"Allow me to report this situation to you, Director Ding." Dr. Gu's words were a little incoherent.
"What diagnosis?"
"Diagnosis——" Dr. Gu did not dare to say the acute appendicitis that he had always sworn before.
"We may need to ask various departments for further consultation." Doctor Qian hurriedly patched it up. If he and Dr. Gu can't figure out the diagnosis, they can invite more colleagues to get involved.
"Difficult and complicated diseases." Ding Conghong quickly understood their meaning. After pondering in his throat, he turned back and said, "Doctor Xie Wanying, what is your diagnosis?"
There was a sudden silence between the two groups at the scene.
Zeng Wanning's breathing was rapid. His leader asked Xie classmates but not him.
Doctor Gu and Doctor Qian looked at each other again: This female doctor looks very young. Why did Director Ding ask her about the diagnosis of the patient?
Cao Yong's eyes narrowed.
Song Xuelin bit the straw in his mouth.
Classmate Pan Shihua’s eyes were full of warning lights.
"You are Teacher Tan's top student." Ding Conghong explained his reasoning behind asking people, "I hope you can give me some advice, so that I can make a decision quickly and help the patient."
Yes, doctors in big hospitals and doctors in small hospitals have completely different attitudes. Regardless of whether this person is from the Ding family or not, Xian will never commit the petty behavior her cousin-uncle exposed on his face. The diagnosis must be made clear to the other party. The consequences of misdiagnosis are disastrous. Some diagnoses are difficult to identify and may even only be confirmed during surgery. Therefore, we cannot say that the doctors at the other hospital are entirely at fault. If true, this
This disease is extremely difficult to diagnose.
"I suggest you do it immediately, Director Ding." Xie Wanying, "focus on checking the appendix and small intestine."
"Does the patient have small intestinal disease?" Doctor Qian turned to ask Doctor Gu.
Dr. Gu settled down and meditated on some rare diseases in clinical practice, and then seemed to be startled: "Isn't it?"
What is it? Zeng Wanning looked nervously at all the seniors present.
"The human body's second appendix." Dr. Gu said.
"What is that?" Dr. Qian asked as he was not a general surgeon and could not remember these rare things that were not his own specialty.
"Meckel's diverticulum." Dr. Gu wiped his eyebrows and admitted, "I have only seen one case in pediatrics during my internship."
Meckel's diverticulum is a congenital malformation of the small intestine that is actually not uncommon. The reason why it is said to be difficult to see clinically is that in many patients, this disease is a lifelong disease that does not relapse. Meckel's diverticulum, known as the second appendix of the human body, definitely looks like an appendix in some places, mainly reflected in its anatomical structure. It is an extra diverticulum at the end of the ileum. You can think of it as an extra diverticulum in the ileum.
A pouch. Therefore, just like the appendix, if there is feces and other things stuck in the diverticulum, or inflammation and ulceration occurs, acute abdomen will occur. Severe, perforated intestinal obstruction and massive bleeding.
Because it is in the gyrus, its anatomical position is similar to that of the appendix, and because it is rare for adult patients with Meckel's diverticulum to seek medical treatment with clinical symptoms, clinical doctors rarely think of this disease immediately. For differential diagnosis, as Xie said, it needs to be done. Other examinations, including ultrasound, are very likely to be misdiagnosed. In emergencies, it is not recommended to go to hospital for patients who have been almost diagnosed with acute appendicitis. Many times, this disease occurs when the doctor opens the patient's abdominal cavity on the operating table and discovers that it is not an acute appendix.
【3271】Rare
