130. Thermometer for personal use
In the examination of abdominal parenchymal organs, B-ultrasound is both flexible and cheap, and is worse than CT in imaging, but has little impact on diagnosis and is the preferred screening and examination method.
However, for cavity organs, the ability of B-ultrasound will plummet. The simplest and most powerful evidence is that in the diagnosis of acute appendicitis, B-ultrasound was the first choice ten years ago, but now the CT is basically started in the 3-A emergency department.
Because many people have negative B-ultrasound, they still have to rely on CT to confirm the diagnosis in the end. It is better to do it step by step from the beginning, saving time and effort.
Now there is a time bomb hidden in Liu Linlin's kidneys. Bending over to press her legs is equivalent to igniting the fuse.
Although drugs and some treatment measures against shock have wiped out this fuse, the bomb is still hidden in the dark and may explode at any time. Scanning the kidneys and adrenal organs, the B-ultrasound is still very convincing.
Wu Tongshan really didn't expect Qi Jing to appear at this time.
With his understanding of Qi Jing, if things do this, it means that he is sure to succeed and be inseparable from the tenth.
But he personally received the patient, and basically followed the whole process. Whether the patient himself or the medical records were kept in the emergency room, how did he judge this as a doctor just glanced at the gate?
He couldn't figure it out, and of course it was not appropriate to continue to worry about this kind of thing.
Because he just saw B-ultrasound and then associated with the patient's symptoms, he roughly understood Qi Jing's idea. In clinical diagnosis, the last layer of window paper is often missing. As long as someone points it out, all clues will come naturally.
He is standing in front of Qi Jing now, knowing the importance of B-ultrasound, but he still remembers Wang Ting's scolding, so he doesn't know whether to stop or release him.
In a dilemma, he turned around and looked at the control room beside him.
Wang Ting's experience is never worse than Wu Tongshan. When he saw B, he thought of the cause. Doctors are the ones who save people. When the condition is critical, he will appear childish if he twists his previous small mistakes.
So although the old man was stern, he asked Qi Jing's diagnosis: "Do you suspect she has pheochromocytoma?"
"Director Wang is so awesome."
Qi Jing accompanied Xiao and looked at the old man standing up in the glass window: "The patient happened to be pressing his legs when he was sick. It must be that the surrounding tissue squeezed the pheochromocytoma when he pressed his legs, causing a large amount of catecholamine in the tumor to enter the blood."
"Hmph, I'm not as good as you!"
Wang Ting glanced at the B-ultrasound beside him, and scolded in a voice: "You even took out the B-ultrasound beside the bed in the rescue room. How amazing are you!"
"I'm not anxious."
"Since I'm anxious, why are you still staying at the door?"
Seeing that he knew that he had escaped a disaster, Qi Jing pushed the B-ultrasound into the CT room: "I want to check the CT and pay the fee, and the fee is not low. The B-ultrasound cost in the emergency room is very small, and it can be counted as the rescue fee, so there is no need to pay the fee first."
"It's not too late to do CT after the B-ultrasound discovers the tumor."
Wang Ting opened the door and left the control room, walked to him, and slapped Qi Jing on the shoulder, "You think you are so thoughtful, do I still have to thank you?"
"No...no." Qi Jing felt pain, gently twisted his hand and pushed the B-super machine to the CT, "If you want to thank you, I will thank Director Wang for your help."
"You have moved the machine, and I don't have to insist on not letting it do it, and I force you to move it back." Wang Ting said this and said the corner of his mouth slightly raised, "But if you don't find chromium, you have to stand in the emergency hall for another two weeks."
"It's only two weeks, no problem."
Qi Jing pushed the car to the patient and consciously handed over the probe and coupling agent to Wu Tongshan. After all, he did not have a license, so it would be better to let the doctor take care of the operation.
The operator in the CT room was also very sensible. He first closed the CT door, and then walked out of the operating room to explain the situation to the patient outside the door.
The b-ultrasound result is obvious: there is abnormal echo in the left adrenal gland, with a size of 37mm×33mm, and the boundary is not very clear.
Wang Ting looked at the echo block and said, "Image plus color."
Wu Tongshan clicked the button and immediately saw dot-shaped blood flow signals from the black and white images.
"It's really a pheochromocytoma, you kid..." Wang Ting nodded, and wanted to turn back and praise Qi Jing. But he didn't expect that Qi Jing, who was standing behind him before, had long been gone.
At this time, the door of the CT room was opened, and the operator and the nurse walked in.
"Where is that boy?" Wang Ting asked.
"Oh, you said Qi Jing, I ran away with me just now," the operator said with a smile, "How is it, is it confirmed?"
"Well, it's very likely that B-ultrasound is pheochromocytoma, and you need to clarify it." Wang Ting looked at Wu Tongshan, "Tongshan, go and tell the family members and let them..."
"Director Wang, spare me."
Wu Tongshan recalled the situation when he was talking just now, and his mind tightened: "That's just two farmers, I don't know anything. I really can't handle it. It's better for you to do it."
"Okay." Wang Ting nodded and left the CT room first. "You can do a scan and confirm the specific location first. I will come over after the conversation. By the way, I have to find someone outside of urination..."
As he spoke, the voice disappeared into the crowd.
"Do it first?" the operator asked Wu Tongshan.
"Director Wang said everything, it must be done." Wu Tongshan got up and took the B-super machine away, then asked Xiaoli to help wipe off the coupling agent on the patient's stomach. "If you don't agree and don't have to be responsible, you'll pay the emergency department."
"OK."
Pheochromocytoma still enhances CT and sees it more clearly, but considering that the patient's condition is not good, it is very dangerous to create contrast agents now, and any situation may occur. Malignant arrhythmia, or even another chromogenic crisis, are possible.
Fortunately, Liu Linlin was lucky. After five minutes, the tumor was found after scanning the CT in her abdomen.
Ten minutes later, the doctor who had urinary urination came to consult. After reading the report on CT and B ultrasound, he made a decision to take out the hospitalization form on the spot, hoping that the patient would undergo surgery as soon as possible.
After hearing this, the parents complained helplessly that God was unfair, which made the financial situation of their family that was already in short supply. But even if they were talking about it, they did not give up. They called their relatives and friends to borrow money, and the lives of their children must be more important than money.
After everything was settled, it was already noon.
Wang Ting found that his urge to pee gradually faded, and his mood suddenly improved a lot. Only then did he realize that Qi Jing was really missing. He searched all the emergency halls, diagnosis and treatment rooms, and no one said he didn't see him.
"This kid is afraid that he will hide if he is punished?" Wang Ting stood at the nurse's stand and asked Xiaomei with a smile.
"I saw it at eleven o'clock and asked me to ask for a thermometer." The younger sister said, "It looks very urgent. The patient's temperature was very high just now? Is it septic shock?"
"No, there is no problem with body temperature..."
Wang Ting thought something was wrong: "He didn't say who the thermometer was for?"
"I didn't say it." Xiaomei shook her head.
Chapter completed!