Chapter 681: 【681】Help your classmates check

   Chapter 681 [681] Help classmates check

  Xie Wanying walked over and said to her classmates, "I have written your study and life plan and handed it over to Senior Brother Tao for review. There should be results in the afternoon. The group will discuss your treatment plan again in the afternoon, so you don't have to worry."

   Speaking of this Buddha, Zhao Zhaowei has always had an average level of trust in it, but he has more trust in Xie Xie, the female student in the class.

   "Yingying, help me do a palpation." Zhao Zhaowei invited her to do a physical examination for himself.

   Xie Wanying understood that her classmates were still not at ease and nodded in agreement.

   Lie back on the hospital bed, Zhao Zhaowei pulled off the patient gown by himself, flexed his knees, let his abdomen relax, and said, "You touch my liver. I feel like I have a backache."

   "Does your back hurt?" Xie Wanying asked.

"right."

   "I'll touch it, you can relax." Xie Wanying told her classmates, put on gloves on both hands according to the regulations of the department, and then palpated him.

   Put four fingers together and place them on the lower border of the liver parallel to the costal margin on the student's right side, while observing the student's breathing. When her classmates exhaled, before her abdomen sags, Xie Wanying pressed her fingers down in advance. At the same time, she used the side of her fingers to feel the liver instead of the pulp of her fingertips. When the classmates inhale, raise their hands and take a slow beat, so that they can touch the liver again.

   "It hurts." Zhao Zhaowei reflected, exhaling, feeling sad about his obvious tenderness, because it showed that his liver was diseased.

   In addition to palpation, the liver is also percussion. Xie Wanying percussed her classmates again, and the pain of her classmates became more pronounced. Fortunately, the preliminary results of palpation and percussion did not show a particular increase in liver volume. What needs to be paid attention to now is the back pain that Zhao himself said.

   The right back hurts for many reasons. If a visceral problem is to be suspected at this site, the possibility of lower lung and renal ureteral lesions needs to be ruled out.

   During the hospitalization, the classmates had other parts of the body checked. No pulmonary and renal ureteral abnormalities were reported on imaging and ultrasonography. The focus fell back to the possibility of back pain from gallstone cholecystitis, one of the identifiable causes reported by ultrasound.

   Xie Wanying carefully felt where the back pain of her classmates was, and said to her classmates: "When the meeting is held in the afternoon, I will tell Brother Tao and the others about your situation."

Zhao Zhaowei told her what was going on: "Yingying, I trust you more. I know what his temperament is about that Buddha, and he is too careful. I don't really believe that he would take the risk to help me find out the cause of the illness. I want to cure it, and it may need to be explored."

  The classmate was thinking about surgery? Xie Wanying was stunned for a while, and then fell into serious thinking.

The situation of    does not rule out that the stones block the hepatic duct and bile ducts. Some stones are too tricky to be seen by ultrasound. Otherwise, it cannot explain the reason why the students continue to have jaundice and pain.

   The situation of the classmate in question is not critical. It is a bit like her grandfather. It is more difficult for doctors to accept the suggestion of surgery.

   "Yingying?" Zhao Zhaowei glanced at her expression, his heart pounding, afraid that she would not dare to say it. Before, a group of boys in Li Qi'an's class came to see him, and they persuaded him to listen to the doctor's advice for treatment, but no one was willing to give him advice to the doctor. It must be because the medical students are afraid of accidentally offending the clinical teacher, afraid that they will not be able to mix in clinical practice in the future. Will she be the same?

  Xie Wanying thought for a while, her classmate's situation was much better than her grandfather's, and it was not an indication of no surgery at all, it was a choice to do or not to do. If the discussion comes down to what the classmates need to do, she will try her best to help the classmates no matter what.

   (end of this chapter)