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Li Chang Yue

General Surgery

About me

Graduated from Harbin Medical University, has been working in the front line of clinical surgery since graduation.

Proficient in diseases

Common diseases in general surgery: gallstones, cholecystitis, bile duct stones, acute and chronic pancreatitis, pseudocysts of the pancreas, appendicitis, inguinal hernia, varicose veins of the lower limbs, superficial masses, enlarged lymph nodes, various wound treatments for external injuries, fibroadenoma of the breast, breast cancer, thyroid diseases, surgical treatment, post-injury and postoperative recovery guidance.
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Written by Li Chang Yue
General Surgery
1min 4sec home-news-image

Is cervical lymphadenopathy related to syphilis?

Enlargement of cervical lymph nodes is somewhat related to syphilis. Although cervical lymph node enlargement is not necessarily solely caused by syphilis, if syphilis progresses to its secondary or tertiary stages, it tends to cause lymph node enlargement, and severe cases may even lead to ulceration. This happens because after a syphilis infection, immune responses in the lymph cells are triggered by the Treponema pallidum, leading to the enlargement of cervical lymph nodes, and also possibly the lymph nodes under the arms and in the groin area. In such cases, it is advised to seek timely medical attention, complete the necessary immunological testing, and ensure an accurate diagnosis of syphilis. If cervical lymph node enlargement occurs, prolonged treatment with penicillin should be administered, as it effectively controls the Treponema pallidum and can help reduce the severity of the lymph node enlargement.

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Written by Li Chang Yue
General Surgery
42sec home-news-image

Do hemangiomas differentiate between benign and malignant?

Hemangiomas are a type of tumor commonly seen in clinical settings, generally not classified as benign or malignant because most hemangiomas are benign without malignant variants. Therefore, for patients diagnosed with hemangiomas, surgical removal may be considered if there is an impact on function or aesthetic appearance. Typically, treatment options for hemangiomas include surgical removal, the application of local sclerosing agents, or practices such as embolization. This is particularly true for visceral organs, such as liver and spleen hemangiomas, where interventional embolization can be utilized, yielding satisfactory results with minimal damage.

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Written by Li Chang Yue
General Surgery
52sec home-news-image

Is it normal for there to be moving gas inside an umbilical hernia?

It is abnormal for there to be movement of gas within an umbilical hernia. This could potentially indicate that the contents of the hernia include a part of the intestine. When excessive intestine is present within the hernial sac of an umbilical hernia, it can easily lead to the movement of gas as it moves through the intestine. This condition is relatively common in clinical settings, and it is also used as a symptom to diagnose the possibility of an umbilical hernia. Therefore, when there is movement of gas observed in an umbilical hernia, it is crucial to reposition the hernia back into place using massage and other standard techniques to avoid prolonged entrapment of the intestine, which can lead to ischemic necrosis and the possible formation of an incarcerated hernia. This condition should be actively treated to prevent complications.

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Written by Li Chang Yue
General Surgery
1min 1sec home-news-image

Is there a high possibility of syphilis with enlarged inguinal lymph nodes?

Enlarged inguinal lymph nodes generally suggest the possibility of syphilis, but such enlargement caused by syphilis commonly appears in the secondary or tertiary stages of the disease. In the early primary stage of syphilis, it is rare to see swollen inguinal lymph nodes; the symptoms are mostly seen on the external genitals, including soft and hard chancres. As syphilis progresses, it may gradually lead to swelling of the inguinal lymph nodes, including other superficial lymph nodes. However, enlargement of the inguinal lymph nodes alone cannot conclusively determine that the cause is syphilis. Other conditions such as bacterial lymphadenitis, lymph node tuberculosis, or lymphoma could also cause swollen inguinal lymph nodes. Therefore, to diagnose whether it is caused by syphilis, it is crucial to consider the results of syphilis serological tests and specific pathological puncture findings.

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Written by Li Chang Yue
General Surgery
53sec home-news-image

Can you drink water with intussusception?

Patients with intestinal intussusception should avoid drinking water as much as possible. Once intussusception occurs, it can lead to a complete intestinal obstruction. Drinking water at this time can easily increase the burden on the intestines, causing nausea, vomiting, abdominal distension, and a series of other problems. For patients with intestinal intussusception, an emergency intestinal barium air pressure procedure can be performed to reposition the intestines. If this fails, surgical treatment should be pursued actively. Currently, patients with intussusception can be treated with traditional open surgery to release the intussusception, or using laparoscopic interventions to resolve it. Both types of surgery are very effective in treating intussusception and typically have satisfactory outcomes.

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Written by Li Chang Yue
General Surgery
41sec home-news-image

Can a tetanus shot be administered again?

If a tetanus shot is administered within 24 to 48 hours after injury, it can effectively prevent tetanus. However, if the tetanus shot is given a week or more after the injury, the effectiveness and relevance of the booster are generally not ideal. In such cases, tetanus immunoglobulin can be used for comprehensive antibody therapy to treat and prevent tetanus. Therefore, when the body sustains external injuries or certain infectious foci, it is crucial to promptly administer a tetanus shot intramuscularly, ideally within 24 hours, to effectively stimulate the body to produce the corresponding antibodies for protection.

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Written by Li Chang Yue
General Surgery
54sec home-news-image

How long does it take to recover from a laparoscopic teratoma surgery?

Laparoscopic surgery for teratomas generally allows those with minor and less severe symptoms to recover back to normal within about one to two weeks. However, recovery takes longer for complex teratomas, especially those that involve the removal of parts of organs. In severe cases where sections of the intestine are removed, recovery can extend to three to four weeks or more. Therefore, the specific recovery time for treating teratomas with laparoscopy must be assessed on a case-by-case basis, considering the patient's specific condition. Moreover, after laparoscopic surgery for teratomas, it is essential to conduct further pathological examinations. Some malignant teratomas may require additional surgeries, and maybe even include chemotherapy or other treatment measures, potentially extending the recovery period.

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Written by Li Chang Yue
General Surgery
59sec home-news-image

Can you drink milk with acute pancreatitis?

Acute pancreatitis, especially in the early stages of an attack, does not allow for the consumption of milk. During the onset of acute pancreatitis, especially at the beginning, it is crucial to completely refrain from eating and drinking anything, as consuming food can lead to excessive secretion of stomach acid. The stimulation from the food can cause the pancreas to secrete enzymes, potentially worsening symptoms like abdominal pain and bloating associated with acute pancreatitis. For patients with acute pancreatitis, if the condition is stable and intestinal function is restored or in the recovery phase, it is permissible to drink some milk. However, it is important to avoid consuming foods that are overly greasy, spicy or stimulating, especially alcoholic beverages, as these can exacerbate the symptoms of pancreatitis or even lead to a recurrence of the condition. The diet should primarily consist of light, low-salt, low-fat fresh vegetables and fruits.

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Written by Li Chang Yue
General Surgery
49sec home-news-image

How to trim an ingrown toenail with paronychia?

If paronychia occurs with an ingrown toenail, one must not cut the nail bed too short. It is advisable to visit a professional institution where local disinfection can be carried out, followed by surgical removal or wedge resection of the nail embedded in the nail bed. This helps to reduce the risk of infection and stabilizes the condition of paronychia, avoiding local contamination, formation of paronychia, secondary abscesses, suppuration, nail bed infections, and other serious issues caused by self-trimming. Thus, if one has paronychia or an ingrown nail, it is best to visit a formal hospital and have it treated by a doctor. If necessary, a nail removal surgery can be performed to completely and effectively cure paronychia.

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Written by Li Chang Yue
General Surgery
52sec home-news-image

Is inguinal lymph node enlargement related to varicocele?

The enlargement of the inguinal lymph nodes is not significantly related to varicocele. The enlargement of lymph nodes in the inguinal area is mostly due to bacterial or viral infections in the lower limbs or throughout the body, lymphomas, as well as malignancies in the abdominal or pelvic area. Varicocele, meanwhile, is mostly caused by high pressure in the spermatic veins or some physiological factors that lead to the twisting and dilation of these veins. The two conditions are not directly related, and their incidence rates also differ. Additionally, the enlarged lymph nodes can generally be differentiated from varicocele through color ultrasound, and the treatment methods are different. Most varicoceles are resolved surgically; whereas enlarged inguinal lymph nodes can be treated conservatively with oral medication.