novelraw Chapter 363 - 188: A False Alarm, Toyed by a Germ
Chapter 363 - 188: A False Alarm, Toyed by a Germ
Li Jingsheng didn’t stop the examination after finding a tender spot, but continued to press her abdomen.
Pressing along the right side of the abdominal cavity, she kept crying out in pain.
As he approached the pubic area, the patient’s response to the pressure remained intense.
"All done!"
After speaking, Li Jingsheng was the first to leave the infusion room, and Han Siying helped her get off the bed, then followed along.
"Do you usually have blood in your stool besides diarrhea?"
"I think a little, but it’s not very severe. Just some blood streaks."
"Do you experience frequent abdominal pain?"
"I’ve been having frequent abdominal pain recently, but it usually subsides on its own after a while."
Indeed, as someone studying medicine, her answers were quite detailed.
"Is it dull pain or sharp pain?"
"Dull pain, I guess!"
"I’ll give you an ultrasound to check the state of your abdominal cavity."
"Alright!"
As she agreed, she took out her phone to scan the payment code on the examination table.
"Is it a hundred yuan?"
It seems she had already asked Han Siying about it yesterday.
"Aren’t you Siying’s classmate? We’ll waive this examination fee for you! After all, for our clinic, these are ready-made facilities, and there’s no major wear and tear."
The electricity cost can practically be ignored.
During the examination, Li Jingsheng noticed that her underwear waistband was worn out from washing, and the clothes she wore were extremely simple. Although the neckline and cuffs were clean, they were severely frayed and unraveling.
Her ear-length hair was clipped with a black hairpin, the kind that costs one yuan for a bunch.
Girls nowadays love beauty, especially at her age, the prime of a girl’s life, yet her simple attire suggests one thing only — lack of money.
If the financial situation were slightly better, she wouldn’t wear underwear to such a state, reluctant to throw them away.
Li Jingsheng himself also had a time of extreme financial difficulty, knowing well that a penny can be an obstacle for a hero.
She’s so ill yet reluctant to get checked at a large hospital, not due to ignorance of medical issues but for fear of affording the treatment.
Meeting Li Jingsheng was indeed her luck.
"It’s really embarrassing to not pay!"
"It’s okay, there’s really no need for the examination fee. This is the treatment for a familiar face. Later, if I can diagnose your illness and treat it here, then you can pay for the medicine."
Li Jingsheng tried to maintain her dignity.
No other familiar face gets this treatment.
He charged 100 yuan for the imaging.
After all, this is a clinic, not a charity.
"Alright then! Thank you, boss!"
She smiled and agreed.
After examining her abdomen with ultrasound, the conclusion was a significant thickening of the intestinal wall.
The ascending colon, transverse colon, and descending colon walls all showed considerable thickening.
The haustra were absent, with mucosal thickening primarily, yet the layers of the intestinal wall remained.
The thickened intestinal wall had abundant blood flow, indicating the lesion was in an acute active phase.
"Alright, put your clothes and pants back on."
Li Jingsheng finished the ultrasound, letting out a sigh of relief.
The biggest worry was colorectal cancer.
During the tender point check, she complained of pain all around right side of her abdomen.
Extending down to the posterior wall of the pelvis.
This clearly showed problems with the colon, and possibly some issues with the rectum.
The human colon is M-shaped, positioned around the outer abdominal cavity.
Colon and rectum are the most prone to cancer, and combined with her prolonged low-grade fever, diarrhea, and some degree of bloody stool, this seemed a lot like the symptoms of colorectal cancer.
Fortunately, the ultrasound didn’t reveal any obvious tumors.
He was worried about finding cystic or solid tumors during the ultrasound examination. After completing it, he was relieved.
Sometimes misfortune specifically seeks out the unfortunate; the weak spot of a rope is where it snaps.
It’s really difficult for a poor family to nurture a postgraduate student.
This girl might be the hope and pride of her entire family.
Once she graduates with her doctorate, her destiny is likely to change.
Poverty is only temporary.
He began to analyze the cause of her illness.
The lesion was mostly identified, showing colon changes, possibly impacting the mesentery as well.
Her colon mucosal issues were prominent.
No local abscess was found, meaning bowel perforation could be ruled out.
The issue shouldn’t be severe.
Based on her symptoms and the ultrasound results, several compatible diseases come to mind.
For example, chronic bacterial dysentery requires stool routine and culture for diagnosis.
Others include chronic amoebic colitis, Crohn’s disease, irritable bowel syndrome, colitis, schistosomiasis, intestinal tuberculosis, etc.
Li Jingsheng considered these diseases one by one.
His current gastro diagnosis was at Minor Achievement level, which is truly at the level of a seasoned attending physician. Plus, he has Master Level external general diagnosis, and both internal and external auxiliary diagnoses corroborates.
This made his diagnostic ability even more remarkable than a typical senior attending level.
Chronic amoebic colitis mainly affects the right colon, with deep ulcers and marginal creeping, aligning highly with this patient’s case.
However, considering her medical history and mucosal presentation, he ultimately ruled out this highly compatible disease.
The mucosa in this ailment often remains normal.
As for bacterial dysentery, which generally has an acute bacterial dysentery history, this girl didn’t have such medical history.
So it was ruled out as well.
...
Eventually, he believed the possibility of colitis was higher.
But the symptoms of ordinary colitis are generally mild, whereas this girl’s symptoms are more severe. Considering her long illness course and the ultrasound results, he ultimately leaned towards ulcerative colitis as her condition.