Practicing Medical Skills in a Small Clinic novel Chapter 135

Chapter 135: Chapter 112: Short Bowel Syndrome, the Most Terrifying Disease Is Poverty

Li Jingsheng’s gaze slightly sharpened, and his expression became serious.

Bloody stool often indicates gastrointestinal bleeding.

If it is upper gastrointestinal bleeding, the discharged stool is often black. Because the fresh blood produced gets absorbed in the lower gastrointestinal tract, by the time it is expelled, it has turned black and mixed with the stool.

At this point, a routine stool examination often shows positive occult blood.

In fact, you can tell just by looking.

The uncle is just an ordinary person, not a doctor. When he discovers blood in his stool, it’s nine out of ten times not black stool, but directly mixed with fresh blood.

Based on this information, Li Jingsheng’s Master Level Gastroenterology diagnosis initially determined that the patient likely had a lower gastrointestinal bleed.

As for which part is bleeding, imaging tests are a good option.

In the small clinic, conditions are limited. An X-ray can show some intestinal bleeding, but its accuracy is far inferior to an abdominal CT. If conditions allow, barium enema or colonoscopy might even be needed.

Li Jingsheng immediately dismissed the idea of doing an abdominal ultrasound or X-ray for the patient.

That "grandpa-level" X-ray machine can handle bone injuries and other obvious ailments.

Asking it to detect lower gastrointestinal bleeding is really challenging it.

By looking at this uncle, he seems so penny-pinching, even a hundred yuan for an imaging test might be hard for him to accept.

The main reason is that the check might not have much significance.

Even the best hospital X-ray machine can only show intestinal paralysis or moderate distention at most. To accurately diagnose the bleeding site and obtain more detailed information, a CT scan and barium enema are required.

"How long have you been experiencing bloody stools?"

Although Li Jingsheng had already given up the idea of treating this patient, he still took this opportunity to accumulate some practical experience.

The attribute panel can increase his proficiency in diagnostic skills, but the accumulation of knowledge still requires his own effort in learning.

The magic finger can’t create a medical skill or give him knowledge out of thin air.

It can at most help him better apply what he has already learned and use it proficiently in clinical practice.

"I’m afraid it’s been more than ten days! It’s gotten worse in the past two days, with severe abdominal pain. A while ago, there was occasional blood in the stool, but not much, and the abdominal pain would occasionally subside after a while."

The uncle has been passing blood for so many days without going to the hospital for a check-up.

The main reason is the fear of spending money.

People in poverty see their lives as cheap, it’s the same in any era.

If not for the unbearable pain, he probably wouldn’t even come to the clinic.

"How about this, why don’t you lie down on the treatment bed inside, and I’ll check your abdomen."

Li Jingsheng decided to conduct an abdominal palpation test on the uncle, to at least pinpoint the approximate region of the lesion.

For example, appendicitis usually presents with pain in the lower right abdomen.

VERIFYCAPTCHA_LABELVerify