The two systems suddenly displayed a warning about excessive silicon reflection. Xu Jianyuan was stunned and saw clearly, when did this function become available
However, at this time, he was too lazy to be alarmed. After all, many functions of the system were still being explored. Where could he fully understand them? Since the system now prompted that silicon reflection exceeded the standard, he had to figure out what it was. . wWw,QUaNbEn-xIAoShUO,cOM
After all, the tests in Appendix 1 and MRI and other examinations did not show abnormality in the lungs, but my own light transmission showed it. It seemed that it was necessary to confirm whether it was the real cause of the patient's cough.
Excessive silica reflection may be a sign of sand lung disease. Silicosis is a lung disease caused by inhaling a large amount of industrial dust and is more common among workers in mines.
The symptoms include coughing and shortness of breath, etc., but this is not yet certain.
"Describe the detailed analysis report" Xu Ze continued to order.
"Dip, according to the lung line translucency test, the patient's lung interstitium generally contains a small amount of carbon dioxide, which leads to mild lung interstitial lesions." Automatic response system responds quickly.
"Silicon dioxide, silicosis?" Xu Ze couldn't help but raise his eyebrows. It turned out to be a cough caused by silicosis!
However, Affiliated One's lungs and MRI showed no abnormalities, so their diagnosis should not consider silicosis. But since Li Moling said it had been diagnosed, what exactly was the disease they misdiagnosed? sick.
Thinking of this, Xu Ze got a headache. He had already been diagnosed with a disease, but he still had to figure out what the disease was that others had misdiagnosed. This was really embarrassing.
But it's a dilemma. Since I made a bet with Li Moling, I still have to think about it. Otherwise, if I lose, my face will not look good. Besides, losing to such a wretched guy is really a bit unwilling.
Seeing Xu Ze frowning and embarrassed, Li Moling felt more and more proud in his heart. At most, you can come to the conclusion that mycoplasma pneumonia is the problem, but you can never think of central nervous system problems.
This disease was diagnosed after a consultation between several of our doctors and the director. I want to see how powerful you are.
Li Moling thought so proudly, but when he saw Xu Ze turned around and looked at him, there was a hint of hesitation in his eyes.
Just as Li Moling was getting more and more proud, Xu Ze frowned and said uncertainly: "You should diagnose him as having a central nervous system cough."
"Gah" Li Moling's expression froze when he heard Xu Ze's words. He looked at Xu Ze blankly, and then said with an ugly expression after a while: "Have you seen this patient's medical record?"
Looking at Li Moling's ugly expression and the suspicion in his eyes, Xu Ze smiled disdainfully, and then said: "Dr. Li, you consider this patient to have a central nervous system cough because no other symptoms were found during the examination. Abnormal and frequent dry cough, so that’s why I made the diagnosis!”
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Hearing Xu Ze's reasons, Li Moling hummed: "You have indeed read these medical records. The consultation records in these medical records are very clear. No wonder you can guess it right!"
"Doctor Li, whatever you say, it's fine whether you accept this bet or not." Xu Ze shook his head gently and said with a faint smile: "But there is a problem with your diagnosis. It is not a central nervous system cough."
Upon hearing Xu Ze's words, Li Moling became happy again, and sneered loudly: "Do you still think he has a mycoplasma infection?"
"No, I think you have already ruled out mycoplasma infection. This patient should have sand lung disease," Xu Ze said with a faint smile: "You are wrong. Simple central nervous system coughs generally rarely occur, but this one is... Sand lung is highly likely to be the cause,"
Before Xu Ze finished speaking, Li Moling sneered uncontrollably, pointed at Xu Ze and laughed loudly: "Silicosis? There is something wrong with your brain, there is nothing wrong with your chest X-ray and lungs, and you still say it is?" Silicosis”
The classmates in Xu Ze's group were all excited when they saw that Xu Ze had actually been diagnosed with any disease. However, Xu Ze actually said that the respiratory medicine department had made a mistake. Now they were all surprised, thinking that Xu Ze had suddenly suddenly My head was dizzy, otherwise how could I have said such words.
The First Affiliated Hospital of Xingda University is one of the top hospitals in the country, and the conclusion reached by so many chief doctors in the Department of Respiratory Medicine is wrong. Even if it is wrong, Xu Ze, no matter how good you are, you can't be better than so many chief doctors. And the doctors are great, right
Thinking of this, everyone looked at Xu Ze worriedly, hoping that Xu Ze would stop worrying about this issue. After all, the central nervous system cough has been detected, so it is not considered a defeat.
It's just that Xu Ze didn't want to give up so easily. Firstly, he really couldn't get used to this Li Moling, and secondly, since Xieyi and the others had misdiagnosed him, if he continued the treatment like this and used some central antitussives, maybe There will be a certain amount of pain for thousands of patients in the future. But there is no benefit, and as time passes, the patient's disease may become more and more serious. By then, even if silicosis is discovered again, the effect of drug treatment will not be very good.
Facing Li Moling's ridicule, Xu Ze chuckled and was too lazy to pay attention to him, and then continued to conduct some inquiries on the patient to clarify whether his diagnosis of silicosis had more basis.
At this time, the patient also listened to the words of the two people. Xu Ze seemed to be very confident in his words, although he felt that this young doctor was not very reliable. But he was also a little worried. After all, he had been treating it for a long time, and the effect was indeed not very good, so Xu Ze was extremely cooperative when he consulted.
Soon, Xu Ze asked what he wanted. There is a large lime mine near the patient's home. Although he does not work in the lime mine, there is often a lot of dust surrounding the home.
Since there was a history of exposure to industrial dust, Xu Ze became more and more sure. He smiled at Li Moling and said, "Did you hear that? The patient has a history of exposure to industrial dust, so it is very likely that he has sand lung disease." , I suggest you ask Director Qian to consult again, otherwise, if you continue to use the medicine like this, I'm afraid the effect will not be very good."
Seeing Xu Ze's appearance of teaching him, Li Moling became angry. This patient had clearly been diagnosed with a central nervous system cough, but this boy was just here, messing around and looking like he was teaching him. Who he thinks he is.
Then he laughed angrily and said: "Okay, you are a trainee, but you have already taught me. How can we, with so many directors and doctors, be worse than you, a trainee?"
Li Moling was about to continue teaching Qi Xuze, but the increasingly worried patient beside him interrupted: "Doctor Li, since this little doctor thinks so, you can talk to Qian Concubine and see if we can rule it out." , so that this little doctor can understand."
Hearing the patient's vague words of worry, Li Moling felt like blood was rushing to his face. He was really mad at Xu Ze today. Even the patients were convinced by him. He laughed coldly and said: "Okay, since you insist, then I will ask Director Qian to come and take a look! I tell you You Xu Ze, if Director Qian says that you have no basis, then you, a trainee, are disrupting the medical order of our hospital and ruining the reputation of our hospital. I want to see if you can shoulder this responsibility!"
"Okay, please ask Director Qian to come and take a look. This is also responsible for the patient." Xu Ze smiled lightly and said indifferently; he really wanted Director Qian to come and take a look. Only after he came and convinced him, would it be possible. Diagnosis for this patient, and only in this way can Li Moling's arrogance be suppressed.
Li Moling ran to Director Ren's office and told the story in a more embellished way, saying that Xu Ze had ruined the hospital's reputation. Director Qian's face didn't look very good when he came over. This Xu Ze is really good at causing trouble."
However, since the patient requested it, he naturally had to examine the patient carefully to eliminate the patient's doubts;
After coming in, although his face was not very good, he still asked Xu Ze why he doubted the diagnosis. After all, Xu Ze was very familiar with his immediate boss, Zhang Lid, director of the Department of Internal Medicine, and Zhang Lid also told Xu Ze Ze could see patients at will, so he still gave Xu Ze some face. Otherwise, if it had been anyone else, he would have been taken to the office for a while.
Facing Qian Zhixun, Xu Ze did not show any fear at all, and told him what he had just consulted. Of course, he could not say that he had discovered a small amount of carbon dioxide in the patient's lung interstitium. Silicon, that is, silica dust exists.
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He just reminded: "The patient has a history of long-term exposure to industrial dust, and has an irritating dry cough. I think this aspect should be considered. The subtle changes in the early stages of silicosis seem to be sometimes linear and cannot be clearly discovered."
When Qian Zhixun heard Xu Ze's words, the look on his face became a little serious. Some of what Xu Ze said also aroused a little worry in him. At that time, he was diagnosed with central nervous system cough during the consultation. , and it was also because no abnormality was found in various examinations, so we could only make this diagnosis.
But if what Xu Ze said, then the possibility of silicosis is not impossible.
At that moment, Xu Ze's expression softened slightly, and then he asked the patient again in detail, mainly about sand lung.
On the side, Li Moling saw that Director Qian was so troubled by his words that he did not teach the trainee directly, but also asked the trainee so politely, and even seemed to seriously consider the trainee's opinion, and some Li Moling looked more and more depressed now.