Hearing what Director Xia said, the patient's family members also had puzzled looks on their faces.
It's not like talking nonsense and perfunctory yourself. But... He took another look at Zheng Ren, and he was indeed a young doctor.
This is strange.
Director Xia's reputation is known to many ordinary citizens in Haicheng, and he is one of the best gastroenterology experts in Haicheng.
How could she admire this little doctor so much
"Mr. Zheng, the amylase of the patient with acute severe pancreatitis has basically returned to normal." Director Xia talked to Zheng Ren about the patient two days ago while watching the film.
"Well, you are professional and can treat well." Zheng Ren said casually, his mind filled with information about related diagnosis and differential diagnosis.
"Thank you." Director Xia didn't mind Zheng Ren's perfunctory, and said with a smile: "How does Mr. Zheng diagnose this patient?"
"It looks like a large abscess in the abdominal cavity, but I don't think it is. It's more likely to be a colonic diverticulum now."
"Diverticulum?" Director Xia was stunned for a moment.
"Well." Zheng Ren picked up the laboratory test done by the patient in the emergency department and said, "Director Xia, you see that the patient's blood routine does not have any major abnormalities. If it is a large abscess in the abdominal cavity, there must be relevant evidence. Changes in blood tests.”
Director Xia pondered.
"Of course, this is just a suspicion. The patient is an elderly person, and his body may not be able to respond. But if colon diverticulum is diagnosed, everything can be explained logically." Zheng Ren pointed to the film and began to think about it using professional imaging terms. I said it for three full minutes.
Su Yun's eyebrows were furrowed tightly, his head was slightly lowered, and he looked at Zheng Ren's eloquent profile through the black hair on his forehead.
The originally dull face was full of confidence, a little arrogant, but not too much.
Who gave him the confidence
Su Yun was a little confused.
This kind of differential diagnosis requires both technology and experience.
Technically, Su Yun doesn't think... He himself doesn't think Zheng Ren is much better than him. But why is he so confident
The same question also appeared in Director Xia's mind.
strangeness!
"Mr. Zheng, I think what you just said may be because the patient is older and the blood image may not be able to respond in a short time." Director Xia has a similar view to Su Yun, thinking that it may be a large abscess in the abdominal cavity. Sex is bigger.
Zheng Ren smiled and said: "I have never seen similar cases in our city's No. 1 Hospital, but they are mentioned in relevant literature. A similar case was mentioned in the surgery article published by Dr. Molière S , very similar to this patient.”
Su Yun suddenly realized that Zheng Ren had seen similar reports, so he could be sure with a high probability.
It seems that the road to catch up is much longer.
But it's strange. I don't see Zheng Ren reading periodicals and magazines. Could it be that he read them when he was in school
Director Xia still insisted on his opinion and asked: "Similar cases cannot prove..."
"Director Xia, look here." Zheng Ren's face was filled with confidence. He recalled a case report he had just seen, and then reversed it, and everything suddenly became clear.
Zheng Ren took out the pen, pointed the tip of the pen at a position on the CT scan of the lower abdomen, and said: "Here, the image of the liquid level has changed slightly. The information obtained from the CT scan is calculated to obtain the x-ray attenuation coefficient of each voxel or The absorption coefficient is then arranged into a digital matrix. The changes here are based on the attenuation law of the digital matrix, and I judge the density... "
The endless stream of professional terms confused Director Xia.
Although as the director of the University of Gastroenterology, he is well-known in Haicheng and has rich clinical experience, this does not mean that Director Xia is familiar with CT to the level of Zheng Ren.
"Boss, I peed! I peed! The patient urinated successfully!" Professor Rudolf Wagner's excited voice, like a lion's roar, came from the other end of the corridor.
"Su Yun, tell Fuguier to shut up!" Zheng Ren frowned and said displeasedly.
Soon, the professor hurried to the office with uncontrollable excitement.
"Boss, boss, you peed!" the professor whispered excitedly.
"Fuguier, it's not that the boss peed, it's that the patient's urination was normal after surgery." Zheng Ren was a little unhappy and corrected: "Isn't it normal for him to pee? What a fuss."
Zheng Ren then said calmly: "Director Xia, let's continue talking."
Professor Rudolf Wagner glanced at the film and said casually: "Boss, you have an abdominal abscess... No, the density doesn't look like an abscess."
"Fuguier, what do you think it is?" Zheng Ren really couldn't stand the professor's noise, so he simply asked the professor instead of explaining it to Director Xia.
"Boss, I think it may be a colon diverticulum or an abscess. This identification..."
"I think it's a colonic diverticulum. If you back-calculate the digital matrix from the image and then add a reconstruction, it will be more obvious from the perspective of transmittance and absorption." Zheng Rendao.
"Boss, I praise you!" Professor Rudolf Wagner made an exaggerated expression, pointed at the CT film with his finger and said: "I understand what you mean, it is indeed a diverticulum, no doubt it is a diverticulum!"
Director Xia couldn't understand the exchange between Zheng Ren and Professor Rudolf Wagner at all, and looked confused.
Su Yun frowned, and after more than ten seconds, he showed an expression of sudden realization.
The patient's family members were even more at a loss. They didn't know why there was a foreigner who spoke Chinese so fluently in the city's first hospital.
"Boss, I feel that God not only kissed your hands, but also gave you a unique brain." Professor Rudolf Wagner continued to praise without feeling numb at all, "The patient urinated, and I left the urine sample for you to take a look at. ? That looks like the best beer in Munich.”
Well…
Zheng Ren couldn't understand the professor's excitement, so he gave the professor a disgusted look and rejected him thousands of miles away.
"I have something to do here, so go ahead and do it." Zheng Ren said with disgust.
The professor was just about to defend himself, but he also wanted to fight for it. But then he saw Zheng Ren's calm and intimidating expression, he flinched, and walked away in embarrassment.
"Director Xia, the diagnosis is relatively clear. I think surgical treatment is needed. Laparoscopy is not recommended because the diverticulum is too large, so it is safer to do surgery." Zheng Rendao.
Director Xia didn't understand what Zheng Ren was talking about, the numerical matrix or the inverse reasoning, but he just thought it made sense. She stared blankly at the lower abdominal CT inserted into the reader, thinking that maybe only Philips engineers who started studying medicine could do this.
"Director Xia?" Zheng Ren asked again.
"Ah?" Director Xia came over in a trance and smiled, "Young people are scary. Since the professor has the same idea as you, let's do the surgery."