Chapter 1229： Interventional doctors are all from the image

"The patient has a black stool now, and the return is positive, and the occult blood is positive." Zhu Liangchen added a sentence after "reporting" the medical history.

This is the result of the report of his deputy director. Nothing hesitates. The diagnosis is clear. The patient has lower gastrointestinal bleeding.

Postoperative occult blood positive, there are countless considerations. However, after intervention, it is not a liver intervention. The patient itself has splenomegaly, cirrhosis, and gastric varices. It is rare to have occult blood.

If she can't find the problem, Zhu Liangchen feels that she can't sleep.

Zheng Ren is not as polite as entering the house, while listening to Zhu Liangchen's treatment, while staring at the film.

Habitually, Zheng Ren’s right hand held the shackles, his left hand was placed under the right armpit, and his eyes smashed.

Zhu Liangchen reported the medical history and looked at the film.

This is not the latest film. Will Zheng Bo directly say no, do you want to go back and make a film? But what do you want to check to find out? Gastrointestinal mirror?

Zhu Liangchen thought of countless possibilities. He reported to him at home. The patient's condition was stable and the blood in the stool was not aggravated. This was a little relieved.

After ten minutes, Zheng Rencai said, "ct is not very clear."

Zhu Liangchen’s heart is half-cooled. This is Tai Chi Kung Fu, a support word, and an experienced doctor.

Zheng boss does not know, or is it perfunctory?

However, his thoughts in his heart just started, and Zheng Ren continued to talk.

"But the ulcer surface at the pylorus has already been shown."

"..." Zhu Liangchen and Director Kong frowned.

Ct can not see the hollow organs, such as the stomach. If there is a huge solid tumor, ct can be seen, but the patient is not a tumor.

"Director Zhu, I don't know if you noticed it, the patient's stomach wall has expanded." Zheng Ren continued.

"I noticed that I thought it was caused by embolization of some arteries, insufficient blood supply, and slowing of gastric emptying." Zhu Liangchen said immediately.

Zheng Ren shook his head and said, "The problem is indeed that the stomach emptying slows down. After the medication, the doctor will show me."

This one sentence, one sentence in the east, but Zhu Liangchen did not refute, but took out the mobile phone and transferred the doctor's instructions.

Asking people must have an attitude of asking for help. Moreover, Dr. Mehar just came to see the film, and a row of foreign experts standing against the wall roots completely shocked Zhu Liangchen.

He has no other thoughts, and he is very thorough.

After Zheng Ren finished reading, he had a comprehensive treatment plan in his heart. He paused and said, "Director Zhu, go back and check a gastroscope, remember to take a biopsy."

"Biopsy?" Zhu Liangchen stunned, did he encounter a rare malignant tumor? I can't, I have seen so many films myself, I haven't seen it.

Zheng Ren just said from his own self, the rhythm is slightly slow, I did not expect Zhu Liangchen to think so much at this moment.

"Biopsy tissue, do bacterial culture." Zheng Rendao.

"Bacterial culture? What do you suspect?" Zhu Liangchen wanted to ask, Helicobacter pylori? Isn't that nonsense?

"Are you familiar with the laboratory?" Zheng Ren suddenly asked.

Even Su Yun felt that his boss had no idea what to do. Was it after the exchange with Dr. Mehar and expanded into outer space?

"Okay."

"When sending the specimen, Director Zhu personally greeted the acquaintance of the laboratory, not ordinary bacterial culture, depending on whether there is stomach sclerotium." Zheng Rendao.

"..." Zhu Liangchen was speechless.

"..." Director Kong is speechless.

Only Su Yun's eyebrows are light and picking up, seeming to think of something.

"Zheng boss, what is it?" Zhu Liangchen really does not know whether Zheng boss is difficult for himself, or really. He is now guilty of sin, and Zheng’s smiling face is a special face. So he can only whisper and don't dare to say anything else.

"S. cerevisiae is often stacked regularly with eight cells, which is a cube-shaped, micro-anaerobic bacteria that is easily isolated from the soil and can also be found in the stomach contents of patients with stomach diseases. ”

Zheng Ren pointed to a position with uneven density on the film. He said, "Here, I think it is a pyloric ulcer. The area of ​​the ulcer is not too small."

"S. serrata grows in the human stomach and causes certain pathological changes, such as pyloric ulcers and pyloric stenosis, causing the food to flow into the intestines. In this abnormal situation, the stomach is in acidic conditions, in food. Carbohydrates and other nutrients for growth promote the rapid proliferation of Trichomonas sinensis."

Zhu Liangchen listened, and asked, "What?"

Zheng Ren was also a little surprised, looking at Zhu Liangchen sideways, as if he saw something difficult to understand.

"Boss, the doctors involved are all from the image." Su Yun whispered aside.

"Oh." Zheng Ren is stunned.

Director Kong and Zhu Liangchen’s face seemed to be slap in the face, and I really wanted to press Su Yun on the ground.

Isn't the doctor born in the image?

“Professor of the first discovery of Gastrin Stomach in the stomach of the patient in 1842. Professor Ferrier also found its presence in the blood of the patient in 1872 and believed that its presence in the blood was related to the delay in gastric emptying.” Zheng Ren explained later.

"Director Zhu does not know that it is normal. The most common clinical department of octacocci is general surgery, and even digestive medicine is not very common."

“General surgery? Why?” asked Director Kong.

"Because of the previous gastric banding surgery, the possibility of post-operative gastric dysentery is quite large." Zheng Ren smiled, "So I said the paper of Johns Hopkins Hospital. It is debatable, the reason is here."

"That paper did not mention how to prevent and treat gastric sclerotia after surgery, and did not mention any complications, but said that the long-term effect is better."

"I still want to wait for Dr. Mayhar to go through it and think about it But Director Zhu will get started first." Zheng Ren said very seriously, anyway, he couldn't hear the taunt from his tone, Zhu Liangchen There was a lot of confusion in my heart.

I really want to have a seizure. I don’t think it’s boring. In particular, seeing Zheng Ren’s thick face makes him even more helpless. Zheng Ren is not deliberately mocking himself. Zhu Liangchen knows this.

But the more it is, the more stupid it seems to be.

Director Kong smiled, it turned out to be a common complication after the surgery of the stomach belt. It is no wonder that Su Yun’s guy would remind Zheng Boss that the intervention was all from the image.

I haven't done any stomach banding surgery. Who knows what kind of shit's stomach?

Thinking, Director Kong couldn’t stop trying to marry her.

This is simply an insult to the interventional doctor, but ... people are right, what is the way?

Director Kong sighed.

.