Practicing Medical Skills in a Small Clinic novel Chapter 780

Chapter 780: Chapter 363: Acute Abdomen, Profiting General Surgery

"Should I call her over now to join you for the consultation? She could learn some medical knowledge from you."

Xiao Linlin said with a teasing expression.

When it comes to a big sister who is eleven or twelve years older, Li Jingsheng might not necessarily be a match for her.

"Ahem... let’s forget about it. Gossip can be fearsome, and Qinglan calls you Sister Xiao. You wouldn’t want to see her feelings get hurt, right? You go ahead and get busy."

Li Jingsheng backed down.

These days, young girls are quite bold.

He is so ’outstanding’ that many young female doctors and nurses at the Second Hospital see him as a hot commodity.

Sometimes, when someone is willing to take the initiative, Li Jingsheng gets a headache.

"Hehe, didn’t you just say you can withstand temptation? What are you afraid of?"

"I’m not afraid; I’m being cautious!"

He stubbornly responded.

When it comes to standing firm against temptation, he’s not actually afraid. But he can’t fend off gossip.

Gossip can be daunting, and if it reaches Ou Qinglan’s ears, it would pierce her heart like a thorn.

Li Jingsheng isn’t willing to do anything that might make her sad.

"It’s good to be cautious; trust is the foundation of marriage. I’m off to get busy; I’ll leave these two patients’ diagnoses to you."

She left quickly.

The child’s condition is rapidly deteriorating; the cause must be identified quickly for further treatment.

Dragging it out until a life is lost would be bad for everyone.

Doctors are also flesh and blood; they can’t just watch a patient fall into danger.

After Director Xiao left, Li Jingsheng first reviewed the examination details of the senior cadre.

To maintain such a good condition with no serious underlying diseases at over eighty years old is indeed remarkable.

Both stool routine and biochemical test results appeared fairly normal.

Pathogens like dysentery bacteria were negative, and all stool indicators seemed normal. No abnormal signs like pus or fatty stools were present.

After going over the details repeatedly, he couldn’t identify the cause.

He decided to give it some more thought after work.

He took photos of the senior cadre’s examination details for easy review during his free time or for discussion with Director Lian Tao.

Looking at the time, there were only about sixteen minutes left.

He had to quickly diagnose the other case.

Otherwise, he’d feel awkward asking Xiao Linlin to treat him next time.

This patient is relatively young, 35 years old, working as a company white-collar, engaging in planning and sales, male.

The onset of severe upper abdominal pain occurred about an hour after lunch.

The patient was brought to the hospital by the 120 emergency ambulance.

This indicates a rather serious condition.

The attending physician had already carried out some examinations. After the Gastroenterology department took over, further inquiries and tests were conducted.

However, the cause was not confirmed because the young doctors might lack experience, so they escalated the case to Director Xiao.

This is a common occurrence in small departments, where tricky problems are mostly handled by the chief physician.

Unlike major departments, which have plenty of staff and experts.

In some cases, even seasoned attending physicians can handle many problems on behalf of the chief or deputy chief physician.

Why is Li Jingsheng popular in Orthopedic Surgery?

To put it simply, while his interpersonal skills are one thing, what truly makes superiors appreciate him is his ability to help solve problems in critical moments.

Difficult and critically ill cases—Li Jingsheng can handle them all.

Who wouldn’t love such a capable aide?

"Temperature of 37.9 degrees, indicating the presence of fever. The heart rate is as high as 121 beats per minute, but blood pressure is quite low, with systolic down to 95, and diastolic at 64 mmHg. Oxygen saturation is still good, at 99%, which should be normal..."

Li Jingsheng quickly reviewed the patient’s information.

These data were obtained either through inquiries or examinations by the attending physician.

Resident doctors often perform such tasks.

The abdominal examination of the patient showed a flat abdomen without distention but with a board-like abdomen.

Additionally, there was obvious tenderness throughout the abdomen.

This implies a large lesion area.

The rebound tenderness test was particularly pronounced.

Abdominal CT results from the emergency department revealed free air under the diaphragm in the abdominal cavity.

Such scenarios typically suggest an upper gastrointestinal perforation.

No wonder this case required Director Xiao to diagnose it personally. 𝐟𝚛𝕖𝚎𝕨𝗲𝐛𝚗𝐨𝐯𝐞𝕝.𝐜𝗼𝗺

"If the patient ate quite a bit during that lunch, it could very well be acute abdominal syndrome. I need to inquire."

He headed to the doctor’s office with the information to find someone.

"May I ask who Dr. Zhang Ruozhen is?"

"That’s me!"

A young female doctor with a delicate appearance raised her hand and looked up at Li Jingsheng standing at the doorway.

"Is this patient, named Zhao Changsheng, the one you took from the emergency department?"

"Yes!"

"The patient experienced intense abdominal pain about an hour after lunch. Did you ask what he ate?"

"Just the regular company meal. We can probably rule out food poisoning."

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