My Medical Skills Give Me Experience Points-Chapter 441 - 201: Determining the Cause of Illness, Crying is Actually a Good Thing

Chapter 441: Chapter 201: Determining the Cause of Illness, Crying is Actually a Good Thing

"The following steps are relatively straightforward, involving arranging for the patient to undergo 24-hour electroencephalogram monitoring and bowel sound monitoring and localization.

For this examination, the patient needs to stay in the hospital, but it is not considered an admitted stay.

It’s just a testing procedure.

After a day of monitoring, both the 24-hour electroencephalogram data and bowel sound localization for the patient were completed.

Naturally, Zhou Can didn’t need to do this himself.

Director Jia temporarily assigned two interns to monitor and localize the bowel sounds of the patient.

Monitoring bowel sounds does not require 24 hours; it mainly focuses around meal times, half an hour before and after meals. However, the doctor conducting the monitoring needs to produce an accurate localization map.

This task requires substantial professional knowledge.

It’s essential to clearly know where the bowel sounds are coming from within the intestines.

Using two interns for this task also ensures that no details are missed, maximizing accuracy.

Inside the Digestive Surgery consultation room, about a dozen doctors sat together for the consultation.

Including several attending physicians from Digestive Surgery who were present.

A total of five complex cases and surgical planning required everyone’s collective insight and consultation.

The first case discussed at the consultation meeting was this pseudo-enteritis case.

"This patient is 17 years old, with diarrhea for over two years, and the symptoms are highly similar to enteritis,"

Director Jia began by introducing the patient’s condition, then displayed the patient’s medical reports and other data on a public screen.

"Exactly, this is typical enteritis!"

A young associate chief physician in his forties concluded after reviewing the data.

"I’m familiar with this case; about half a month ago, Digestive Internal Medicine asked me to consult with them. We discussed it for a long time and couldn’t find the real cause. It’s definitely not common enteritis. The patient has been treated in several major hospitals to no avail."

The speaker was Director Xiao of Digestive Surgery, who is 56 years old and also serves as the head of the department.

In terms of diagnostic and surgical skills, he is second only to Director Jia.

The associate chief physician who spoke first was immediately contradicted.

Being young, it’s easy to make impulsive statements and get contradicted.

"Not common enteritis, then what could it be? A chronic intractable enteritis similar to Crohn’s Disease?" The associate chief physician asked with a flushed face.

At over forty, he’s considered a ’youngster’ among the doctors.

This associate chief physician still has quite a strong drive and initiative.

During the consultation, everyone spoke freely without reservations.

Not to mention anything else, this associate chief physician’s enthusiasm definitely deserves encouragement.

"Crohn’s Disease can be ruled out, but the possibility of chronic enteritis can’t be disregarded,"

Director Xiao answered.

"Dr. Zhou Can from our group believes that the patient has pseudo-enteritis. We have already arranged for the patient to undergo 24-hour EEG monitoring and bowel sound monitoring yesterday. Now, Dr. Zhou will introduce his diagnostic approach to everyone!"

Director Jia did not take any credit for himself.

He directly pushed Zhou Can forward.

The whole room was in an uproar, with all eyes focused on Zhou Can.

Zhou Can stood up to introduce his diagnostic approach to many senior physicians.

After finishing, without waiting for him to sit down, Director Jia signaled to him, "Zhou Can, the monitoring data you requested is now available; please introduce your diagnostic conclusion to everyone."

The consulting doctors, after listening to Zhou Can’s diagnostic approach, were prompted into deep thought.

For this outstanding resident who has repeatedly made significant contributions, several chief physicians no longer regard him as just a resident but treat him on an equal level.

"Comparing the brainwave data observed, I found that the patient’s brainwave signals are roughly as I predicted. Only during sleep do the brainwaves normalize, and at this time, there are no bowel sounds, indicating that the patient is consistently in a highly tense state when awake during the day. This further suggests that the patient’s long-term diarrhea is interrelated with mental stress."

"Additionally, after eating, the bowel sounds can approximately suggest that after the food passes through the preliminary digestion in the stomach and enters the duodenum, the intestinal motility is much faster than normal. I have reason to suspect that after the food enters the intestines, it rapidly moves through intestinal motility, reaches the rectum, and then is expelled from the body. The abnormal activity in the intestines is likely influenced and controlled by abnormal neural signals."

Zhou Can spoke confidently, using firsthand monitoring results as evidence.

He directly pointed out that the patient’s illness is a neurogenic gastrointestinal dysfunction.

"As everyone knows, gastrointestinal neurosis is actually a disruption of gastrointestinal function, functional indigestion, which is the general term for a gastrointestinal syndrome. It is caused by a disorder in higher nervous activity leading to a dysfunction in the autonomic nervous system."

It mainly manifests as a dysregulation of the motility and secretory functions of the gastrointestinal tract without histological organic changes, excluding gastrointestinal dysfunction caused by other systemic diseases.

"If we look beyond some of the misleading appearances of this patient’s symptoms, we will find they highly resemble neurogenic digestive dysfunction."

After Zhou Can delivered his diagnostic conclusion, the other doctors again fell into deep thought. frёewebnoѵēl.com

"Your analysis is quite logical and has some supporting evidence, but we still cannot definitively diagnose this condition!" The ’energetic’ associate chief physician was the first to raise doubts.

"To confirm the diagnosis is actually not difficult. We can administer psychotropic drugs to alleviate mental anxiety to the patient, and when the patient’s brainwaves stabilize, allow the patient to eat. Then we observe whether the patient’s intestinal motility returns to normal."

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