Zheng Ren stood in front of the film reader, holding his chin and watching the film.
"Boss Zheng, I don't think it looks like a tumor." Professor Feng first expressed his judgment.
"Well, I don't think so. There is blood supply only on the periphery, and there should be fecal stones in the middle." Zheng Ren said.
"Suffering from..." Quan Xiaocao wanted to speak, but he swallowed his words after only one word.
"Xiaocao, don't be cowardly. Say what you have to say. What are you afraid of? If you say something wrong, I can't eat you." Su Yun encouraged her.
Quan Xiaocao had her hair shaved today. There was a hint of green in her black hair, which looked more and more like a grass.
"Hmm... um..." Quan Xiaocao lowered his head and looked at his toes, as if regretting why he had spoken just now.
"You are such a coward, what will you do if you encounter trouble in the future?" Su Yun seemed to have always had a gentle attitude towards Quan Xiaocao, and he encouraged Quan Xiaocao.
"The patient's defecation and flatulence have always been normal." Quan Xiaocao expressed his opinion like a mosquito.
"This is indeed a problem." Zheng Ren said: "Having defecation and flatulence means that intestinal peristalsis is normal."
"I listened to bowel sounds, 4-5 times/minute." Feng Jianguo added.
Zheng Ren watched the film silently, with the relevant diagnosis already in his mind.
"For a huge space-occupying lesion, there are no internal blood vessel images. Regardless of whether it is an active substance, there is a high possibility of fecal stones." Zheng Ren reiterated again.
Quan Xiaocao was a little confused. Didn't he already say that the patient's bowel movements were normal
If there is such a large fecal stone, the intestinal obstruction must be serious, and the air and fluid levels are... Although it is not a standing abdominal plain film, it will also be shown on CT.
During this period of time, Quan Xiaocao had been replenishing her clinical knowledge, and she felt that her level had improved a lot.
But when facing Boss Zheng, I couldn't help but feel scared, no matter how nonsense Boss Zheng said.
She didn't have the guts to question Boss Zheng, the "superior" doctor who was a candidate for the Nobel Prize and was as bright as the rising sun.
"How is the patient now?" Zheng Ren asked.
"Severe abdominal distension, accompanied by tearing pain, unable to eat, drink, or lie down." Feng Jianguo saw Quan Xiaocao looking at the ground and knew that her mind was blank, so he introduced the patient's current condition to Boss Zheng.
Quan Xiaocao is a hard-working, kind-hearted, down-to-earth child. Everything was fine, but he was a little too timid, and Feng Jianguo felt helpless about it.
"Please tell me your opinions." Zheng Ren looked at the film and said softly.
Feng Jianguo was stunned for a moment, what does this mean
Does Boss Zheng want to test himself
"Boss Zheng, I have the same view as you. I don't think it's a tumor. But if it's a fecal stone... we need to do a CT scan with contrast enhancement." Lin Yuan said directly.
Feng Jianguo glanced at Lin Yuan, when did Boss Zheng have a female doctor next to him
Wearing unbuttoned white clothes is not a common habit among doctors in China. Either some senior directors don't wear buttons, or occasionally there are young doctors who don't know how to be cool.
"Lin Yuan, you didn't expect..." A skillful smile appeared on Su Yun's lips, and then he paused and said in a gentle tone: "Think more, boss. My diagnosis is duplication of transverse colon and descending colon malformation."
Zheng Ren nodded.
"Brother Feng, let's do emergency surgery." Zheng Ren said, "I'm going to see the patient. Su Yun's diagnosis should be correct. The patient has a repeated malformation of the colon, and fecal stones appear in the extra intestine in the middle, compressing the abdominal organs. and the diaphragm.”
"..." When Feng Jianguo saw that Zheng Ren was going to see the patient, he immediately said: "Boss Zheng, I have also considered this rare disease, but generally speaking, gas images can be seen in the intestines with repeated malformations."
"For the time being, we can consider that the patient has been ill for a long time, and the hyperplasia of the malformed intestine is filled with fecal stones." Zheng Ren smiled and said, "Give me a try with the stethoscope."
When Quan Xiaocao heard Zheng Ren speak, he immediately took out the stethoscope from his pocket.
But when she looked up, she saw that the female doctor next to Boss Zheng had handed the stethoscope into Boss Zheng's hand.
"Look at the patient." Zheng Ren said: "Whether it is an intestinal duplication malformation or not, a laparotomy is necessary. If it is, it will be more troublesome, more troublesome than cutting out a tumor."
Feng Jianguo knew what Boss Zheng meant. Although the operation for repeated intestinal malformations is relatively simple, with so many fecal stones inside, the patient is almost certain to suffer from serious infection, and the intestines will most likely have to be left aside, waiting for the second-stage anastomosis.
Thinking about these treatments gives me a headache.
Let's go see the patient first. Feng Jianguo led Boss Zheng straight to the ward.
"The patient was admitted today. Her belly looks like she is pregnant. The condition inside is probably very serious." Feng Jianguo introduced the situation to Zheng Ren.
Zheng Ren nodded.
Entering the ward, Zheng Ren saw a male patient rolling on the bed.
His belly was bulging high, just like Feng Jianguo described, like a pregnant woman who was pregnant in ten months.
It is estimated that the abdominal pressure is extremely high, making it uncomfortable for him no matter how he lies down, and it is difficult to find a way for him to lie down comfortably for a while.
It is said that people who are sick are anxious, and if they are so uncomfortable, who can talk calmly
What's more, the patient has been suffering from abdominal distension for more than ten or twenty years. The long-term torture makes his whole life feel like he is sinking into hell.
The system panel showed bright red, and the diagnosis was the same as Zheng Ren's judgment: repeated malformation of the transverse colon and descending colon. There were a bunch of other diagnoses, but they were all complications that were not very urgent, and Zheng Ren didn't care.
He listened to the patient's bowel sounds, which were normal.
After asking about the medical history, the patient had not eaten well for three or four days and had almost no bowel movements recently, but the exhaust was normal.
Zheng Ren already had an idea of the overall treatment.
He examined the patient, finally confirmed his judgment, and then left the ward.
"Brother Feng, prepare for the operation. Your next consultation will be held," Zheng Ren said.
"It's okay, you can come up if you want. No consultation is required." Feng Jianguo said with a smile.
Boss Zheng, a doctor with a background in general surgery, will be soft-hearted when seeing rare diseases. Feng Jianguo has known this for a long time.
"No." Zheng Ren said, "An enema is administered before the operation, and then the intestinal stent can be retrieved during the operation."
"Ah?" Feng Jianguo was stunned.
Surgery combined with interventional surgery? It seems there is no such technique.
"Recyclable intestinal stent? Is it to block the intestinal hyperplasia opening to prevent fecal stones from flowing back and contaminating the wound?" Lin Yuan asked with a frown.
"As expected of a doctor from Harvard, his judgment is right!" Su Yun said at the side.
He was beaming with joy, and there was no hint of sarcasm in him.
Lin Yuan's brows furrowed even more tightly, and she looked at Su Yun cautiously, as if she was wary of a thief.