Doctor Started a Plug-in

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The bedside ultrasound in the emergency room came quickly, and no obvious problems were found. The appendix, gallbladder, kidney, and ureter were all in good condition.

Hepatobiliary, pancreas, spleen and kidney also look normal!

Considering that the girl has no history of overeating, and the painful part is not mainly left, it should not be acute pancreatitis.

Is it Appendicitis?

Acute attack?

Appendicitis B ultrasound is invisible, unless it is a long-term chronic inflammation that persists and has formed a severe abdominal inflammatory mass.

Chen Cang continued to ask about the history of the disease in detail.

“Do you feel metastatic abdominal pain from the upper abdomen, then gradually to the umbilicus, and to the right lower abdomen?”

The girl seems to have an opinion on Chen Cang, and her emotions are not very good when she speaks.

Chen Cang was helpless.

Mother saw this and suddenly said: “Nini, speak well and cooperate with the doctor to check, the doctor can still do you bad?”

The girl shook her head: “No such situation.”

Chen Cang thought about it: “Go for a CT of the abdomen and see if there is a possibility of Appendicitis!”

The girl gave Chen Cang a white glance and sneered: “You can’t do it, do this for a while, do that for a while, you cheat my money!”

Parents quickly apologized: “Sorry, Doctor, in fact, we have long wanted to do an individual examination of the child, just check it!”

Fortunately, parents actively cooperate, and the inspection can continue.

The girl was reluctant anyway, but she was still pulled by her parents to have an abdominal CT.

After the CT was done, no major abnormalities were found.

Not acute Appendicitis, nor bile duct stones, cholecystitis, cholangitis, pancreatitis, intestinal obstruction, gastrointestinal perforation, etc.

Now the cause of abdominal pain is also confused.

There are only a few reasons for this severe abdominal pain. The only thing suspected now is the digestive tract.

For example, gastric ulcers, there are ten 2 finger ulcers and so on. This peptic ulcer is a very common cause of abdominal pain.

However… if you want to do a gastroscope, Chen Cang is now very worried about the girl’s uncooperative.

And it is really impossible to diagnose what is going on.

At this time, the girl’s father’s phone rang, got up and went out to make a phone call, then came back and hurriedly sent the test sheet and video materials to the other party, and also asked Chen Cang some professional questions.

After Chen Cang explained, the man walked out with the phone.

After a few minutes, the man came over and said, “Doctor… Could you check a gastroscope and enteroscope for us?”

“This is the case. I also consulted my child’s abdominal pain during this time. I was a friend of Doctor in Beijing. The other person is an expert in gastroenterology. He suggested that I do a gastroscope and enteroscopy to see if there are any changes.”

Emergency gastroscopy is more convenient. Gastroscopy appointments for gastroenterology definitely require the number of gastroscopy rooms, but emergency department will be more convenient, but charges will also be more expensive.

Chen Cang looked at the girl, and suggested to go to the gastroenterology hospital for examination, but also be able to reimburse some.

As a result, the girl’s parents refused in a hurry after being hospitalized.

The other party doesn’t seem to care about the money, so he wants to diagnose it as soon as possible.

The gastroscope was more difficult, and the girl was more resistant at first. Later, in light of the prostitution of her parents, she still barely agreed to do it.

The gastroscope results came out, a little superficial gastritis, there is no other big problem, but this is definitely not the cause of abdominal pain.

If the gastroscope girl can barely accept, the reaction of the enteroscopy will be fierce!

After the girl’s mother thought of the colonoscopy, she quickly discussed with father.

2 people suddenly decided to do it!

However, before that, the girl’s mother found a gastroscope room for the female doctor who performed colonoscopy, said a few whispers, and secretly stuffed some red envelopes. I hope she can take a look at the colonoscopy… Is there any damage!

The colonoscope came out, and there was still no obvious abnormality.

There is no enteritis, no colonic lesions, and no tumors and so on.

Although there is no difference, the girl’s mother is obviously angry…

The reason for the anger doesn’t seem to be because of abdominal pain, but because of the female Doctor’s report.

“Your girl may have, but… there is no guarantee, after all, there are still many damages caused by various reasons, so don’t worry too much.”

After the inspection, the girl’s parents were originally angry.

But at this time, the girl suddenly had abdominal pain again!

Covering his belly, Aiya barked.

Observing the room, Chen Cang also had no idea.

It can be said that all the checks that can be done are basically done.

But now there is not even a little abnormality, which is too unscientific!

Abdominal B-ultrasound, gynecological Color Doppler Imaging, abdominal CT, gastroscopy, and enteroscopy were all done, and the problem of abdominal pain was not found.

There are so many things in the belly, and the entire digestive tract is so long, the gastroscope can see the upper part of the digestive tract, and the enteroscope can see the lower part.

Could it be… The part that is not visible in the middle is the problem?

That is, the jejunum and ileum of the digestive tract. There is no way to see this. Could it be a problem here?

Be a capsule endoscope?

Chen Cang is also curious to know now, who the hell is the monster.

This strange abdominal pain hasn’t been seen in a long time!

But looking at the girl’s state at this time, Chen Cang felt choking!

Capsule endoscopy can see the entire digestive tract, which is to allow the Patient to swallow a camera the size of a capsule. The camera will walk around the gastrointestinal tract, take pictures continuously, transfer data to the computer, and finally pull through the stool come out.

If there is a problem with the small intestine (jejunum, ileum), capsule endoscopy is helpful.

But this check is expensive!

Provincial Second Hospital’s endoscopy room can do it, but it has to be several thousand. If you are hospitalized, you can be reimbursed, but this kind of emergency department… is choking.

At this time, Chen Cang suddenly turned around and found that the corners of the girl’s mouth twitched, Both eyes are spiritless dull!

!

This time Chen Cang was scared!

What’s going on here?

However, the situation came in a hurry and went in a hurry, and soon passed.

This signal shocked Chen Cang.

Suddenly thought of a possibility!

He looked at the girl woman: “Excuse me… Does the family have epilepsy?”

As soon as the words came out, the two quickly shook their heads: “No, no epilepsy…”

Chen Cang continued to ask: “Does she have any history of trauma? Head.”

The girl father suddenly realized: “Yes! This is the case. In July, she fell on her bike once during her summer vacation and bumped into the head. At that time she was dizzy for several days. Doing head NMRI and CT said nothing, maybe It was a slight concussion.”

Chen Cang quickly said: “I now consider that your girl’s performance may be epilepsy!”

As soon as the words came out, the women were taken aback!

Epilepsy is not a good disease!

That is sheep madness!

To put it bluntly, diseases that were previously spurned and joke in the countryside.

Who has a sheep crazy, say it… It’s difficult to find a lover!

So the woman was scared enough to choke: “Doctor… are you kidding me? How can epilepsy have a stomachache? Isn’t that all twitching and foaming?”

Chen Cang shook his head: “I just suspect now, because there is a kind of epilepsy, the main performance is abdominal pain!”

“When an epileptic seizure occurs, it may be accompanied by autonomic seizures. It is also called diencephalial epilepsy in medicine. The specific types can be headache, abdominal pain, limb pain, syncope, or Cardiovascular seizures.”

“So, so many examinations have been done. I now suggest that we do an EEG and try to find the cause.”

girl’s parents are very reasonable, and quickly agreed to hear it!

Typical epilepsy is indeed mainly convulsions, disturbance of consciousness, foaming in the mouth, everyone knows.

But atypical epilepsy may show abdominal pain, because the abnormal discharge of the brain may be related to abdominal nerve disorders, causing abdominal pain.

Although such examples are rare, they have happened!

Otherwise, it will not be written in the textbook.

So Chen Cang suddenly thought of this possibility when she saw that the girl had an apathetic attack.

Very rare cases, so Chen Cang also greatly increased interest.

The parents took the child directly to the EEG room and temporarily pulled an EEG.

Compared with electrocardiogram, electroencephalography is slower, but Chen Cang estimates that if it is epilepsy, it can be found.

Because girl has had several episodes today, and there were minor episodes just now.

Soon, the EEG results came out!

Chen Cang looked at the waveform graph and was not able to interpret it…

The doctor who checked said: “Doctor Chen, see? The 3 seconds of slow-spine slow wave synthesis and bilateral symmetric synchronization… This is a typical EEG manifestation of small epileptic seizures!”

Hearing this, Chen Cang was very happy!

Finally found the reason!

EEG examination is decisive for the diagnosis of epilepsy.

Now, the truth is clear.

Li Yan of the inspection department was a little surprised: “This is the first time I have seen this Patient!”

Now that the cause is found, Chen Cang called the Department of Neurology and asked for a consultation.

After hearing this special medical record, Zhang Lingyun hurried down.

“Little Chen, I’ve seen such a patient during my years at school! Didn’t expect again!” Zhang Lingyun was excited.

The diagnosis was epilepsy. The girl’s parents were still in charge of what to study. They quickly took leave and went to the Department of Neurology for hospitalization.

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