"Look here." Zheng Ren clicked on the film and said: "Typical manifestations of liver schistosomiasis. The imaging characteristics of liver cirrhosis are incomplete compartmental cirrhosis. The liver surface is granular or nodular, and the nodules are large and small. It varies, the diameter is about 1 to 10 mm.”
"A large number of eggs are deposited in the liver, especially in the small branches around the portal vein trunk and branches, causing fibrosis in the portal vein trunk and branch system, especially around the second, third and fourth level branches, which is the so-called main line cirrhosis."
"The cut surface shows white fibrous masses of different sizes around the trunks and branches at all levels. In severe cases, fibrosis can cause occlusion of trunks and branches. The shrinkage of these masses can deform the liver. The surface of the liver shows the characteristic block-like groove appearance of the disease, with uneven boundaries. Not very clear.”
"Yes, isn't this exactly..." Su Yun said, suddenly stunned.
After 1.2 seconds, he suddenly said: "You mean the symptoms are too severe, like complete portal vein blockage, but the abdominal CT findings are different?"
Zheng Ren smiled.
It saves trouble to talk to smart people. He only mentioned a few points, but Su Yun could think of almost everything that would happen next.
No need to talk nonsense at all.
"Yes, just like you said, I think there is a heart problem." Zheng Ren then inserted the chest CT into the reader.
"A large amount of fluid accumulates in both lungs, resulting in unclear vision in the pericardial cavity. But here, the density is wrong, and the heart shadow is also large. Try to convert it, and you can find that there is a problem with the right atrium." Zheng Ren clicked on the film, Said with some excitement.
Su Yun found that things were out of control.
He also found that the patient's heart shadow was large, but he judged that the patient's heart failure caused pericardial effusion and the heart shadow expanded.
The first diagnosis must be portal hypertension.
But Zheng Ren's diagnosis was completely contrary to his own, which happened to be Su Yun's area of expertise.
If you can't see it, it's too much.
Su Yun stared at the film, and Zheng Ren said: "Bedside ultrasound machine."
After saying that, the operation room outside the ward was quiet.
Zheng Ren smiled and said it again in the local language. Only then did the doctor at the National Hospital realize that he was talking to himself.
If a patient vomits blood, why do we need an echocardiogram
He had some different opinions, and when he was about to say it, he immediately thought that these people were Gu masters.
He didn't dare to put forward his own opinions and suggestions, and hurriedly went to push the ultrasound machine.
Zheng Ren patted Su Yun and said, "Don't look at it. You will understand after doing an ultrasound."
Su Yun was a little depressed, and all he could think about in his mind were the images of Chu Nuangsai's chest and abdomen.
Upper gastrointestinal bleeding and portal hypertension are very typical. How can the boss judge whether it is a heart disease
Could it be that he was deceived by the rumor that he was passionate about breeding Gu insects
Su Yun was thinking about it and came to the ward with Zheng Ren.
A thin, withered patient sat on the bed, trying hard to breathe in the oxygen from the oxygen mask.
Although the oxygen flow was turned on to a high level, his lips were still blue and he was extremely depressed.
Seeing Zheng Ren walking in, the patient tried hard to take off his oxygen mask.
A young man next to him tried to stop him, but he slapped his hand.
Although he was on the verge of death and had little strength, the young man quickly lowered his head in fear and kept admitting his mistake.
"Are you... Boss Zheng?" Chu Nuangsai asked with difficulty.
Zheng Ren nodded and asked, "Are the symptoms of difficulty breathing serious?"
"Hello, Boss Zheng." Chu Nuangsai clasped his hands together and made a respectful gesture, "My junior brother is also anxious for a moment and is used to being domineering. Please forgive me."
"Are you Chinese?" Zheng Ren asked curiously after listening to him.
"My ancestors are, I am of Chinese descent." Chu Nuangsai forced a grin and tried his best to express his goodwill: "Originally, I wanted to invite you to come and take a look. Song En has been spoiled by me too much, and... please forgive me. "
After two excuses, Zheng Ren smiled.
"Can I check it for you?" Zheng Ren asked.
"Please." Chu Nuang raced.
During the physical examination, Zheng Ren performed it simply and cleanly, like a surgery, which was pleasing to the eye.
Soon, Zheng Ren completed the inspection and confirmed his judgment.
The patient was sitting upright and breathing, with obvious jaundice of the sclera, distended jugular veins, and hepatojugular reflux sign (+). Wet rales could be heard in the right lower lung, abdominal distention, shifting dullness (+), xiphoid process and transverse fingers of the liver, and severe edema in both lower limbs.
In addition to the typical portal hypertension, the diagnosis given on the system panel also has an incredible diagnosis—cardiac foreign body!
Zheng Ren really didn't want to deal with these Gu Masters, and he didn't know what benefits it would gain from gaining their worship.
Insects? Even if he didn't have trypophobia, Zheng Ren still felt a little afraid of them. Not to mention bugs, Zheng Ren was very careful even with the loaches taken out during surgery in Haicheng.
But in Zheng Ren's eyes, the Chu Nuangsai in front of him was not a master, but just a patient.
When facing patients, no matter how scared you are, you still have to go to the doctor and get treatment.
He took a deep breath and then asked: "Do you know your condition?"
"Boss Zheng, please take a seat." Chu Nuang said, "This is what I was about to tell you."
Zheng Ren nodded and sat on the chair beside the bed.
The chairs are very comfortable, and it seems that no matter which hospital you go to, they are more high-end than 912.
Zheng Ren also knew that this was incomparable.
"Boss Zheng, my ancestors are from Miao territory." Chu Nuang said, "It has been nearly a thousand years since I came to Nanyang."
"The secret method passed down from our ancestors requires the blood of the soul to nourish the poison, so it is often backfired and becomes a serious problem."
As he said that, he forced a smile and said, "It's a big worry, it's really a big worry."
Maybe he was too excited, maybe he was involved in something, maybe he was consuming too much oxygen. His breathing was deep and deep. Zheng Ren quickly put the oxygen mask on him, wondering whether he should put a chest bottle first to drain the pleural effusion. come out.
The same goes for national hospitals. How can they not deal with pleural effusion
However, it may also be that the doctors here are afraid of Gu masters. Chu Nuangsai wanted to see Boss Zheng for medical treatment, so they were happy to ignore it.
After taking a few breaths of oxygen, Chu Nuangsai felt better.
He took off his oxygen mask and said: "From my grandfather's generation, we began to think about how to improve. After all, you know, modern technology is advancing by leaps and bounds, and we must keep up with the times."
Su Yun burst out laughing.
Chu Nuangsai smiled, raised his head and asked, "Brother, what do you call me?"
"Su Yun." Su Yun smiled and said, "You are right. Traditional Chinese medicine, during the Republic of China, many concepts had not yet been proposed. Now when we talk about it, everyone thinks it is passed down from the old, but it is actually advancing with the times."
"Well, I understand." Chu Nuang said, "So, after paying the price of three generations, I finally found the key to success."