Chapter 1765

912, Urology, Yu Zong on duty is very distressed.

He sat in front of the computer, looked at a patient's medical record and wondered what was wrong.

This is a patient with renal colic. Red blood cells + + + were found in urine routine, but no organic lesions were found in either B-ultrasound or CT. The key is that no stones were found.

Try to give patients oral opioid analgesics, the effect is OK.

But you can't always use analgesics. No, what's the problem? The Department organized two or three consultations, and finally didn't get the answer.

It's the sixth day. Considering urinary tract infection, try to use antibiotics. The patient's condition was not alleviated, but further aggravated.

Yu is always distressed.

I can't help but ask the whole hospital for consultation tomorrow.

What department would you like? Simple renal colic seems to have nothing to do with other departments.

It's really sad. Yu always sits in his chair and frowns at the CT film. There's really no way.

After sitting quietly for an hour, he searched all the test sheets and imaging data, but still found nothing.

Yu Zong gave up the struggle.

After a glance, it was already three o'clock in the middle of the night.

He took out his mobile phone and hesitated for a long time before sending a wechat.

[Brother Yun, there is a patient who really can't understand. Would you please take a look at it for me when you get up?]

After the message was sent, Mr. Yu shook his head and went back to the duty room to sleep in meditation.

……

……

At dawn, Su Yun woke up and saw the message from president Yu with his mobile phone in his hand.

He knew that when he said he was looking for himself, he was actually asking his boss to see what was going on.

What can urology have? It's definitely not that you can't go in under the urinary catheter. Su Yun, their urethral probe, felt pain when he thought of it. Just looking at it, there was an illusion that the urinary system was torn.

Anyway, get up first.

Consultation or something. The boss will see the operation in the morning and go to clean it up by himself.

As usual, the days were dull and hurried.

After breakfast, go downstairs to the community hospital to see the postoperative patients.

More than 60 patients have accumulated here. In the foreseeable future, there will be more and more patients here.

As for whether to add a bed, Zheng Ren hasn't thought about it yet. The main reason is to see the working ability of advanced doctors.

Lao Liu is good, but his body is almost overdrawn.

If you add more weight, Zheng Ren is afraid that Liu zewei will collapse directly. In terms of the current work intensity, another young man may not be able to support it, let alone a bad old man like Liu zewei.

Ward rounds, shift handover, ward rounds and surgery are a set of work processes every day. Like a running machine, it roars without hesitation.

Although it was a little fresh at the beginning, it will be a little boring after a long time. But Zheng Ren doesn't think it's very happy to spend a day plain and full.

At the end of the operation in the morning, Zheng Ren watched the professor tear off the sterile clothes and come out. The one-day operation was over.

Then eat, and then go to the system library to read.

"What do you have for lunch?" Zheng Ren asked.

Su Yun came here 10 minutes ago. He estimated the operation level and operation time of Professor Rudolph Wagner and Liu zewei very accurately.

"Are you going to eat first or consult first?" Su Yun asked leisurely, sitting on the sofa in the back with his legs crossed.

"Consultation? What patient?" Zheng Ren asked.

"A urological patient has renal colic, no stones and no organic changes. After checking for a circle, he didn't find any problems." Su Yun already knew Zheng Ren's choice, but he waited leisurely as if it were funny.

"Go and see the patient." Zheng Renhuo stood up.

having dinner? In the face of a difficult case, this option does not exist at all.

Renal colic? Most of this pain is caused by kidney stones falling into the ureter.

It is said that the level of pain is very high, more than fracture and even more painful than delivery.

Its pathogenesis is that the stones move rapidly or suddenly incarcerated in the renal pelvis and ureter, resulting in acute obstruction of the upper urinary tract. Due to the increase of the tension of the inner wall of the lumen, the pain receptors in these parts are pulled to cause severe pain.

Subsequently, edema of ureter or renal calyceal wall and smooth muscle ischemia increased inflammatory transmitters, activated more pain receptors, and further aggravated the pain.

It's just renal colic. What's good?

Renal colic without stones?

Zheng Ren stood up and stopped. He kept thinking about the simple medical history and what Su Yun had just said.

"What do you think?" Zheng Ren looks at the leaded glass, in which Xie Yi is cleaning up medical waste. Just looking at his back, Zheng Ren felt that he would not be tired of watching it all his life.

"Just because I have no idea, I came to ask you." Su Yun said: "the medical history is very simple. I went to see the eye patient and asked about all kinds of situations in person. I still have no idea."

"Look at the patient." Zheng Rendao.

"I'm ready. Go to the classroom of the community hospital."

Zheng Ren thought for a while. It seemed good.

First, from the case and various auxiliary examinations, if you really can't see what the disease is, then use the ability of big pig hooves.

"Renal colic, are rich and noble children interested in seeing it?" Zheng Ren invited Professor Rudolph Wagner.

But the professor was obviously not interested in everything except the Nobel Prize. He pretended not to understand.

Zheng Ren smiled and then said, "let's go."

"I called Chang Yue and Yu Zong." Su Yun said, "Chang Yue's diagnosis level is too poor. As the first gatekeeper and gatekeeper, we can't always do this."

Zheng Ren doesn't care. Su Yun doesn't bother to guess what he thinks.

Patients with renal colic are interesting. I haven't heard of renal colic without stones.

Is the stone hidden?

Zheng Ren's heart has been flying. He wants to see the situation right away.

"Yi Ren, I'll go for consultation. At noon..."

"Sister Yue told me that you go first and I'll go later." Xie Yi said as he packed his things, "you consult and I'll see what to order. What would you like to eat at noon?"

"Uh... Whatever." Zheng Ren said, "I'll wait for you for a while."

"OK, let's go together." The Shays picked up the pace of packing.

Another nurse wanted her to go directly, but Shea refused. As a nurse in the operating room, she doesn't clean up medical waste after the operation. She feels uncomfortable because she hasn't finished her work yet.

Zheng Ren wants to help, but he is pushed out by Xie Yi, who thinks he's a clumsy obstacle.

"Su Yun, let's talk about the medical history first." When Zheng Ren came out, he felt very bored and asked.

"Boss, it's too much." Su Yun looked at Zheng Ren with his legs crossed and smiled.

"Huh?"

"I made a courseware for an hour. For this consultation, you should listen to the medical history first? What if you don't concentrate on it then?"