Practicing Medical Skills in a Small Clinic novel Chapter 608

Chapter 608: Chapter 279: Diagnostic Compass, Malabsorption Syndrome

The patient is ignorant; otherwise, he should have sought a more authoritative hospital for diagnosis and treatment long ago.

Some diseases are most feared when delayed.

Originally, it might have been a minor illness, but the longer it drags on, various complications emerge, turning it into a severe condition that even experts frown upon.

Li Jingsheng instinctively reexamined the patient’s several routine test reports.

The stool routine has already been reviewed, and even tests for occult blood, parasites have given direct answers.

"Could it be infectious diarrhea?"

Li Jingsheng looked towards Xiao Linlin, who was also pondering deeply.

"Director Xiao, should we apply for a stool bacterial culture for the patient?"

This reminded him of Director Yang from the People’s Hospital, who was criticized as an expert only good at examining stool by the patient’s family.

However, in the face of such tricky diarrhea, a stool bacterial culture is very necessary.

"OK!"

Xiao Linlin now almost always complies with his suggestions.

After the application, the test results were released almost instantly.

Indicating that the attending physician had also checked this item when examining the patient.

"Stool bacterial culture is negative."

Xiao Linlin reported the results to him.

"That indicates there’s no infectious diarrhea."

Li Jingsheng used this result to rule out many suspected diseases.

His gaze shifted once again to the blood test report.

Hemoglobin, serum protein, electrolytes, calcium, phosphorus... and several other items were examined and tested.

Because the patient’s etiology is indeed very complex.

Parasites and bacterial infections are the most common causes of diarrhea.

Both have been ruled out.

Then it can only be examined from other directions.

The patient’s hemoglobin is 90g/l, total serum protein 54g/l, albumin 35g/l, serum potassium 1.4mmol/l, sodium 139mmol/l...

After looking, Li Jingsheng found multiple abnormalities in these data.

Blood tests are one of the routine checks done for many patients upon admission.

It’s not a mandatory check, but basically, seven out of ten patients undergo blood tests.

Some patients don’t understand and think the hospital is making a profit unfairly.

Some even believe rumors, saying the hospital intentionally draws the patient’s blood and sells it.

Really, it leaves one speechless.

Occasionally encountering special cases, drawing more blood samples for medical research indeed exists.

But to say that patient’s blood is drawn for sale, it’s astonishing how rumor-makers can think so creatively.

After viewing the blood test results, Li Jingsheng began to re-analyze the type of diarrhea.

Diarrhea can be classified into four types based on the mechanism of onset.

The first type is secretory diarrhea.

This diarrhea results from increased secretory substances, causing excessive secretion or weakened absorption of water and electrolytes in the intestine, ultimately leading to diarrhea.

It’s relatively common.

The second type is exudative diarrhea.

The integrity of the intestinal mucosa is compromised due to inflammation, erosion, ulceration, and other lesions, causing a large amount of exudate, leading to diarrhea.

The most common is enteritis diarrhea.

Getting cold, eating unsanitary food or stimulatory meals can lead to stomachaches and diarrhea.

Usually, after diarrhea, the stomachache disappears, and the illness is cured.

Sometimes these diarrhea cases, viewed by doctors, also demonstrate a form of self-repair and healing by the body.

It expels harmful substances and bacteria massively through diarrhea, alleviating the body’s immune system burden.

This is why after diarrhea, the illness is cured.

The third type is osmotic diarrhea.

This can easily be confused with exudative diarrhea.

Actually, they are completely different pathological mechanisms.

Osmotic diarrhea is due to poor digestion and absorption, or ingesting indigestible solutes, which raises the osmotic pressure in the intestinal cavity, causing a large amount of fluid to passively move from the intestinal wall to the cavity, eventually resulting in diarrhea.

It can be understood as forcibly squeezing fluid from the intestinal wall into the intestinal cavity.

Then causing diarrhea.

Even doctors developed an enema method based on this pathological mechanism.

This method can treat various diseases.

For instance, helping the intestines expel toxic and harmful substances. In cases of pesticide poisoning, sometimes not only vomiting, or gastric lavage are used. Enema and blood dialysis are also viable methods.

And before a colonoscopy, to ensure a smooth examination, enemas are also conducted.

Simply fasting and staying hydrated aren’t enough to clean the intestines thoroughly.

During a colonoscopy, contents like feces are likely encountered.

However, the enema method was later adopted by island country teachers, for unknown purposes.

Osmotic diarrhea has a characteristic; the daily stool volume usually totals less than a liter, with watery stools free of pus or blood.

If carbohydrate absorption is poor, it has a sour odor.

Poor absorption of fats and proteins leads to a foul odor.

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