Practicing Medical Skills in a Small Clinic novel Chapter 395

Chapter 395: Chapter 198: It’s Not a Tumor, It’s Actually Intussusception (Part 3)

If only we could do a biopsy and take a specimen from the mass for examination, these problems wouldn’t exist.

Of course, the risk is tremendous.

From all current indications, that mass is likely a lesion in the intestine.

Performing a biopsy, wouldn’t that just puncture the intestine?

At this moment, Li Jingsheng suddenly thought of a possibility. Since it’s a rare disease, why hadn’t he considered intussusception?

Intussusception is relatively rare among clinical abdominal pain diseases.

The symptoms of this patient have many similarities with intussusception, especially that mass.

Soft, movable, light—these all match some clinical symptoms of intussusception.

The more Li Jingsheng thought about it, the more he felt this possibility was high.

After intussusception, because the intestine is active, torsion can easily occur.

This explains well why the patient’s severe pain is around the navel rather than at the location of the mass in the lower abdomen.

Because when the intestine twists, it spreads distally like a twisting rope.

However, the intestine will be anchored by ligaments and mesentery; when it twists, this force is equivalent to tearing the mesentery apart, making it unsurprising the patient is in excruciating pain.

After clarifying these pathological mechanisms, Li Jingsheng had essentially diagnosed this case.

Doctor level experience +50, gastrointestinal diagnostic skill proficiency +10, general surgery diagnostic skill proficiency +5, life value +100.

This was his biggest diagnostic gain since being promoted to a senior attending physician.

The proficiency in general surgical diagnosis also increased significantly, benefiting from the gastrointestinal diagnosis.

It’s like two people going to battle, with the gastrointestinal diagnosis taking the lead and general surgical diagnosis shaking the flag behind. After the battle, the flag-waver received a share of the achievements.

Unknowingly, his gastrointestinal diagnostic skill had reached Minor Achievement 727/1000.

Just less than three hundred proficiency points away from advancing to the next level.

Opening a clinic, most patients seen are from respiratory and digestive departments. There’s also a fair amount of hypertension, diabetes, and such chronic diseases.

However, many patients with these chronic illnesses just come in for a free blood pressure check.

Then buy some medicine to take home.

"Young man, how about my illness? It’s okay, you can tell me the truth, I’m already at this age, I can handle it."

The patient saw the serious look on Li Jingsheng’s face, diligently examining his condition.

He realized that it was likely a serious illness.

Li Jingsheng turned his head to see the patient’s ashen face, looking like a martyr heading to the guillotine, and couldn’t help but smile.

"Please don’t overthink, this is not an incurable disease. Even if I explained it, you wouldn’t understand. I can’t treat it here, but a major hospital can easily resolve it. I’ll write down the diagnostic plan for you, then you can take it to a major hospital. If lucky, you should be admitted today, and the surgery scheduled for tomorrow."

Li Jingsheng originally did not want to explain in such detail.

He only said this after seeing the patient’s expression, thinking he had a terminal illness.

"It’s not... not cancer? I need surgery?"

After hearing Li Jingsheng’s diagnosis, the patient felt much relieved.

During the wait for the diagnosis results, he surely thought a lot and prepared himself for a ’death sentence’.

"Who told you it’s a terminal illness? Stop overthinking!"

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