509 The boss peed

Hearing Director Xia say this, the patient's family also showed a puzzled look on their faces.

It's not like talking nonsense, perfunctory to yourself. But...... He glanced at Zheng Ren again, it was indeed a young little doctor.

This is strange.

Director Xia's reputation is known to many ordinary citizens in Haicheng, and he belongs to one of the top gastroenterology experts in Haicheng.

How could she have such a high regard for this little doctor?

"Mr. Zheng, the patient with acute severe pancreatitis, amylase has basically returned to normal. While watching the film, Director Xia talked to Zheng Ren about the patient two days ago.

"Well, it's your professional, well-healed. Zheng Ren spoke casually, and his mind was full of information about some relevant diagnoses and differential diagnoses.

"Thanks to you. Director Xia didn't mind Zheng Ren's perfunctory, and said with a smile: "How does Mr. Zheng diagnose this patient?"

"It looks like a big abscess in the abdominal cavity, but I don't think so, and now I'm more inclined to colonic diverticulum. ”

"Diverticulum?" Director Xia was stunned.

"Hmm. Zheng Ren picked up the laboratory examination done by the patient in the emergency department and said, "Director Xia, you see that the patient's blood routine is not too abnormal. If there is a large abscess in the abdominal cavity, there must be a change in the relevant blood tests. ”

Director Xia pondered.

"Of course, it's just a doubt. The patient is an elderly person and may not be able to respond physically. But when it comes to diagnosing colonic diverticulum, everything can be explained logically. Zheng Ren pointed to the film and began to say what he was thinking about in professional video jargon, and he spoke for three minutes.

Su Yun's eyebrows were furrowed very tightly, his head was slightly lowered, and through the black hair on his forehead, he looked at Zheng Ren's side face talking eloquently.

The original wooden face was full of confidence, a little ostentatious, but not excessive.

Who gave him the faith?

Su Yun was a little confused.

This kind of differential diagnosis requires technology and, more importantly, experience.

Technically, Su Yun doesn't think ...... He himself didn't think that Jung in was much better than him. But why is he so confident?

The same question also appeared in Director Xia's mind.

Odd!

"Mr. Zheng, I think what you just said may be because the patient is older, and it is more likely that the blood image will not respond in a short time. Director Xia and Su Yun had similar views, thinking that it was more likely to be a large abscess in the abdominal cavity.

Zheng Ren smiled and said, "I haven't seen a similar case in our city's first hospital, but it is mentioned in the relevant literature. In a previous article published by Dr. MoliΓ¨re S in Surgery, he mentioned a similar case, which is very similar to this patient. ”

Su Yun suddenly became enlightened, it turned out that Zheng Ren had seen similar reports, so this could be determined with a high probability.

It seems that I have a long way to catch up.

But it's strange, I don't usually see Zheng Ren reading periodicals and magazines, could it be that he read it when he was in school?

Director Xia still insisted on his own opinion and asked: "Similar cases do not prove ......"

"Director Xia, look here. Zheng Ren's face was full of confidence, he recalled a case report he had just seen, and then pushed it back, and everything suddenly became clear.

Zheng Ren took out the pen and pointed at a CT scan of the lower abdomen with the tip of the pen, and said, "Here, the image of the liquid level has changed 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 numerical matrix. The change here, according to the law of the decay of the digital matrix, I judge the density ......"

The gushing professional terms directly confused Director Xia.

Although as the director of the Department of Gastroenterology, he is well-known in Haicheng and has rich clinical experience, this does not mean that Director Xia is familiar with CT and has reached the level of Zheng Ren.

"Boss, pee, pee, the patient has urinated smoothly!" Professor Rudolf Wagner's excited voice came from the other end of the hallway, like a lion's roar.

"Su Yun, tell Fugui'er to shut up!" Zheng Ren frowned and said displeasedly.

Soon, the professor hurried to the office with an uncontrollable excitement.

"Boss, boss, pee!" the professor whispered excitedly.

"Fuguier, it's not that the boss urinated, it's that the patient urinated normally after surgery. Zheng Ren was a little unhappy and corrected: "Isn't it normal to pee? ”

Zheng Ren then said flatly: "Director Xia, let's continue. ”

Professor Rudolf Wagner glanced at the film and said casually: "Boss, you have an intra-abdominal abscess...... No, it doesn't look like an abscess. ”

"Fugui'er, what do you see?" Zheng Ren really couldn't stand the professor's noise, so he simply didn't explain to Director Xia, but asked the professor.

"Boss, I think it could be a colonic diverticulum, or an abscess, this is ...... differentiated"

"I think it's colonic diverticulum, and if you work backwards from the image to the digital matrix and then add a reconstruction, it's more obvious from the perspective of transmittance and absorption. Zheng Rendao.

"Boss, praise you!" Professor Rudolf Wagner made an exaggerated expression, pointing his finger at the CT scan, "I see what you mean, it is indeed a diverticulum, a diverticulum without a doubt!"

Director Xia couldn't understand the communication between Zheng Ren and Professor Rudolf Wagner at all, and he looked confused.

Su Yun's brows tightened, and after more than ten seconds, he showed an expression of sudden realization.

The patient's family was even more at a loss, they did not know why there was a foreigner who was so fluent in Chinese in the first hospital of the city.

"Boss, I think God not only kissed your hands, but also gave you a unique brain. Professor Rudolf Wagner continued to praise, not feeling numb at all, "The patient urinated, I left the urine sample, you go and take a look? ”

Belch......

Zheng Ren couldn't understand the professor's excitement, and glanced at the professor with disgust, rejecting people thousands of miles away.

"I've got something to do here, so go get busy. Zheng Ren said disgustedly.

The professor was just about to defend himself, and he wanted to fight for it. But then he saw Zheng Ren's expression of not being angry and arrogant, he cringed and walked away.

"Director Xia, the diagnosis is relatively clear, and I think surgery is needed. Laparoscopy is not recommended because the diverticulum is too large, and it is safer to open the knife. Zheng Rendao.

Director Xia didn't understand what Zheng Ren said about the number matrix and what the reverse extrapolation, but he just felt that it made sense. She looked at the CT of her lower abdomen inserted into the reader in a daze, and thought to herself that maybe only Philips engineers could do this if they had started studying medicine.

"Director Xia?" Zheng Ren asked again.

"Huh?" Director Xia came over in a trance and smiled, "The future is terrifying, since the professor and you both think the same, let's go under the knife." ”

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