Chapter 1629： Worship +2

Looking for Zheng Boss, I wanted to see his superb anatomy.

But who thinks that Zheng boss did not follow the routine, did not find the location of cerebral hemorrhage, but directly found the internal carotid artery thrombosis through anatomy.

"Zheng... boss, what do you mean?" Li Zhaosen’s speech was unfavorable.

"The deceased itself has carotid atherosclerosis, and the vascular elasticity is poor. During the process of avoiding and beating, the neck produces strenuous exercise such as excessive stretching or side bending.

Immediately and intensely pulling the carotid artery, causing tearing of the carotid intima, resulting in thrombosis and occlusion of the lumen.

The brain tissue is occluded by vascular occlusion or partial thrombus embolization of the intracranial branches, causing acute cerebral ischemia and multiple extensive necrosis. ”

Zheng Ren took the knife in front of Li Zhaosen and took off the gloves directly, Lili Sosso said.

"..." Everyone is completely upset.

"Boss, carotid intima avulsion, the incidence is very low, how do you think?" Su Yun frowned.

"The development of the disease is very weird, inexplicably incontinence, the disease considered, mainly carotid intima avulsion syndrome." Zheng Ren said very casually.

"How do you know?" Su Yun is concerned about this.

"When you haven't been to the emergency department, there is a similar patient in the observation room, and then sent to the medical school." Zheng Renshun said nonsense, anyway, Su Yun was late to the emergency department for a few days, what he said.

I have the ability to go back to Haicheng to find a medical case. Zheng Ren believes that Su Yun is not so busy.

Su Yun just asked casually, and Zheng Ren said that he did not take his mind.

A very clear logical chain, there is a chance to do anatomy, definitely look at the carotid artery. In this regard, Su Yun will not question the IQ of his boss.

That goods, EQ is very low, but IQ is definitely not low. Just a little lower than myself, Su Yun thought.

"Zheng boss, you are this..." Li Zhaosen is stupid and doesn't know what to say.

“Well?” Zheng Ren looked at him sideways and smiled. “What happened?”

"The traumatic carotid occlusion and cerebral infarction are completely different from the court's decision. The forensic doctor must be careful, can you confirm?" Li Zhaosen whispered.

Zheng Ren looked at his expression carefully and felt that he was not defending the other side, but he asked himself to be cautious.

Perhaps in Li Zhaosen's opinion, his judgment is somewhat far-fetched, but in his opinion, it is obviously more obvious.

In fact, it is also a matter of autopsy, how can we find the top diagnosis and surgery masters in China?

The cost of a surgery for a top surgery is tens of thousands. It is better to go flying a knife than this time. To do an autopsy, who is the cost?

This is a coincidence, I still teach Lee Zhaosen something.

This person's anatomy is very skilled, but the autopsy is definitely not done by anatomy.

Corresponding clinical knowledge, disease development, will provide a lot of clues.

Looking at his attitude towards the medical record, Zheng Ren can speculate one or two.

"This is the case." Zheng Ren turned and took off his white suit. He said: "A traumatic carotid occlusion refers to a blunt or sharp injury to the neck, excessive stretching and lateral bending of the neck, or the skull of the humerus. Fractures and other causes the internal carotid artery intimal tear, rupture, and even complete thrombotic occlusion."

"The disease is divided into open and closed, and the patient...the situation of the deceased is better."

"That... Teacher Li, it is not enough to do anatomy. If you are from the hospital, you should still look at the medical records. There are some narratives in the medical records, and it can be inferred." Zheng Rendao.

"..." Li Zhaosen silently looked at Zheng Ren, a face of grievances. But it is not convinced, more is confused.

After the ESD anatomy of that day, Li Zhaosen’s attitude toward Zheng Ren has skipped dull, friendly, respectful, reverence, and went directly to worship.

Zheng Ren thinks that Li Zhaosen is very interesting. He is willing to say a few words to him. While washing his hands, he said: "Like clinical diagnosis and differentiation, forensic doctors must also have. It is a cerebral infarction, and it is different from traumatic and pathological. of."

"What is the difference?" Li Zhaosen asked as if he were a student.

"First, there is a clear history of head and neck trauma; the external force is likely to cause excessive stretching or lateral bending of the neck.

Second, there is an incubation period for injuries and illnesses. The patient just had a 2-3 day incubation period. During the incubation period, the patient is completely okay. This is also the basis for my main judgment that the patient is the carotid endarterectomy syndrome.

Third, mild hemiplegia, partial sensory disturbance and aphasia may occur after onset, and some may be associated with Horner's syndrome. This is not obvious in the medical records, because it is difficult for district and county hospitals to make targeted judgments.

Fourth, CT scan of the brain showed multiple or multiple bilateral brain softening lesions, which was inconsistent with the latter.

Fifth, carotid intima rupture and thrombosis can be seen in the autopsy. ”

Zheng Ren is the standard science student's thinking. One of the two, one, three, and four, five, said, Li Zhaosen directly smashed.

What are these ghosts?

Although I don't understand it, the feeling of the unexplained calendar is echoing in my heart. Zheng Bo is really professional, and Li Zhaosen’s heart is very emotional.

Although it is a doctor, people directly crush themselves during autopsy.

"Zheng... boss, you said slowly, I will remember." Li Zhaosen admired his look.

Unlike the old rivers and lakes of Liu Zewei, Li Zhaosen belongs to the kind of person with a rib of the brain He has nothing to write on his face, instead of hiding in his heart.

Zheng Ren thinks that Li Zhaosen is a bit crazy, and he is crazy about technology.

He slowly said slowly, waiting for Li Zhaosen to record, Zheng Ren finally thought that it could be WeChat voice.

"Zheng boss, the specimen of the general teacher brought." Zhou Chunyong took a call and said.

When he heard the words of the general teacher, Li Zhaosen’s ears stood up.

"Good." Zheng Ren and Li Zhaosen said: "Mr. Li, then let's first..."

Just said here, Zheng Ren’s cell phone rang.

[They say that they are writing a love song, and the taste of the customs is...]

Zheng Ren picked up the phone, "President, I..."

"Well, I am in the medical school." Zheng Ren's expression was immediately one of them. After Zhou Chunyong saw it, he felt a glimpse.

An ominous premonition rose quickly in his heart.

"Well, I will rush over!" Zheng Ren said with a serious expression.

"Boss, what happened?" Su Yun asked.

“A staff member working overseas was injured in the local area and had a gunshot wound. After being sent to the country for simple treatment, it has been 8 days. How can I not find the bullet? Vice President Yuan asked me to go to the consultation to see if I could find it.” Zheng After Ren said it, he hurried away.

"Zheng boss..." Zhou Chunyong’s voice was small and getting smaller.

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