Chen Cang looked at Qin Yue, who ran away from SA ya, and was suddenly stunned.
He thinks... It''s a little early!
Thinking of this, Chen Cang suddenly regretted that he might get some benefits if he knew coercion and inducement
Instead of now, even the dishes have to be washed by themselves.
Hey
It''s all right in the afternoon. Chen Cang can also have a rest,
Humming the "eight kills in a row" I don''t know where I heard it, the rhythm of washing dishes was a little cheerful.
While Chen Cang was washing the dishes, he suddenly thought of something and was stunned.
The diagnosis just now!
Me, Cao?
Chen Cang suddenly realized how awesome the special reward he had just obtained!
Perfect digestive system diagnosis!
Is that too strong?
I just listened to it several times. The logical thinking in my mind kept thinking. All kinds of signs, examinations and tests began to serve the diagnosis.
Just like a high-speed computer!
Thinking of this, Chen Cang suddenly felt excited.
This perfect digestive system diagnosis is really magic
……
……
Xiehe general surgery office.
It''s more than three in the afternoon.
At this time, more than a dozen medical staff of the gastrointestinal team of general surgery were having a case discussion.
In fact, such case discussions are often held every three or five times, either difficult cases or death cases. In fact, the discussion is also the daily work of medical staff.
Tomorrow Wednesday, the director will conduct a ward round. We must find out all the patients before, or director Sun will lose his temper.
Zhuang Yueming of the gastrointestinal surgery group looked at everyone and nodded and said, "Xiao Qin, let''s start!"
Xiehe general surgery is a national key specialty!
Even in the history of Chinese medicine, it has indelible brilliance and achievements, and many medical experts from all over the country and even the world have emerged.
Under the leadership of leaders of various disciplines and according to the characteristics of general surgery, Xiehe general surgery was the first to refine and establish professional groups in China: including pancreas, biliary tract, gastrointestinal tract, blood vessels, breast, liver, surgical nutrition, severe and related clinical professional laboratories.
Sun Guangyu, Qin Yue''s mentor, is the chief director of general surgery. He has made great achievements in the field of digestive system and has a lot of research on pancreas, liver, gallbladder, gastrointestinal tract.
Qin Yue is now in the gastrointestinal group with her elder martial sister, and the proportion of professors, associate professors and attending doctors in each professional group also presents a perfect equilateral triangle distribution.
This also allows each group to face difficult diseases independently and have the ability to solve them.
Hearing director Zhuang''s words, Qin Yue quickly stood up, posted the patient''s situation on the big screen, and then began to talk about the patient''s situation.
Speaking of it, Qin Yue is also curious. Today he is not nervous at all!
Even looking at so many experts and professors present, a group of doctoral and master directors, and directors... My heart is as stable as Mount Tai without panic.
My husband has already announced the answer!
You are far from my husband!
Girls can''t swear, otherwise their husband doesn''t like it.
Thinking of Chen Cang, Qin Yue is very satisfied. This is a best boyfriend.
We should have good looks and talents. We are even satisfied with the indicators and data of our private life!
Thinking of this, Qin Yue felt that she had made a lot of money.
When the manuscript was ready, Qin Yue began to read it.
"The patient, a 34 year old female, suffered from intermittent right abdominal pain, diarrhea with fever for more than one month... Accompanied by abdominal distension, diarrhea and cough... She did not improve significantly after giving penicillin and dexamethasone in the local hospital. She came to our hospital for treatment in four days..."
After Chen Cang''s combing and deduction, Qin Yue''s regulations for patients are very clear, and each index and data are recorded in his heart.
Qin Yue''s Untitled introduction to the patient brightened Zhuang Yueming''s eyes and nodded with satisfaction.
"Good! It seems that Xiao Qin knows enough about the patient. Xu Rui, what do you think of this patient now?" Zhuang Yueming asked.
Xu Rui is Qin Yue''s senior sister and sun Guangyu''s student.
When Xu Rui saw Qin Yue reciting the medical records, he couldn''t help but be stunned. He couldn''t help nodding and said, "the patient''s situation is more complex. After he was hospitalized yesterday, he improved various examinations!
B-ultrasound showed peritoneal effusion, gathered intestines and thickened greater omentum; abdominal X-ray showed rich and strong multiple adhesions and wrapped effusion. I was admitted to the hospital with "gastric perforation and peritonitis"
"But the temperature control is still not very good, and the headache is obvious. There is mental depression, and the drainage fluid is more viscous. The overall condition continues to deteriorate and the condition is critical."
Xu Rui is really worried. This patient has a history of four gastrointestinal operations and two gastrectomy. He is only 34 years old, but now there is turbid mucus on the right side of the gallbladder under the liver, and 80ml turbid liquid flows out of the utero rectal space. The most important thing is that he coughed all night last night. He can''t stop his fever. He can''t control his relaxation fever!
For a moment, there was a silence in the office.
The cases are so long and there are so many examination results that everyone seems to work hard.
After more than ten minutes... Even 20 minutes, the patient''s situation was analyzed and began to speak again and again.
Zhuang Yueming also raised his head. Looking at the case, his inner diagnosis gradually became clear.
The more I think about it, the more I think it is a rare good case!
This case is definitely a difficult and complicated disease. There are many things to consider. If you don''t pay attention to it a little, you will fall into the trap of the disease.
It''s worth discussing and interesting!
The more you look at it, the more surprised Zhuang Yueming feels.
This case is rare for everyone''s clinical thinking exercise and test.
In fact, for doctors, these rare cases are like rare objects. People can''t help but want to see more. If such patients can be cured, it is definitely a very fulfilling thing.
Of course, those who don''t understand can''t be cured. It''s better not to appear
Then, everyone began to discuss one after another.
Your words and mine are very lively.
This kind of discussion is not a quarrel. Every point of view you have to analyze must be justified, not nonsense.
Everyone is in high spirits and express their views. It''s not lively!
Soon, there are more and more views!
"I feel this is more like a purulent peritonitis. I saw a perforation of the digestive tract during the operation, but... It''s a little unclear here: the indwelling drainage tube after the operation is correct, the body temperature continues to rise, which proves that the peritonitis is not well controlled, the incision does not heal, and the operation is unsuccessful. The problem is that there may be a leak in the upper digestive tract!"
"Well, it makes sense, but where is the cause of cough? The digestive system won''t cause cough and chest tightness? If you consider central venous catheterization infection, removal of catheterization and cutting tip bacterial culture, it doesn''t grow. The use of antibiotics such as levofloxacin, ceftriaxone and metronidazole still hasn''t improved, which obviously doesn''t explain clearly!"