After nearly an hour of observation, listening, questioning and palpation, Duan Yi and Guan Xiaozhou wrote down the diagnosis results of the five patients on paper and then announced them together.
For the first patient, both patients were diagnosed with emphysema and the resulting chronic cor pulmonale.
The second patient also had the same diagnosis, rheumatic heart disease and valvular disease.
The third patient had the same condition: cirrhosis caused by chronic alcoholic liver disease.
By the fourth patient, the two people's diagnoses finally differed.
Duan Yi was diagnosed with rheumatoid hip arthritis, and Guan Xiaozhou was diagnosed with femoral head necrosis.
The fifth patient had two completely different cases.
Duan Yi wrote about endometrial inflammatory pseudotumor, but Guan Xiaozhou's diagnosis was endometrial cancer.
After seeing the other party's five diagnostic results, Duan Yi breathed a sigh of relief and looked to the other side of the reporting desk, just meeting Guan Xiaozhou's gaze.
Duan Yi could see that the other person's expression was serious, so she gave him a confident smile that showed she was sure of winning.
She looked away, looking at Zhou Luo, Shen Qi, and Sui Chi, who all looked concerned, and said lightly, "You're worried, but at least it's a draw, so I don't have to be a nude model anymore."
"We rarely come across orthopedic diseases, so I'm not sure. There's a lot of guesswork involved."
"But patient number five definitely does not have endometrial cancer."
Zhou Luo, however, looked worried and asked in a low voice, "Are you so confident in your diagnosis of Patient No. 5's endometrial inflammatory pseudotumor?"
"She had a comprehensive examination at a local tertiary hospital and was diagnosed with endometrial cancer. She came to us specifically for a confirmed diagnosis."
Duan Yi nodded vigorously and said, "My judgment is correct. It is an inflammatory pseudotumor."
Inflammatory pseudotumor is a rare inflammatory lesion that can occur anywhere in the human body, including the endometrium.
It typically presents as an abnormal proliferation of granulation tissue, sometimes accompanied by angiogenesis and necrosis.
If it grows in the endometrium, patients may experience symptoms similar to endometrial cancer, such as irregular menstruation, genital bleeding, etc., which is very easy to misdiagnose.
Duan Yi said confidently, "Don't forget, gynecology is my area of expertise."
"Although the patient's various symptoms and even the hysteroscopy were highly suspicious for endometrial cancer, my uterine percussion gave me the feeling that it was not cancer."
Shen Qi questioned, "Uterine percussion? Can it really be done?"
Duan Yi glanced at him and snorted, "If you can't do it, then all the work that Doctor Yu has been doing on uterine sound recognition for Senior Sister Ding and me these past few months will have been in vain."
She waved her fist again and encouraged herself, "These two months of hard work have not been in vain. I've checked at least a thousand uteruses."
"Believe me, it won't be wrong."
At this moment, Qi Yue finished discussing with Wang Chunyuan, Tang Jianxiong, Fang Chen and others, and stood up again.
"Patients one, two, and three, Dr. Guan and Dr. Duan have the same diagnosis."
"We all agree that the two people's diagnosis of the first three patients was completely correct."
After a pause, Qi Yue continued, "As for Patient No. 4, since there is no imaging evidence, we cannot give a convincing conclusion as to whether it is rheumatoid hip arthritis, femoral head necrosis, or something else."
"As for Patient No. 5, the only way to authoritatively confirm the diagnosis is through a biopsy."
Next, Qi Yue arranged for the young nurse to take patients No. 4 and No. 5 to undergo CT examinations and pathological biopsy tests respectively.
As for patients number 1 to 3 who have been diagnosed, we cannot let them come here for nothing.
Patient No. 1's emphysema and cor pulmonale, and Patient No. 2's rheumatic heart valve disease, were treated with treatment plans prescribed by cardiopulmonary specialist Wang Chunyuan.
As for patient No. 3's cirrhosis, a treatment plan was prescribed by gastroenterologist Fang Chen.
After sending the three patients and their families away, the discussion continued.
"Next, we will conduct a non-contact diagnostic program with a team while we wait for the test results of patients four and five."
Qi Yue, the host, said: "Please look at the big screen again!"
As Qi Yue said this, dozens of documents appeared on the big screen at the podium.
Qi Yue introduced: "This is our Huashan Hospital, not our center. Over the past Thursday and Friday, we received medical records of some confirmed patients."
"We have made some changes to the medical records of these patients and deleted some key information that provided clear guidance."
"However, the medical history, symptom description, analyzed laboratory data, and imaging data of each patient's medical records are sufficient for you to analyze the final correct result."
Qi Yue finished his explanation and continued, "This time, the guests will be given priority. You will select five medical records."
Guan Xiaozhou, Xiang Liying and Pei Rui did not refuse. They looked at each other and Pei Rui, the only boy among the three of them, stepped forward to select five medical records.
This guy first randomly selected the first medical record, and then picked out four more records according to the arithmetic progression of 1234.
After the five medical records were confirmed, Shen Yiyi's operation split the large screen into two.
Zhou Luo's team of four and Guan Xiaozhou's team of three each use their own half of the large screen and can browse a certain medical record without being disturbed.
"The time limit is one hour. If both teams' diagnoses are correct, the one who takes the least time wins."
"The timer begins."
As Qi Yue's voice fell, Zhou Luo, Shen Qi, Sui Chi, and Duan Yi gathered in front of the left half of the large screen. Zhou Luo controlled the screen and opened the first medical information.
After reading the patient's physical profile and main symptom description, Duan Yi couldn't help but marvel in his heart.
Oh, that can’t be such a coincidence?
Why is this patient's basic condition so similar to that of the coughing old man I met on the road yesterday?
Duan Yi was in shock and quickly went through the patient's examination information and test data with her companion. She was sure that it was the man who coughed yesterday.
Duan Yi believed in Yu Zhiming's judgment without a doubt, because she had never missed it.
Duan Yi first determined that the man had a left pulmonary embolism, and then analyzed this result based on the information from the man's various examinations and tests.
It is a left pulmonary embolism caused by a blood clot.
This blood clot comes from deep vein thrombosis.
Combining the urine test data and some kidney examination information, Duan Yi finally confirmed that the man had nephrotic syndrome.
The man's deep vein thrombosis was caused by his underlying disease, nephrotic syndrome.
Nephrotic syndrome, left pulmonary thromboembolism.
After Duan Yi confirmed the man's illness, she whispered to Zhou Luo, "Alright, let's take a look at the next person!"
Zhou Luo was shocked. He was still analyzing the symptoms and data and had no specific clue.
"Are you sure?"
"One hundred percent, trust me, I won't force you to take off your clothes and become mannequins."
Seeing that this guy was so sure, Zhou Luo chose to believe him and opened the second document.
After all, completion time is also an assessment factor...
At this moment, plastic surgery.
Starting from Thursday night, after two nights, one day and nearly half a morning, Chen Long's old injury repair surgery was finally completed.
The reason for choosing to have the surgery in the plastic surgery department is that the suite wards here are luxurious and private enough.
The plastic surgery department has also received some celebrity patients with some fame, but a big name like Chen Long is the first one to receive such a treatment.
Under comprehensive vigilance, the confidentiality measures this time were quite good, and the outside world did not know that Chen Long was undergoing surgery.
Tong Yu and Yu Shiquan completed the operation and personally sent Chen Long to the luxurious ward.
The two people were so exhausted that they had no time to rest. After washing up, they forced themselves to stay awake and hurried to the pediatric surgery department.
Today is the day for the separation surgery of conjoined twins, and the first offline surgical discussion meeting is held.
Led by a young doctor, Yu Shiquan walked into a small conference room.
He saw Dr. Gu, a pediatric surgery expert from the same Peking Union Medical College as him, sitting at the seat on the left side of the conference table, while Dr. Zhu, a pediatric surgeon from Huashan Medical University, sat at the seat on the right side of the conference table.
Dr. Hou and Dr. Lin, who had performed surgery with him over the past two days, sat on the right side of the conference table.
Yu Shiquan also saw an unfamiliar mature female doctor on the right side of the conference table.
At the same time, he also noticed that there was a one-to-one 3D printed physiological structure model of the conjoined parts of conjoined twins placed on the conference table.
On the large high-definition screen on the wall, a three-dimensional perspective diagram of the physiological structure of conjoined twins is rotating.
Yu Shiquan knew that the three-dimensional perspective physiological structure diagram of the conjoined twins was produced by Dr. Gu based on the drawings drawn by Dr. Yu and with the help of the technical team of Union Hospital working overtime.
Yu Shiquan could clearly sense that the atmosphere in the conference room was somewhat solemn, as if Dr. Gu and Dr. Zhu had been arguing with each other again.
He saw that there were several empty seats on the left side of the conference table besides Dr. Gu, her assistant and students, so he sat over there with Dr. Tong Yu.
Yu Shiquan had just sat down when he heard Dr. Zhu's voice. "Dr. Yu, Dr. Tong, please introduce me. This is Dr. Wang Jiangyue from the General Surgery Department. She will be performing the surgery to separate the kidneys and intestines of the conjoined twins."
Yu Shiquan and Wang Jiangyue nodded and greeted each other, then Dr. Zhu continued, "Dr. Yu, Dr. Tong, Dr. Gu and I just had some disagreements about the surgical approach to separating conjoined twins. I'd like to hear your opinions..."
Yu Shiquan, who had just completed a major operation and now wanted to rest, really didn't have the energy to listen to the two people arguing anymore.
He interrupted, "Doctor Zhu, Doctor Gu, I have a suggestion. Let Doctor Yu Zhiming develop the surgical plan and framework."
"Dr. Yu's understanding of the physical condition of conjoined twins is unparalleled. He must know how to separate them to minimize harm to the babies."
"More importantly..."
Yu Shiquan said solemnly, "We may have underestimated Dr. Yu's abilities. Dr. Yu also possesses an exceptional talent for developing surgical plans."
"I can prove it!" Dr. Lin stated.
"I second that!" Dr. Hou also said.
Tong Yu also said: "I second the proposal..."
Please support me with monthly tickets, recommendation tickets, etc.!!!
Continue read on readnovelmtl.com
