Practicing Medical Skills in a Small Clinic novel Chapter 394

Chapter 394: Chapter 198: This Isn’t a Tumor, It’s Actually Intussusception (Part 2)

There might be quite a bit of urine accumulated inside.

"Let me check that lump again; it might hurt a little, so please bear with it."

Out of a sense of medical responsibility, Li Jingsheng decided to examine it once more.

The texture of the lump felt relatively soft and could be moved. Fortunately, its boundaries were clear, and it didn’t feel as hard as a tumor, so an initial diagnosis could rule out the possibility of a tumor.

"Have you vomited?"

Li Jingsheng asked the patient.

"No!"

The patient shook their head slightly.

Li Jingsheng couldn’t help but frown and ponder; from the feel of it, this lump didn’t resemble a bladder enlarged with accumulated fluid.

If the bladder had enlarged with so much urine, it would certainly be heavy when moved.

But at the moment, the sensation was very light.

Therefore, he thought the likelihood of the bladder enlarging with urine accumulation was very small.

So what exactly is this lump?

Also, the patient’s severe pain wasn’t located at the lump but rather around the navel.

This was indeed puzzling.

As a rule, these kinds of patients often experience shifting abdominal pain, but this patient has never shown this phenomenon.

Numerous doubts constantly arranged themselves in his mind, and he synthesized them with the patient’s medical history, symptoms, and results from tests such as temperature, blood pressure, and X-ray imaging for a comprehensive diagnosis.

The skill of a minor achievement level in gastroenterology combined with the practical ability of a senior attending physician made him not find diagnosing this case particularly arduous.

Diseases matching the above symptoms flashed through his mind one by one, only to be dismissed again.

"Have you had a bowel movement from yesterday to today?"

Li Jingsheng suddenly thought of an important question.

He asked the patient on the spot.

Previously, he thought the lump was likely due to bladder enlargement from urine accumulation, so he only inquired about the patient’s urination, overlooking the bowel movement.

Doctors are human too, and omissions often occur during diagnosis.

That’s also why when faced with a challenging case, the primary doctor, when uncertain, will ask other doctors for a consultation.

Pooling collective wisdom can minimize the risk of misdiagnosis and missed diagnosis.

"No. Perhaps it’s because I didn’t eat much after my stomach started hurting yesterday!"

The patient explained weakly.

Li Jingsheng just nodded, but didn’t think so in his heart.

After food enters the stomach, it doesn’t immediately form stool. It goes through a relatively long process.

The duration can be as short as eight to ten hours or as long as over twenty-four hours.

This depends on an individual’s gastrointestinal digestion capability.

"Let me listen to your bowel sounds again. Lie down and don’t move."

Li Jingsheng had only performed an abdominal palpation outside, simply inquiring about the patient’s symptoms and medical history, without conducting more detailed examinations.

Now, out of trust and having paid a hundred yuan, the patient just wanted a preliminary diagnosis result.

So he definitely needed to give his best effort.

He immediately took off the stethoscope from around his neck, and after putting it on, pressed the probe against the patient’s abdomen.

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