"Look here." Zheng Ren pointed at the radiographic films and said, "This is a typical manifestation of hepatic schistosomiasis. The imaging characteristics of cirrhosis are incomplete separated cirrhosis. The surface of the liver is granular or nodular. The nodules vary in size and are about 1 to 10mm in diameter.
"A large number of eggs are deposited in the liver, especially in the small branches around the portal vein trunk system, causing the portal vein trunk system, especially the second, third, and fourth grade peripheral fibrosis, which is the so-called trunk cirrhosis.
"The section shows that there are white fiber masses of different sizes around the branches. In severe cases, the fibrosis can cause the branches to occlude. The contraction of some masses can cause the liver to deform. The surface of the liver shows the characteristic pattern of the disease. The appearance is uneven and the boundary is not very clear.
"Yes, isn't this exactly …" Su Yun said and was suddenly stunned.
After 1.2 seconds, he suddenly said, "You mean that the symptoms are too severe, like the portal vein is completely blocked, but the abdominal CT shows are different?"
Zheng Ren smiled.
It was easier to talk to smart people. He only mentioned a few points, but Su Yun could think of almost everything after that.
There was no need for him to talk nonsense at all.
"Yes, just like you said, I think there is a problem with the heart." Zheng Ren then inserted the chest CT into the radiographic film viewer.
"There is a large amount of fluid in both lungs, causing the pericardial cavity to be unable to see clearly. But here, the density is not right, and the heart shadow is also very large. Try to convert it. You can find that there is a problem with the right atrium, "Zheng Ren said excitedly as he pointed at the radiographic films.
Su Yun realized that things were already out of control.
He also found that the patient's heart shadow was very large, but his judgment was that the patient's heart failure had caused fluid accumulation in the pericardial cavity and the expansion of the heart shadow.
The first diagnosis was definitely portal hypertension.
However, Zheng Ren's diagnosis was completely different from his own. Unfortunately, this was Su Yun's field of expertise.
It would be too much if he could not tell.
Su Yun stared at the radiographic films. Zheng Ren said, "Bedside ultrasound cardiograph."
After saying that, the operating room outside the ward was silent.
Zheng Ren smiled and said it again in the local language. Only then did the doctor from the national hospital understand that he was talking to him.
Why did the patient want to do an echocardiograph if he was vomiting blood?
He had some different opinions. Just as he was about to say it, he immediately remembered that this group of people were Gu Masters.
He did not dare to put forward his own opinions and suggestions. He hurriedly pushed the echocardiogram machine.
Zheng Ren patted Su Yun and said, "Stop looking. You'll understand once you do an echocardiogram."
Su Yun was slightly depressed, his mind was filled with images of Chu Nu Ang Sai's chest and abdomen.
It was a typical case of upper gastrointestinal bleeding and portal hypertension. How did the boss determine that it was a heart disease?
Could it be that he was deceived by the rumor that he was hot-blooded enough to raise Gu insects?
Su Yun pondered as he followed Zheng Ren to the ward.
A thin, withered patient sat on the bed, struggling to breathe through the oxygen mask.
Although the oxygen flow had been set to the maximum, his lips were still purple, and he felt extremely suffocated.
The patient tried to take off his oxygen mask when he walked in.
A young man beside him wanted to stop him, but he was slapped on the hand.
Although he was already on the verge of death and had no strength left, the young man was so afraid that he quickly lowered his head and apologized profusely.
"You are … Boss Zheng, right?" Chu Nu 'ang Sai asked with difficulty.
Zheng Ren nodded and said, "Are the symptoms of breathing difficulties very serious?"
"Hello, Boss Zheng." Chu Nu 'ang Sai put his palms together and made a respectful gesture. "My junior brother was just impatient. He's used to being domineering. Please forgive him."
"Are you Chinese?" Zheng Ren asked curiously when he heard him speak.
"My ancestors were. I can be considered Chinese." Chu Nu 'ang Sai forced a smile and tried his best to express his kindness. "I originally wanted to invite you to take a look. Song' en has been spoiled by me too much, so … please forgive him."
Zheng Ren smiled after hearing the two "forgive me" words.
"Can I give you a checkup?" Zheng Ren asked.
"Please." Chu Nu 'ang Sai entered the track.
Zheng Ren did a simple and clean physical examination. It was like a surgery, pleasing to the eye.
Soon, Zheng Ren finished the checkup and confirmed his judgment.
The patient was sitting upright and breathing. The sclera was obviously yellow. The jugular vein was inflated, and the hepatic neck reflux sign was (+). Moist rales could be heard in the right lower lung, abdominal swelling, moving dullness (+). The liver xiphoid and transverse finger were present. Both lower limbs were severely edema.
The diagnosis given by the System panel was not only a typical portal hypertension, but there was also an unimaginable diagnosis — a foreign body in the heart!
Zheng Ren really did not want to deal with this group of Gu Masters. He did not know what benefits he would get from their worship.
Even if he did not have trypophobia, Zheng Ren still felt a little afraid of insects. Not to mention insects, even if it was a loach that was removed from Sea City during surgery, Zheng Ren was very careful.
However, in Zheng Ren's eyes, Chu Nu 'ang Sai was not a master but just a patient.
In the face of a patient, no matter how afraid he was, he had to bite the bullet and treat the patient.
He took a deep breath and asked, "Do you know your condition?"
"Boss Zheng, please sit down," Chu Nu 'ang Sai said. "That's what I was about to tell you."
Zheng Ren nodded and sat on the chair by the bed.
The chair was very comfortable. It seemed that no matter which hospital he went to, it would be more high-end than the 912.
Zheng Ren also knew that this could not be compared.
"Boss Zheng, my ancestors are from Miaojiang," Chu Nu 'ang Sai said. "They have been in Nanyang for nearly a thousand years."
"My ancestors passed down a secret technique. Because they have to use the blood of their hearts to nourish the Gu, they always suffer a backlash and become a big problem."
As he said that, he forced a smile. "A big problem. It's really a big problem."
Perhaps he was too excited, perhaps he was involved in something, or perhaps he had consumed too much oxygen, but his breathing immediately became deep and heavy. Zheng Ren quickly put on the oxygen mask for him. He wondered if he should first put on a chest bottle to draw out the chest water.
It was the same for the national hospital. How could they not deal with the pleural effusion?
However, it was also possible that the doctors here were afraid of Gu Masters. Chu Nu 'ang Sai wanted to look for Boss Zheng for treatment, so they were happy to ignore him.
After taking a few breaths of oxygen, Chu Nu 'ang Sai felt a little better.
He took off the oxygen mask and said, "Since my grandfather's generation, we have been thinking about how to improve it. After all, you know that modern technology is advancing by leaps and bounds. We also have to keep up with the times. "
Su Yun burst out laughing.
Chu Nu 'ang Sai smiled and raised his head to ask, "Little brother, how should I address you?"
"Su Yun." Su Yun smiled and said, "You're right. Chinese medicine, during the Republic of China period, many concepts had not been proposed. Now that I mention it, everyone thinks that it's passed down from generation to generation, but in fact, it's advancing with the times. "
"Yes, little brother is a sensible person," Chu Nu 'ang Sai said. Chu Nuang said, "So, after paying the price of three generations, I finally found the key to success."
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