1629 Worship +2
I came to see Boss Zheng, originally wanted to see his superb anatomical techniques.
But who would have thought that Boss Zheng did not follow the routine and did not find the location of cerebral hemorrhage, but directly discovered the internal carotid artery thrombosis through dissection.
"Zheng...Boss, what does it mean?" Li Zhaosen said in a hurry.
"The deceased himself suffers from carotid atherosclerosis and poor blood vessel elasticity. During the process of avoiding and fighting, the neck experiences intense exercise such as excessive stretching or curvature.
The carotid artery was pulled violently in an instant, causing carotid artery endometrium torn, resulting in thrombosis and obstruction of the lumen.
Brain tissues are occluded by partial thrombosis or partial elimination of intracranial branches, causing acute cerebral ischemia and multiple large-scale necrosis occurs."
Zheng Ren slapped the knife in front of Li Zhaosen, took off his gloves directly, and said frankly.
"..." Everyone was stunned.
"Boss, carotid endarteral avulsion is very low, how did you think of it?" Su Yun asked frowned.
"The disease develops very strangely, and incontinence is inexplicably caused by incontinence. The main disease considered is carotid endarterial avulsion syndrome." Zheng Ren said casually.
"How do you know?" Su Yun was concerned about this.
"When you were not going to the emergency department, there was a similar patient in the observation room, and later he was sent to the Medical University." Zheng Ren said nonsense. Anyway, Su Yun was a few days later than him, and he said what he said.
If you have the ability to go back to Haicheng to find medical records, Zheng Ren believes that Su Yun is not so idle.
Su Yun just asked casually, but he didn't think anything Zheng Ren said.
A very clear logical chain. If you have the opportunity to do an anatomy, you must look at the carotid artery. In this regard, Su Yun will not question his boss's IQ.
That guy has a very low EQ, but his IQ is definitely not low. He is only a little lower than himself, Su Yun thought to himself.
"Boss Zheng, you..." Li Zhaosen was stupid and didn't know what to say.
"Hmm?" Zheng Ren turned his head to look at him, smiled, and said, "What's wrong?"
"The court's judgment on traumatic carotid artery occlusion and cerebral infarction is completely different. Forensic doctors must be cautious. Can you... be sure?" Li Zhaosen said in a low voice.
Zheng Ren looked at his expression carefully and felt that he was not defending the other party, but just asking himself to be more cautious.
Perhaps in Li Zhaosen's opinion, his judgment was a bit far-fetched, but in his opinion, it was a very obvious thing.
In fact, it is true that if you are doing autopsy, how can you find the top domestic diagnosis and surgery experts to do it?
A top surgery costs tens of thousands of dollars. It is better to go to a flying knife if you have this time. Who pays for the autopsy?
This time it was a coincidence, so I should teach Li Zhaosen something.
This person is very skilled in his anatomy, but autopsy is definitely not something that can be done by just dissection.
Corresponding clinical knowledge and disease development will provide many clues.
Judging from his attitude towards medical records, Zheng Ren can guess it.
"That's right." Zheng Ren turned around and took off his white clothes and said: "Traumatic carotid artery occlusion refers to blunt or sharp trauma injury in the neck, excessive stretching and curvature of the neck, or skull fractures in the temporal limbus, etc., which lead to tears, rupture of the inner carotid artery, and even complete thrombotic occlusion."
"This disease is divided into open and closed, and the patient...the situation of the deceased is relatively easy to distinguish."
"That... Teacher Li, it is not enough to do an autopsy alone. If the deceased came from the hospital, you should look at the medical records more. There are some narratives in the medical records that can infer many situations." Zheng Ren said.
"..." Li Zhaosen looked at Zheng Ren silently, looking aggrieved. But he was not dissatisfied, but more confused.
After the ESD dissection on that day, Li Zhaosen's attitude towards Zheng Ren had skipped the ordinary, friendly, respectful, and directly reached the worship.
Zheng Ren thought Li Zhaosen was quite interesting and was willing to say a few words to him. While washing his hands, he said: "Just like there is a differential diagnosis in clinical practice, forensic doctors will definitely have it. They are all cerebral infarction, and there is still a difference between traumatic and pathological."
"What's the difference?" Li Zhaosen asked immediately like a student.
"First, there is a clear history of head and neck trauma; the areas of external forces can easily cause excessive neck extension or curvature.
Second, the injury and onset have an incubation period. The patient just now has a 2-3-day incubation period. During the incubation period, the patient is completely fine. This is also the basis for my main judgment that the patient is carotid endarterial avulsion syndrome.
Third, mild hemiplegia, paralyzing, and aphasia may occur after the onset of the disease, and some may be accompanied by horner’s syndrome. This is not obvious in the medical record, because it is difficult for district and county-level hospitals to make targeted judgments.
Fourth, craniocerebral CT examination shows multiple large-scale brain softening lesions on one or both sides, which are inconsistent with the latter's prone site.
Fifth, carotid endothelial rupture and thrombosis were seen in autopsy.”
Zheng Ren is a standard science student's thinking, and his words about one, two, three, four, and five made Li Zhaosen confused.
What the hell is this?
Although I couldn't understand it, the feeling of not realizing the clarity echoed in my heart. Boss Zheng is really professional, and Li Zhaosen felt extremely emotional.
Although he was a doctor, he directly crushed himself during the autopsy.
"Zheng...Boss, please speak slowly and I'll remember it." Li Zhaosen looked admiring.
Unlike Liu Zewei, who is a person with a stubborn mind, Li Zhaosen is the kind of person who has something to do. He writes everything on his face instead of hiding it in his heart.
Zheng Ren thinks Li Zhaosen is a little crazy and is tempted by technology, and is also a good person.
He said slowly little by little, and when Li Zhaosen recorded it, Zheng Ren finally realized that he could use WeChat voice.
"Boss Zheng, Teacher Dabi's specimens are brought." Zhou Chunyong answered a call and said.
When Li Zhaosen heard the words "Dashi Teacher" and Li Zhaosen's ears stood up.
"Okay." Zheng Ren and Li Zhaosen said: "Teacher Li, then let's first..."
Just as he said this, Zheng Ren's cell phone rang.
[They said that they should write a love song quickly, and appreciate it by both the elite and the masses...]
Zheng Ren answered the phone, "Dean, I..."
"Well, I'm at the Medical University." Zheng Ren's expression immediately became sober. Zhou Chunyong's heart trembled when he saw it.
An ominous premonition quickly rose in his heart.
"Okay, I'll hurry over right away!" Zheng Ren said with a serious expression.
"Boss, what's wrong?" Su Yun asked.
"A employee working overseas was injured locally and was injured in a gunshot. He was sent back to China after a simple treatment. It has been 8 days since he could not find the bullet. Vice President Yuan asked me for consultation to see if he could find out." After Zheng Ren said that, he hurriedly left.
Chapter completed!