Chapter 2351: Student Xie, Come Here
After finishing their tasks, they returned to the emergency room’s surgery consultation room. The three students sat on a chair to catch their breath. After resting for a while, the three of them realized: Eh, why haven’t any patients come?
Evidently, the parents who brought their children for consultations were scared away by the previous incident in their consultation room. They could only wait for emergency nurses to bring in patients. Feeling thirsty, Duan Sanbao took out a can of tea leaves from his backpack and asked the other two, "Want some tea?"
Student Wei wiped his brows and eyes at him: Aren’t you afraid there won’t be any patients? We won’t have food to eat.
Doctor Duan, like Doctor Song, isn’t lowering his head because of a lack of confidence. He isn’t afraid of not having patients. Soon the parents of these children will realize how capable he is.
"Sure." Xie Wanying replied.
Yingying—Student Wei covered his face. Student Xie is too nice, always looking out for everyone’s feelings.
Speaking of tea, Duan Sanbao remembered something and asked her, "Is your friend selling tea leaves, Dr. Xie?"
"Yes—" Xie Wanying was surprised. She had just arrived and hadn’t talked much with anyone, and her childhood friend hadn’t come to Shou’er. How could Doctor Duan know what her childhood friend did?
Receiving her questioning look, Duan Sanbao quickly turned his head, afraid she would discover the secret. He had heard everything about her from his grandmother.
No patients were coming, so Wei Shangquan couldn’t help but go find classmates from internal medicine to check other cases. Internal medicine Doctor Tian happened to need a surgical doctor for a consultation and heard that their group was free. Having experienced Student Xie’s skills last night, Doctor Tian immediately called: Student Xie, come, come.
Upon hearing Teacher Tian’s call, Xie Wanying led her classmates to the side of the emergency bed.
They saw that the patient was a nine-year-old girl who came for recurrent urinary tract infections. The patient’s recurring condition raised clinical suspicion.
For children, many recurring symptoms are later confirmed to be congenital diseases. This clinical phenomenon occurs in adults too.
Doctor Tian suspected whether there was an issue with the child’s ureteral vestibule. The normal physiological structure of the ureteral vestibule is such that urine from the ureter to the bladder should not flow backward. There’s a congenital disease called congenital ureteral valve disorder, where at the junction of the ureter and bladder, an extra protruding mucosal fold grows, called congenital dysplastic valve. This protruding foreign body necessarily obstructs urine’s normal flow to the bladder, causing recurrent urinary infections, increased urinary stones, and other symptoms.
To confirm this disease, it’s best to conduct a contrast examination. Before that, ultrasound can be used to check for any signs like ureteral dilation. Urine tests can also reveal the presence of red cells and infection. The mentioned tests also signify urinary stones, making them indistinguishable at once.
Doctor Tian handed the available test reports to Student Xie, hoping her third-eye brain could help discern her suspicions.
Xie Wanying received the teacher’s commission, but after examining the patient and reading the reports containing only ultrasound and urine blood tests, she couldn’t detect the congenital disease that Teacher Tian suspected. In her opinion, Teacher Tian’s suspicion was understandable but seemed to be in the wrong direction.
"What do you say she has?" Doctor Tian asked in surprise upon hearing her feedback.
"Teacher, children can also have ’Yin’ (sounds like ’in’) vaginitis. I’ve noticed her hand keeps reaching below." Having recently come from the obstetrics and gynecology department, Xie Wanying was familiar with this condition. Admittedly, specialized children’s gynecology departments are rare in domestic pediatric hospitals.