The small demonstration room of the community hospital seemed to have changed since the last consultation.
The equipment had been updated. There were transparent touch panels and VR goggles in front of the chairs.
"When did this happen?" Zheng Ren asked, feeling a little strange after seeing it.
"Recently." Su Yun did not care and said with a smile, "Aren't you going to give it a try?"
"It's more comfortable to use those iron medical records," Zheng Ren said.
"The progress of mankind has been ruined by people like you. I think you should go to the Middle Ages and be treated as a dark wizard. "Su Yun said.
Zheng Ren sat down and said eagerly, "Shall we begin?"
Su Yun stood on the podium in front, turned on the switch, and a ray of light shone down. Like a shadowless lamp, his entire temperament changed from casual to extremely professional, completely seamlessly.
"Everyone, the consultation begins," Su Yun said. "Please put on your VR glasses."
"What's the point of all this fancy stuff?" Chang Yue looked at her glasses in disdain.
"Doctor Chang, twenty years ago, when the electronic medical record system first started, someone said the same thing," Su Yun said.
"You weren't even ten years old then."
"Experience can be passed down by word of mouth." Su Yun smiled. "If you don't want to be eliminated so quickly, it's better to accept new things as soon as possible."
Chang Yue pouted. Although she was bickering with Su Yun, she still put on the VR goggles.
Chief Yu found everything new. This was definitely not a consultation in the conventional sense of the 912. He was a little emotional. How long had Boss Zheng been here? From the looks of it, he already had his own territory.
The most important thing was that the territory here was definitely not in the ordinary sense. It was brand new.
Using VR technology for consultation?
This was too extravagant.
Putting on the VR glasses, a case file appeared in front of him. Su Yun was standing next to the casebook.
Although he knew that it was virtual reality, Chairman Yu could not help but want to touch Su Yun to see if it was real or virtual.
"Don't do meaningless things. You'd better focus on the case, Chief Yu." Su Yun said, "It's your patient. If there's no result from the consultation today, you'll have to prepare for a consultation with the entire hospital. You have to write the hospital's consultation records. It's a bunch of messy stuff. "
"Hurry up," Zheng Ren said impatiently.
"Now that it has begun, I will give a brief statement. If there is a medical record, click on the touch screen in front of you. You will have new discoveries. In the future, this model will appear as a way of remote consultation. "
"Six days ago, the patient came to our hospital with strangulated pain on the right side of his waist and was kept under observation in the emergency department. Apart from the red blood cells in the urine, there were no abnormalities. "
Su Yun began the introduction. He was basically acting as himself in the virtual reality world. Zheng Ren had no idea what kind of technology this was, but it looked quite advanced.
"Physical examination after admission, right waist percussion pain positive, Murphy's sign positive …"
"Wait." Zheng Ren interrupted Su Yun and asked, "Murphy's sign is positive?"
"Yes, the ultrasound did not find any inflammation or stones in the gallbladder area. The tenderness was not obvious, and there was no rebound pain or muscle tension. I just confirmed this point. Director Yu's physical examination is still very detailed. "Su Yun said.
Zheng Ren said nothing else.
"I've also noticed this, but the patient has obvious tenderness at the costal angle. Typical colic often starts at the costal spine angle, the back and the upper abdomen. Occasionally, it starts at the lower edge of the ribs and radiates along the ureter to the ipsilateral groin. The patient does not have nausea or vomiting, so gastrointestinal symptoms are not considered. "
Su Yun was right, and Zheng Ren thought so too.
Generally speaking, there should be gallstones, inflammation, or at least imaging evidence of gallbladder wall roughness if there was a problem with the gallbladder.
However, the patient did not have any other positive signs except for the urine test.
"The patient has no family history, genetic history, no history of trauma, and all previous medical history is negative," Su Yun said. "The CT and ultrasound images can be clicked on the touch screen in front of you. It's the same as what you see on the computer."
"Has the urography been done?" Zheng Ren asked as he looked at the CT image.
"The positive rate of urography for the diagnosis of stones is only 66%, so it hasn't been done for the time being. If you think it's necessary, I can inform Director Yu to do the examination as soon as possible, "Su Yun said.
Although it was in front of Director Yu, Su Yun still said to inform him as soon as possible. It seemed to be a special feeling.
Zheng Ren shook his head slightly and began to click on the touch screen in front of him to look at the image.
The examination could be said to be very comprehensive. Clinicians knew what kidney colic meant.
A small stone could solve all the problems, but there was no stone at all.
Zheng Ren did a CT scan with 3D-image reconstruction and still did not find any problems.
"Does the patient have a history of taking aminopyrine, phenytoin sodium, rifampicin, and phenol red?"
Chang Yue asked. "The patient claims that he is usually healthy and has not taken any drugs or undergone any surgery."
"The urine and blood tests show no inflammation, and the CT scan does not show any inflammatory lesions. Excluding inflammation, stones, tumors, trauma, and urinary system malformations, I think it's gouty kidney, "Chang Yue said.
"What a genius suggestion," Su Yun said disdainfully. "Gouty kidney is more common in patients with gout who have a history of more than 10 years. Moreover, if it's gouty kidney, there will be more or less crystals in the renal tubules."
"Doctor Chang, this is a consultation, not an exam where you can randomly guess the answers," Su Yun said.
"Cardiovascular diseases such as congestive heart failure, renal embolism, and renal venous thrombosis can also cause hematuria." Zheng Ren interrupted Su Yun's long-winded words and said, "Have you done a heart check?"
"The possibility is not high. There are no changes in the kidney, so renal embolism and renal venous thrombosis can basically be ruled out. After all, the medical history has been six days, if … "
"It's mainly congestive heart failure," Zheng Ren said.
"That's also impossible," Su Yun said. "The patient has to play badminton for three hours a day."
"Badminton? Three hours? He's in good health, "Zheng Ren said.
"Yes, he was a national sports athlete when he was young and continued to play badminton after he retired," Su Yun said. "One day before the onset of the illness, there were no problems when he played badminton."
Zheng Ren began to ponder.
"No food allergies or exposure to heavy metals?" Chang Yue asked.
"From the current signs, there should be no," Su Yun said. "The patient has a regular life and is very healthy. None of his colleagues or family have similar symptoms. I've asked about this. "
Director Yu looked at the video quietly and didn't say a word.
He had known this for a long time, but he did not know why the symptoms of kidney stones, such as hematuria and renal colic, came about.
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