Practicing Medical Skills in a Small Clinic novel Chapter 734

Chapter 734: Chapter 340: Stone Expulsion and the Deadly Limin Clinic

Don’t assume the patients are foolish.

Li Jingsheng and Luo Cheng were compared briefly, and the difference was clear.

"Thank you for your trust, please follow me."

He took her into the medical exam room, and since she was a female patient, Li Jingsheng specifically called Meng Luo to join them.

According to hospital regulations, when a male doctor examines a female patient, a female medical staff member is required to be present. It can be a female doctor or nurse.

This is to prevent any misconduct by male doctors during examinations.

If a female patient shouts ’inappropriate conduct,’ having a third person in the room can clarify the situation.

After performing an ultrasound on the patient, it showed high echogenicity with shadowing, and there was also hydronephrosis.

At this stage, Li Jingsheng felt more confident in his diagnosis.

"It should definitely be ureterolithiasis. Because there’s hydronephrosis, I’m a bit worried there might not just be urinary stones but also kidney stones. But judging from your described pain symptoms, the stones should be quite small. We can prioritize conservative treatment; I’ll prescribe some stone-expelling medication and guide you to drink plenty of water and engage in activities to expel the stones."

Li Jingsheng explained to the patient.

If the stone diameter is less than 0.6cm and it has a smooth surface, theoretically, they can be expelled through conservative treatment.

If some stones are stubborn, not smooth or oddly shaped, and can’t be expelled, we can consider extracorporeal shock wave lithotripsy.

Ureterolithiasis is not considered a major illness; as long as it is detected timely, correctly diagnosed, and treated scientifically and reasonably, it can be cured quickly.

"Hmm, I’ll follow your advice."

The patient nodded in agreement.

"Earlier, you mentioned that intense pain could indicate a good thing, implying smaller stones?"

She was curious about this question.

"There’s no absolutes in nature. From my clinical experience, large stones cause less pain due to restricted movement in the urethra or kidney. Small stones have greater mobility and roll around, causing intense colic and radiating pain. They often trigger sudden severe pain, accompanied by nausea and vomiting symptoms.

Your nausea and vomiting were actually due to the extreme pain."

Li Jingsheng gave her a detailed explanation of the pathological mechanism.

"Got it. Thank you for educating me on this topic. Next time, when similar symptoms occur, I’ll know the cause." She looked like she learned something valuable.

A long illness makes a good doctor.

Having dealt with this illness once, she’ll indeed be capable of diagnosing similar symptoms next time.

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