Practicing Medical Skills in a Small Clinic novel Chapter 136

Chapter 136: Chapter 112: Short Bowel Syndrome—The Most Terrifying Disease Is Poverty (Part 2)

Rigid abdomen only occurs with conditions such as acute gastrointestinal perforation, organ rupture, and acute peritonitis.

The uncle has experienced bloody stools, and it has been going on for several days.

Now the bloody stool is worsening, and abdominal pain is intensifying, all indicating the progression of the disease, and it’s coming aggressively.

"Does it hurt here?"

"Yes."

"Is it just a little pain or very painful?"

"Quite painful."

Just after the uncle answered, Li Jingsheng slightly increased the pressure.

"Ow... it hurts, it hurts!"

Li Jingsheng immediately withdrew his hand, judging that the pain location for the uncle should be in the jejunum.

The small intestine is part of the digestive tract, divided into the duodenum, jejunum, and ileum.

Interestingly, the medical separation between the upper and lower gastrointestinal tract is marked at the duodenum.

The suspensory ligament of the duodenum is also known as the ligament of Treitz.

It acts like a ’boundary marker’ between the upper and lower gastrointestinal tract.

Above the ligament of Treitz is the upper gastrointestinal tract, below it is the lower gastrointestinal tract.

The jejunum makes up about two-fifths of the small intestine’s length, slightly shorter than the ileum.

The current pain location is in the ileum, further diagnosis requires more information.

"Alright, the examination is finished, you can get up! Is the color of the blood in your stool bright red or dark red?"

This is very important.

It can help Li Jingsheng roughly infer the intestinal section of the bleeding point.

Rectal bleeding is usually bright red, the further up, the darker the color of the bleeding.

Because it takes time from bleeding to exiting the body.

The longer this time, the darker the color of the fresh blood will be.

"Hmm... it seems to be dark red! I noticed blood on the paper when wiping, and the color is quite dark. But I’m sure it’s blood."

"Is the amount of bleeding large?"

"These past few days it feels a bit much, and the stool looks a bit like jelly, with some whiteness, and it’s very smelly. Kind of like the smell of rotten meat."

The uncle described the condition of his stool.

"Doctor, is my illness very serious? Is it treatable? How much will it cost to cure?"

"Don’t worry for now, let’s talk outside!"

Li Jingsheng walked while pondering what exactly is the uncle’s illness?

From the uncle’s description of his bowel movements, there should be fat diarrhea accompanied by pus and blood in the stool.

The uncle had undergone intestinal resection surgery, and his entire look reveals rough skin, yellowed hair, and a thin body, clearly indicating long-term malnutrition.

He is currently experiencing abdominal pain, with the pain point located at the ileum, has undergone surgery, and has had bloody stools for several days...

When Li Jingsheng’s gastrointestinal diagnosis had just ascended to the Master Level, he felt that any patient with gastrointestinal diseases would be easy to handle, with diagnoses easily reached.

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