Xie Wanying walked over and said to her classmate, "I have written your study and life schedule and handed it to Senior Brother Tao for review. The results should be available this afternoon. The group will discuss your treatment plan again this afternoon, so you don't have to worry."
Speaking of this Buddha, Zhao Zhaowei has always had average trust in it. Instead, he has more trust in the female academic master Xie in his class.
"Yingying, please help me with the palpation." Zhao Zhaowei invited her to examine him.
Xie Wanying understood that her classmates were still worried, so she nodded in agreement.
Lying back on the bed, Zhao Zhaowei unzipped his gown, bent his knees, relaxed his abdomen, and said, "Touch my liver. I feel like my back hurts a bit."
"Does your back hurt?" Xie Wanying asked.
"right."
"Let me touch you, relax." Xie Wanying said to her classmate, and according to the department's regulations, she put on gloves on both hands and then palpated him.
Put four fingers together and place them on the lower edge of the liver parallel to the right rib margin of the student, while observing the student's breathing. Before the classmate's abdomen sinks when he exhales, Xie Wanying presses her fingers downward in advance, and uses the sides of her fingers to feel the liver instead of the fingertips. If the students raise their hands a beat slower when they inhale, they can touch the liver again.
...
...
"It hurts." Zhao Zhaowei responded, exhaling, feeling sad about the obvious tenderness on his spot, because it showed that there was a disease in his liver.
In addition to palpation, the liver is also percussed. Xie Wanying percussed her classmate again, and the pain became more obvious. Fortunately, preliminary results of palpation and percussion showed no significant increase in liver size. What we need to pay attention to now is the back pain that Zhao himself mentioned.
There are many reasons for right side back pain. If there is any suspicion of internal organ problems in this area, the possibility of lower lung and kidney ureteral lesions must be ruled out.
During the student's hospitalization, he underwent examinations of other parts of his body. Imaging and ultrasound reports showed no abnormalities in the lungs, kidneys, or ureters. Attention fell back on the possibility of back pain caused by gallstone cholecystitis, which was one of the clear causes in the ultrasound report.
Xie Wanying carefully felt where the pain was on her classmate's back and said to her classmate, "I will tell Brother Tao and the others about your situation during the meeting this afternoon."
Zhao Zhaowei told her what happened: "Yingying, I trust you more. I know what kind of person that Buddha is. He is too cautious. I don't really believe he would be willing to take the risk to help me find out the cause of the disease. I want to cure it completely, so I may need surgery to explore it."
My classmate actually wants to have surgery? Xie Wanying was stunned for a moment, and then fell into serious thought.
In your case, we cannot rule out the possibility that stones have blocked the hepatic duct and bile duct. Some stones are located in very tricky areas and may not be visible through ultrasound. Otherwise, we cannot explain why your jaundice and pain are getting worse.
The student's condition is not critical, a bit like her grandfather, so it is difficult for doctors to accept the suggestion of surgery.
"Yingying?" Zhao Zhaowei glanced at her expression, his heart pounding. He was afraid that she would do the same and didn't dare to say anything. Before, a group of boys from Li Qian’an’s class came to see him, and they all advised him to listen to the doctor’s advice and treat his illness, but no one was willing to give him advice. It must be because medical students are afraid of accidentally offending their clinical teachers and are afraid that they will not be able to work in the clinic in the future. Will she be the same?
Xie Wanying thought about it and felt that her classmate’s situation was much better than her grandfather’s. There were indications for surgery and it was an option that she could choose to do. If after discussion it is determined that a classmate needs to do something, she will do her best to help the classmate no matter what.
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