The more Zheng Ren looked at it, the stranger he became.
The medical records describe that the patient was given a bottle of wine. The two sides exchanged words, and the deceased was bleeding profusely, but there was no subsequent physical contact. He was later pulled away and sent to a nearby hospital for treatment.
There was nothing wrong with the first CT scan. There was no mention of subarachnoid hemorrhage or subdural hematoma in the report.
However, the medical records stated that the patient was awake at this time and had no problems with his behavior or behavior.
The head CT scan after being sent to the hospital was also normal, but the patient requested hospitalization for observation and was admitted to the hospital.
This was mentioned by the doctor in the original medical record.
Usually when encountering this kind of situation, the doctor will write something like the patient's strong request to be hospitalized for observation. Although it is useless, if you don’t write it, something is always missing.
The subsequent ward rounds were all normal, and Zheng Ren could see obvious traces of copying and pasting from the medical records.
Only for the most minor patients do doctors carelessly copy and paste medical records.
However, in the early morning of the third day, the situation took a turn for the worse.
The deceased, who was fine before going to bed, woke up on his own in the middle of the night, but soon became incontinent.
This is the strangest thing.
Because the hospital where he was first diagnosed was a county-level hospital in the suburbs of the imperial capital, the doctor was immediately confused when he found that something was wrong.
A good person, after being hospitalized for 2 or 3 days, he suddenly fell asleep and fell asleep
The local doctors were also confused, so they suggested that the patient's family members hurry up and go to a higher-level hospital.
Because of the issue of the party responsible and the cost, it was delayed for several hours before he was transferred to the Affiliated Hospital of Imperial Medical University.
However, after delivery, the patient's bilateral pupils had been dilated, his light reflex had almost disappeared, and a series of symptoms such as incontinence of urine and feces had not improved at all.
MRI showed symptoms of a large cerebral infarction.
In the end, the patient's family refused to undergo further examinations and make a clear diagnosis due to financial reasons, and focused their energy on litigating the case with the other party.
This patient survived for a week under the maintenance of sugar and salt water, and finally passed away.
The CT report I just read was done by the Affiliated Hospital of Imperial Medical University.
"Boss Zheng, are you coming?" Li Zhaosen said eagerly when he saw Zheng Ren finished reading the report and handed the white clothes to Zheng Ren.
"I don't know the rules. You come first and let me take a look." Zheng Ren spoke a bit slowly. Su Yun knew that this guy must be thinking about his illness in his mind, so he didn't speak and just took a half step back.
Several teachers in the anatomy teaching and research section whispered that they had more trust in Li Zhaosen. After all, they have been working together for a long time, and Li Zhaosen’s basic anatomy skills are the most solid.
"Then I'm welcome." Li Zhaosen said: "Boss Zheng, just tell me what I did wrong!"
Zheng Ren glanced at him and saw that his tone of voice was very serious, not like he was joking or being hypocritical.
Reminiscent of the time when I was teaching anatomy at Imperial Medical University, the last person named Li Zhaosen sat in front and watched. After separating the muscle layer and adventitia, he rushed up and touched the general specimen with his hands.
He is indeed the most standard technician. In his eyes, if he were accompanied by hundreds of general teachers, it would be heaven, and there would be no need for virgins at all.
Li Zhaosen cut open the skin of the deceased's head and described the injuries on the temporal area. An assistant would come down next to him.
He then expertly used a chainsaw to open the skull.
There were patchy hemorrhages in the left temporal cap membrane and left temporal muscle. The brain tissue was congested and edematous. There were several early softening lesions of varying sizes in the internal capsule and basal nuclei on both sides.
As the skull was opened, a rotten smell spread throughout the dissecting room.
"There is no intracranial hemorrhage, so it is considered to be a cavity obstruction." Li Zhaosen said with certainty, "We still need to dissect the chest and abdomen to rule out other diseases."
"Wait a moment." Zheng Ren suddenly said.
"Huh?" Li Zhaosen was startled.
It has a very typical anatomical structure, with congestion and edema in the brain tissue, and early softening lesions of varying sizes in the internal capsule and basal nuclei on both sides.
What's there to wait for
Su Yun's eyes lit up. Although he didn't want to understand it, this was the field of neurosurgery. If he didn't understand it, he couldn't understand it. He didn't care at all.
Zhou Chunyong covered his mouth and nose and took a few steps back together with the teacher from the anatomy teaching and research room next to him.
"No." Zheng Ren said and started to put on gloves.
Li Zhaosen prepared sterile clinical gloves for Zheng Ren, while he wore ordinary latex gloves himself.
Zheng Ren didn't know whether he was paying attention or not. After putting on his gloves, he stretched out his hand.
My hands are empty.
"Knife." Zheng Ren said solemnly.
"Oh." Li Zhaosen responded twice and handed the knife in his hand to Zheng Ren.
The cooperation was particularly untacit. Li Zhaosen pointed the tip of the knife at Zheng Ren instead of patting the handle of the knife into Zheng Ren's hand like an instrument nurse.
Zheng Ren almost escaped being scratched by the knife.
Fortunately, at the last moment, Zheng Ren dodged under Su Yun's reminder.
This is the difference between clinical and forensic medicine.
There was a slight disturbance, but Zheng Ren didn't pay too much attention. He picked up the knife and began to dissect the deceased's neck.
When the knife went down, Su Yun's eyelids jumped twice.
"Dr. Su, why does Boss Zheng look like he has been a forensic doctor for many years?" Zhou Chunyong felt that Zheng Ren's skill in dissecting corpses was a bit strange, so he approached Su Yun and asked in a low voice.
The difference between doctors and forensic doctors is still very obvious.
Boss Zheng's movements are definitely not those on the operating table. Looking at the posture of the god blocking the murderer, he is absolutely vicious. I don't know how many dead people have been dissected.
Su Yun shook his head, his eyelids twitching.
He had already noticed that Zheng Ren's technique was very unrestrained, and it was definitely not something he practiced on the operating table.
Zheng Ren operated the knife according to his inner thoughts as if he were in a systematic operating room. The anatomical structure of his hand was clear and he went straight to the common carotid artery.
After incision and dissection, the common carotid artery was found, and Zheng Ren opened it.
There is a large amount of atherosclerotic plaque in the common carotid artery.
"Boss Zheng, what are you doing?" Li Zhaosen was a little confused.
Zheng Ren said nothing and continued to move upward and dissect.
Soon, it was freed to the origin of the right internal carotid artery. After opening, it was found that there was thrombus formation here, which extended distally and was 1.5 cm long, completely occluding the lumen.
Li Zhaosen was silent.
It's not a cerebral infarction that I judged, but an internal carotid artery occlusion!
This was too coincidental. Li Zhaosen was a little puzzled, but he obviously had more confidence in Zheng Ren than Su Yun, and quietly watched Zheng Ren's autopsy.
"If possible, we still need to look at the medical records in the future." Zheng Ren stopped and was very satisfied with his judgment. "The brain tissue was sent for biopsy. Under the microscope, you can see the V-R blood vessels in the encephalomalacia and some brain vessels." There is focal bleeding in the cavity,
The brain pyramidal cells were swollen, the cytoplasm was eosinophilic, the nuclei were lysed, and the processes were shortened or disappeared. In some glial cells, karyolysis or remaining nuclear outlines were also seen. "
Li Zhaosen was as confused as a duck listening to thunder.