"Hello, my name is Garrett Nordmark, a priest of the God of Nature. Whatâs your name?"
"Galina. Galina Sein."
"How old are you this year?"
"Fifteen."
"Whatâs wrong?"
"My stomach hurts..."
Garrett sat cross-legged on the felt, asking softly, while taking notes briskly:
Female, 15 years old, appears to be of the barbarian race, experiencing severe abdominal pain... Forget about hospital admissions, thatâs not an option. The patient is unmarried, nulliparous, with no history of miscarriages, regular menstruation, normal menstrual cycle, period, and amount, and no history of dysmenorrhea.
Miss Silver Dragonâs [Charm Human] is really useful. When asked if she had any miscarriages or something, she didnât jump up and hit me!
In my past life, when asking young female patients these kinds of questions, doctors always had to be on their guard. They needed to observe closely and engage in a battle of wits with the patient, and also beware of being attacked by the patientâs parents. Unlike now, where you can ask anything, and after listening to her heart and lungs, when asked to lie down for an examination, she obediently listens...
Garrett gratefully glanced at Miss Silver Dragon. Having her around is too convenient, making it unnecessary to find a female nurse for examining young female patients. What? She is a Silver Dragon?
Well, a dragon is a girl too!
Garrett sighed and focused his attention on Galinaâs abdomen. At a glance, his expression became serious:
Asymmetrical.
The bulging abdomen, instead of being highest in the middle and symmetrical on both sides, was noticeably leaning towards the right side.
This could be troublesome... The bulge leaning to the right side could indicate an enlarged liver? Right kidney? Intestines? If itâs inflammation, itâs already very serious...
"Garrett, is she pregnant?"
"Shush!"
Garrett hushed without lifting his head, signaling her to be quiet. He warmed his hands and carefully placed them on Galinaâs abdomen, his fingers together, gently touching around the bulging area:
He could indeed feel a large mass. It reached up to the xiphoid process and down to the level of the umbilicus... This position could basically rule out pregnancy... If it were pregnancy, the bulge would be lower, located in the pelvic area, below the level of the umbilicus. So, if this girlâs father were to accuse again, he could immediately retort:
Not pregnant! Where does it look like sheâs pregnant! At least, such a big belly is not caused by pregnancy!
Determining itâs not pregnancy doesnât solve the problem. Garrett continued the examination, the mass on the right side reached the anterior axillary line, and on the left side... it reached the midclavicular line... This is quite severe! Slightly moving it, there was no mobility, tsk, this is troublesome...
Garrett glanced at the medical record beside him and then focused back on the patient. Seraina followed his gaze, her eyes lit up, she waved, and a gust of wind swept out, rolling the paper and pen into her hands:
"Garrett, tell me, Iâll write!"
"Stop it!"
Garrett scolded lightly. Writing medical records is not that easy, even for interns who have studied medicine for a few years, getting scolded by their supervising doctors during their first transcription. You barely understand medicine, how can you write?
âAnd, put down my [Endless Ink Pen]!
Thatâs the light source for the X-ray! About to use it!
"Let me write!"
Seraina pouted, showing her dissatisfaction. She knew what was important, didnât reach out to pull on Garrettâs arm, but still shot out a few colorful light balls, floating up and down not far in front of him, expressing her discontent. Garrett looked at her helplessly:
"Alright, alright, Iâll dictateâyou writeâstart. The whole abdomen is bulging, no significant change in shape when moving positionsâ"
"Whatâs the word for âbulgingâ?"
"Leave it blank for now. No visible stomach and intestinal peristalsis waves, muscle tension in the right lower abdomen, McBurneyâs point tendernessâ"
"Wait, wait, wait! What and what?"
"...See, itâs better if I write it."
Seraina slapped the medical record on his face.
Hmm, considering Miss Silver Dragonâs strength, that was quite gentle.
Garrett shook his head, shaking off the medical record, and continued the palpation. Hmm, the intestines donât seem to be obstructed, so considering the pain and screams, appendicitis is the first concern. And, what exactly is the large mass in the right abdomen?
Garrett pondered as he moved the [Endless Ink Pen] up.
His pupils suddenly narrowed:
Inside the mass in the patientâs right abdomen, he saw calcification points that shouldnât be there!
Alright, seems like itâs time for an ultrasound. Garrett quickly finished the abdominal X-ray, pulled out a precious little bottle, and applied ultrasound coupling agent on the patientâs abdomenâbasically, glycerin. Cheap, mass-produced, widely used, and can also be used to synthesize various useful things...
Even if using this for ultrasound, the accuracy is far behind the aquatic coupling agent of his previous life, it didnât prevent Garrett from carrying a large bottle with him.
Garrett shaped his hand like a claw, fingertips touching the patientâs abdomen, closed his eyes in concentration, and activated the ultrasound magic. Instantly, Serainaâs eyes lit up, she leaned over, her elf ears spreading out in a circle, revealing a round of sharp spikes and the semi-transparent membrane stretched by the spikes:
"Whatâs that sound? What are you doing with this sound?"
She even tried to touch Garrettâs fingertips. Garrett slapped her hand away:
"Stop it! Examining!"
The right side appendagesâ size and echo were normal; a cystic echo mass was seen in the left appendages, size... about half the size of his palm, approximately 6cm to 5cm, with thick internal fluid. Right upper abdomen...
Finger moving little by little, Garrettâs expression became increasingly serious:
"Right upper abdomen shows a cystic echo mass extending from below the ribs to the level of the umbilicus, right side to the anterior axillary line, left side to the midclavicular line... with septations, clear internal fluid... visible liquid level, with, with strong echoic masses!!!"
"How is it? Is she pregnant or not?"
Seraina leaned in again, almost resting her chin on Garrettâs shoulder if not for the spikes on her ears. Garrett frowned, silent:
Definitely not pregnant, but...
Suddenly, a commotion arose outside. A dry, hoarse voice, unlike the female patientâs father, could be heard from afar, shouting:
"My child! My child! Give that child to me!"
Seraina pressed on the floor, leaped up, and in a moment, she dragged in a thin, emaciated necromancer clad in black:
"Is that child yours?"
"Itâs a ghost baby! I raised it! Of course, itâs mine!"
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