The Department of Urology invited the entire hospital for consultation.
All relevant departments were called in, including even the hepatobiliary surgery department because of tenderness in the gallbladder area.
In the office, Mr. Yu reported on the medical history, and many professors expressed their opinions.
More laboratory tests were conducted, but there was nothing that Mr. Yu considered constructive.
This difficult and complicated disease is very difficult, but it cannot be postponed. Mr. Yu knew that the patient was in pain. This kind of pain that was like death could really make people feel depressed.
If it drags on for a few days, even if the diagnosis is confirmed later and the symptoms are relieved with correct treatment, the patient may be left with a strong psychological shadow and even suffer from depression.
"Then let's do it." The member of the medical department who was responsible for presiding over the hospital-wide consultation said politely: "Sorry to trouble you all."
Everyone also knows that the opinion they put forward is only a possibility, a possibility of small probability. I want a clear diagnosis... I don't really believe this diagnosis.
After packing his things and preparing to leave, the office door was pushed open and Zheng Ren strode in.
"Boss Zheng?" Mr. Yu was surprised.
"Well, the diagnosis is confirmed." Zheng Ren had a bright smile on his face.
"Uh..." Everyone sat back again.
Everyone is also very curious about this imaginary disease, which is a "urinary tract stone" that is missing a stone. What disease did Boss Zheng diagnose
"Check a cervical spine MRI." Zheng Ren said.
"..." Mr. Yu was speechless.
Is this a full body checkup
What is the relationship between cervical spine MRI and renal colic
"That's right, let me just say a few words." Zheng Ren stood in front of the reader, with the reader behind him open. He seemed to be glowing with light.
Su Yun looked interesting. The boss must have thought about where to stand to be more conspicuous!
This location is so cool, even more golden than the golden section. I must try it when I get the chance in the future.
"The patient was a good athlete when he was young and has maintained a considerable amount of exercise for so many years." Zheng Rendao.
"Boss Zheng, does this have nothing to do with renal colic?" Mr. Yu asked weakly.
"It does matter." Zheng Ren said with a smile: "Let me talk about the diagnosis first. I consider that the patient has mild stenosis of the intervertebral foramen of the cervical spine, which can cause nerve roots to be irritated and the cervical sympathetic nerve to be excited. When it weakens, the vagus nerve will be reflexively stimulated. Excitation, thus causing contraction of the gallbladder neck sphincter and ureteral smooth muscle, leading to biliary and renal colic.”
"..." The office was quiet.
If it hadn't been for Boss Zheng, if it had been someone else, I'm afraid some people would have become impatient, stood up and wanted to leave.
The reason why the professors and directors here have not left is because several of Boss Zheng’s recent diagnoses are legendary. Especially the incident where Lao He gave Director Mao an epidural anesthesia, everyone still thinks of it occasionally.
Could it be true
Although it sounds ridiculous, seeing the serious and serious expression on Boss Zheng's face, the residents and professors from various departments who came for the consultation were all in a daze.
"But the patient has hematuria." Mr. Yu was still struggling.
"Athletes who are training or healthy people will have hematuria immediately after a large amount of exercise. The obvious degree is closely related to the exercise load and intensity of exercise."
"but… "
"Mr. Yu, are you trying to say that in most cases of exercise-induced hematuria, the red blood cells in the urine will completely disappear within 24 hours to 3 days after exercise?" Zheng Ren said.
Mr. Yu nodded. It seemed that Boss Zheng knew what he was doing.
"The patient has severe pain, muscle spasms, forced posture, and a higher level of activity than during normal exercise." Zheng Rendao: "It is understandable that hematuria continues."
"Then what?" Mr. Yu asked while recording with a pen.
"If there is no simple cervical spondylosis, the patient should be consulted by an orthopedic department. If you take a cervical collar and take some medicine, you will get better soon."
"..." Mr. Yu was speechless again.
"Unscientific physical exercise can lead to or even accelerate chronic strain of the muscles around the cervical spine." Zheng Rendao, "The amount of activity is too large, and the cervical spine moves frequently when playing badminton, which leads to cervical spondylosis."
"Cervical spondylosis is not a disease that can only be contracted by sitting at work or frequently using mobile phones to surf the Internet."
"Is it that simple?" Mr. Yu still refused to believe it.
"Well, it's that simple." Zheng Ren said, "Because of the renal colic, the patient and we ignored the symptoms of slight pain in his right shoulder and numbness in the right upper limb. After all, compared with renal colic, the pain in the shoulder and hand are a little bit Hemp, easily ignored.”
Zheng Ren looked around the office and saw that no one was talking, so he smiled and said, "If everyone has doubts, then we can do a partial lockdown."
This is an immediate solution. After the local symptoms are relieved, if the renal colic is also relieved, it proves that Boss Zheng's diagnosis is correct.
Although this diagnosis sounds very unreliable.
Local sealing usually involves injecting a certain concentration and quantity of prednisolone injection and lidocaine hydrochloride into the lesion area.
It is used to treat pain conditions, mainly utilizing its anti-inflammatory effects. They can improve the permeability of capillaries, inhibit inflammatory responses, and reduce the damage caused by pathogenic factors to the body.
Partial sealing rarely appears clinically as a diagnostic treatment. In 912 hospitals, it is mostly done in outpatient clinics.
Closure is very simple. Zheng Ren completed it in 2 minutes with many professors and directors watching.
The whole process is simple and straightforward.
Everyone's eyes were fixed on the patient, with some expectations or other thoughts.
In less than ten minutes, the patient's renal colic symptoms were significantly relieved. Everyone, including the patients, is puzzled by this: How come a needle in the neck doesn’t hurt my stomach anymore
This is also a bit too incredible.
"Well, the diagnosis is relatively clear." Zheng Ren looked at the patient's performance and was very satisfied. "Mr. Yu, hurry up and do an MRI, and then seek consultation from an orthopedic department. It's a very simple question, and I guess the condition won't be serious."
"Oh, oh." Mr. Yu was dumbfounded when he saw that the patient's renal colic disappeared after the sealing procedure.
He considered almost all problems, but he never considered the abdominal pain caused by cervical spine problems.
This idea is so weird and incredible.
But no one refuted that the patient's colic symptoms in the renal area were immediately relieved with one injection of partial sealing, which is enough to illustrate the problem.
The others were amazed and left one after another. Mr. Yu first ordered an emergency cervical spine MRI and asked the patient to go for examination. Then he took Zheng Ren and Su Yun to his duty room and interrogated them for a long time.
Although he could understand the logic, he refused to believe it until the end.
…
…
Note: For a case that I went to see the director of our department last year, a senior brother happened to give me a similar case, so I used it.
I searched for similar medical records. Hematuria is not common, so the more extreme cases are used here.