2069 The stone that can teleport
“General manager Zhou, the patient’s left waist is in pain. There are white blood cells and red blood cells in his urine. The vertical abdominal X-ray can see high-density shadows near the left 2 – 3rd lumbar spine.” The doctor on duty looked tired and instinctively reported his medical history.”The patient doesn’t agree to be hospitalized. Give him spasmodic and painkilling treatment.”
“The effect isn’t good?” Zhou Litao asked.
“It’s normal. He told himself that the pain was relieved, but I think it still hurts. I’ve tried to persuade him twice, but he refused to stay in the hospital and break stones. “
“How’s the physical examination?”
“The left side of the waist is obviously painful, and so is the right side.” The doctor on duty went to the resuscitation room and took out the patient’s vertical X-ray scan for Zhou Litao to see.
When the scan was inserted into the scan reader, a high-density shadow of about 1.5 cm in diameter was so conspicuous near the left 2 3 lumbar spine.
Under normal circumstances, vertical penetrating abdominal and abdominal plain films were more commonly used to diagnose urinary gallstones.
This patient’s situation was very typical, but as Zhou Litao looked at the X-ray, he recalled what the doctor on duty had said just now.
The left side of his body was obviously in pain, which was expected.
However, the right side of his waist also felt pain from the impact. It was possible that it was transmitted to him. However, Zhou Litao still felt that something was wrong and turned his gaze to the scan on the film reader.
He carefully looked at the vertical abdominal plain film, but he did not see any stones in the ureter. As for the lower part, the part near the kidney could not be seen clearly on X-rays.
After confirming that the patient had a stone in the left ureter, according to normal medical procedures, there should not be any other examination.
Otherwise, who would be able to stand being accused of over-treatment?
“Let’s just leave it at that. It’s probably because of the cold weather and ureter spasms, causing the pain to be unable to be relieved. Zhou Litao took the X-ray film and put it into the film bag, but there was a little hesitation during the whole process.
He was still thinking about the positive signs of the physical examination.
Early in the morning, the most idle time in the emergency department, Zhou Litao came to the resuscitation room with the X-ray and began to ask about his medical history.
The patient told his family about the course of his condition.
There wasn’t anything worth noting except that he had gone to bed early last night and had the windows open. As a result, the temperature dropped in the middle of the night, and the left side of his waist and abdomen began to hurt.
At first, she thought she had caught a cold, so she got up, closed the window, and went to the bathroom.
Unexpectedly, the pain became more and more intense, and he almost fainted on the toilet. Only then did the patient wake up his family and send him to the emergency department in Room 912.
Urinary calculus was neither a serious nor a light illness. Although the patient was in great pain, he had a friend who had performed external stone shattering and had described the process to him.
His intense fear made him refuse to stay in the hospital for external stone-breaking and other treatments without hesitation. He only stayed in the emergency department to treat the right symptoms and observe the changes in his condition.
In fact, when other people talked about diseases, they all made sense. This was the type of person who didn’t feel any pain when talking. After all, there were many things that he couldn’t understand.
Fear was a normal emotion, but it was fine as long as it did not affect the normal treatment.
Zhou Litao carefully examined the patient’s body.
He pressed his left hand on the patient’s left waist, and his right hand gently tapped on the back of his left hand.
“It hurts,” The patient frowned, bared his teeth, and said with a pained expression.
Zhou Litao then changed the patient’s position and started to perform a percussion on the right side of the waist.
His right hand gently tapped on the back of his left hand, but he did not expect the patient to shout. His body began to tremble a few times, and his bow became even more intense.
“Doctor, be gentle, be gentle.” The patient’s lover’s heart clenched when he saw this, and he almost cried.
“Does your left side or right side hurt?” Zhou Litao asked, puzzled.
“My left side hurts.” The patient’s voice had already changed tone due to the pain.
“Then how do you feel when I knock on your right side?”
“My entire stomach hurts. I can’t take it … Doctor, don’t knock me anymore. It’s killing me to knock once.” The patient said with a long face.
His face was a little pale, deathly pale. Zhou Litao guessed it was caused by the pain. It didn’t look like it was an act, and the pain shouldn’t have been so severe.
Strange, the autonomous feeling was pain on the left side, which was also proven by the vertical X-ray scan. However, during the physical examination, Zhou Litao had the wrong impression that the patient had a problem with the right urinary system.
It was not common for such physical examinations to not match the symptoms and clinical tests.
Zhou Litao covered the patient with the patient’s clothes and asked about his family history, past history, and a series of other things before he left with a belly full of doubts.
There was nothing worth paying attention to. Zhou Litao wanted to check again to see if he had missed anything. The patient almost cried and begged him not to do the physical examination.
Ever since he met the girl with abdominal epilepsy for 16 years, Zhou Litao had listed her family history as a must-ask topic.
This was how clinical diagnosis and treatment worked. They would grow bit by bit through the accumulation of experience.
The patient’s family history and past history were fine. He had a family history of high blood pressure, but he didn’t have high blood pressure.
Zhou Litao pondered hard and quickly made up his mind. He communicated with the patient and the patient’s family to get ready to do an ultrasound to confirm.
The patient’s family members agreed. After all, the pain was slightly relieved after the medicine was administered, but it was not very obvious.
Besides, when he had to choose between spending money and having a physical examination, the patient chose to spend money to do another examination almost without hesitation.
Logically speaking, as long as the stone was stuck in the ureter, the pain would not change much. He would still need to drink a lot of water and do intense exercise to make the stone fall out.
The pain was a little strange, and Zhou Litao’s doubts had never been explained.
The wheelchair pushed the patient for the examination. He twisted his body in the wheelchair weakly, as if he was only half alive.
Zhou Litao was used to seeing this kind of patients and couldn’t empathize with them. His mind was filled with thoughts that the physical examination, symptoms, and X-ray data did not match.
What kind of strange illness is this?
If it didn’t work, he would drag President Yu from the Department of Urology down for a consultation. Zhou Litao decided to make a mountain out of a molehill. Even if Vice President Yu was unhappy, he still had to make a clear diagnosis.
Soon, the patient returned with a report in his hand.
The patient’s family members were a little confused and even a little unhappy.
“Let me take a look at the report.” Zhou Litao went forward to ask for the list.
“Doctor, why did the B-scan say that there’s a problem with the right side? You must have done something wrong. ” The patient’s family member asked.
Zhou Litao’s heart skipped a beat.
The right? That was in line with a physical examination. However, the X-ray films and the patient’s self-described symptoms …
He immediately looked at the ultrasound report.
There was water in the right kidney, and the right kidney was near the end of the ureter. A stone about two centimeters in size was found. The left kidney and ureter, on the other hand, were fine.
MD! Zhou Litao’s hand that was holding the report started to tremble.
They could say that there was a problem, but the clinical tests were contrary to each other. What kind of logic was this?
Is the left side okay? What was that high-density image on the left side of the lumbar spine, which looked like a stone?