1768 Partial closure (monthly ticket 40008)
The Urology Department invited a consultation in the whole hospital.
All relevant departments have been invited, and even hepatobiliary surgery has been invited due to tenderness in the gallbladder area.
In the office, Mr. Yu reported his medical history and many professors expressed their opinions.
There are more tests, but no comments that Mr. Yu thought were constructive.
This kind of difficult and complicated disease is quite difficult, but it cannot be delayed. Mr. Yu knew that the patient was in pain, and this kind of near-death pain really made people feel depressed.
If it delays for a few days, even if the diagnosis is clear in the future and the disease is correctly treated and relieved, the patient may leave a strong psychological shadow or even suffer from depression.
"That's it." The medical clerk who was in charge of the hospital's consultation said politely: "Please trouble you."
Everyone knows that the opinions I put forward are just a possibility, a possibility of low probability. If you want to make a clear diagnosis, I don’t believe in this diagnosis very much.
After packing up his things and preparing to leave, the office door was pushed open, and Zheng Ren strode in.
"Boss Zheng?" Mr. Yu was surprised.
"Well, there is a diagnosis." Zheng Ren's smile on his face was very bright.
"Uh..." Everyone sat back.
Everyone is also very curious about this kind of pervasive disease, which lacks a "urinary stone" in which a stone is missing. What disease does Boss Zheng diagnose?
"Check a cervical spine nuclear magnetic field." Zheng Ren said.
"..." Mr. Yu was speechless.
Is this a full-body examination?
What is the relationship between cervical spine nuclear magnetic field and renal colic?
"That's right, I'll say a few words." Zheng Ren stood in front of the video reader, with the video reader behind him turning on, as if he was emitting light all over his body.
Su Yun looked interesting. The boss must have thought about where to stand in order to be more conspicuous!
This position is so handsome, it is even more gold than the golden point. You must try it when you find opportunities in the future.
"The patient was athletic player when he was young, and he has maintained a considerable amount of exercise for so many years." Zheng Ren said.
"Boss Zheng, this has nothing to do with renal colic." Mr. Yu asked weakly.
"It's related." Zheng Ren smiled and said: "I'll talk about the diagnosis first. Consider that the patient has mild stenosis of the intervertebral foramen in the cervical spine, which can cause nerve roots to be stimulated and cervical sympathetic nerve excitement. When it weakens, reflexes cause vagus nerve excitation, which causes the cervical sphincter and ureteral smooth muscle contraction, resulting in biliary renal colic."
"..." The office was quiet.
If it weren't for Boss Zheng, if someone had changed, I'd probably be impatient and would have stood up and left.
The reason why the professors and directors here did not leave is because several of Boss Zheng's recent diagnosis is similar to legendary. Especially when Lao He gave Director Mao anesthesia, people still occasionally remembered it.
Could it be true?
Although it sounds absurd, the professors in the hospitalized directors of various departments who came to consult with a serious and serious expression were in a daze.
"But the patient has hematuria." Mr. Yu was still struggling.
"Athlete or healthy person who is training experiences hematuria immediately after a lot of exercise, and its obvious degree is closely related to the exercise load and exercise intensity."
"but……"
"Mr. Yu, you want to say that in most cases of exercise hematuria, the red blood cells in the urine will completely disappear within 24 hours to 3 days after exercise." Zheng Ren said.
Mr. Yu nodded, and it seemed that Boss Zheng knew it.
"The patient has severe pain, muscle spasms, forced position, and the amount of activity should be higher than when he is exercised normally." Zheng Ren said: "It is understandable that hematuria continues."
"What then?" Mr. Yu asked while recording with his pen.
"No, for simple cervical spondylosis, patients should be consulted by orthopedics. Cervical braces, take some medicine and get better soon."
"..." Mr. Yu was stunned again.
"Unscientific physical exercise will lead to or even accelerate chronic strain on the muscles around the cervical spine." Zheng Ren said, "The amount of activity is too large and the cervical spine exercises are very frequent, so it leads to cervical spondylosis."
"Cervical spondylosis is not a disease that can only be caused by sitting and working or using your mobile phone to surf the Internet frequently."
"It's that simple?" Mr. Yu still refused to believe it.
"Well, that's that simple." Zheng Ren said, "because of kidney colic, the patient and we both ignored the symptoms of slight pain in his right shoulder and numbness in his right upper limb. After all, compared with kidney colic, shoulder pain and slightly numbness in his hands are easy to be ignored."
Zheng Ren looked around the office and saw that no one was talking, and smiled and said, "If everyone has doubts, then put it in a partial closure."
This is an immediate solution. After the local symptoms are relieved, if renal colic is relieved, it proves that Boss Zheng’s diagnosis is correct.
Although this diagnosis sounds unreliable.
Local closure usually involves a certain concentration and amount of prednisolone injection and lidocaine hydrochloride injection into the lesion area.
Used to treat pain disorders, mainly to utilize their anti-inflammatory effects. They can improve capillaries permeability, inhibit inflammatory responses, and reduce the damage of pathogenic factors to the body.
Local closure rarely appears clinically as a diagnostic treatment. In 912 hospitals, most of them are done in outpatient clinics.
The closure is very simple. Zheng Ren finished it in 2 minutes under the watch of many professors and directors.
The whole process is simple and straightforward.
Everyone stared at the patient, with some expectations or other thoughts.
In less than ten minutes, the patient's symptoms of renal colic were significantly relieved. Everyone, including the patient, was puzzled by this. Why did the stomach stop hurting after a needle was inserted into the neck?
This is also a bit incredible.
"Well, the diagnosis is quite clear." Zheng Ren was very satisfied with the patient's performance. "Mr. Yu, hurry up and do MG and then ask for an orthopedic consultation. It's a very simple question. I guess the condition will not be very serious."
"Oh, oh." Mr. Yu saw that the renal colic of the patient who had been closed also disappeared, and he was stunned.
He considered almost all the problems, but he never considered the abdominal pain caused by cervical spine problems.
This idea is too weird and incredible.
But no one refuted that the patient's kidney colic was immediately relieved by one injection, which was enough to illustrate the problem.
The others were amazed and left one after another. Yu Zhuze first went to the emergency room for cervical magnetic resonance and asked the patient to do a test. Then he pulled Zheng Ren and Su Yun to his duty room and interrogated for a long time.
Although he could understand the logic, he refused to believe it in the end.
...
...
Note: A case I asked our department director for treatment last year. It happened that a senior brother gave me a similar case, so I used it.
Chapter completed!