Chapter 1766

There seems to be some changes in the small classroom of the community hospital compared with the last time I came to the consultation.

The equipment has been updated. There are transparent touch panels and VR eye masks in front of several chairs.

"When did you get this?" Zheng Ren felt a little strange when he saw it and asked.

"Recently." Su Yun said with a smile, "aren't you going to try?"

"It's better to look at the medical records with the iron medical record clip." Zheng Rendao.

"Human progress is ruined by you people. I think you should go to the middle ages and be regarded as a Dark Wizard." Su yundao.

Zheng Ren sat down and couldn't wait to say, "start?"

Su Yun stood on the front platform, turned on the switch, and a ray of light shone down. Like a shadowless lamp, the whole person's temperament is completely seamless from casual to extremely professional.

"Ladies and gentlemen, the consultation begins." Su Yun said, "please bring VR glasses."

"Fancy, useful?" Chang Yue looked at her glasses and disdained them.

"Dr. Chang, when the electronic case system was just running 20 years ago, someone said the same." Su yundao.

"You were less than ten then."

"Experience can be passed on by word of mouth." Su Yun smiled. "If you don't want to be eliminated so soon, it's better to accept new things as soon as possible."

Chang Yue tilted her lips. Although she quarreled with Su Yun, she still wore VR glasses.

Yu always sees everything fresh. This is definitely not a 912 conventional consultation. He sighed a little. How long has boss Zheng just come here? Look at the posture. People have their own territory.

The key is that the territory here is definitely not the kind in the ordinary sense, but brand-new.

VR technology for consultation?

It's too extravagant.

Wearing VR glasses, a case appeared in front of us. Next to the case, standing is Su Yun.

Although he knew it was virtual reality, president Yu couldn't help but want to touch Su Yun to see whether it was a real entity or a virtual light and shadow.

"Don't do meaningless things. You'd better focus on the case, Mr. Yu." Su Yun said, "it's your patient. If the consultation doesn't work today, you should prepare for the whole hospital consultation. You should write the consultation records of the whole hospital, a lot of messy things."

"Hurry up." Zheng Ren said impatiently.

"Now it has started. I will briefly state the medical records. Click the touch screen in front of you. You will have new discoveries. In the future, this mode will appear as a way of remote consultation."

"Six days ago, the patient was treated in our hospital due to strangulation pain in the right waist and stayed in the emergency department for observation. Routine examination showed that there was no abnormality except for the routine red blood cells + + + in urine."

Su Yun began to introduce that he was basically playing in virtual reality. Zheng Ren didn't know what technology it was, but it looked very advanced.

"After admission, physical examination showed positive percussion pain in the right waist and positive Murphy's sign..."

"Wait." Zheng Ren interrupted Su Yun and asked, "is Murphy's sign positive?"

"Yes, B-ultrasound did not find inflammation or stones in the gallbladder area. The tenderness was not obvious, and there was no rebound pain and muscle tension. I just confirmed this. Yu's physical examination was very detailed." Su yundao.

Zheng Ren stopped talking.

"I have also noticed this, but the patient has obvious tenderness in the costal spine angle. Typical colic often starts at the costal spine angle, the waist, back and upper abdomen, occasionally starts at the lower edge of the ribs, and radiates to the ipsilateral groin along the ureter. The patient has no nausea and vomiting, regardless of gastrointestinal symptoms."

Su Yun is right, and Zheng Ren thinks so.

Generally speaking, if there is a problem with the gallbladder, there should be imaging evidence such as gallstone and inflammation, at least rough gallbladder wall.

But the patient has no positive signs except that the urine routine is as positive.

"The patient has no family history, genetic history, no history of trauma, and all previous histories are negative." Su yundao, "CT and B-ultrasound images can click on the touch screen in front of you, which is the same as what you see on the computer."

"Did you do the urography?" Zheng Ren asked while looking at the CT image.

"The positive rate of urography in the diagnosis of stones is only 66%. I haven't done it yet. If you think it's necessary, I can inform Mr. Yu that I can do the examination as soon as possible." Su yundao.

Although in front of president Yu, Su Yun still said to inform president Yu as soon as possible, which seems to be so special.

Zheng Ren shook his head slightly and began to click on the touch screen in front of him to see the image data.

The examination can be said to be very comprehensive. Clinicians know what renal colic means.

A small stone can solve all the problems, but there is no stone.

Zheng Ren did a CT three-dimensional reconstruction and still didn't find any problems.

"Does the patient have a history of taking aminopyrine, phenytoin sodium, rifampicin and phenol red?" Chang Yue asked.

"No." Su Yun said, "the patient complains that he is usually in good health and has not taken any drugs or had any surgery."

"Routine urine and blood tests show no inflammation, and no inflammatory lesions can be seen on CT. Excluding inflammation, stones, tumors, trauma and urinary malformations, I consider gouty kidney." Chang Yue said.

"What a genius suggestion." Su Yun said contemptuously: "gout kidney is more common in patients with gout for more than 10 years, and if gout kidney, the renal tubules will crystallize."

"Dr. Chang, this is a consultation, not a test that randomly lets you get answers." Su yundao.

"Hematuria can also occur in cardiovascular diseases, such as congestive heart failure, renal embolism and renal vein thrombosis." Zheng Ren interrupted Su Yun's wordiness and said, "did you check the heart?"

"It is unlikely that the renal parenchyma has not changed. Renal embolism and renal vein thrombosis can be basically eliminated. After all, the medical history has been 6 days, if..."

"Mainly congestive heart failure." Zheng Ren asked.

"It's impossible." Su Yun said: "patients play badminton for three hours a day."

"Badminton? Three hours? Good enough." Zheng Rendao.

"Well, when I was young, I was a national athlete. After I retired, I took part in work and insisted on playing badminton." Su Yun said: "one day before the onset, I didn't find any problems playing badminton."

Zheng Ren began to meditate.

"No food allergies or exposure to heavy metals?" Chang Yue asked.

"From the existing signs, there should be no." Su Yun said, "the patient has a regular life and is very healthy. There is no similar situation among his colleagues and family. I asked about this."

President Yu quietly looked at the video data and didn't say a word.

He knew all this, but he just didn't know why the symptoms of kidney stones such as hematuria and renal colic came from.