Krafft's Notes on Anomalies

The wine glass that Adrian brought to his mouth stagnated, and he moved his right hand up and down, pressing it under his ribs, and found the position that Kraft said.

"How did you know?"

He has been suffering from abdominal pain for quite some time. Not only has his food intake become less and less, but his love for wine has also been negatively affected.

As for the yellowish complexion, he hasn't noticed it yet. After all, his living habits are not much better. He doesn't care about his appearance unless he has to go out, and he doesn't think his face will look good.

"Not only that, I also know that you often feel hot and dry, you have small red spider-like moles on your skin, the blood vessels around your belly button are dilated and protruding, and your palms are red and persistent." Kraft reported a series of symptoms at once and took a breath. Continue to analyze him.

"You often have upper abdominal pain after meals, the pain is like burning, and the stool you pass is black."

Adrian's less obvious neck shrank, and he put his hands in front of his stomach. He felt that the white robe on his body had lost its blocking effect, and he was clearly visible to the penetrating gaze.

William looked at him confusedly for confirmation, and the priest's stunned expression definitely proved that Kraft was correct.

He worked hard to lift up the sleeves of his white robe to expose his upper arms. The small red spots were surrounded by tiny red lines that stretched out like spider limbs. The ends were hidden deep in the skin, like red spiders piercing deep into the skin.

If others were surprised, then Father Adrian's expression was close to horror. He asked with a trembling voice: "Is this all because of my drinking?"

"Yes, it was caused by drinking too much." Unexpectedly, the priest was so understanding. Kraft thought he would have to explain the reason before he could understand it. Relying on current medical knowledge alone, he could not explain a series of physiological and biochemical mechanisms of liver palms and spider nevi.

Hearing that the guess was confirmed, the priest's reaction seemed a little too big. He slumped down on his chair with a sad expression on his face, "I knew this would happen one day. Tell me, who are you?"

"Introduce yourself, the new lecturer of the medical school of Wendenggang College, Kraft Wood, nice to meet you." Kraft was also very confused. He had just reached the Liangshan Gate step, and he hadn't mentioned the serious consequences yet. The patient Why do you start to cry?

Letting go of the overburdened back of the chair, the priest sat up with support, patted his chest, and with lingering fear, he picked up the wine glass from the table and took a sip to calm down his shock.

"Hey, stop drinking, didn't you hear me?" William hurriedly pressed his hand, but failed to hold the priest back and drank another glass of strong wine.

The priest stroked the white robe between his chest and abdomen, breathed smoothly, and filled himself a glass, "It scared me to death, I thought it was... sigh."

"What is it?"

"Stop talking, stop talking." The priest waved his hand, indicating that he didn't want to talk anymore. Although his image was unreliable, he still received a complete theological education in a serious manner, and drinking did not prevent him from memorizing stories from the scriptures.

When someone who seems to see through everything stands in front of you, claiming that your evil deeds that violate dogma have caused all the abnormal physical manifestations. This scene is so familiar, and similar developments have been seen many times in sacred stories.

If nothing else, the next sentence is something like "Your day has come." Adrian thought he had done too much and would not be judged after his death, but someone who served his heavenly father came down to earth to find him.

"It's from the medical school. Okay, that's great." That's great. As long as it doesn't come from heaven or earth, it's a good thing.

As medical alcohol was poured into his stomach, Kraft felt phantom pain even as he looked at it. He might also have some problems such as peptic ulcers. "Father, I have to remind you that your physical condition is not optimistic."

"Do you feel that your belly is distending too fast? It wouldn't swell to this extent simply by gaining weight, right? That's water accumulating inside." Seeing that Adrian hadn't paid attention to it, Kraft emphasized, "I don't know if you have There are symptoms of difficulty breathing and palpitation, but it will definitely affect activities."

The question about the stomach touched the priest, especially the sentence about the water inside. It was not convenient to walk around with a full belly on weekdays. And when I patted my belly, I could vaguely feel the accumulation of fluid, but I couldn’t see it, so I wasn’t sure.

"If you don't mind, I can help you check and prove that there will be no trauma or pain."

"That's great, let's give it a try." William was quite concerned about the priest and was also curious about how he could see the water in his stomach. The almost clairvoyant explanation is impressive and quickly builds trust.

The two of them helped the priest sit and lay down on the bed. They briefly looked at each other, giving Kraft the opportunity to observe the priest's eyes. Even the whites of his eyes were stained with a faint yellow, like dust on porcelain that had not been cleaned for a long time.

[Scleral yellow staining]

Jaundice caused by abnormal liver function, in which bilirubin rises in the blood and stains the skin and the whites of the eyes. Skin may be difficult to judge due to individual differences, so the whites of the eyes are easier to observe.

Kraft asked the priest to bend his legs and pull his white robe to his chest, exposing his bulging belly. Even laymen like William and Coop could tell that something was wrong.

Around the belly button, sea snake head-shaped purple blood vessels expand tortuously, crawling on the abdominal wall, twisting and rising with breathing. The skin feels fragile, as if it could burst at any time, causing the bound liquid to spill out.

"Huh, it's probably a punishment from the gods. It's too late." The priest smiled bitterly. With so many physical problems, his spirit was also getting worse day by day. He didn't need a doctor to point out that he knew the situation was not optimistic.

Put the middle finger of your left hand against the abdominal wall, tap the second phalanx of your left middle finger with your right middle finger, and make a hollow sound like a drumming high in the abdomen, "Remember this tone."

The percussion position moved to one side, and Kraft gradually percussed from high to low. The rhythmic drum sound suddenly changed at a certain height, and suddenly entered another environment, and the sound became muddy and low.

It was like falling into water, the liquid filling the ear canal, a vague dull sound replaced the light drum sound, and the liquid behind the skin oscillated.

"Turn over." Kraft asked the priest to turn over and lie on his side on the couch, so that the side he was percussing on was on top. Keep your fingers pressed on the point where the last pitch changes, and wait until the priest positions you to strike.

The change of dullness to tympanic sound indicates that the fluid in the abdominal cavity flows downward with the change of body position.

"You hear that? There's a big bag of water in your belly, and it flows. It's obvious."

The presence of liquid was demonstrated intuitively through sound. Judging from Father Adrian's panicked expression, Kraft believed he could understand what was going on in his stomach.

"It should have flowed along the blood vessels through your liver." The fingertips traced the crowded varicose abdominal wall veins. You must know that this is only a small part that can be seen on the surface. It is in the fundus of the stomach, esophagus, rectum and spleen, as well as Invisible blood pools and swells.

The gastric esophageal vein itself is a high-risk area for rupture and massive bleeding. Coupled with the peptic ulcer caused by drinking a lot of strong alcohol, Adrian may not wait until the day when his liver fails, and he will continue to bleed from the gastrointestinal tract and die of vomiting blood.

"Strong alcohol changes your liver, making it difficult for blood to pass through. The increased pressure pushes the water in the blood vessels into the abdominal cavity where it shouldn't go, just like people who can't squeeze into the church on Consecration Day will go back to the port area."