The more Zheng Ren looked, the more puzzled he became.
According to the medical record, the patient was beaten with a bottle of wine. The two sides exchanged insults. The deceased was bleeding profusely at that time, but there was no subsequent physical contact. Later, he was pulled away and sent to a nearby hospital for treatment.
There was nothing wrong with the first CT scan. The report did not mention any images such as subarachnoid hemorrhage or subdural hematoma.
However, according to the medical records, the patient was conscious at this time, and there was no problem with his behavior and behavior.
After being sent to the hospital, the head CT scan was also normal. However, the patient requested to be hospitalized for observation, which was why he was admitted.
The doctor had mentioned this in the original medical record.
Usually, when encountering such a situation, the doctor would write that the patient strongly requested to be hospitalized for observation. Although it was useless, there was something missing if he didn't write.
The subsequent ward rounds were also normal. Zheng Ren could see obvious traces of copying and pasting from the medical records.
Doctors would only casually copy and paste medical records for the patients with the lightest injuries.
However, on the morning of the third day, the situation took a turn for the worse.
The deceased was fine before he went to sleep, but he woke up in the middle of the night on his own. However, he soon became incontinent.
That was the strangest thing.
Because the first consultation hospital was a county-level hospital in the suburbs of Imperial Capital, the doctor was stunned when he realized that something was wrong.
A perfectly fine person was hospitalized for two or three days. Suddenly, he fell asleep and couldn't do anything?
The local doctors were also dumbfounded, so they suggested that the patient's family members hurry to the higher-level hospital.
Because it involved the culprit and the cost, it was delayed for a few hours before it was sent to the Imperial Medical University Affiliated Hospital.
However, when he arrived, the patient's pupils on both sides were dilated, and his light reflex had almost disappeared. A series of symptoms such as urinary and fecal incontinence had not improved at all.
The MRI showed signs of massive cerebral infarction.
In the end, due to financial reasons, the patient's family refused to have further examinations and a clear diagnosis. They focused their energy on the lawsuit.
The patient endured for a week under the maintenance of glucose and saline before finally passing away.
The CT report he had just seen was done by the Imperial Capital Medical University Affiliated Hospital.
"Boss Zheng, you're here?" Li Zhaosen saw that Zheng Ren had finished reading the report, so he handed the white coat to Zheng Ren and said eagerly.
"I don't know the rules. You go first. I'll take a look." Zheng Ren spoke a little slowly. Su Yun knew that this guy must be thinking about his illness, so he did not say anything and just took half a step back.
A few lecturers from the Anatomy Teaching and Research Section were discussing softly. They trusted Li Zhaosen quite a bit. After all, they had worked together for a long time, and Li Zhaosen's basic anatomy skills were the most solid.
"Then I won't stand on ceremony." Li Zhaosen said, "Boss Zheng, what did I do wrong? Just tell me!"
Zheng Ren glanced at him and saw that his tone was very serious. It did not seem like he was joking or hypocritical.
He thought back to when he was teaching anatomy at Imperial Capital Medical University. In the end, this person named Li Zhaosen sat in front and watched. After separating the muscular layer and the epithelium, he rushed forward and used his hands to touch the general specimen.
He was indeed the most standard technician. In his eyes, if there were hundreds of cadavers accompanying him, it would be heaven. He did not need many virgins at all.
Li Zhaosen cut open the skin of the deceased's head and described the injury on his temporal lobe. An assistant came down from the side.
Then, he skillfully used the chainsaw to open the skull.
Patchy hemorrhage was seen in the left temporal cap and left temporal muscle. Cerebral tissue was hyperemia and edema. There were several early softening foci of different sizes in the internal capsule and basal nucleus.
As the skull was opened, a putrid smell filled the entire dissection room.
"There's no intracranial hemorrhage. It's considered a cerebral infarction," Li Zhaosen said with certainty. "We still have to dissect the chest and abdomen to rule out other diseases."
"Wait a moment," Zheng Ren suddenly said.
"Huh?" Li Zhaosen was stunned.
It was a very typical anatomical structure. The brain tissue was hyperemia and edema. There were early softening foci of different sizes in the internal capsule and basal nucleus.
What was there to wait for?
Su Yun's eyes lit up. Although he did not understand, this was the field of neurosurgery. He did not care if he did not understand it.
Zhou Chunyong covered his mouth and nose and took a few steps back with the teacher from the anatomy teaching and research room next to him.
"No," Zheng Ren said as he began to put on gloves.
Li Zhaosen prepared sterile gloves for clinical use for Zheng Ren, while he wore ordinary latex gloves.
Zheng Ren did not know if he was paying attention. After putting on the gloves, he reached out.
His hand was empty.
"Knife," Zheng Ren said in a deep voice.
"Oh, oh." Li Zhaosen answered twice and handed the knife in his hand to Zheng Ren.
Their cooperation was particularly poor. Li Zhaosen pointed the tip of the knife at Zheng Ren instead of slapping the handle in his hand like a scrub nurse would.
Zheng Ren was almost cut by the knife.
Fortunately, Zheng Ren dodged at the last moment with Su Yun's reminder.
This was the difference between clinical and forensic medicine.
There was a small disturbance, but Zheng Ren did not pay too much attention to it. He picked up the knife and began dissecting the victim's neck.
Su Yun's eyelids twitched when he saw the knife.
"Doctor Su, why does Boss Zheng look like he has been a forensic doctor for many years?" Zhou Chunyong whispered to Su Yun, feeling that Zheng Ren's proficiency in dissecting corpses was a little strange.
The difference between a doctor and a forensic doctor was very obvious.
Boss Zheng's movements were definitely not those of a surgeon on the operating table. Judging from his demeanor, he was definitely a fierce demon who had dissected countless dead people.
Su Yun shook his head, his eyelids twitching.
He had long noticed that Zheng Ren's technique was bold and unrestrained, definitely not trained on the operating table.
Zheng Ren operated according to his thoughts as if he was in the System's operating room. The anatomical structure was clear under his hands, and he went straight for the common carotid artery.
He cut, dissociated, found the common carotid artery, and cut it open.
There was a large number of atherosclerotic plaques in the common carotid artery.
"Boss Zheng, what are you doing?" Li Zhaosen was a little confused.
Zheng Ren did not speak and continued to dissect the artery.
Soon, he dissociated to the beginning of the right internal carotid artery. After opening it, he found that there was a thrombosis extending distally and was 1.5 cm long.
The lumen was completely occluded.
Li Zhaosen was silent.
It was not a cerebral infarction, but an occlusion of the internal carotid artery!
This was too much of a coincidence. Li Zhaosen was a little confused, but he was obviously more confident in Zheng Ren than Su Yun, so he quietly watched Zheng Ren dissect the corpse.
"If possible in the future, I'll still need to look at the medical records." Zheng Ren stopped, satisfied with his judgment. "The brain tissue was sent for biopsy. Under the microscope, encephalomalacia and part of the cerebral blood vessels can be seen.
There are focal hemorrhages in the lumen.
The pyramidal cells are swollen, the cytoplasm is eosinophilic, the nucleus is dissolved, and the protrusions are shortened or disappeared. Some of the glial cells also have nucleolysis or residual nuclei. "
Li Zhaosen was like a duck listening to thunder, his expression blank.
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