Chapter 3271 [3271] Rare
"This situation is allowed to report to Director Ding." Dr. Gu was a little incoherent.
“What diagnosis?”
"Diagnosis--" Dr. Gu did not dare to exit the tract of acute appendicitis that he had previously swears.
"It may be necessary to ask each department for consultation." Dr. Qian hurriedly applied a patch. If he and Dr. Gu couldn't think of a diagnosis, he could ask more colleagues to get involved.
"Difficult and complicated diseases." Ding Conghong quickly understood their intentions, thought in his throat and turned to him, "Doctor Xie Wanying, what is your diagnosis?"
The two gangs suddenly became quiet.
Zeng Wanning was breathing rapidly, and his leader asked Xie not to ask him.
Dr. Gu and Dr. Qian looked at each other again: This female doctor seemed to be very old. Why did Director Ding ask her about the patient's diagnosis?
Cao Yong's eyes narrowed.
Song Xuelin bites the straw in his mouth.
The eyes of Pan Shihua were filled with warning lights.
"You are a top student of Teacher Tan." Ding Conghong said his reason for asking people, "I hope you can give me some advice so that you can make decisions quickly and help patients."
Must be, the doctors in large hospitals and small hospitals have completely different temperaments. Regardless of whether the person is Ding's family or not, the other party will never commit the minor eye problems exposed to her cousin's uncle. The diagnosis must be made clear to the other party. The consequences of misdiagnosis are unimaginable. Some diagnoses are difficult to identify, and may even be diagnosed only during surgery. Therefore, we cannot say that the doctors in the other party's hospital are wrong. If it is true, this
A disease is very difficult to detect.
"I suggest to the patient immediately, Director Ding." Xie Wanying, "focus on examining the appendix and small intestine."
"Is the patient a small bowel disease?" Dr. Qian turned his head and asked Dr. Gu.
Dr. Gu calmed down and pondered on some diseases that were difficult to see in clinical practice, and then seemed to be startled: "No?"
What is it? Zeng Wanning looked at all the seniors on the scene with nervous eyes.
"The second appendix of the human body." Dr. Gu said.
"What is that?" Dr. Qian is not a general surgery department and it is difficult to remember these rare things that are not specialized in his specialty, and asked.
"Meker Diverticulum." Dr. Gu wiped his eyebrows and admitted, "I only saw one case in pediatrics during my internship."
Mekle diverticulum is a congenital malformation of the small intestine, which is actually not uncommon. The reason why it is difficult to see clinically is that this disease is a disease that does not occur in many patients for life. Mekle diverticulum, known as the second appendix of the human body, must be an appendix in some places, which is mainly reflected in its anatomy. It is a retardation that grows more at the end of the ileum. You can imagine it as more in the ileum.
A sac bag. So if there is feces or other things in the diverticulum, or if there is inflammation and ulceration, acute abdominal disease will occur. Severe, perforation and intestinal obstruction and major bleeding.
Because it is in the back, the anatomical position is similar to the appendix, and the rare adult Mekel diverticulum patients who come to see the doctor for clinical symptoms, it is rare for clinical doctors to think of this disease at the first time. Differential diagnosis, as Student Xie said, it is very likely that other ultrasound examinations are misdiagnosed. Emergency patients who have almost been diagnosed with acute appendicitis are not recommended to go to T. Many times, this disease becomes a disease that is not acute appendicitis on the operating table. After the doctor opens the patient's abdominal cavity, he finds that it is not an acute appendicle.
Chapter completed!