Hearing Chief Xia's words, the patient's family members also showed a puzzled expression.
It did not seem like he was talking nonsense to brush them off. However … He glanced at Zheng Ren again. He was indeed a young junior doctor.
This was strange.
Many ordinary citizens in Sea City knew Chief Xia's reputation. She was one of the best experts in the digestive department in Sea City.
Why did she think so highly of this junior doctor?
"Chief Zheng, the amylase in the patient with acute severe pancreatitis has basically returned to normal." Chief Xia looked at the radiographic films while talking to Zheng Ren about the patient from two days ago.
"Yes, it's because of your expertise that you treated him well." Zheng Ren casually brushed her off. His mind was full of relevant diagnostic and differential diagnosis information.
"It's all thanks to you." Chief Xia did not mind Zheng Ren's perfunctory attitude. She said with a smile, "Chief Zheng, how do you diagnose this patient?"
"It looks like a large abscess in the abdominal cavity, but I don't think so. I'm more inclined to colonic diverticulum now."
"Diverticulum?" Chief Xia was stunned.
"Yes." Zheng Ren picked up the patient's test in the emergency department and said, "Chief Xia, look at the patient's blood routine. There's not much abnormality. If it's a large abscess in the abdominal cavity, there should be relevant changes in the blood test. "
Chief Xia pondered.
"Of course, this is just a suspicion. The patient is an elderly person, so his body might not be able to react. But if it's diagnosed as colonic diverticulum, everything can be explained logically. " Zheng Ren pointed at the radiographic films and began to explain what he was thinking in professional imaging academic language. He spoke for a full three minutes.
Su Yun's eyebrows were tightly furrowed. He lowered his head slightly and looked at Zheng Ren's side profile through the black hair on his forehead.
His originally dull face was full of confidence. It was a little ostentatious but not excessive.
Who was it that gave him such confidence?
Su Yun was a little confused.
This kind of differential diagnosis required skills, but it also required experience.
In terms of skill, Su Yun did not think … He did not think that Zheng Ren was much better than him. But why was he so confident?
The same question appeared in Chief Xia's mind.
Strange!
"Chief Zheng, I think what you just said might be because the patient is older. It's more likely that the blood sample won't be able to react in a short period of time." Chief Xia had the same opinion as Su Yun. They thought that the possibility of a large abscess in the abdominal cavity was higher.
Zheng Ren smiled and said, "I've never seen a similar case in Sea City General Hospital, but it's mentioned in the relevant literature. Molière
The doctor's statement.
The previous article mentioned a similar case, and it's very similar to this patient. "
Su Yun was suddenly enlightened. It turned out that Zheng Ren had read similar reports before, which was why he was so sure.
From the looks of it, the road to catch up was much longer.
However, it was strange. He had never seen Zheng Ren read periodicals or magazines. Did he read them when he was in school?
Department Chief Xia still insisted on her opinion and asked, "Similar cases can't prove …"
"Chief Xia, look here." Zheng Ren's face was full of confidence. He recalled a case report that he had just read and deduced it backwards. Everything suddenly became clear.
Zheng Ren took out a pen and used the tip of the pen to point at a spot on the CT scan of the lower abdomen. He said, "Here, the image of the liquid level changes slightly. The information obtained from the CT scan is calculated to obtain the X-ray attenuation coefficient or absorption coefficient of each voxel, which is then arranged into a digital matrix. The changes here, according to the law of the digital matrix attenuation, I judge that the density … "
Chief Xia was stunned by the endless flow of professional terminology.
Although she was the chief of the digestive department, was famous in Sea City and had rich clinical experience, it did not mean that she was familiar with CT at Zheng Ren's level.
"Boss, he peed! He peed! The patient successfully urinated! " Professor Rudolf Wagner's excited voice came from the other end of the corridor like a lion's roar.
"Su Yun, tell Lil Fugui to shut up!" Zheng Ren frowned and said unhappily.
Soon, the professor rushed into the office with uncontrollable excitement.
"Boss, boss, he peed!" the professor said excitedly in a low voice.
"Lil Fugui, it's not that the boss peed. The patient urinated normally after the surgery." Zheng Ren was a little unhappy and corrected him. "Isn't it normal to pee? What's the fuss? "
Zheng Ren then said calmly, "Chief Xia, let's continue."
Professor Rudolf Wagner glanced at the radiographic films and said casually, "Boss, because of an abdominal abscess … No, based on the density, it doesn't look like an abscess."
"Lil Fugui, what do you think it is?" Zheng Ren could not stand the professor's chatter. He decided not to explain to Chief Xia and asked the professor instead.
"Boss, I think it might be a colonic diverticulum or an abscess. This identification …"
"I think it's a colonic diverticulum. You can reverse the digital matrix from the image and then add a reconstruction. From the perspective of transmission and absorption, it's more obvious," Zheng Ren said.
"Boss, praise you!" Professor Rudolf Wagner made an exaggerated expression and pointed at the CT films. "I understand what you mean. It's indeed a diverticulum. There's no doubt that it's a diverticulum!"
Chief Xia could not understand the conversation between Zheng Ren and Professor Rudolf Wagner at all. She looked confused.
Su Yun frowned. Ten seconds later, a look of realization appeared on his face.
The patient's family was even more at a loss. They did not know why there was a foreigner in Sea City General Hospital who was so fluent in Mandarin.
"Boss, I think God not only kissed your hands but also gave you a unique brain," Professor Rudolf Wagner continued to praise. He did not feel disgusted at all. "The patient has urinated. I'll leave a urine sample. Can you take a look? It looks like the best beer in Munich. "
Uh …
Zheng Ren could not understand the professor's excitement. He looked at the professor in disdain and kept him at arm's length.
"I have something to do here. You can go back to work," Zheng Ren said in disdain.
The professor was about to defend himself and fight for it. However, when he saw Zheng Ren's dignified expression, his heart flinched and he walked away in embarrassment.
"Chief Xia, the diagnosis is more clear. I think surgery is needed. I don't recommend laparoscopy because the diverticulum is too big. It's safer to operate on it, "Zheng Ren said.
Chief Xia did not understand what Zheng Ren was talking about. She just felt that it made sense. She stared blankly at the CT scan of the lower abdomen inserted into the radiographic film viewer. Perhaps only an engineer from Philips who had started studying medicine could do this.
"Chief Xia?" Zheng Ren asked again.
"Huh?" Chief Xia came to her senses and smiled. "The younger generation will surpass the older. Since the professor has the same idea as you, let's operate on it."
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