After finishing the work and returning to the emergency department's surgery clinic, the three students sat on the chairs to take a breath. After resting, the three found: Hey, why are there no patients coming?
It was obvious that the family members who brought their children to see the doctor today were scared away by what happened in their clinic before. They had to wait for the nurses in the emergency department to arrange for the patients to come. Duan Sanbao was thirsty and wanted to drink water. He took out a can of tea from his schoolbag and asked the two of them, "Would you like some tea?"
Student Wei wiped his brows and looked at him with disdain: Aren't you afraid that there won't be patients coming? You'll have no food to eat.
Dr. Duan is like Dr. Song. He doesn't keep his head down because he lacks confidence. He is not afraid of having no patients. Soon, these parents will know how good he is.
"Drink." Xie Wanying said.
Yingying——Student Wei covered her face. Student Xie was so nice, always considering everyone's face.
Speaking of drinking tea, Duan Sanbao remembered something and asked her, "Is your friend selling tea, Dr. Xie?"
"Yes——" Xie Wanying was surprised. She had just arrived and had not chatted with anyone, and her childhood friend had never been to Shou'er, but Dr. Duan actually knew what her childhood friend was doing.
Receiving her questioning gaze, Duan Sanbao turned his head away hastily, fearing that she would discover his secret. He had heard everything about her from his grandmother.
...
...
With no patients coming, Wei Shangquan couldn't help but go to his classmate in the Department of Internal Medicine to check on other cases. Doctor Tian from the Department of Internal Medicine was about to consult a surgeon about a patient, and heard that their group was free. Doctor Tian, who had seen the skills of classmate Xie last night, immediately called out: "Classmate Xie, come on, come on."
Hearing Teacher Tian calling, Xie Wanying and her classmates came to the emergency bedside.
The patient was a nine-year-old girl who came to see a doctor for recurrent urinary tract infections. The recurrence of the patient's condition alerted the clinician.
For children, many recurring symptoms are later confirmed to be congenital diseases. Not only children, but also adults have this clinical phenomenon.
Dr. Tian suspected that there might be something wrong with the child's ureteral opening. The normal physiological structure of the ureteral opening means that urine from the ureter to the anus will not flow back. There is a congenital disease called congenital ureteral valve disease, where a transverse, wrinkled, protruding mucosa grows at the junction of the ureter and the anus, which is called a congenital malformed valve. This transverse protrusion of foreign matter will inevitably hinder the normal flow of urine to the anus, and the inability to discharge urine smoothly will lead to repeated urinary tract infections, increased urinary stones and other symptoms.
To confirm that it is this disease, it is best to do angiography. Before that, you can do a B-ultrasound to check if there are any abnormal signs such as ureteral dilatation. Urine tests can also check for red blood cells and infection. The above tests are also characteristics of urinary stones, etc., which are difficult to identify at the moment.
Doctor Tian showed Xie several existing examination reports, hoping that Xie's third eye brain could help her clarify her suspicions.
Xie Wanying received the teacher's commission, but the problem was that after seeing the patient and reading the report that only showed ultrasound and urine and blood tests, she could not see that the child had the congenital disease that Teacher Tian suspected. She said that Teacher Tian was right to be vigilant, but it seemed that he was misjudging the direction.
"What do you say she is?" Dr. Tian asked in surprise when he heard her feedback.
"Teacher, children can also have vaginal inflammation. I saw her hands were always scratching her vagina." Xie Wanying, who had just graduated from the Department of Obstetrics and Gynecology, was deeply impressed by this disease. In fact, there are very few children's specialized hospitals in China that have pediatric gynecology departments.
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