Practicing Medical Skills in a Small Clinic

Chapter 607: Chapter 278: Rose to First Place, Prolonged Diarrhea (Part 3)

Now, please look at the third question. Since the examination, testing, and diagnosis of digestive tract diseases are very time-consuming, combined with the judging committee’s desire to reduce the occurrence of safety incidents, this question will mainly be answered in writing."

To put it simply, it’s using an already diagnosed case to have participants make a diagnosis and provide a treatment plan based on the condition.

The organizers consider that on-site diagnosis would be time-infeasible, and besides, the Bone Setting skill in the morning nearly resulted in a big accident, which made the leaders quite apprehensive.

Almost all leaders share a common trait: they are very cautious with matters involving responsibility.

If avoidance is possible, then avoid it.

This is also why getting company or unit leaders to handle tasks can be very difficult.

Inaction is often considered better than having issues arise.

This is the mindset of most leaders.

The difficulty of the first two questions wasn’t high.

The difficulty of the last question will undoubtedly increase significantly.

As soon as the host’s words fell, the question appeared on the large screen.

Patient, male, 37 years old, suffering from diarrhea and abdominal distension for nearly half a year, and only recently admitted for treatment.

Upon admission, he was extremely emaciated and unable to get out of bed on his own.

This is frightening indeed, suffering from diarrhea for half a year without hospital treatment, wasting away to the point of being unable to get out of bed and only then sent for medical care.

Long-term diarrhea like this is akin to a frog in boiling water.

Initially, it seemed insignificant; after all, aside from diarrhea, there was no other discomfort.

However, prolonged diarrhea leads to nutrient loss and poor nutrient absorption.

It’s like a tree that, when lacking nutrients for a long time, slowly turns yellow, roots decay, eventually leading to death.

After inquiring, the admitting doctor learned that the patient was working hard alone in a super-tier city in the south, constantly experiencing diarrhea due to work stress and irregular routine.

The patient has an introverted personality, is not good at conversation, and coupled with poor economic income, has been unable to find a girlfriend.

Later, when the diarrhea lasted for over four months, his body became overly emaciated, leading to symptoms like fatigue, muscle atrophy, and mental exhaustion, eventually getting him laid off.

He subsequently lived alone in a rented room and stopped looking for work.

Until a former female colleague from the company heard he hadn’t been up for over a month, she visited him, found him bedridden, and immediately sent him to the hospital for treatment.

This male patient must have accumulated great virtue in a previous life to encounter such a kind-hearted female colleague.

Or perhaps the female colleague had a fondness for him.

Otherwise, after resignation, people mostly drift apart, with little contact.

Upon examination, doctors found the patient was extremely emaciated, presenting as cachectic, with generalized muscle atrophy, but no anomalies in heart, lungs, or abdomen.

The patient was having bowel movements seven to eight times a day, with large quantities and a foul odor.

Stool examination showed no red or white blood cells, and the hidden blood test was negative.

No parasites or ova were found in the stool.

The symptoms aren’t actually complicated; it’s just diarrhea accompanied by abdominal distension.

The patient self-reported having visited the hospital once but did not identify a clear cause. The doctor prescribed enteritis medication, costing nearly two thousand yuan in total. Since the treatment was ineffective, the patient bought anti-diarrheal medicines from pharmacies multiple times but saw no improvement.

Eventually, the patient simply gave up on treatment.

This is diarrhea led to despair.

Spending nearly two thousand yuan on hospital examinations and medication.

Then purchasing various anti-diarrheal medications, but none had any effect. The patient thought the disease might be incurable, ultimately choosing to abandon treatment.

Living in a first-tier city means significant daily expenses on rent, food, and commuting, leaving little savings each month.

Spending too much money on ineffective treatment is indeed unfeasible.

Li Jingsheng, after reviewing the patient’s basic information, began preliminary diagnosis in his mind.

Opening a clinic has its advantages.

Upon seeing a patient, generally, one doesn’t think of running this test or that, but rather examining symptoms described by the patient, combined with their physical condition, medical history, age, gender, whether there are underlying illnesses, to form a preliminary diagnosis.

Li Jingsheng has developed a habit of processing patients in this manner, making his diagnostic thinking quicker than that of hospital doctors.

It’s somewhat like the difference between domestic rabbits and wild rabbits.

Domestic rabbits don’t have to worry about being preyed upon by foxes, hawks, weasels, etc., and have no concern for food. Living in a rabbit house provides excellent conditions in every aspect.

Consequently, their reactions become dulled.

But wild rabbits face harsh survival conditions outside, having to find food themselves while worrying about various beasts preying on them. So, they are exceptionally alert, escaping with swift and agile moves.

Li Jingsheng is like that wild rabbit.

While those hospital doctors are like domestic rabbits.

At the clinic, Li Jingsheng’s experience and insight possibly aren’t as extensive as hospital doctors’, but his diagnostic thinking is more agile, and his diagnostic direction more acute.

Even if it’s just a slightest clue, he has the ability to detect different nuances.

In medicine, diarrhea is defined by a standard: when bowel movement frequency exceeds three times a day, daily stool weight surpasses 200 grams, and stool’s liquid component increases, it can be defined as diarrhea.

If the stool is watery, it constitutes severe diarrhea.

Conversely, if the liquid component is less, the diarrhea’s degree is relatively mild.

This patient has diarrhea seven to eight times a day, undoubtedly categorized as severe diarrhea.

Following this, analyzing based on the diarrhea’s course.

Diarrhea comes in two types: acute and chronic.

When the course is less than three weeks, it’s defined as acute diarrhea.

And contrary to many patients’ understanding, suddenly having diarrhea isn’t necessarily acute diarrhea.

If the course lasts longer than four weeks, it can be defined as chronic diarrhea.

This patient’s diarrhea has surpassed half a year, clearly defined as chronic severe diarrhea.

Once defined this way, one realizes how serious the patient’s condition is.