medical treatment

After nearly an hour of inquiring, Duan Yi and Guan Xiaozhou wrote down the diagnosis results of the five patients on paper, and then announced them together.

The first patient, both were diagnosed with emphysema and the resulting chronic pulmonary heart disease.

For the second patient, their diagnosis was also consistent, rheumatic heart disease and valvular disease.

The third patient's condition was also consistent, cirrhosis caused by chronic alcoholic liver disease.

By the fourth patient, the diagnoses of the two finally differed.

Duan Yi's diagnosis was rheumatoid hip arthritis, and Guan Xiaozhou's diagnosis was femoral head necrosis.

The fifth patient, the two are even more different.

Duan Yi wrote about intrauterine inflammatory pseudotumor, but Guan Xiaozhou's diagnosis was endometrial cancer.

Seeing the five diagnosis results of the other party, Duan Yi breathed a long sigh of relief, looked to the other side of the reporting table, and met Guan Xiaozhou's gaze.

Duan Yi could see that the other party's expression was solemn, so he gave him a confident smile that showed he had a winning chance.

She withdrew her gaze, looked at Zhou Luo, Shen Qi, and Sui Chi, who looked concerned, and said in a relaxed tone: "You are worried, at least it is a tie, and there is no need to be a mannequin."

"We rarely come into contact with that orthopedic disease. I'm not sure. It's a lot of guesswork."

"But Patient No. 5 is definitely not endometrial cancer."

Zhou Luo, however, looked worried and asked in a lowered voice: "Are you so confident in your judgment of patient No. 5's endometritis pseudotumor?"

"She had undergone a comprehensive examination at a local tertiary hospital and was diagnosed with endometrial cancer. She came to us specifically for a diagnosis."

Duan Yi nodded vigorously and said: "My judgment is not wrong, it is inflammatory pseudotumor."

Inflammatory pseudotumor is a rare inflammatory lesion that can occur anywhere in the human body, including the endometrium.

It usually manifests as abnormal proliferation of granulation tissue, which may sometimes be accompanied by angiogenesis and necrosis.

If it grows in the endometrium, patients may experience symptoms similar to endometrial cancer, such as irregular menstruation, genital tract bleeding, etc., and it is very easy to be misdiagnosed.

Duan Yi said confidently: "Don't forget, gynecology is my best field."

"Although the patient's various symptoms and even the hysteroscopy were highly suspicious of endometrial cancer, the percussion of the uterus 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 it can't be done, wouldn't it be in vain that Dr. Yu prescribed the small uterine sound-discriminating focus for Senior Sister Ding and me in the past?"

She waved her little fist again and cheered herself up: "The efforts of these two months are not in vain. I have checked thousands of uteruses."

"Believe me, it's definitely not wrong."

At this moment, Qi Yue also finished discussing with Wang Chunyuan, Tang Jianxiong, and Fang Chen and stood up again.

"Patients No. 1, 2 and 3, Dr. Guan and Dr. Duan have the same diagnosis."

"We all agree that the two men's diagnoses of the first three patients were completely correct."

After a pause, Qi Yue continued: "As for Patient No. 4, because there is no imaging data to support it, we cannot make a convincing determination whether it is rheumatoid hip arthritis, femoral head necrosis, or something else. result."

"As for Patient No. 5, the only way to authoritatively confirm it is through pathological biopsy."

Next, Qi Yue arranged for a nurse to take Patient No. 4 and Patient No. 5 for CT examination and pathological biopsy respectively.

As for the diagnosed patients No. 1 to 3, we cannot let people come to cooperate in vain.

Patient No. 1’s emphysema and cor pulmonale, and Patient No. 2’s rheumatic valvular heart disease, were prescribed treatment plans by cardiopulmonary expert Wang Chunyuan.

As for Patient No. 3’s cirrhosis, gastroenterology expert Fang Chen prescribed a treatment plan.

After sending the three patients and their families away, the discussion continued.

"Next, while we are waiting for the test results of patients No. 4 and 5, we will conduct a non-contact diagnostic project in a group confrontation."

Qi Yue hosted: "Please look at the big screen again!"

Following Qi Yue's words, dozens of files appeared on the large screen on the reporting table.

Qi Yue said: "This is our Huashan Hospital, not our center. In the past Thursday and Friday, we collected the condition information of some patients who were diagnosed."

"We have made some modifications to the condition information of these patients and deleted some key information with clear guidance."

"However, the medical history information, symptom description, analytical laboratory data, imaging data, etc. included in each patient's condition data are enough for you to analyze the final correct result."

After Qi Yue finished explaining, he added: "This time, the guests have priority, and you will select five pieces of disease information."

Guan Xiaozhou, Xiang Liying, and Pei Rui did not pretend to give in. They looked at each other, and Pei Rui, the only boy among them, stepped forward to select five pieces of disease information.

This guy first looked at it and randomly selected the first piece of disease information, and then selected the next four pieces of information based on the arithmetic sequence interval of 1234.

After these five condition information were confirmed, under Shen Yiyi's operation, the large screen was split into two.

The foursome of Zhou Luo and the threesome of Guan Xiaozhou were able to browse a certain piece of disease information on their own half of the big screen without interference.

"The time limit is one hour. If the diagnoses of both groups are correct, the one with the least time wins."

"Timer starts." As Qi Yue's voice fell, Zhou Luo, Shen Qi, Sui Chi, and Duan Yi gathered in front of the half screen on the left. Zhou Luo controlled the screen and opened the first condition information.

After reading the patient's physical profile and description of the main symptoms, Duan Yi couldn't help but marvel.

Oops, it can’t be such a coincidence, right?

Why is this patient's basic condition so similar to the coughing old man I met on the road yesterday?

In surprise, Duan Yi and her companions quickly went through the patient's examination information and laboratory data. She was sure that it was the man with the cough yesterday.

Duan Yi had no doubts about Yu Zhiming's judgment because he had not missed it.

Duan Yi first determined that the man had left pulmonary embolism, and then analyzed the results based on the man's various examination and laboratory information.

It is left pulmonary embolism caused by blood clots.

This blood clot comes from deep vein thrombosis.

Combined with the urine test data and some kidney examination data, Duan Yi finally confirmed that the man had nephrotic syndrome.

The man's deep vein thrombosis is caused by his underlying disease nephrotic syndrome.

Nephrotic syndrome, left pulmonary thromboembolism.

After Duan Yi confirmed the man's illness, he whispered to Zhou Luo: "Okay, let's take a look at the next person!"

Zhou Luo was immediately shocked. He was still analyzing the symptoms and data and had no specific clue.

"you sure?"

"One hundred percent, believe me, I won't make anyone take off their clothes and become mannequins."

When Zhou Luo saw what this guy was saying, he chose to believe it 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 surgery to repair his old injury was finally completed.

The reason why I chose to have the surgery at the plastic surgery department was because it has a luxurious and private ensuite room.

The plastic surgery department has also received some well-known celebrity patients, but a big name like Chen Long is the first.

Under full 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 finished the surgery and personally sent Chen Long to the luxurious ward.

The two people, who were exhausted both physically and mentally, didn't bother to rest at all. They took a quick shower, gathered their energy and hurried to the pediatric surgery department.

Today is the first offline surgery discussion for the separation surgery of conjoined twins.

Yu Shiquan walked into a small conference room under the guidance of a young doctor.

He saw Dr. Gu, a pediatric surgeon who also came from Union Medical College, sitting at the left side of the conference table, and Dr. Zhu, a pediatric surgeon from Huashan, sitting at the right side of the conference table.

Dr. Hou, Dr. Lin, who had been operating with him for the past two days, sat on the right side of the conference table.

Yu Shiquan also met a strange mature female doctor on the right side of the conference table.

At the same time, he also noticed that a one-to-one 3D printed physiological structure model of the conjoined parts of a conjoined twin was placed on the conference table.

On the large high-definition screen on the wall, a three-dimensional perspective physiological structure diagram of conjoined twins is being rotated.

Yu Shiquan knew that Dr. Gu had the technical team of Union Hospital work overtime to make the three-dimensional physiological anatomy diagram of the conjoined twins based on the drawings drawn by Dr. Yu.

Yu Shiquan could clearly detect that the atmosphere in the conference room was a bit solemn. It seemed that Dr. Gu and Dr. Zhu had another disagreement.

He saw that there were a few empty seats on the left side of the conference table besides Dr. Gu and her assistants and students, so he sat there with Dr. Tong Yu.

As soon as Yu Shiquan sat down, Dr. Zhu's voice rang in his ears, "Doctor Yu, Dr. Tong, please introduce me. This is Dr. Wang Jiangyue from the General Surgery Department. He will participate in the separation operation of the kidneys and intestines of conjoined twins."

Yu Shiquan and Wang Jiangyue nodded in greeting, and then Dr. Zhu continued: "Doctor Yu, Dr. Tong, Dr. Gu and I just had some differences on the surgical ideas for separation of conjoined twins. I would like to hear your opinions..."

Yu Shiquan, who had just completed a major operation and wanted to rest now, really didn't have the energy to listen to the two people arguing anymore.

He interrupted: "Dr. Zhu, Dr. Gu, I have a proposal, let Dr. Yu Zhiming formulate the ideas and framework of the surgical plan."

"Dr. Yu's understanding of the physical conditions of conjoined twins is unparalleled. He must know how to separate them so as to minimize the physical harm to the two babies."

"It's important..."

Yu Shiquan said solemnly: "Perhaps we all underestimated Dr. Yu's ability. Dr. Yu also has a very outstanding talent in formulating surgical plans."

"I can prove it!" Dr. Lin said.

"I second the proposal!" Dr. Hou also said.

Tong Yu also said: "I also second the proposal..."

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