Practicing Medical Skills in a Small Clinic novel Chapter 393

Chapter 393: Chapter 198: This Isn’t a Tumor—It’s Actually Intestinal Intussusception

After the patient lay down, his face was still full of pain.

To be honest, such severe abdominal pain shouldn’t be brought to his small clinic; he should go to a big hospital.

At least, his clinic currently doesn’t have the capability to handle most abdominal pain conditions.

Even for a large hospital, something as minor as an appendicitis needing a small surgery can’t be resolved here.

Ms. Ou’s illness was cured here, and understandably, she believed Li Jingsheng’s medical skills weren’t inferior to those in major hospitals. Then, upon seeing her colleague’s husband fall ill and being neighbors, she made the introduction.

It was out of good intentions.

She simply didn’t understand the difference between a clinic and a hospital.

Now that the patient was here, whether or not Li Jingsheng could treat him, he definitely had to conduct an examination.

"Where does it hurt?"

Li Jingsheng began to observe the patient’s abdomen.

"It’s right around the belly button."

The patient pointed with his finger.

In the early stages of appendicitis, the pain is around the upper abdomen or near the belly button, then it shifts to the lower right abdomen after several hours.

The patient started having abdominal pain yesterday, and it’s been continuously painful until now, well over twenty-four hours. From experience, it shouldn’t be appendicitis.

"Has it always been painful here?"

Li Jingsheng was attempting to palpate the patient’s abdomen. Initially, his palpation was very gentle.

"Yes, it’s always been painful here! Ow... it hurts, it hurts, a bit lighter, please!"

The moment Li Jingsheng slightly pressed around the patient’s belly button, he immediately cried out in pain.

His face twisted in agony, with a layer of fine sweat on his forehead.

Li Jingsheng did not stop the palpation, but continued to press on other areas of the abdomen.

He recalled during his intern rotation in the colorectal surgery department when a senior resident performed a digital rectal exam on a patient, resulting in an anal fissure, and the hospital had to pay over ten thousand yuan in compensation.

Since then, he’s been extremely careful when examining patients.

"It hurts, it hurts!"

When Li Jingsheng pressed on the lower abdomen, the patient cried out in pain again.

However, this time the pain might not have been as intense.

Li Jingsheng’s expression turned serious because he felt a relatively large mass in the lower abdominal area.

"Have you urinated?"

He asked the patient, initially suspecting that the patient’s bladder was enlarged.

Sometimes the inability to urinate can lead to such a condition.

For example, the prostate, which is most prone to problems in middle-aged men, when problematic, can cause frequent urination, urgency, pain, urethral burning, incomplete voiding, difficulty urinating, and nocturia.

Many middle-aged people will find themselves having to get up at night to urinate two or three times, raising concerns about potential prostate issues.

This patient, currently in his fifties, is at the age where prostate problems are common.

Li Jingsheng recalled that during his rotation in pulmonary medicine, he feared encountering elderly men who needed catheterization.

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