Chapter 899 Xiao Qin, Tell Me

Chen Cang looked at Qin Yue who was running away, and suddenly froze for a moment.

He felt... a little too early!

Thinking of this, Chen Cang suddenly felt a little regretful. If he knew about coercion and inducement, he might get some benefits...

Instead of the current situation, even the bowls have to be washed by themselves.

Hey……

There is nothing to do in the afternoon, Chen Cang can also rest.

Humming "Eight Consecutive Kills" I heard from somewhere, the rhythm of washing the dishes became a little more cheerful.

Just when Chen Cang was washing the dishes, he suddenly thought of something and was stunned.

Just a diagnosis!

I cao?

Chen Cang suddenly realized how awesome the special reward he had just won!

The perfect digestive system diagnosis!

Is this too strong?

I just listened to it a few times just now, and the logical thinking in my mind started to think continuously, and various 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 a miracle...

...

...

Concord General Surgery Office.

After three o'clock in the afternoon.

At this time, more than a dozen medical staff of the general surgery gastrointestinal team were conducting a case discussion.

In fact, there are often such case discussions, which are held every three or five times, either for difficult cases or death cases. Discussions are actually the daily work of medical staff.

Tomorrow Wednesday, the director will have a big round of wards. It is necessary to find out all the patients beforehand, otherwise Director Sun will lose his temper.

Zhuang Yueming from the Gastrointestinal Surgery Team saw that everyone was here, nodded and said, "Xiao Qin, let's start!"

Union General Surgery is a national key specialty!

Even in the history of Chinese medicine, there are indelible brilliance and achievements, and many medical experts from all over the country and even the world have emerged.

Under the leadership of the leaders of various disciplines, and according to the characteristics of general surgery, the Union General Surgery Department has established the earliest detailed professional groups in China: including pancreas, biliary tract, gastrointestinal, blood vessels, breast, liver, surgical nutrition, critical care and related clinical professional laboratories .

Qin Yue's tutor Sun Guangyu is the chief director of general surgery.

And Qin Yue is now in the gastroenterology group with senior sister, and the proportions of professors, associate professors, and attending physicians in each professional group are also distributed in a perfect equilateral triangle.

This also allows each team to independently face difficult diseases and have the ability to solve problems.

Hearing Director Zhuang's words, Qin Yue quickly stood up, posted the patient's condition on the big screen, and then began to tell the patient's condition.

Speaking of which, Qin Yue is also curious, and he is not nervous at all today!

Even seeing so many experts and professors present, a group of doctoral and master supervisors, and the director...the heart is as stable as Mount Tai, and there is no panic.

I was overjoyed, my husband had already announced the answer!

You are far worse than my husband!

Girls can't speak swear words, otherwise the husband won't like it.

Thinking of Chen Cang, Qin Yue felt extremely satisfied. This is a superb boyfriend.

You have to have good looks and talents. Even the indicators and data of private life are very satisfied!

Thinking of this, Qin Yue feels that he has made a lot of money.

After preparing the manuscript, Qin Yue started to read.

"The patient, a 34-year-old female, was given "intermittent right abdominal pain, diarrhea and fever for more than 1 month...with abdominal distension, diarrhea, and cough... She was given penicillin in the local hospital, and there was no obvious improvement after dexamethasone. Four days to come to our hospital for treatment..."

After Chen Cang's sorting and derivation, Qin Yue's regulations for patients are very clear, and every indicator and data is recorded in his heart.

Qin Yue's unscripted introduction to the patient's situation made Zhuang Yueming's eyes light up and nodded with satisfaction.

"Not bad! 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.

Seeing that Qin Yue had memorized the medical records, Xu Rui couldn't help but be stunned for a moment, then nodded and said, "This patient's situation is relatively complicated. After being admitted to the hospital yesterday, he has completed various examinations!

B-ultrasound showed ascites, intestinal tube entangled into a mass, thickening of the omentum; abdominal X-ray showed rich and strong multiple adhesions, wrapped effusion. I was admitted to the hospital with "stomach perforation, peritonitis". "

"But the temperature control is still not very good, and the headache is obvious, there is apathy, 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 operations. He is only 34 years old, but now the right side of the gallbladder under the liver is cloudy and 80ml of cloudy fluid is drained from the uterus and rectum. The key is that I coughed all night last night, the fever couldn't stop, I couldn't control it at all, relaxation fever!

For a while, the office fell silent for a while.

The cases are very long, and there are so many test results that everyone seems to be struggling.

After more than ten minutes... or even twenty minutes, the analysis of the patient's situation was completed, and then he began to speak one after another.

Only then did Zhuang Yueming raise his head. Looking at this case, his inner diagnosis gradually became clearer.

The more I think about it, the more I feel that this is a rare and good case!

This case is definitely a difficult and complicated disease, and there are many things to consider. If you are not careful, you will fall into the trap of disease.

It's worth discussing and interesting!

The more he looked, the more surprised Zhuang Yueming felt.

This case is rare for everyone's clinical thinking exercise and test.

In fact, for doctors, these rare cases are like rare objects, and people can't help but want to take a look. If such a patient can be cured, it will definitely be a great sense of achievement. thing.

Of course, those who don't understand can't be cured, it's better not to appear...

Immediately afterwards, everyone started to discuss.

Your words, my words, very lively.

This kind of discussion is not a quarrel. Every point of view must be well-founded, not nonsense.

Everyone is in high spirits, expressing their own opinions, so lively!

Soon, more and more views!

"I feel that this is more like a purulent peritonitis. I saw a perforation of the digestive tract during the operation, but... It is a little unclear here: the indwelling drainage tube is correct after the operation, and the body temperature continues to rise, which proves that the peritonitis is not controlled. Well, there is a phenomenon that the incision does not heal, which proves that the operation was unsuccessful, and the problem is that there may be a leak in the upper gastrointestinal tract!"

"Well, it makes sense, but, but what is the reason for the cough like this, the digestive system will not cause coughing and chest tightness? If you consider the infection of the central venous catheter, remove the catheter, cut the tip and the bacterial culture does not grow. There is still no improvement with antibiotics such as levofloxacin, ceftriaxone plus metronidazole, which is obviously unclear!"