This Doctor is Great

Chapter 199: aortic dissection

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"The doctor told you not to drink, but you still drink?"

Zhou Mo was speechless.

Just kill yourself.

Chen Gang smiled wryly, not only the doctor, but even his wife was arrogant.

Let him never drink.

But this time he couldn't hold back his addiction to alcohol, but he was guilty.

He felt severe pain, and his bowels were blue with regret.

In the future, I will definitely not drink, nor will I drink if I kill myself.

Just then, someone came in from outside the door.

Women in their forties.

She wears delicate makeup and lipstick.

He was wearing a red sweater, jeans, and a pair of sneakers.

She should have been a beauty when she was young.

"Wife..."

Chen Gang's face was bitter,

The wife walked away in great strides, and came in and soon came to the patient Chen Gang.

A hint of distress flashed on his wife's face, and then she was well hidden.

"Did I tell you not to drink alcohol?"

"I asked you if I told you?"

"If you don't obey, don't obey. Get it to the hospital."

The wife is like a barrage of cannons, berating again and again.

The patient, Chen Gang, shrank his head like a tortoise, daring not to say a word.

Zhou Mo's face was half-smiling, but he really should be taught a lesson, or he would come again next time.

When his wife scolded almost, Zhou Mo began to appear.

"Okay, stop talking, the patient's condition is not stable now."

"Don't irritate the patient."

"Doctor, my stomach hurts. Is there any pain reliever or something for me to eat first?"

At this moment, the patient finally couldn't take it anymore.

I felt like my stomach was being pricked by a needle, and the pain was unbearable.

"Do you still have the face to speak?"

"Who asked you to drink, how many times I told you not to drink, you can't drink because of this disease."

"Tell me if the old king called you today."

"How many times have I told you, stay away from those things."

Before Zhou Mo could speak, the patient's wife scolded him like a cannonball.

The tall patient was immediately scolded like a grandson.

When the words fell, the patient's wife turned to look at Zhou Mo.

"Doctor, do you have any painkillers?"

Although she was very scolded, she was still very distressed in her heart.

Seeing her husband's face pale and painful, her heart twitched.

Hearing the patient's words, Zhou Mo directly asked the nurse to give the patient a quiet injection of pain relief.

At this time, Huang Zhichao asked:

"Mexico, do you want to have a gastroscope to take a look?"

Hearing Huang Zhichao's words, Zhou Mo shook his head slightly.

"I thought about this possibility from the very beginning."

"However, in general, the pain from a stomach ulcer is not as severe."

"The most important thing is that gastric ulcers generally do not have significant abdominal tenderness."

"Because gastric ulcers are confined to the stomach and do not involve the peritoneum, they do not cause significant abdominal tenderness."

Zhou Mo had considered this possibility proposed by Huang Zhichao as early as when the patient was first delivered.

However, it wasn't long before Zhou Mo was ruled out.

After thinking for a moment, Zhou Mo changed his words and added.

"But now it seems that there is such a possibility, although this possibility is relatively low."

"Mexico, shall I contact the patient for a gastroscope?"

Hearing Zhou Mo's affirmation, Huang Zhichao's face was full of smiles.

"and many more."

Zhou Mo suddenly stopped,

"It may not be appropriate to do a gastroscope at this time."

Because Zhou Mo considered that a gastroscope is to put a tube directly into the stomach from the mouth.

To observe the gastroesophageal and duodenum lesions.

Doing gastroscopy is very frustrating even for normal people.

What's more, it is a patient with severe abdominal pain and unstable physical condition.

Huang Zhichao nodded, Mexico thoughtful.

Zhou Mo continued: "But we can't do nothing now."

"You can first give the patient some drugs that inhibit gastric acid secretion, and treat it as a mild gastric ulcer."

If the patient's condition is relieved, then it can be explained that it is a gastric ulcer. "

"If the patient's condition doesn't improve, there must be something else.

"Is there a problem with blood vessels in Mexico?" Gu Yu

"Could it be "mesenteric artery embolism"? "

At this moment,

Huang Zhichao suddenly thought of a case.

A few days ago, Huang Zhichao received a patient.

That patient also had severe abdominal pain of unknown cause.

Finally, there was no other way, and an enhanced CT scan was done.

In the end, it turned out that a blood clot had formed in the patient's intestinal blood vessels.

This leads to intestinal ischemia of the patient, resulting in severe abdominal pain.

Huang Zhichao felt that the current patient's situation was somewhat similar to that of the patient a year ago.

Severe abdominal pain of unknown cause.

So is it possible that this patient is also caused by thrombosis?

"Mesenteric artery embolism?" Zhou Mo smiled lightly and couldn't help but praise Huang Zhichao.

"nice…"

"Hehehe~~~" Huang Zhichao raised his head.

"but!"

Zhou Mo had another conversation.

"The possibility of intestinal vascular thrombosis is possible, but not very large."

"Under normal circumstances, mesenteric artery embolism occurs only in patients with underlying diseases."

"For example, atrial fibrillation, infectious myocarditis, etc..."

"The disease is prone to thrombus formation in the heart, and once the thrombus breaks off, it has the potential to travel to this side of the gut with the bloodstream."

"The blood vessels on this side of the gut are slightly thinner than the blood vessels elsewhere."

"When a blood clot travels with the blood to this side of the intestine, it can easily cause an embolism."

"This is the cause of most mesenteric artery embolisms, however this patient has no other chronic disease other than high blood pressure, so the possibility of mesenteric artery embolism is not very high."

Hearing this, Huang Zhichao's face instantly became bitter.

Sure enough, you still can't do it yourself?

This is not considered at all.

at this time,

The wife of the patient Chen Gang is still scolding.

"How many times have I told you before that UU reading www.uukanshu.com can't drink, can't drink, you have to listen."

"I ended up drinking it to the hospital, and I almost died."

"If you really die, what will you do with the children?"

"Don't listen to what you say, and now you will suffer the consequences."

His wife sat beside him, babbling non-stop, spittle flying.

The patient Chen Gang, who had been distressed from the beginning, gradually became expressionless, as if he was out of breath.

"???"

Zhou Mo was stunned for a moment, feeling that something was wrong!

The patient's lips trembled slightly.

Zhou Mo's face changed!

"Could it be..."

The heart is not good.

He walked to the bedside in three steps and two steps, and shouted to the patient Chen Gang.

"do you feel better now?"

"What's wrong."

However, the patient Chen Gang just stared blankly ahead, as if he didn't hear Zhou Mo's words.

There seems to be a problem with the patient's consciousness.

"Fuck!"

"Beauty Chen, hurry up and bring a sphygmomanometer here to measure your blood pressure."

Zhou Mo was anxious and shouted to the nurse station.

At the same time, he secretly scolded himself for not giving him an ECG monitor just now!

Zhou Mo took the patient's pulse,

Sure enough, weak!

"Merco, I'm here..."

The little nurse came quickly and measured the patient's blood pressure again.

While waiting for blood pressure results.

The patient's wife panicked: "Doctor, what's wrong with my husband?"

Zhou Mo: "Don't worry, wait until the test comes out!"

soon,

The nurse took the blood pressure on both sides.

"Mexico, the difference between the left and right is 40..."

"Fuck!"

Zhou Mo's face changed on the spot.

Aortic dissection!

My Nima, what the **** is going on today? Complete cardiology?

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