"Doctor Feng, the patient is here..."

The three of them had their own thoughts and were stunned for a short time. A nurse hurried to find Dr. Feng.

"What is the patient's condition?" Dr. Feng asked.

"Stomach pain, very serious stomach pain." The nurse said, looking at Fang Han on the side intentionally or unintentionally: "Is this the legendary Doctor Fang? It's really handsome."

"The patient was transferred from a county hospital and has been hospitalized in the county hospital for more than 20 days."

Dr. Feng greeted Fang Han: "Why do you want to go and have a look together?"

Dr. Feng accompanied Fang Han this morning, and the nurses rarely disturbed him. When they came to find him now, they must be too busy.

"Okay." Fang Han nodded. There was no meal time yet, so it would be okay to go and have a meal at the Medical Affiliated Hospital. Fang Han also wanted to see the treatment process of the emergency department of the Medical Affiliated Hospital.

When he saw Leng Cen, Dr. Feng hesitated and greeted him: "If Director Leng has time, why should we go and have a look?"

Leng Cen is the deputy director of external thoracic surgery. The thoracic surgery department specializes in the thoracic organs, mainly referring to the diagnosis and treatment of esophageal tract, lung, and mediastinal lesions. The field of breast surgery is also classified as thoracic surgery.

There are many causes of stomach pain. If the patient is stomach pain caused by esophageal lesions, Leng Cen can help.

"Okay." Leng Cen nodded.

Three people came to the treatment room. The patient was lying on the bed, covering his stomach and rolling, and it looked very painful.

Dr. Feng stepped forward to check and asked: "The patient came from the county hospital. Have you brought various examination reports from the county hospital?"

"Take it, bring it." The patient's wife hurriedly took out a large plastic bag, which contained various test reports of the patient.

The patient was admitted to the hospital twenty days ago, with yellow eyes and face. He was diagnosed with jaundice type A hepatitis. But strangely, the patient's indicators had dropped for 20 days, but bilirubin could not be lowered, and the symptoms of stomach pain had never been relieved.

Last night, the patient's stomach pain broke out again, and the pain was split. However, the county hospital never found the cause of the patient's stomach pain. Then this morning, I contacted the Medical Affiliated Hospital and sent the patient to the Medical Affiliated Hospital for treatment.

Generally speaking, lower-level county hospitals and town hospitals have some close ties with some superior hospitals. Some county hospitals cooperate with medical affiliation hospitals, and some county hospitals cooperate with Jiang Intermediate People's Hospital. Once some patients in the county hospital cannot be held, the first thing they contact is the superior hospitals that cooperate with them.

After reading the patient's information, Dr. Feng handed the information to Leng Cen and Fang Han, who also looked at the patient's medical records and various examination reports in detail.

After seeing it, Dr. Feng first asked Leng Cen: "Director Leng, what do you think?"

Leng Cen did not say anything, but went up to check the patient's condition in detail, and then asked the nurse: "What is the patient's body temperature?"

"Low fever, 37.5℃." The nurse said hurriedly. As soon as the patient was sent, they checked the patient's body temperature.

Leng Cen pondered: "Jadetriosis and stomach pain are also accompanied by low fever..."

Leng Cen didn't say the following words, but Dr. Feng, as a senior attending agent, knew what it meant. The situation was quite serious. Leng Cen also considered that the patient was still conscious, so he didn't say it out.

"Send the patient to do a B-ultrasound." Leng Cen said.

The nurse hurriedly pushed the patient to do a B-ultrasound. After the patient and the patient's family left, Dr. Feng asked in a low voice: "Director Leng, do you doubt the possibility of common bile duct stones in the patient?"

Leng Cen nodded slowly: "The patient had obvious abdominal pain, jaundice, yellow urine and skin, and fever. This is a manifestation of the triad of Xiake."

The Shake Triad, also known as the Shake Triad, refers to the occurrence of abdominal pain, chills, high fever, and jaundice, which are typical symptoms of cholangitis secondary to extrahepatic bile duct stones.

Fang Han kept standing by and listening. The patient's medical records were all Western medical examinations and diagnosis. He actually couldn't understand them very well, so he could only understand a rough idea, so he didn't interrupt.

Although he was just watching from the side, Fang Han had to admire Leng Cen. Director Leng's level was indeed not low and he soon made his own judgment.

Although Fang Han didn't understand the medical records and the patient's examination report, and did not take the pulse, he had just exchanged for a master's temporary inspection. According to his observation, the patient was indeed gallstone.

The master-level diagnosis skill is the peak level that a Chinese medicine practitioner can achieve. Even because it is produced by the system, the skill redemption is at the maximum level. In reality, few people can achieve such diagnosis level.

It is not uncommon for Fang Han to diagnose the patient with gallstones through observation, but Leng Cen quickly judged that the patient might have common bile duct stones based on various symptoms of the patient. This is amazing. You should know that the county hospital has not found out the cause after twenty days of examination.

Dr. Feng also admired him and flattered: "Director Leng is a top student who graduated from Harvard Medical School and is also intern at Johns Hawkins Hospital. As expected, I have extraordinary knowledge and I am still clueless at this moment."

Leng Cen smiled slightly. There was no need for him to follow him today. This kind of patient actually does not belong to his current functional category. The reason why he followed Dr. Feng was to show it and show it in front of Fang Han, so that Fang Han could see how great he is, a top student who graduated from Harvard Medical School.

"Jade, abdominal pain, and fever are manifestations of the triad of Xiake. If these three symptoms appear at the same time, you can determine whether there is an explanation blockage in the common bile duct. As for the icteric hepatitis diagnosed by the county hospital before, it can be ignored." Leng Cen explained slowly.

He was very talented at this moment and talked freely: "If hepatitis is secreted by the liver and the function of excreting bile will be affected, and the content of bilirubin in the blood will increase, and jaundice will appear at this time. However, there is another situation in which jaundice occurs, that is, there is no problem with the liver, but the bile duct that is responsible for transporting the single extrahepatic bile duct. If any bile duct is blocked, the single one cannot be transported smoothly, but it flows back to the blood, which will also cause an increase in bilirubin content and cause jaundice..."

Dr. Feng nodded repeatedly: "Director Leng is right. You have seen a lot. If I hadn't thought so much."

Leng Cen smiled slightly, feeling a little proud. He, a top student at Harvard Medical School, is not a false reputation. Although he is the deputy director of the Department of Thoracic Surgery of the Affiliated Hospital of Medical Sciences, he is not only good at external thoracic surgery, but also has great attainments in other aspects.

As for Dr. Feng's flattery, Leng Cen didn't care much at all. If Dr. Feng had this ability, he would not be the main subject at this age. He would have been the deputy director long ago.

"Director Leng, Dr. Feng, the patient's b is out."

The door of the treatment room was pushed open, and a nurse came in with a B-ultrasound result, and the patient was sent in immediately.

"Give it." Leng Cen stretched out his hand and took over the B-ultrasound result first. He was very confident in his judgment. Now it was time to show his judgment result.
Chapter completed!