Chapter 295 The Truth Is Revealed! (Add 3/3 for the Pit in the Sky for the Leader)

Chapter 295 The truth is revealed! (Add 33 for the pit in the sky for the leader)

The bedside ultrasound in the emergency came soon, and no obvious problems were found. The appendix, gallbladder, kidney, and ureter were all fine.

The liver, gallbladder, pancreas, spleen and kidney also look normal!

Considering that the girl has no history of overeating, and the pain site is not mainly on the left side, it should not be acute pancreatitis.

Is it appendicitis?

Acute attack?

Appendicitis cannot be seen by B-ultrasound unless it is a long-term chronic inflammation that persists and a severe peritoneal inflammatory mass has been formed.

Chen Cang continued to inquire about the disease history in detail.

"Have you ever felt a metastatic abdominal pain, that is, from the upper abdomen, and then gradually transferred to the umbilicus, to the lower right abdomen?"

The girl seemed to have an opinion on Chen Cang, and she was already in a bad mood when she spoke.

Chen Cang was a little helpless.

Seeing this, the mother suddenly said, "Nini, talk well and cooperate with the doctor to check, can the doctor treat you badly?"

The girl shook her head: "No such situation."

Chen Cang thought about it: "Go for an abdominal CT to see if there is a possibility of appendicitis!"

The girl rolled her eyes at Chen Cang and sneered: "Can you do this, do this for a while, do that for a while, you lie to my family for money!"

The parents quickly apologized: "I'm sorry, doctor, in fact, we have long wanted to have a medical examination on the child, so let's do it!"

Fortunately, with the active cooperation of the parents, the examination can continue.

No matter how reluctant the girl was, she was pulled by her parents for an abdominal CT scan.

After the CT was done, no major abnormality was found.

Not acute appendicitis, nor bile duct stones, cholecystitis, cholangitis, pancreatitis, intestinal obstruction, gastrointestinal perforation and so on.

Now the exact cause of abdominal pain is also confused.

There are only a few reasons for this severe abdominal pain. Now the only suspicion may be the problem of the digestive tract.

Such as gastric ulcers, and duodenal ulcers. This peptic ulcer is a very common cause of abdominal pain.

However... if a gastroscope is to be done, Chen Cang is now very worried about the girl's incompatibility.

And it's really impossible to diagnose what's going on right now.

At this time, the girl's father's phone rang. He got up and went out to make a phone call. Then he came back and hurriedly sent the test sheet and video data to the other party, and asked Chen Cang some professional questions.

After Chen Cang explained, the man took the phone and walked out.

After a few minutes, the man came over and said, "Doctor... can you check a gastroscope and colonoscope for us?"

"That's right. I also consulted my friend who was a doctor in the capital during this period of my child's abdominal pain. He was an expert in gastroenterology. He suggested me to have a gastroscope and colonoscopy to see if there was any change."

It is more convenient to make an appointment for a gastroscope in the emergency department. Appointing a gastroscope in the gastroenterology department definitely requires a number in the gastroscope room, but the emergency room will be more convenient, but the fee will be more expensive.

Chen Cang looked at the girl's appearance, and suggested that he should go to the gastroenterology department for a hospital check, and he could be reimbursed.

As soon as she heard that she was hospitalized, the girl's parents quickly refused.

The other party doesn't seem to care about this money, and just wants to diagnose it as soon as possible.

The endoscopy was more difficult, and the girl resisted at first, but she reluctantly agreed to do it because of her parents' obscenity.

The endoscopy results came out, a little bit of superficial gastritis, nothing else is a big problem, but this is definitely not the cause of the abdominal pain.

If the girl with gastroscope can barely accept it, the reaction of the colonoscopy will be severe!

After the girl's mother thought about the colonoscopy, she hurriedly discussed it with her father.

The two suddenly decided to do it!

But, before that, the girl's mother found a female doctor who was going to do colonoscopy in the gastroscope room, whispered a few words, and stuffed some red envelopes secretly, hoping that she could take a look while doing colonoscopy... ...is there any damage!

Colonoscopy came out, still no obvious abnormality.

No enteritis, no colon lesions, and no tumors.

Although there is nothing different, the girl's mother is obviously a little angry...

It seems that the reason for anger is not because of abdominal pain, but because of the female doctor's report.

"Your girl may have had it, but... there is no guarantee. After all, there are still a lot of damages caused by various reasons, so don't worry too much."

After the inspection, the original girl's parents were angry.

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

Covering his stomach, oops screaming.

In the observation room, Chen Cang also lost his mind.

It can be said that all the inspections that can be done have been basically done.

But now there is not the slightest abnormality, this is too unscientific!

Abdominal B-ultrasound, gynecological color ultrasound, abdominal CT, gastroscope, and colonoscopy were all done, but no abdominal pain was found.

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

Could it be... that part that can't be seen in the middle is apart from the problem?

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

Do a capsule endoscopy?

Chen Cang also wants to know now, what is the evil spirit.

This kind of strange abdominal pain has not been seen in a long time!

But looking at the girl's state at this time, Chen Cang felt that it was enough!

Capsule endoscopy can see the entire digestive tract, that is, let the patient swallow a camera the size of a capsule, the camera will walk around the gastrointestinal tract, take pictures continuously, transmit the data to the computer, and finally pull the stool through the stool. come out.

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

But this inspection is expensive!

The endoscopy room of the Second Provincial Hospital can do it, but it costs several thousand, and the hospitalized patients can be reimbursed, but this kind of emergency... is not enough.

At this moment, Chen Cang suddenly turned around and found that the corners of the girl's mouth twitched and her eyes were dull and dull!

!

This time, Chen Cang was frightened!

What's going on here?

However, this situation came and went in a hurry, and it passed quickly.

This signal shocked Chen Cang.

Suddenly thought of a possibility!

He looked at the girls and women: "Excuse me... Does the family have epilepsy?"

As soon as these words came out, the two quickly shook their heads: "No, no epilepsy..."

Chen Cang continued to ask, "Then does she have any history of trauma? Skull."

The girl's father suddenly realized: "Yes! Yes, yes. In July, she fell on a bicycle once during the summer vacation and hit her head. At that time, she was dizzy for several days. She had a head MRI and CT scan and said it was fine. Probably a mild concussion."

Chen Cang said quickly, "I'm now thinking that your girl's performance may be epilepsy!"

As soon as these words came out, the women were startled!

Epilepsy is not a good disease!

That's epilepsy!

To put it bluntly, it used to be a disease that was spurned and laughed at in the countryside.

Who has epilepsy, say it out... It's hard to find someone!

So the woman was frightened enough: "Doctor...Are you kidding me? How could epilepsy have a stomachache? Isn't that twitching and foaming all over?"

Chen Cang shook his head: "I'm just suspicious now, because there is a kind of epilepsy, the main manifestation is abdominal pain!"

"When epilepsy occurs, it may be accompanied by autonomic seizures, also known as diencephalic epilepsy in medicine. The specific types can be headache type, abdominal pain type, limb pain type, syncope type or cardiovascular seizure."

"So, after so many tests have been done, I now suggest that we do an EEG to try to find the cause."

The girl's parents are very sensible, and they agreed quickly upon hearing it!

The typical epilepsy is indeed convulsions, disturbance of consciousness, and foaming at the mouth. Everyone knows it.

However, atypical epilepsy may present with abdominal pain, because the abnormal discharge of the brain may be related to the nerve disorder in the abdomen, causing abdominal pain.

Such an example is rare, but it has happened!

Otherwise, it will not be written in the textbook.

So when Chen Cang saw that the girl had an absence seizure, he suddenly thought of this possibility.

Very rare cases have greatly increased Chen Cang's interest.

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

Compared with ECG, EEG is slower, but Chen Cang estimates that epilepsy can definitely be found.

Because the girl has had several seizures today, and she had a small seizure just now.

Soon, the EEG results came out!

Chen Cang looked at the waveform diagram, but he was not very good at interpreting...

The doctor who examined said: "Doctor Chen, do you see it? These 3 times/second spike and slow waves are synthesized, and bilaterally symmetrically synchronized... This is a typical EEG manifestation of petit mal epilepsy!"

Hearing this, Chen Cang was instantly overjoyed!

Finally found the reason why!

EEG examination plays a decisive role in the diagnosis of epilepsy.

And now, the truth is out.

Li Yan from the examination department was a little surprised: "This is the first time I have seen such a patient!"

Now that the cause was found, Chen Cang called the neurology department and asked for a consultation.

After Zhang Lingyun heard this special medical record, he hurriedly ran down.

"Xiao Chen, I have seen such a patient for so many years, that is, when I was in school! I didn't expect to meet again!" Zhang Lingyun was a little excited.

Diagnosed with epilepsy, the girl's parents were still in charge of her studies, so they hurriedly asked for leave and went to the neurology department to go through the hospitalization procedures.

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