509 The boss urinated
After hearing what Director Xia said, the patient's family also showed a look of confusion on their faces.
It wasn't like talking nonsense, perfunctory. But... he looked at Zheng Ren again, and he was indeed a young doctor.
This is very strange.
Many ordinary citizens of Haicheng know about Director Xia’s reputation, and they are one of the top experts in the digestive department in Haicheng.
How could she actually admire this little doctor so much?
"Mr. Zheng, the patient with acute severe pancreatitis, amylase has basically returned to normal." Director Xia talked to Zheng Ren about the patient two days ago while watching the film.
"Well, it's your professional side, which is well-treated." Zheng Ren was casually perfunctory, his mind full of information about related diagnosis and differential diagnosis.
"Thanks to you." Director Xia didn't mind Zheng Ren's perfunctory behavior and said with a smile: "How did Mr. Zheng diagnose this patient?"
"It looks like a large abscess in the abdominal cavity, but I don't think it is. Now it is more inclined to colon diverticulum."
"Divendom?" Director Xia was stunned for a moment.
"Yes." Zheng Ren picked up the test performed by the patient in the emergency department and said: "Director Xia, you see that the patient's blood routine is not very abnormal. If there is a large abscess in the abdominal cavity, there must be any changes in the blood test."
Director Xia pondered.
"Of course, there is only doubt here. The patient is an elderly person and may not be able to react. But if the colon diverticulum is diagnosed, everything can be explained naturally." Zheng Ren pointed to the film and began to say what he had thought about in professional imaging terms, and said it for three minutes.
Su Yun's eyebrows were frowning very tightly, his head was slightly lowered, and he looked at Zheng Ren's side face talking through his black hair on his forehead.
The originally dull face was full of confidence and a little ostentatious, but not too much.
Who gave him confidence?
Su Yun was a little confused.
This differential diagnosis requires technology and more so experience.
Technically, Su Yun does not think... he himself does not think Zheng Ren is much better than him. But why is he so confident?
The same problem also appeared in Director Xia's mind.
strangeness!
"Mr. Zheng, I think what you just said may be because the patient is older and the possibility of blood being unable to react in a short period of time." Director Xia and Su Yun had similar views, believing that it is a greater possibility of a large abscess in the abdominal cavity.
Zheng Ren smiled and said, "I have never seen similar cases in our first hospital in the city, but they are mentioned in the relevant literature. In the previous article of Surgery published by Dr. Molière S, it mentioned similar cases, which are very similar to this patient."
Su Yun suddenly realized that Zheng Ren had read similar reports, so he was sure of a high probability.
It seems that the road to catching up has been much longer.
But it’s so strange that I didn’t see Zheng Ren reading journals and magazines in normal times. Did he read it when he was in school?
Director Xia still insisted on his own opinion and asked: "Similar cases cannot prove..."
"Director Xia, look here." Zheng Ren's face was filled with confidence. He recalled a case report he had just seen, and then reversed it, and everything suddenly became clear.
Zheng Ren took out the pen and pointed it at a position of the CT in the lower abdomen with the tip of the pen. He said: "Here, the liquid level image has changed slightly. The information obtained from the CT scan is calculated to obtain the X-ray attenuation coefficient or absorption coefficient of each voxel, and then arranged it into a digital matrix. The changes here, based on the attenuation law of the digital matrix, I judge the density..."
The endless professional terms made Director Xia confused.
Although as the director of the University of Gastroenterology and Technology of China, he is well-known in Haicheng and has rich clinical experience, this does not mean that Director Xia is familiar with CT and has reached the level of Zheng Ren.
"Boss, I've urinated! I've urinated! The patient has successfully urinated!" Professor Rudolf Wagner's excited voice came from the other end of the corridor like a lion's roar.
"Su Yun, let Fuguier shut up!" Zheng Ren frowned and said unhappily.
Soon, the professor hurried to the office with uncontrollable excitement.
"Boss, boss, I'm peeing!" The professor said in a low voice excitedly.
"Fuguier, it's not that the boss urinated, it's that the patient urinated after the operation." Zheng Ren was a little unhappy and corrected: "Isn't it normal to urinate? It's a big fuss."
Zheng Ren then said calmly: "Director Xia, let's continue."
Professor Rudolph Wagner glanced at the film and said casually: "Boss, you are abscess because of an abdominal cavity...what is right, the density does not look like an abscess."
"Fuguier, what do you think?" Zheng Ren couldn't stand the professor's noise, so he simply refused to explain to Director Xia, but asked the professor.
"Boss, I think it may be a colon diverticulum or an abscess. This identification..."
"I think it is the colon diverticulum. You reverse the numerical matrix from the image and then add a reconstruction. From the perspective of transduction and absorption, it is more obvious." Zheng Ren said.
"Boss, praise you!" Professor Rudolf Wagner made an exaggerated expression and pointed at the CT film with his fingers: "I understand what you mean, it is indeed a diverticulum, an unquestionable diverticulum!"
Director Xia couldn't understand the communication between Zheng Ren and Professor Rudolf Wagner at all, and looked confused.
Su Yun frowned, and after more than ten seconds, he showed an expression of sudden enlightenment.
The patient's family was even more at a loss. They didn't know why there was a foreigner who was so fluent in Chinese in the first hospital of the city.
"Boss, I think God not only kissed your hands, but also gave you a unique brain." Professor Rudolf Wagner continued to praise, not feeling stingy at all. "The patient has urinated, and I'll leave the urine sample. Do you take a look? That way, it looks like the best beer in Munich."
Well……
Zheng Ren couldn't understand the professor's excitement, so he glanced at the professor in disgust and kept people from afar.
"If I have something to do, go and do it." Zheng Ren said disgustedly.
The professor was about to defend himself, but he wanted to fight for it. But he immediately saw Zheng Ren's expression of being arrogant and flinched and left embarrassedly.
"Director Xia, the diagnosis is quite clear. I think surgical treatment is needed. It is not recommended to have laparoscopy because the diverticulum is too big, so it is safer to perform surgery." Zheng Ren said.
Director Xia couldn't understand what digital matrix and reversal Zheng Ren said, but he just thought it made sense. She stared blankly at the lower abdomen CT inserted into the film reader, thinking to herself that maybe only Philips engineers can do this when they start to study medicine.
"Director Xia?" Zheng Ren asked again.
"Ah?" Director Xia came over in a daze and smiled, "The young man is terrifying. Since the professor and you have the same idea, then start the operation."
Chapter completed!