My Medical Skills Give Me Experience Points Chapter 1244 - 490: Divergent Fates, Reaching the Threshold of Top-tier Diagnosis_3

~3 minute read · 718 words
Previously on My Medical Skills Give Me Experience Points...
Zhou Can assesses a patient suffering from life-threatening low blood pressure and suspected internal bleeding. Through a detailed physical examination and digital rectal exam, he narrows down the potential cause to the upper digestive tract. While prioritizing emergency imaging tests to further stabilize the patient, Zhou Can agrees to support the medical team throughout the critical process at the request of his colleague, Ali.

The hemoglobin level is recorded at 56g/L, and the white blood cell count remains at 7.3*10^9 per liter. Observations show neutrophils at 0.87, lymphocytes at 0.15, and platelets measured at 132*10^9 per liter.

Specifically, the stool occult blood test returned a positive result of three plus signs, and white blood cells were also positive. No indications of eggs or amoebic trophozoites were detected.

Urinalysis results are negative.

It appears the patient has suffered significant blood loss, given that his hemoglobin count is critically low.

However, taking into account that the patient has been passing dark stools for over a month, the acute blood loss might not be as severe as one would initially assume.

It is difficult to find the words!

This current bleeding episode acts as the proverbial straw that breaks the camel’s back.

Constant, long-term internal bleeding has taken its toll; even a body with the reserves of a blood bank could not sustain this level of depletion.

"Doctor, is my son in mortal danger?"

The patient’s mother, a woman in her forties, wept continuously with eyes brimming with anxiety and terror.

It was actually the patient’s father who directed his inquiry toward Zhou Can.

The family’s attire suggests they are typical city dwellers, living ordinary lives.

They do not appear particularly affluent, yet they are not destitute either.

"Currently, his blood loss is severe. Why was he not brought to the hospital sooner? Waiting over a month is an incredibly careless decision!"

Zhou Can’s tone carried a faint note of reproach.

Nevertheless, it was rare for him to truly scold a family in such a state.

"Ah, the lad never told us a thing. Ever since he grew up, communication between us has been poor. After the winter break ended, he did nothing but play games in his room or wander about with his classmates."

The patient’s father sighed repeatedly while shaking his head.

A twenty-year-old son, if he possessed any maturity, would take on part-time work during the holidays to cover expenses, thus easing the burden on his parents.

If he is somewhat willful, however, he spends every waking moment obsessively gaming.

The patient likely felt slightly indisposed but simply couldn't be bothered to inform his parents.

Furthermore, many people never bother checking the color of their stool, opting to flush immediately after use.

Even if he had noticed the black coloration, without medical insight, he would hardly have suspected danger.

"How can you say that? It’s because you constantly scold and strike him at every opportunity, which makes him terrified of sharing anything with us! Our son is already in this condition, and you still insist on rebuking him, sob..."

The patient’s mother cried out in grief.

Witnessing his wife's collapse, the husband remained silent.

Soon after, the X-ray results for the chest were ready.

There were no obvious anomalies.

This signifies that the heart and lungs remain functional; these organs are vital for sustaining life, as one manages respiration while the other governs blood circulation.

The abdominal ultrasound followed shortly thereafter.

The scan indicated a slightly enlarged spleen, though the liver, gallbladder, and pancreas appeared normal.

Indeed, consistent with Zhou Can’s prior hypothesis, the focal point of the bleeding is likely within the upper gastrointestinal tract.

It seems that since his Hemostasis Skill reached Level 6, it has served as a legitimate auxiliary tool when evaluating patients suffering from internal hemorrhaging.

With continued accumulation of diagnostic experience, he will eventually reach the caliber of the industry's top experts.

All it will take is one look at a patient and a brief overview of their medical history to accurately pinpoint the lesion.

Previously, he assumed surgical skills were limited to the operating table. Now, having reached a level equivalent to a chief physician, he was pleased to discover that surgical proficiency can be integrated with pathological diagnosis to provide auxiliary diagnostic insight.

He could not suppress a sigh; the Experience Points system truly is a remarkable asset.

Deprived of this system, his skills would never have advanced at such a rapid pace.

He would certainly not be garnering such widespread approval from chief physicians.

"Let's proceed with an emergency gastroscopy! We can effectively isolate the source of the bleeding to the upper gastrointestinal tract."

Zhou Can instructed Ali.