The female patient, 20 years old, is a sophomore.
One late at night, it was Xiao Liu on duty in the emergency room. Recently, due to epidemic prevention and control, no patients have come to the emergency department. He thought he could spend the night safely, but he didn't expect something incredible would happen next...
The girl was holding the girl was a young man who looked twenty-five or six years old. The female patient dressed very young and beautifully, the boy looked a bit ordinary, and the relationship between the two looked strange.
is here to accompany the patient to see a doctor. I feel that the two of them are at least friends. However, the female patient covered her stomach, sweat beads on her forehead, and her lips turned white. The boy stood aside in a hurry, not daring to touch her.
female patient complained about abdominal pain. After Xiao Liu finished the examination of the patient, she asked her: Is the menstruation normal? Pregnant?
The little girl is weak and her reaction is half a beat slower. She glanced at the boy, feeling a little concerned about his accompanying him, and said in a low voice: "Well, normal, I'm not pregnant."
Looking at this scene, Xiao Liu thought it was a couple dating together, and the girl was uncomfortable, so the boy sent her to see her for a doctor. seems to have another mystery now. The problem is, abdominal pain is not that simple either.
Many people don’t understand. But for doctors: abdominal pain may be related to a variety of conditions. Ectopic pregnancy , corpus luteal rupture, digestive tract perforation and other acute diseases are possible. It is not just a patient who says abdominal pain that the doctor can immediately find out the cause.
Looking at the man and the woman in front of her, she didn't seem to be able to make an idea, and Xiao Liu was also very troubled. Now you need to arrange blood routine and have an abdominal CT to see if it is acute abdominal .
As expected, when he said this, the young girl immediately looked embarrassed. The boy who was stunned by the side reacted and said to the girl, "Then, I'll help you with the pad first." The girl nodded silently.
Xiao Liu glanced at the two of them, took back his eyes, and began to wait for the emergency CT results and blood routine results. When I really saw the test form, Xiao Liu felt it was a bit tricky. It turns out that the result shows that CT shows that everything is normal, and the leukocyte has a higher value of .
cannot find out the cause of the disease. The young girl covered her stomach and looked listless. Because of the severe abdominal pain, she didn't speak much. The boy was also very silent, and Dr. Xiao Liu didn't know who to talk to.
For safety reasons, Xiao Liu can only use painkillers for the female patient for the time being. After finally settled them down, the nurse bell rang again as if it was the effect of the painkiller.
The little girl took a while and finally slept for a while. Now I cried so hard that my pear blossoms were raining, saying that my stomach felt like it was "electric" and it was so painful. The boy stood aside, staring at the doctor at a loss.
Now, several doctors are surrounding the female patient for a re-examination, but they still can't find any problem. Someone asked, could it be aortic dissection ? But it was quickly denied.
Such a young girl, without underlying diseases, is unlikely to be very high. Another person asked again, could it be the early stage of allergic purpura , but the skin rash has not yet appeared?
Everyone looked at each other, there was indeed such a possibility. But if it is an arterial dissection, it will kill people in minutes. Now, you can’t be lucky!
Looking at the doctor's expression so serious, the boy asked in a low voice: "What should I do now? Are you going to do something to do?" The doctor nodded and needed to do an abdominal aortic CTA.
When the result was returned, the doctor's face became even more ugly! The good news about is that no obvious vascular lesions are seen. The bad news is that the cause of the disease cannot be found, the female patient has severe abdominal pain and her overall condition is too poor. What to do if
? What should I do?
Currently, you can only use hormones and painkillers first. These two drugs can be treated symptomatically and have certain safety. However, unexpectedly, after taking the medicine, the situation changed 180 degrees.
The female patient who was supposed to relieve the pain suddenly started yelling, pulling the corner of the nurse's clothes and saying that she was in pain, as if she had been electrocuted.
The boy who has been paying for the treatment has also begun to be unable to sit still. This is beyond his handling range. The boy looked embarrassed and said to our doctor: "My unit still has something to do, I need me to go. I am not her family either, so you can find her family."
The cause of the disease that cannot be found, the female patient howling in pain, the boy who ran away...
There are too many problems in front of the doctor. The condition is so strange that the cause cannot be found for the time being. The doctor is considering laparotomy and exploring . However, at a critical moment, , the guardian of the patient, could not be contacted.
On the other hand, the girl struggled to get up and wanted to sign the operation informed consent form for herself. On the other side, the nurse looked for her immediate relatives or university counselors based on the female patient's mobile address book.
for the safety of the patient's life, everyone was busy. At this time, a call was received from the office, informing the stop of preoperative preparations and no laparotomy investigations were performed!
What's going on? Why did such an urgent matter suddenly stop?
Preoperative results show: Syphilis is positive! Severe abdominal pain? It’s simply that syphilis is invading the abdominal nerves! Female patients have syphilis infection (incubation period)!
coincidentally, the university counselor who rushed to the hospital found us. It turned out that the nurse contacted her counselor through the young girl's cell phone.
Based on the counselor's narration, the whole story of the incident was slowly deduced...
It turned out that the girl was studying for a tourism management major in a junior college. Most of the students who should have spent time in professional internships now live in school dormitories and are often neglected to manage.
According to the girl's roommate's reaction, girls of this age prefer beauty and like online shopping. If you don’t have enough pocket money, you will find some part-time jobs to do it. They all say that because of the school living, it is not easy to find offline part-time jobs. Many students like to make money by broadcasting online.
is one of them. He relies on the income from live broadcast rewards to be pocket money, and occasionally goes out to see the "big brother" who gives her rewards. After all, it is not 24 hours a day to monitor the students' whereabouts, and the counselor only found out afterward that the girl often stayed at night.
As for the syphilis infection, this is the first time the counselor has heard of it. Even her roommates are not very clear about the specific details.
At this point, the truth is revealed. Doctors give long-acting cilin treatment.
think it is athlete's foot, dermatitis ? It may be syphilis rash
When the spirochete of syphilis enters the human blood, it may constantly invade the body's skin, mucous membranes, bones, internal organs, cardiovascular tissues, etc.
If you have an unclean life history, you should be careful of the so-called "dermatitis" and "player foot" on your body. Because these are very likely to be syphilis rash!
plus syphilis rash may occur repeatedly. The symptoms are mild, so they are often easily overlooked. Especially after syphilis enters the incubation period, when immunity is low or treatment is suspended, it may repeat.
