Right now this little girl obviously has leg bone lesions in her legs.
At least Li Jingsheng felt it was abnormal.
Which diagnostic skills should be improved? He couldn't help but feel embarrassed.
Sora has more than 300 health points, but can't find suitable diagnostic and medical skills to upgrade.
Internal medicine, gastroenterology, hepatobiliary medicine, and cardiovascular medicine can all be excluded.
That leaves only general surgical diagnosis and bones barely side by side.
General Surgery is known as the origin department of surgery. Back then, it was an all-rounder.
After years of progress and development, general surgery has gradually evolved into separate cardiac surgery, thoracic surgery, neurosurgery, brain surgery, bone surgery, etc.
Therefore, general surgery can actually be called a surgical hodgepodge.
Li Jingsheng has only learned five diagnostic skills so far, which is already very impressive.
Most doctors only have one or two diagnostic skills.
A person who devotes his whole life to thoroughly studying medical diseases and mechanisms in a certain subdivision is the existence of the dean series.
In fact, very few people can do this.
There is no limit to learning, even the most common respiratory medicine is enough for a person to study and study for a lifetime. And even so, it’s still impossible to learn everything.
If Li Jingsheng didn't have the super-defying golden finger of the attribute panel and specialize in so many medical fields at the same time, he would definitely be seeking death.
Because countless medical seniors have proved with blood lessons that it is best to specialize in a niche medical field.
For those who are energetic and talented, it is already the limit to specialize in two subdivisions at the same time.
"We can only try to improve general surgical diagnosis to a proficient level first and try the effect!"
At this moment, he felt that his medical skills were still not enough.
A little too little.
If people knew that he already had five diagnostic skills and still said he had few, he would probably be beaten to death by other doctors.
It can only be said that human desires can never be satisfied.
General surgery is a field that his small clinic plans to focus on, and it will only be a matter of time before its proficiency is upgraded to the master level.
Now with more than 300 health points, he is certainly wealthy.
Having made the decision, he no longer hesitated and decisively consumed 76 health points. The general surgical diagnosis proficiency was directly increased from the proficiency level to the proficiency level 100.1\/500.
It feels good to have 'money'.
Many dreams that were once out of reach can quickly come true.
In the past, if he could upgrade general surgery to a proficient level at the age of sixty, it would be considered a high achievement.
The reality may be a bit crueler. His small clinic could not receive a few surgical patients a year, and he was still struggling at the proficiency level when he was sixty years old.
After being promoted to general surgery diagnosis, he felt it carefully and was shocked to find that the improvement in surgical diagnostic ability was not just a little bit, but a small river directly turned into a lake. In the past, I only knew a little bit about some common trauma injuries.
Now, I have a certain knowledge and understanding of many general surgical diseases such as liver, biliary tract, pancreas, gastrointestinal, anorectal, vascular diseases, thyroid and chest tumors and trauma.
Although he mainly focuses on diagnosing causes, his pharmacology and surgical skills also provide some inspiration and help.
As he mastered more and more master-level medical skills, he discovered that there was a certain correlation between all medical skills.
Quite a bit complementary.
The improvement of general surgery clinics has also led to improvements in electrolyte balance, infection medication, and emergency care skills.
Subconsciously checking the two medical skills of the prescription, the proficiency in the efficacy of the medicine automatically increased by 10 points.
The medicine agent is upgraded a little less, and the proficiency level is automatically increased by 5 points.
The proficiency in these two medical skills has improved so much, which is an unexpected gain.
Li Jingsheng's medical skills improved so much in an instant. When he diagnosed the little girl again, he finally had a little confidence and confidence.
"Mom, my legs hurt so much! It hurts so much!"
When the little girl told her mother, her voice was trembling, and the facial features on her face were slightly distorted.
You can see the bulge of her cheeks when she clenches her teeth.
"Dr. Li, do you think there's anything you can do about this? Every time the child hurts, my heart feels like it's being cut."
The child's mother was so anxious that she almost shed tears.
"I can understand your feelings. Seeing your child in such pain makes me, a doctor, equally sad. If you want to solve this problem, you must find out the cause. My small clinic has limited equipment and conditions. In fact, it is more recommended You take your child to a big hospital for a checkup."
Based on his professional knowledge and experience, Li Jingsheng felt that this little girl was definitely not suffering from leg pain due to calcium deficiency and rapid growth.
"Don't get me wrong, I don't mean to rush you. When we come to you, we must believe you."
The girl's mother thought that Li Jingsheng was upset because of the urging and wanted to drive them to a big hospital.
Li Jingsheng has always been very tolerant to family members and patients, and he really won't push people away because of such trivial matters.
"Thank you for your trust. I will try harder. It would be good to at least find out what is causing the leg pain."
Li Jingsheng stared at the little girl's legs again.
She was gently rubbing her knees and shins with her little hands.
"Did you take your child to the hospital for examination three or four months ago?"
"Yes, it's been almost four months. The doctor at the pediatric hospital just asked briefly and then said it might be caused by calcium deficiency. He asked us to buy two bottles of calcium tablets and take a look."
“Did the child’s knees also get big when he was little?”
Li Jingsheng asked again.
"No, it should be that over the past year or so, the knee has gradually become bigger. It may be because the child has grown faster in the past two years!"
My mother paid no attention to this.
After Li Jingsheng finished asking, he began to lower his head again and think deeply.
The family members did not dare to speak out this time and waited quietly.
"Kid, let me check you again. If it hurts, tell your uncle."
Li Jingsheng couldn't help but feel heartbroken when he saw the pained expression on this little girl's face.
Sickness is the common enemy of mankind.
Every doctor is a holy warrior who eliminates diseases.
Li Jingsheng tried to squeeze her knee, and she immediately groaned in pain.
But he didn't speak.
This child is quite sensible.
She endured the pain and cooperated with the doctor's examination, hoping that Li Jingsheng could help her diagnose her illness and relieve her pain.
"Why does this skin feel a little hot?"
Li Jingsheng's first reaction was inflammation.
But I have never heard that arthritis can cause local skin temperature to increase!
He immediately brought an infrared thermometer and measured the skin temperature of the child's legs.
37.5 degrees.
37.4 degrees.
36.7 degrees.
The temperature difference is huge. The forehead temperature is only 36.7 degrees, but the temperature in the legs, calves and knees is as high as 37.5 degrees.
The skin temperature of the left leg was also 37.4 degrees.
This is not normal.
"The local skin temperature increased, the bone pain was severe, and lasted for a long time. The pain continued to progress. The knees were much wider than those of children of the same age. There was an uneven feeling when palpating the tibia of the calf..."
Li Jingsheng linked all the symptoms with the four-month medical history to make a comprehensive diagnosis.
I exhausted what I had learned throughout my life and tried to think about the diseases that might cause these symptoms.
Suddenly, he thought of a terrible name for the disease.
Bone cancer.
All the signs of this child looked too much like bone cancer.
And it is very likely that it has been transferred and spread to the shoulder position.
Bone cancer is relatively rare in children, and the bones of the limbs are often the first to be affected. The most common symptom in the prodromal stage is pain, especially joint pain, redness, swelling, and masses.
Some children may develop varicose veins in their lower limbs.
This little girl has no visible varicose veins for the time being.
However, the doctor only has an inner eye and can only see the superficial veins, but not the deep veins of the lower limbs.
"The child's knees are very large, probably due to joint enlargement caused by bone cancer. In this case, the pain level will be very high, second only to trigeminal neuralgia. At such a young age, I really don't know how much pain I have to endure."
After Li Jingsheng received the preliminary diagnosis, his mood became extremely heavy.
Bone cancer is extremely difficult to cure and has a very high recurrence rate.
Moreover, the cost of surgery is extremely cruel. If amputation can save a life, it is considered a good thing.
The little girl reported that her shoulder had started to hurt recently, and she was afraid that the cancer cells had begun to invade the arm bones.
"I suggest you take your child to a big hospital immediately for a leg bone examination tomorrow. My small clinic can't cure this disease at all."
Li Jingsheng said in an extremely low tone.
"Dr. Li, what are you..."
The child's mother thought something had offended the doctor again.
Li Jingsheng looked at Tang Ping, "Sister Tang, take the child over there to play and wash some fruit for the child."
As soon as Tang Ping heard this, she knew what Li Jingsheng wanted to say to his parents and didn't want his children to hear it.
After Tang Ping took the child away, Li Jingsheng said this.
"I just diagnosed the child and the result was very bad."
Li Jingsheng said tactfully.
"She, isn't she suffering from calcium deficiency? What disease is she suffering from?"
When the child's mother heard this, she immediately became nervous.
"The initial suspicion is that it is a mass."
Li Jingsheng still said it more tactfully.
"Wha, what do you mean?"
"It's possible that there is a tumor on the bone. You'd better take your child to a big hospital for a checkup tomorrow morning. The child reported that his shoulder has begun to hurt, and he needs to report this to the doctor. It would be better if he could do a checkup earlier. It wouldn't be until Now, I’m afraid of being delayed!”
Li Jingsheng said to his family members with great sadness.
"This...how could this happen? How could I get such a terrible disease just because of leg pain? What should I do..."
The child's mother's body became weak and she could no longer stand firmly.
No matter how stupid she was, she now understood that her daughter might have a tumor.
To her, it was like a bolt from the blue.
"Don't worry, this is just my initial diagnosis result, and it's just a preliminary suspicion. I'll go to the hospital for a checkup tomorrow and see what the situation is."
Li Jingsheng looked at the young mother and was afraid that she would faint here.
In the end, the child's mother seemed to have lost her soul and left with the child.
When I left, I didn’t even say thank you.
In her heart, the sky had fallen, and she couldn't care about anything else.
Li Jingshang let out a long sigh.
“I wish I could have misdiagnosed just once!”
he said to himself.
Doctors are most afraid of misdiagnosis, which is even more terrible than missed diagnosis.
At this moment, Li Jingsheng desperately hoped that his diagnosis was wrong.
