl curled up on the treatment bed, retching violently, but unable to vomit anything.
A middle-aged woman looked anxious, wiping tears and patting her back gently.
"Mr. Zheng, the film is here. You can take a look first. I'm going back to work." The doctor from the emergency medicine department hurriedly exchanged a few words with Zheng Ren and ran back to the consulting room.
Zheng Ren first came to the patient's side, asked him to lie down with his legs curled up, rubbed his hands to increase the temperature of his palms, and then began a physical examination.
The patient was very thin, with long hair, big and round eyes, long eyelashes, but his eyes were full of tears. This is the body's natural reaction caused by severe vomiting, Zheng Ren knows.
"What's your name?" Zheng Ren habitually asked the patient's information while starting a physical examination. While asking, his hand was already on the patient's upper left abdomen.
"Brother, my name is Wang Yutong." The girl replied with her big eyes flashing.
"You go to junior high school or high school?" Zheng Renyou asked wordlessly, his hand roaming around the patient's abdomen.
The patient's epigastric tenderness is not obvious, but abdominal distension is typical. The patient developed tenderness all the way to the left lower abdomen.
Zheng Ren searched carefully and confirmed the location.
The diagnosis given by the system panel was intestinal obstruction, Rapunzel's syndrome.
Zheng Ren is a little confused, but when he encounters a problem that he doesn't understand, especially in front of patients, pretending to be calm and confident are the basic qualities he must have.
After the physical examination, Zheng Ren patted the girl's shoulder and motioned for her to cover her belly.
Then come to the reader and insert the abdominal CT and upright abdominal plain films into the reader.
As the emergency physician would say, classic symptoms of bowel obstruction. Both fluid levels and bezoarism are typical.
Zheng Ren pondered.
Seeing that Zheng Ren's expression was abnormal, Su Yun came over and asked softly: "Boss, is there anything strange?"
"How much do you know about Rapunzel syndrome?" Zheng Ren asked.
Su Yun didn't expect that Zheng Ren was consulting him, and thought he was testing himself. He quickly searched his mind for memories of Rapunzel's syndrome.
Genius is indeed a genius, and his memory is absolutely flawless.
Just like those people whose names are recorded in history books, Su Yun possesses all these abilities, including observing monuments and having a photographic memory.
In just ten seconds, Su Yun searched for information about Rapunzel's Syndrome in his memory.
"Rapunzel syndrome, also known as Rapunzel syndrome, is a clinical condition described by Vaughan Jr et al. in 1986. Patients have mild or severe trichotillomania and ingestion. The formed hair gastroliths enter Small intestine, causing abdominal pain, vomiting, nausea, malnutrition, vomiting blood, diarrhea, and severe cases can lead to intestinal obstruction." Su Yun answered in a low voice, as if he was back on campus, and standing next to him was a respected old professor.
Examine yourself? How could you pass such a simple question? Su Yun was very proud.
"Yeah." Zheng Ren nodded after hearing what Su Yun said.
It is very consistent with the patient's symptoms. It seems that the hair stones formed by long-term ingestion of hair blocked the colon, causing obstruction.
For this kind of intestinal obstruction with a clear cause, the best way is to remove it surgically.
Now that everything is confirmed, let’s prepare for the surgery.
"Family members of the patient, come here." Zheng Ren greeted.
The patient's mother was taking care of her, and the patient's father followed Zheng Ren out of the treatment room.
"Does your daughter behave strangely?" Zheng Ren asked.
The patient's father was a little strange. He recalled it carefully, but he didn't know what Zheng Ren was asking about.
"It doesn't matter if you don't know." Zheng Renwen said: "I think the patient has symptoms of intestinal obstruction. Looking at the film, it is caused by fecal stone blockage. The effect of laxative enema is not good, and surgery is needed to solve the problem of intestinal obstruction."
Zheng Ren didn't directly explain Rapunzel's Syndrome to the patient's father. If that was the case... he was afraid that the patient's father would immediately fall out.
For some things, order is important.
After solving the intestinal obstruction, the anxiety of the patient's parents is relieved, and then holding the hair stones and explaining the origin of the disease and future treatment to them is the best choice.
The patient's father didn't have any ideas either. Zheng Ren said whatever he wanted.
He greeted Su Yun, admitted the patient to the hospital, made preoperative preparations, and went on stage for surgery.
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