My Medical Skills Give Me Experience Points

After careful observation, Zhou Can made a preliminary conclusion.
The patient is suffering from myocardial infarction, or the possibility of decreased thyroid function, and adrenal cortex insufficiency can be preliminarily ruled out.
This further convinced Zhou Can that the patient’s condition was caused by excessive sweating.
"Ah, I was really mistaken earlier, how could I not have thought of this aspect?"
Yu Xin realized the cause of the illness after hearing Zhou Can’s explanation.
After hydrating the patient and removing the covering clothing to prevent further excessive sweating.
Soon, the patient’s blood pressure returned to normal.
Yu Xin breathed a sigh of relief.
The sudden incident just now really scared her.
"All is well, it was just a false alarm."
Zhou Can shrugged his shoulders, getting ready to leave.
However, the intern responsible for the patient in bed 67 came up to him respectfully yet nervously, "Dr. Zhou, could you please help us examine our bed’s patient? Until now, we still haven’t been able to identify the cause of the illness. The patient had diarrhea earlier, but the abdominal pain still hasn’t eased."
For patients with abdominal pain, especially those with acute enteritis, abdominal pain symptoms usually lessen after diarrhea.
This patient has been in pain for over fourteen hours with no alleviation of symptoms, making Doctor Huang Liang, who recently had a near-miss, extremely anxious.
He feared it might be a dangerous condition like intestinal perforation.
Unlike a training resident, he is already a senior resident doctor; his role isn’t just limited to overseeing patients.
But, he is responsible for the entire treatment process of his patients.
Simply put, he is the attending physician.
Zhou Can turned to look at bed 67 and saw Huang Liang standing there awkwardly, barely managing a stiff smile.
This person is really interesting.
He couldn’t lower his pride to ask Zhou Can for help directly, yet he sent his intern to request Zhou Can’s assistance.
"My expertise is also quite limited; I can only offer some suggestions, which might not necessarily be correct."
Zhou Can was very modest.
He walked over to bed 67 and began a preliminary visual examination of the patient.
"Dr. Zhou, Director Zheng told us to learn from you as you have recently diagnosed several difficult cases. You are too modest! This patient’s condition is worsening, I have made some diagnoses, but I am worried about misdiagnosing, so I would like Dr. Zhou to help take a look together."
Huang Liang spoke up gingerly.
His words praised Zhou Can, but he wasn’t willing to belittle himself too much.
"Could Doctor Huang please share your diagnostic opinion?"
Zhou Can asked him.
"Based on the patient’s symptoms, I am inclined towards acute gastrointestinal perforation, or acute cholecystitis," Huang Liang gave two diagnostic opinions, indicating he wasn’t confident at all.
Even so, he was pretending to be confident in front of Zhou Can.
Zhou Can didn’t expose him.
Instead, he took the patient’s records and started to look them over carefully.
The patient’s abdominal ultrasound showed no abnormal shadows, and the abdominal plain film was also normal.
The patient, in his prime at 31, had gone out last night for drinks and hotpot with a few friends, feeling severe pain in the upper abdomen afterward. After suffering for several hours without relief, the patient headed to Tuya Hospital’s emergency room. The anti-inflammatory treatment at the emergency had no effect. The capability of the emergency room was limited, and the patient was referred to a specialty for further diagnosis.
The patient had vomited several times, the vomitus consisted of stomach contents, the pain was localized with no transfer to the chest, no chest tightness, no fever or chills, no urinary urgency or pain, no blood in the stool or vomitus...
After reviewing the information, Zhou Can made a mental assessment of the patient’s condition; it was an acute condition but not as severe as imagined.
It was likely an acute condition caused by overeating and drinking.
Hotpot is generally very spicy and hot.
Coupled with alcohol consumption, any latent diseases in the body were triggered.
The patient’s WBC: 22*10^9/L, blood sugar 15.3mmol/L. Heart rate 85 beats per minute, no family history of diabetes...
The patient’s cardiac enzymes were normal.
Calcium levels dropped, blood sugar was elevated, lipids were significantly higher, and the blood amylase level also increased.
Cholecystitis was indeed possible.
But acute gastrointestinal perforation was unlikely.
Zhou Can tried to press on the patient’s abdomen, the patient cried out in pain whenever the upper abdomen was pressed. There was no response when other areas were pressed.
"Try bending your knees to your chest."
Zhou Can told the patient lying on the bed.
The patient did as instructed, a look of relief on his face.
"It doesn’t seem to hurt as much now!"
The patient’s pain was relieved, increasing their trust in the young doctor’s medical skills.
"Have you experienced similar abdominal pain in the past?"
Zhou Can asked after temporarily alleviating the patient’s pain.
"No, I’ve never had such pain before."
The patient shook his head.
His girlfriend stood by the bed, looking worn out. Anyone who stayed up all night next to a suffering patient, filled with fear and worry, would likely appear this way.
"Do you smoke?"
"Yes!"
"Has his complexion always been this yellow?"
"It doesn’t seem so! He used to be quite fair," the patient’s girlfriend thought for a moment before answering.
"Doctor Huang, based on the patient’s symptoms and the various auxiliary examination data, mild jaundice is apparent. Also, the abdominal ultrasound and plain film showed no abnormalities. My diagnostic opinion is acute pancreatitis. I believe his jaundice is likely caused by an enlarged pancreatic head compressing the common bile duct, leading to mild jaundice symptoms. Elevated blood amylase is an important basis for diagnosis."
After examining the patient, Zhou Can, integrating all examination data and patient symptoms, made a preliminary diagnosis.