Chapter 1765： Highest intensity pain

912, urology, on duty is always very distressed.

He sat in front of the computer, looked at the patient's medical record, and carefully pondered what went wrong.

This is a patient with renal colic. Red blood cells are found in the urine, but no organic disease is found in either b or ct.

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

But it is not always possible to use analgesics. Where is the problem? Two or three consultations were organized in the department, and no answer was obtained.

It is already the sixth day, considering the urinary tract infection, try to apply antibiotics. The patient's condition has not been alleviated, but has been further aggravated.

I am always upset.

No way, I can only consult the hospital tomorrow.

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

It’s really bitter, I’m sitting in a chair and frowning at the ct film. There’s really nothing wrong with it.

Sitting quietly for an hour, he found all the test sheets and imaging materials, and still found nothing.

I always gave up the struggle.

Looking at the time, it is 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.

Yun Geer, there is a patient who can't understand it. Can you give me a look after you get up?

After the information was sent, he shook his head and returned to the duty room to sleep in contemplation.

At dawn, Su Yun felt that he was holding a mobile phone in his hand and saw the information sent by him.

He knows that it is to find himself. In fact, let his boss look at what it is.

What can be done in urology, certainly not under the urinary catheter. Su Yun, their urethral spit, thinks that it hurts. Just because there is an illusion that the urinary system is torn.

No matter what, get up first.

What is the consultation, the boss in the morning to see the surgery, and then go to the finishing of it.

And usual days, plain and rush.

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

More than 60 patients have been deposited here, and there are more and more patients here in the foreseeable future.

As for whether or not to take an extra bed, Zheng Ren did not think about it, mainly to see the ability of the training doctor.

Old willow is good, but his body is close to overdraft.

If you add more yards, Zheng Ren is afraid that Liu Zewei will directly collapse. As for the intensity of work in front of you, you may not be able to hold on to a young boy, let alone Liu Zewei, the old man.

Rounds, shifts, rounds, and surgery are a set of workflows every day. Like a running machine, it roars without hesitation.

Although it was a bit fresh at the beginning, it was a bit boring for a long time. It’s just that Zheng Ren doesn’t think it’s very happy to spend a day in a plain and fulfilling way.

At the end of the morning surgery, Zheng Ren watched the professor tearing off the sterile clothes and coming out. The day's surgery was finished.

After that, eat, then go to the system library to read.

"What to eat at noon?" Zheng Ren asked.

Su Yun came to him 10 minutes ago. He estimated the level of surgery and the operation time of Professor Rudolf Wagner and Liu Zewei.

"Are you going to eat first, or do you have a consultation first?" Su Yun cocked his legs and sat down on the sofa behind him, asking for leisurely.

“Consultation? What patient?” Zheng Ren asked.

"A patient with urology, renal colic, no organic changes, did not find any problems in the circle." Su Yun already knows Zheng Ren's choice, but still waits for the same leisurely wait.

"Go, go see the patient." Zheng Renhuo stood up.

eat? In the face of a difficult case, there is no such option at all.

Kidney colic? Most of these pains are caused by kidney stones falling into the ureter.

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

The pathogenesis of the disease is rapid movement or sudden incarceration of the stones in the renal pelvis and ureter, resulting in acute obstruction of the upper urinary tract. Due to the increased tension of the inner wall of the lumen, the pain receptors in these areas are severely painful after being pulled.

Subsequent ureter or renal pelvic wall edema and smooth muscle ischemia increase the inflammatory transmitter and activate more pain receptors, further aggravating the pain.

It’s just a kidney cramp, what's so good?

Kidney colic without stones?

When Zheng Ren stood up, he stopped his movements and kept thinking about the simple medical history and what Su Yun had just said.

“What do you think?” Zheng Ren looked at the lead glass, where the Shea people were cleaning up medical waste. Just looking at the back, Zheng Ren feels that he will not be tired of watching his life.

"Because I have no idea, I will ask you." Su Yundao: "The medical history is very simple. I went to see the patient and asked about various situations in person. There is still no idea."

"Look at the patient." Zheng Rendao.

"I am ready, go to the classroom of the community hospital."

Zheng Ren thought about it, it seems to be good.

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

"Kidney colic, rich and precious children have to go and see?" Zheng Ren invited Professor Rudolf Wagner ~ www.novelhall.com ~ but the professor is obviously not interested in everything except the Nobel Prize, he pretended not to understand.

Zheng Ren smiled and said: "Let's go."

"I called Changyue and Yu Zong." Su Yundao, "The level of Changyue diagnosis is too bad. As the first person to guard the door and check the gate, you can't always do this."

Zheng Ren does not care, Su Yun thought in his heart, he is too lazy to guess.

The patient with renal colic is a bit interesting. I have not heard of kidney colic without stones.

Is the stone hidden?

Zheng Ren’s heart has already flown up, so I want to see the situation immediately.

"Ira, I went to the consultation, noon..."

"Yuejie told me, go first, I will go." The Xieyi said as he packed things up. "You consult, I will see what to order. What do you want to eat at noon?"

"Oh...just." Zheng Rendao, "I will wait for you for a while."

"Alright, let's go together." The Xie Yi speeded up the process of packing things up.

Another nurse wanted her to go straight and was rejected by the Shei people. As an operating room nurse, she did not clean up the medical waste after the operation. She felt that the work had not been done and she was uncomfortable.

Zheng Ren wanted to help, but was introduced by the Xie Yi people, and he was too clumsy.

"Su Yun, let me talk about the medical history." After Zheng Ren came out, he felt very bored and asked.

"Boss, too much." Su Yun cocked his legs and looked at Zheng Ren.

"Ok?"

"I did 1 hour of courseware, just for this consultation, you have to listen to the medical history? When you don't concentrate on what to do?"

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