Chapter 509： The boss is urinating

Listening to Director Xia said that the patient’s family’s face also showed a confused look.

It’s not like saying, let yourself be. But... He took another look at Zheng Ren, who was indeed a young little doctor.

This is strange.

Director Xia’s reputation, many of the ordinary citizens of Haicheng know that they belong to the experts in the digestive department of Haicheng.

She is so admired for this little doctor?

"Zheng Zong, the patient with acute severe pancreatitis, amylase has basically returned to normal." Director Xia looked at the film while talking to Zheng Ren about the patient two days ago.

"Well, it is your professionalism and good governance." Zheng Ren casually perfunctory, all the information in the mind is related to diagnosis and differential diagnosis.

"Thanks to you." Director Xia does not mind Zheng Ren's perfunctory, smiled and said: "This patient, how is Zheng diagnosed?"

"Looks like a big abscess in the abdomen, but I don't think it is. Now I prefer the colonic diverticulum."

"Day room?" Director Xia stunned.

"Yeah." Zheng Ren picked up the patient's laboratory test in the emergency department and said: "Director Xia, you see that the patient's blood routine is not too abnormal. If it is a large abscess in the abdominal cavity, how can it be related? Changes in blood tests."

Director Xia meditates.

"Of course, there is only doubt. The patient is an elderly person, and the body may not respond. But if you diagnose the colonic diverticulum, everything can be explained in a logical way." Zheng Ren pointed to the film and began to honing himself with professional imaging terminology. The thing was said and it was said for three minutes.

Su Yun's eyebrows are very tight, his head is slightly low, through the front of the black hair, looking at the face of Zheng Renxuan.

The original face was full of self-confidence, slightly arrogant, but not excessive.

Who is giving him confidence?

Su Yun is a little confused.

This kind of differential diagnosis requires technology and more experience.

Technically, Su Yun doesn't think... He doesn't think Zheng Ren is much better than himself. But why is he so confident?

The same problem also appeared in the mind of Director Xia.

Strange!

"Zheng Zong, I think what you just said may be because the patient is older and the blood is more likely to respond in a short time." Director Xia and Su Yun have similar views and think that it is the possibility of a large abscess in the abdominal cavity. More sexual.

Zheng Ren smiled and said: "I have never seen a similar case in our hospital, but it is mentioned in the relevant literature. A previous article by Surgery published by Dr. MolièreS mentioned similar cases. Much like this patient."

Su Yun suddenly became cheerful. It turns out that Zheng Ren has seen similar reports in this article, which can be determined with great probability.

It seems that the road to catch up with yourself has grown a lot.

However, it is very strange. I haven’t seen Zheng Ren’s goods in this period. I read magazines and magazines. Did he look at school?

Director Xia insisted on his own opinion and asked: "Similar cases cannot prove..."

"Director Xia, look at this." Zheng Ren's face is full of self-confidence. He recalls a case report he just saw, and then reverses it. Everything is clear.

Zheng Ren took the pen out and pointed it to a position on the lower abdomen CT with a pen tip. He said: "Here, the image of the liquid level changes slightly. The information obtained by CT scan is calculated to obtain the X-ray attenuation coefficient of each voxel or The absorption coefficient is then arranged into a digital matrix. The change here, according to the law of the attenuation of the digital matrix, I judge the density..."

The inexhaustible terminology directly confuses Director Xia.

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

"Boss, urinating! Urine! The patient urinated smoothly!" Professor Rudolf Wagner's excitement sounded like a griffin, passing over the other end of the corridor.

"Su Yun, let the wealthy children shut up!" Zheng Ren frowned, not happy to say.

Soon, the professor hurried to the office with excitement that was difficult to contain.

"Boss, boss, urine!" the professor said in a whisper.

"Wealthy children, not the boss is urinating, it is normal after the patient urinating." Zheng Ren is somewhat unhappy, correcting: "Is it normal for urine? It's a big surprise."

Zheng Ren then said plainly: "Director Xia, we continue to say."

Professor Rudolf Wagner glanced at the film and said casually: "Boss, you are because of a abdominal abscess... wrong, the density is not like an abscess."

"Fugui, what do you think?" Zheng Ren can't stand the noise of the professor, simply don't explain it to Director Xia, but ask the professor.

"Boss, I think it may be a colonic diverticulum, or it may be an abscess. This identification..."

"I think it is a colonic diverticulum. You reverse the digital matrix from the image and then add a reconstruction. From the perspective of transparency and absorption, it is more obvious." Zheng Rendao.

"Boss, praise you!" Professor Rudolf Wagner made an exaggerated expression with a finger on the CT film said: "I understand what you mean, it is indeed a diverticulum, no doubt Bedroom!"

Director Xia couldn't understand the communication between Zheng Ren and Professor Rudolf Wagner.

Su Yun brows his head and locks it. After ten seconds, he reveals a stunned expression.

The family members of the patients are even more helpless. They don’t know why there is a foreigner who is so fluent in Chinese.

"Boss, I feel that God not only kissed your hands, but also gave you a unique brain." Professor Rudolf Wagner continued to praise, and did not feel numb at all. "The patient urinated, I left the urine sample, you go see At first glance, like that, the best beer in Munich."

Uh……

Zheng Ren couldn't understand the excitement of the professor. He looked at the professor and dismissed him a thousand miles away.

"I have something to do with this, you go to work." Zheng Ren said with a disappointment.

The professor just wants to defend and wants to fight for it. But he immediately saw Zheng Ren’s expression of anger and self-improvement, and his heart flinched and he left.

"Director Xia, the diagnosis is relatively clear, I think that surgery is needed. It is not recommended to do the endoscope, because the diverticulum is too big, it is safer to open the knife." Zheng Rendao.

Director Xia couldn't understand what digital matrix Zheng Ren said, and what was reversed, just that it makes sense. She looked at the lower abdomen CT inserted in the reader, and thought that perhaps only Philips engineers began to learn medicine, so that can be done.

"Director Xia?" Zheng Ren asked again.

"Ah?" Director Xia came over and smiled. "After life, since the professor and your thoughts are the same, then open the knife."