Chapter 886 (2/2)
The young man was lying on the clinic bed. Ji Changlin folded his leg up, moved it, and then pressed it gently.
”Come and take another pulse.”
The young man got up and went back to the chair outside. Ji Changlin took his pulse and frowned slightly.
”You stand up and take a few steps inside and outside. I'll see.” Ji Changlin added.
The young man stood up, walked out, walked outside and came back. The corners of his mouth pulled, as if it hurt badly.
”All right!” Ji Changlin said, ”sit down and have a rest.”
”Did you exercise too much?” Ji Changlin asked.
”How do you know, doctor?” The young man was surprised. He didn't say he was an athlete when he came in just now.
”I can see it.” Ji Changlin smiled, ”is my doctor for decades white?”
As soon as the young man's mother came down, ”doctor, what disease do you say my son has? Is it a muscle strain? ”
”No, he has a pubic fracture.” Ji Changlin said.
”It's impossible. I don't know whether I've fallen or not? Never had a fracture. ” The young man doesn't believe it.
Ji Changlin smiled gently, ”if you haven't fallen, it doesn't mean you won't fracture. You're exercising too much. Quantitative change causes qualitative change.”
Guo Xiang smiled. Master also knows philosophy.
”But MRI and CT didn't show a fracture, but the bone marrow was swollen.” Guo Xiang said.
”This kind of fracture is extremely subtle. You may not be able to get it through those examinations. You use more good machines to form inertial thinking. When there was no MRI before, what was the use to judge whether there was a fracture?” Ji Changlin asked.
”X-ray machine...” Guo Xiang replied.
”Yes, the X-ray machine is more obvious. Enron, he should only have a fine crack, which may be difficult to see. Moreover, after dragging for so long, he has proliferated and periosteal edema. It's understandable that you can't see it.” Ji Changlin said.
Guo Xiang blushed. Yes, he seems to rely too much on those high-end machines and forget the most basic ones.
”It's a fracture. Of course it hurts, but it's not serious. It's easy to treat.” Ji Changlin said to the young man, ”don't worry. I'll prescribe you a medicine for internal and external application. You can be cured in half a month.”
”Really?” The young man and his mother were overjoyed.
”Really, I don't believe you can do another X-ray and have a closer look.” Ji Changlin said.
They did it naturally. They did so much inspection, and it's not bad for this one.
So I took another film and did it very carefully. When the film was washed out, there was a very thin crack.
Because of some hyperplasia, the surface of bone is a little rough and not obvious, so it is easy to be misdiagnosed.
Guo Xiang remembered that this should be a fatigue fracture.
Because I'm not good at orthopedics, I didn't remember just now.
The young man is an athlete, and because there is a competition, he practices hard. He exercises too much, which leads to fatigue fracture.
Because he had never fallen, he never thought about the fracture himself.
Unexpectedly, bone marrow edema caused by fracture led to misdiagnosis by doctors in several hospitals.
He was afraid to go to the cancer hospital. As a result, he was worried about gain and loss, creating the current situation.
Fatigue fractures are often caused by long-term non physiological stress in the bone system. There is no typical history of trauma in clinic. Early X-ray plain film is usually negative, so it is easy to miss diagnosis or misdiagnosis.
This disease often occurs in the army, especially in recruits. Recruits are inexperienced and are easy to suffer from sudden increase in exercise, so it is also called marching fracture.
Finding the reason, the young man and his mother were relieved. They were very grateful to the old traditional Chinese medicine. Unexpectedly, the disease that had plagued them for so long was easily found out by a traditional Chinese medicine. They had known to see the traditional Chinese medicine earlier.
Because it's not bad and serious, there's no need to put on plaster. Ji Changlin prescribed medicine. Guo Xiang told them to have a good rest and supplement more calcium and vitamin D. they should be well soon.
They left the hospital with a thousand thanks.