The Department of Genitourinary Surgery invited the whole hospital for a consultation.
All the relevant departments were invited, and even the Department of Hepatobiliary and Pancreatic Surgery was invited because of the tenderness in the gallbladder area.
In the office, Chief Yu reported the medical history, and many professors expressed their opinions.
There were more tests, but there was no constructive opinion that Chief Yu thought was useful.
This kind of difficult and complicated disease was quite troublesome, but it could not be delayed. Chief Yu knew that the patient was in pain. This kind of near-death pain would really make people depressed.
If it dragged on for a few days, even if the diagnosis was clear in the future and the disease was alleviated with the right treatment, the patient would probably leave a strong psychological shadow and even suffer from depression.
"Then that's it," the medical administration division staff in charge of the hospital's consultation said very politely. "Thank you for your trouble."
Everyone also knew that the opinion they had put forward was only a possibility, a possibility with a small probability. If they wanted a clear diagnosis … they did not really believe in this diagnosis.
As they packed their things and prepared to leave, the office door was pushed open and Zheng Ren strode in.
"Boss Zheng?" Chief Yu was surprised.
"Yes, I have a diagnosis." The smile on Zheng Ren's face was very bright.
"Uh …" Everyone sat back down again.
Everyone was also very curious. This kind of unconstrained disease, the 'urinary calculus' that was missing a stone, what kind of disease was Boss Zheng diagnosing?
"Check the cervical MRI," Zheng Ren said.
"…" Chief Yu was speechless.
Was he going to do a full-body examination?
What did the cervical MRI have to do with renal colic?
"It's like this. Let me say a few words." Zheng Ren stood in front of the radiographic film viewer. The radiographic film viewer behind him was turned on. It was as if his entire body was emitting light.
Su Yun looked at it with interest. The boss must have thought about where to stand to be more conspicuous!
This position was simply too cool. It was even more golden than the golden section. He had to find a chance to try it in the future.
"The patient was an athlete when he was young. 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, right?" Chief Yu asked weakly.
"It does." Zheng Ren smiled and said, "I'll talk about the diagnosis first. Considering that the patient has a slight stenosis of the cervical intervertebral foramen, it can cause the nerve root to be stimulated and the cervical sympathetic nerve to be excited. When it weakens, it will reflexively cause the vagus nerve to be excited, which will then cause the gallbladder neck sphincter and ureter smooth muscle to contract, resulting in biliary and renal colic. "
"…" The office was silent.
If it was not Boss Zheng but someone else, someone would have started to get impatient and stood up to leave.
The professors and directors present did not leave because Boss Zheng's recent diagnoses were legendary. Especially the matter of Lao He giving Director Mao an epidural anesthesia. Even now, everyone would occasionally think about it.
Could it be true?
Although it sounded ridiculous, the chief residents and professors of the various departments who came for the consultation were in a daze when they saw Boss Zheng's serious expression.
"But the patient has hematuria." President Yu was still struggling.
"Athletes who are training or healthy people will have hematuria immediately after a lot of exercise. The degree of hematuria is closely related to the amount of exercise and the intensity of exercise.
"But …"
"Chief Yu, are you trying to say that in most cases of exercise-induced hematuria, the red blood cells in the urine will completely disappear within 24 hours to 3 days after exercise?" Zheng Ren asked.
Chairman Yu nodded. It seemed that Boss Zheng knew what he was doing.
"The patient is in severe pain and has muscle spasms. He is forced to maintain a posture and the amount of activity is higher than when he is exercising normally," Zheng Ren said. "It's understandable that the hematuria continues."
"And then?" Chairman Yu asked as he recorded it with a pen.
"There's no then. It's a simple cervical spondylosis. The patient should be consulted by the orthopedics department. Neck support, take some medicine, and he'll get better soon. "
"…" Chairman Yu was speechless again.
"Unscientific physical exercise will instead cause and even accelerate the chronic strain of the muscles around the cervical spine," Zheng Ren said. "The amount of activity is too much. Playing badminton causes the cervical spine to move very frequently, which leads to cervical spondylosis.
"Cervical spondylosis is not a disease that can only be caused by sitting down to work or often using your phone to surf the Internet."
"It's that simple?" Chairman Yu still refused to believe it.
"Yes, it's that simple," Zheng Ren said. "Because of the colic in the kidney area, the patient and we ignored the slight pain in his right shoulder and the numbness in his right upper limb. After all, compared to the colic in the kidney, the pain in his shoulder and the slight numbness in his hand are easy to ignore. "
Zheng Ren looked around the office. Seeing that no one was talking, he smiled and said, "If everyone has doubts, then do a local closure."
This was an immediate method. After the local symptoms were relieved, if the colic in the kidney was also relieved, it would prove that Boss Zheng's diagnosis was correct.
Although this diagnosis did sound very unreliable.
Local closure was usually a mixture of a certain concentration and quantity of prednisolone injection and lidocaine hydrochloride injected into the lesion area.
It was used to treat pain symptoms, mainly using its anti-inflammatory effect. They could improve the permeability of capillaries, inhibit the inflammatory reaction, and reduce the damage caused by pathogenic factors to the body.
Local closure was rarely used as a diagnostic treatment in the clinic. In the Imperial Capital Hospital, most of them were done in the outpatient department.
The closure was very simple. Zheng Ren finished it in two minutes under the gaze of many professors and chief physicians.
The whole process was simple and straightforward.
Everyone's eyes were fixed on the patient, some with anticipation or other thoughts.
In less than ten minutes, the patient's symptoms of kidney colic were obviously relieved. Everyone, including the patient, was puzzled. Why did his stomach no longer hurt after a needle was inserted into his neck?
This was a little too unbelievable.
"Yes, the diagnosis is quite clear." Zheng Ren looked at the patient's performance and was very satisfied. "Chief Yu, hurry up and do an MRI, then look for an orthopedic consultation. It's a very simple problem. I don't think the condition will be very serious. "
"Oh, oh." Chief Yu was dumbfounded when he saw that the patient's kidney colic had also disappeared after the closure.
He had considered almost all problems, but he had never considered the abdominal pain caused by the problem of the cervical vertebrae.
This idea was too strange and unbelievable.
However, no one refuted it. With a local closure needle, the patient's symptoms of kidney colic were immediately relieved. This was enough to explain the problem.
The others clicked their tongues in wonder and left one after another. Chief Yu first went down the emergency cervical MRI and let the patient go for an examination. Then, he pulled Zheng Ren and Su Yun to his duty room and interrogated them for a long time.
Although he could understand the logic, he refused to believe it in the end.
..
..
Note: Last year, I looked for our department chief to treat a case. Coincidentally, a senior brother gave me a similar case, so I used it.
I searched for similar medical records. Hematuria was not common. This was a more extreme case.
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