Xie Wanying walked over and said to her classmates: "I have written your study and life plan and gave it to Senior Brother Tao for review. The results should be available in the afternoon. The group will discuss your treatment plan again in the afternoon, so you don't have to worry."
When it comes to this Buddha, Zhao Zhaowei has always had a moderate level of trust in him, but he has more trust in Xie, the female top student in the class.
"Yingying, please help me do a physical examination." Zhao Zhaowei invited her to examine him.
Xie Wanying understood that her classmates were still uneasy and nodded in agreement.
Lying back on the hospital bed, Zhao Zhaowei opened the patient's gown, bent his knees, relaxed his abdomen, and said, "You touch my liver. I feel like I have a little back pain."
"Does your back hurt?" Xie Wanying asked.
"right."
"I'll touch it, please relax." Xie Wanying said to her classmate, wearing gloves on both hands according to the department's regulations before palpating him.
Put four fingers together and place them on the lower edge of the liver parallel to the right costal margin of the classmate while observing the classmate's breathing. Before the classmate's abdomen sank when he exhaled, Xie Wanying pressed her fingers down in advance, and at the same time, she used the sides of her fingers to feel the liver instead of the fingertips. When the student inhales, raise your hand and clap slowly so that you can touch the liver again.
"It hurts." Zhao Zhaowei reflected, exhaling, feeling sad about his obvious tender points, because it showed that his liver was diseased.
In addition to palpation, the liver is also percussed. Xie Wanying percussed the classmate again, and the classmate's pain became more obvious. Fortunately, the preliminary results of palpation and percussion did not show any particular increase in liver volume. What needs to be paid attention to now is the back pain that Mr. Zhao himself said.
The right side of my back hurts for many reasons. If there is a suspicion of visceral problems in this area, the possibility of lower lung and renal ureteral lesions needs to be ruled out.
While the classmate was hospitalized, other parts of his body were examined. There were no pulmonary or renal-ureteral abnormalities in the imaging and ultrasound reports. The focus returned to the possibility of back pain caused by cholecystitis due to gallstones, one of the causes identified by the ultrasound report.
Xie Wanying carefully felt where her classmate's back pain point was, and said to her classmate: "I will tell Senior Brother Tao and others about your situation during the meeting in the afternoon."
Zhao Zhaowei told her what was going on: "Yingying, I trust you more. I know what kind of character that Buddha is, and he is too careful in doing things. I don't quite believe that he would be willing to take the risk to help me find out the cause of the disease. I want to cure it radically, but it may require surgery to explore.”
My classmate actually thought about having surgery? Xie Wanying was stunned for a moment, and then fell into serious thinking.
In my classmate’s case, it cannot be ruled out that the stones are blocking the hepatic and bile ducts. Some stones may be too tricky to be detected by B-ultrasound. Otherwise, there is no way to explain the reason why my classmate continues to suffer from jaundice and pain.
The student in question's situation is not critical. It's a bit like her grandfather. It's difficult for doctors to accept the suggestion of surgery.
"Yingying?" Zhao Zhaowei glanced at her expression, his heart was pounding, he was afraid that she would not say anything either. A group of boys from Li Qian's class came to see him before, and they all advised him to listen to the doctor's advice and treat his illness, but no one was willing to help him give the doctor advice. It must be because the medical students are afraid of accidentally offending the clinical teachers and fearing that they will not be able to succeed in clinical practice in the future. Will she be the same?
Xie Wanying thought about it and realized that her classmate's situation was much better than that of her grandfather. There was no indication for surgery at all. It was a choice that could be done or not. If a classmate needs to do something after discussion, she will try her best to help her classmate no matter what.
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