Doctor Started a Plug-in

You can search for “when the doctor opened the plug-in wonderful pen novel novel network (imiaobige.com)” in 100 degrees to find the latest chapter!

Chen Cang looked at the medical records and various inspection reports in his hand, and thought of the Appendix Surgery countless times, suddenly suddenly frowned.

“Patient is 12 years old, metastatic right lower quadrant pain with nausea and vomiting for 2 days, fever one day, abdominal pain starts from the umbilical periphery, and transfers to the right lower quadrant 24 hours later, showing persistent pain, paroxysmal exacerbation, previous medical examination, no history of similar diseases , Physical examination…abdominal muscle tension, right lower quadrant toothache, rebound pain, Maier’s point is obvious, bowel sounds weakened, positive psoas muscle sign, positive colon inflation test, negative obturator muscle test…”

Appendicitis is no problem!

But… Chen Cang is still a little puzzled.

Do you suspect urethral stones?

But there is no stone disease?

Is it…

Chen Cang thought of a peculiar Appendicitis!

At this time, Anaesthetist came in to prepare for anesthesia, which was Old Acquaintance Liu Jian.

But today is the game, Liu Jian is only slightly nodded, not much to talk about, prepare for anesthesia.

Chen Cang hurriedly stopped it and said, “Brother Liu, I will check again later.”

Liu Jian froze for a moment, but stopped.

Chen Cang walked over to the male child. The male child was obviously a little nervous. When Chen Cang came over, he didn’t know what to do and closed his eyes.

Chen Cang said: “I will touch your stomach for a while and tell me if it hurts.”

After finishing speaking, Chen Cang right hand starts from the navel, touch clockwise…

“pain!”

As soon as it was pressed, the male child frowned and shouted.

Chen Cang nodded, continue to change positions!

After a few minutes, Chen Cang had an idea in mind.

This should be a rare case: “Extraperitoneal Appendicitis!”

This kind of case is extremely rare. It is caused by the abnormal evolution of the cecum during the embryonic period. The incidence rate is only 2%-8%.

If this kind of extraperitoneal Appendicitis is not treated in time, inflammation can easily spread and accumulate surrounding organs such as ureters, kidneys, and large blood vessels in the pelvis, causing extremely serious complications.

Simply put, this disease is a bit tricky!

But this is how it is for others.

There is no pressure on Chen Cang.

Turned to Liu Jian and said, “Brother Liu is good.”

Liu Jian wonders nodded: “This appendix?”

Chen Cang indifferently said: “It should be ectopic Appendicitis, and it is extraperitoneal ectopic Appendicitis!”

Liu Jian frowned immediately.

Because extraperitoneal Appendicitis is very difficult to diagnose before surgery, it is often found during exploration during surgery.

Therefore, this kind of disease often leads to big problems because of insufficient preparation of the surgeon.

Liu Jian asked carefully: “Are you sure?”

Chen Cang nodded!

When Liu Jian was under anesthesia, he also had a lot of thoughts. After all… the epiperitoneal appendix he remembered listening to Teacher when he was in Capital, and never seen it.

At this time, several people in the office at this time saw the pictures on the big screen and laughed and discussed. As for the scores, everyone had their own opinions, but they did not hinder each other’s communication.

“No. 1 is very skilled? The technique is very precise, young man is OK!”

“No. 2 will do, but it’s a little bit different from No. 1’s grasp of the appendix.”

“Bah? Why didn’t the 3rd start! Why… is this a physical examination?”

Sure enough, after the man finished speaking, others also paid attention to No.3.

Because at this moment, everyone has already started surgery, and No. 1 has found the appendix ready to be removed.

And number 3 hasn’t started yet!

At first glance, the layman will definitely judge!

But a few veterans who have been through the battlefield, seeing this situation, the first reaction is to pick up the No. 3 Operation Theatre Patient’s medical record and look at it.

Several people raised their hands and it seemed that there was nothing different.

This is a typical Appendicitis?

Liu Siqi naturally recognized Chen No. 3 as Chen Cang. He had a favorable impression of Chen Cang, and even… When he saw Chen Cang, he wanted to make a super low score!

Then he took Chen Cang away.

Of course, this is just an idea.

In fact, since he came in, he has also been paying attention to Chen Cang, but…it was curious to see him without surgery or even Anaesthetist anesthesia for a long time.

Is this going to dry up?

Does he have doubts about the disease?

Impossible!

Does Hospital still have an Appendix Surgery?

So, at first Liu Siqi, I took a photocopy of the medical record and read it repeatedly 3 or 4 times, but the back and forth are those templates, what’s different there!

Is this Chen Cang only Suture tendon? Overestimated him yourself?

Liu Siqi unable to bear is suspicious of Chen Cang.

The five judges plus one Hao Xuliang all picked up the medical records to examine them carefully.

From the medical record to the test to the abdomen Color Doppler Imaging, I have read it all, and I haven’t seen it!

Even Hao Xuliang felt a little embarrassed. After all, Chen Cang was the real one. Fortunately, the person who justified himself didn’t say it himself, otherwise… more shameful.

Several people turned the medical record twice or twice inside and out, but nothing happened.

Liu Siqi, who read the medical records 5 or 6 times, suddenly grasped a detail!

That is, Patient symptoms are very similar to urinary calculi!

B-ultrasound shows no stones

This……

Liu Siqi suddenly started!

Extraperitoneal appendix? ? ?

After thinking of this idea, Liu Siqi suddenly realized.

At this time, the people around seemed to give up and started shaking their heads.

Upon seeing this, Liu Siqi said with some excitement: “Everyone said, is this Patient likely to have an extraperitoneal appendix?!”

As soon as these words came out, the people around him frowned.

At this time, Chen Cang has started to move the knife!

This blade is very light and shallow, it seems simple, but it just cuts the belly…

Chen Cang had to be careful. If it is an extraperitoneal appendix, it is best to be careful not to cause inflammation to spread.

The incision is not large, 4cm.

This was considered by Chen Cang. Too small incisions are prone to errors, but 4cm, neither too big nor too small, is enough for Chen Cang!

After the incision, a stench came suddenly!

A red arrow suddenly appeared in Chen Cang’s eyes, and he was stunned!

system also has this function? Help yourself find the lesion?

Chen Cang took a closer look at the location, and really saw a deep red appendix. At this time, he was already hyperemic and swollen, and even purulent fluid oozed out around him. The stench immediately came.

[Extraperitoneal suppurative Appendicitis monster, lv29, leader monster! Features: High concealment, easy to spread inflammation, Tip: Handle carefully, do not act recklessly 】

Sure enough it is extraperitoneal ectopic suppurative Appendicitis!

Moreover, this is a big guy!

Level 29, the leader is strange!

Will killing Divine Item kill it?

Chen Cang unable to bear is a bit pleasantly surprised. After all, he was diagnosed and discovered by himself, and it is nothing more than being a doctor and being happy.

And at this time, the office absolute silence!

Everyone held their breath and stared at the scene in No. 3 Operation Theatre.

Is this too fake?

Is this acting?

Hundreds of Appendix Surgery don’t necessarily have such a thing, I met them today, and… seems to have been diagnosed by this Junior Doctor?

How can this be!

Several old experts frowned!

Suddenly, a man unable to bear asked: “How does he know that it is an extraperitoneal ectopic appendix? This kind of ectopic appendix is ​​difficult to diagnose…”

At this sound, everyone’s voice was spoken!

Hao Xuliang is also directly in the same place, his eyes are full of incredible, I thought, this kid is also bad luck?

I encountered such a weird thing!

Liu Siqi didn’t know what to say, but it was really Appendicitis, but fortunately, he didn’t act so recklessly, otherwise… the spread of inflammation is not conducive to late recovery.

People around looked at Liu Siqi, his eyes full of curiosity.

Someone finally asked to disable to bear: “Old Liu… are you trusting?”

Liu Siqi glared: “You are the mop! Why did I trust!”

The man was also not annoyed, laughed: “Then how did you find this may be an extraperitoneal appendix?”

Liu Siqi sneered, pointing to the medical record: “Nature is based on strength! The so-called book is read 100 times and its meaning is self-seeing…you only need to think carefully about the medical record and look at it more naturally…”

Everyone saw Liu Siqi pretending to be such a deep B, looked at each other in blank dismay, and after 3 seconds, he finally couldn’t hold back: “Speak human!”