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Li Jin Quan
General Surgery
About me
Loudi Central Hospital, General Surgery, attending physician, engaged in clinical work in surgery for many years, with rich clinical experience in the diagnosis and treatment of surgical systemic diseases.
Proficient in diseases
Specializes in common diseases such as gallstones, cholecystitis, bile duct stones, liver cysts, liver hemangiomas, etc.
Voices
How to diagnose a concussion
Typically, patients with concussions do not show organic changes on head CT scans; their primary clinical symptoms include temporary disturbances in consciousness after the injury and short-term memory loss. Some patients also experience varying degrees of headache, dizziness, nausea, vomiting, blindness, impaired memory, or lack of concentration, among other clinical symptoms. Generally, the essential tests include: first, a head CT scan; second, an electroencephalogram (EEG); third, cerebrospinal fluid examination.
How long does it take for tetanus to develop?
The pathogen we refer to as tetanus is Clostridium tetani. It enters the body through broken skin or mucous membranes and proliferates extensively in an anaerobic environment, producing toxins that cause a characteristic infection known as tetanus. After infection, the incubation period of tetanus varies; typically, symptoms appear within seven to eight days, but they can manifest as quickly as within twenty-four hours or take several months or even years to develop.
Does intestinal obstruction expel gas?
Intestinal obstruction typically refers to the inability of the intestinal contents to pass through the intestines and be expelled from the body normally. Common clinical manifestations include abdominal pain, bloating, vomiting, and cessation of bowel movements and passing gas. However, in some cases, such as partial intestinal obstruction or high intestinal obstruction, gas can still be expelled from the anus below the obstruction site. This means that some intestinal obstructions can still pass gas, but the ability to pass gas does not mean the patient has recovered.
Is a concussion serious?
Concussion is usually a mild condition where the brain has been injured. Clinically, it manifests as temporary disturbances in consciousness, typically not exceeding half an hour. Another symptom is recent memory loss, as the individual cannot recall the events during the injury. There may also be a decrease in blood pressure or pallor at the time of the injury. Following the injury, symptoms such as dizziness, headache, loss of appetite, nausea, memory decline, lack of concentration, or tinnitus can occur. Generally, with 1-2 weeks of treatment, most people can recover from a concussion, so it is not considered a very serious condition.
The difference between chronic appendicitis and acute appendicitis
The difference between chronic appendicitis and acute appendicitis is that most cases of chronic appendicitis are formed after the treatment of acute appendicitis. Chronic appendicitis and acute appendicitis display different symptoms. Acute appendicitis has typical migratory pain in the lower right abdomen, which initially appears in the upper abdomen and then moves to McBurney's point in the lower right abdomen. Chronic appendicitis, on the other hand, often lacks upper abdominal pain and initially presents with fixed discomfort or vague pain in the lower right abdomen. Only when chronic appendicitis acutely flares up does significant tenderness in the lower right abdomen occur, and rebound pain appears with peritonitis. Chronic appendicitis may also occasionally present with gastrointestinal symptoms such as nausea and vomiting.
What is a concussion?
Firstly, a concussion is a relatively mild condition where the brain sustains damage, usually accompanied by disturbances in consciousness, which are temporary, such as unconsciousness lasting no longer than half an hour. The second symptom is akin to amnesia, where the injured person is unable to recall the circumstances of the injury. At the time of the injury, symptoms such as a drop in blood pressure and pale complexion can occur; some patients may also experience dizziness, headache, nausea, loss of appetite, poor sleep, as well as a range of clinical manifestations including lack of concentration and memory decline.
Do you need a tetanus shot for a scrape?
Whether tetanus vaccination is necessary for an abrasion depends on the severity of the injury. For a minor abrasion where the wound is not deep, you can repeatedly rinse the wound with hydrogen peroxide or saline solution to wash off contaminants. After that, disinfect with iodine and perform simple bandaging. Change the dressing as needed. Such abrasions do not require a tetanus shot. However, if the abrasion is severe, the wound is deep, heavily contaminated, or caused by rusty metal, it is essential to receive tetanus vaccination while cleaning the wound in the hospital to prevent tetanus.
How long is the incubation period for tetanus generally?
Tetanus is a specific infection caused by the bacterium Clostridium tetani entering the human body through wounds in the skin and mucous membranes, proliferating massively in an anaerobic environment, and producing toxins. It is primarily characterized clinically by lockjaw and episodic or sustained muscle spasms. The incubation period of tetanus is usually seven to eight days, but it can be as short as twenty-four hours or as long as several months, or even years.
Is thyroid nodule calcification scary?
Thyroid nodule calcification is a common disease of the human thyroid gland. When seeing thyroid nodule calcification, we should not be afraid. Thyroid nodule calcification refers to the dense proliferation of thyroid cells, which, during an ultrasound examination, appears as strong spots, specks, or rings on the thyroid. Thyroid nodule calcification can be divided into coarse calcification and microcalcification. Generally, coarse calcification is benign, and we can continue to observe it. If it is microcalcification, we can conduct a pathological examination. If it is malignant, surgical treatment can be performed; if it is benign, we can continue to observe. Therefore, thyroid nodule calcification is not something to be afraid of.
How to deal with intestinal obstruction?
Patients with intestinal obstruction commonly present with abdominal pain, bloating, vomiting, and cessation of passing gas or stool. Treatment for intestinal obstruction primarily includes conservative management and surgical intervention. Conservative treatment firstly involves gastrointestinal decompression, abstaining from food and drink, and, if necessary, the insertion of a gastric tube. The second step is to enhance anti-inflammatory measures to prevent infections within the abdominal cavity. The third step is proactive fluid replenishment to prevent disorders of water and electrolyte balance. Along with aggressive conservative treatment, the patient's overall condition should be monitored. If a pseudo-obstruction occurs, surgical treatment should be actively pursued.