The demonstration classroom in the community hospital seems to have changed somewhat compared to the last time I came for consultation.
The equipment has been updated, and several chairs have transparent touch panels and VR goggles in front of them.
"When was this done?" Zheng Ren felt a little strange after seeing it and asked.
"Recently." Su Yun didn't care and said with a smile, "Aren't you going to give it a try?"
"It's more interesting to read the medical records with the iron medical record folder." Zheng Ren said.
"The progress of mankind is destroyed in the hands of people like you. I think you should go to the Middle Ages and be regarded as a dark wizard." Su Yundao.
Zheng Ren sat down and said impatiently, "Start?"
Su Yun stood on the podium in front, turned on the switch, and a ray of light shone down. Like a shadowless lamp, the whole person's temperament transitions completely seamlessly from casual to extremely professional.
"Everyone, the consultation has begun." Su Yundao said, "Please put on VR glasses."
"It's all fancy, is it useful?" Chang Yue looked at the glasses with disdain.
"Dr. Chang, some people said the same thing 20 years ago when the electronic medical record system was first launched." Su Yundao.
"You were not even ten years old at that time."
"Experience can be passed on by word of mouth." Su Yun smiled, "If you don't want to be eliminated so quickly, it's better to accept new things as soon as possible."
Chang Yue curled her lips, and although she quarreled with Su Yun, she still put on VR glasses.
Everything Mr. Yu sees is fresh. This is definitely not a 912 consultation in the conventional sense. He was a little emotional, how long has it been since Boss Zheng came here? Looking at the posture, they have their own territory.
The key is that the territory here is definitely not in the ordinary sense, but brand new.
Is VR technology used for consultation
It's too luxurious.
Put on VR glasses, and a medical record appears in front of you. Next to the case, standing was Su Yun.
Although he knew it was virtual reality, Mr. Yu couldn't help but want to touch Su Yun to see if it was a real entity or virtual light and shadow.
"Don't do meaningless things. You'd better focus on the case, Mr. Yu." Su Yundao said, "This is your patient. If there is no result in the consultation today, you should prepare for a consultation with the whole hospital. You have to write the full report Hospital consultation records, a lot of messy stuff.”
"Hurry up." Zheng Ren said impatiently.
"It has started now. I will briefly state that for medical records, click on the touch screen in front of you. You will make new discoveries. In the future, this model will appear as a remote consultation method."
"The patient visited our hospital 6 days ago due to strangulated pain in the right waist and was kept in the emergency department for observation. Routine examination showed no abnormalities except for red blood cells +++ in the urine routine."
Su Yun began to introduce that he was basically acting in his true colors in virtual reality. Zheng Ren didn't know what kind of technology this was, but it looked quite advanced.
"After admission to the hospital, the physical examination showed positive percussion pain in the right waist and positive Murphy's sign..."
"Wait a minute." Zheng Ren interrupted Su Yun and asked, "Is Murphy's syndrome positive?"
"Yes, the B-ultrasound found no inflammation or stones in the gallbladder area. The tenderness was not obvious, and there was no rebound pain or muscle tension. I just confirmed this. Mr. Yu's physical examination was still very detailed." Su Yundao.
Zheng Ren stopped talking.
"I have also noticed this, but the patient has obvious tenderness at the costovertebral angle. Typical colic often starts in the lower back and upper abdomen at the costovertebral angle, occasionally starts at the lower edge of the ribs, and radiates to the same side along the course of the ureter. Groin. The patient had no nausea or vomiting, and no gastrointestinal symptoms were considered."
What Su Yun said was correct, and Zheng Ren thought so too.
Generally speaking, if there is a problem with the gallbladder, there should be gallbladder stones, inflammation, or at least imaging evidence such as rough gallbladder wall.
But except for the positive urine test, the patient did not have any other positive signs.
"The patient has no family history, genetic history, or trauma history, and all past histories are negative." Su Yundao said, "CT and B-ultrasound images can be clicked on the touch screen in front of you, which is the same as what you see on the computer."
"Have you done a urogram?" Zheng Ren asked while looking at the CT images.
"The positive rate of urography for diagnosing stones is only 66%. We haven't done it yet. If you think it is necessary, I can inform Mr. Yu to do the examination as soon as possible." Su Yundao.
Although it was in front of Mr. Yu, Su Yun still said to inform Mr. Yu as soon as possible, which seemed to be particularly touching.
Zheng Ren shook his head slightly and began to click on the touch screen in front of him to view the video information.
The examination can be said to be very comprehensive. Clinicians all know what renal colic means.
A small stone can solve all the problems, but there is no stone.
Zheng Ren did a three-dimensional CT reconstruction and still found no problems.
"Does the patient have a history of taking aminopyrine, phenytoin, rifampin, and phenol red?" Chang Yue asked.
"No." Su Yundao said, "The patient reported that he is usually in good health and has not taken any medicine or undergone any surgery."
"Urine and blood tests showed no inflammation, and no inflammatory lesions were visible on the CT scan. Excluding inflammation, stones, tumors, trauma, and urinary tract malformations, I thought it was gouty kidney." Chang Yue said.
"What a genius suggestion." Su Yun said disdainfully: "Gouty kidney is more common in patients with gouty disease for more than 10 years, and if it is gouty kidney, there will be some crystallization in the renal tubules."
"Dr. Chang, this is a consultation, not an exam where you are asked to randomly guess the answers." Su Yundao said.
"Cardiovascular diseases, such as congestive heart failure, renal embolism, and renal vein thrombosis, can also cause hematuria." Zheng Ren interrupted Su Yun's rambling and asked, "Have you had your heart checked?"
"It's unlikely. There is no change in the renal parenchyma. Renal embolism and renal vein thrombosis can be basically ruled out. After all, the medical history has lasted for 6 days. If..."
"Mainly congestive heart failure." Zheng Ren asked.
"It's impossible." Su Yun said: "The patient has to play badminton for three hours every day."
"Badminton? Three hours? Your body is good enough." Zheng Ren said.
"Well, I was a national athlete when I was young. After retiring, I continued to work and continued to play badminton." Su Yundao said: "One day before the onset of the disease, I didn't find any problems while playing badminton."
Zheng Ren began to think deeply.
"Are you not allergic to food or exposed to heavy metals?" Chang Yue asked.
"Judging from the existing signs, there shouldn't be any." Su Yundao said, "The patient lives a regular life and is very healthy. None of his colleagues and family members have similar conditions. I have asked about this."
Mr. Yu looked at the video data quietly without saying a word.
He already knew all this, but he just didn't know what the symptoms of kidney stones, such as hematuria and renal colic, came from.