2151 If you are wrong, you must tell me.
“Old Li, what’s wrong?”
“No, the inspection is about to start,” Elder li looked at the words on the A4 paper and asked in a low voice.
“Yes, there’s still a minute.”
The Internal Medicine Department’s inspection tour had very strict rules. They had to start when the time was up, and there was no such thing as being late.
It was time to close the door, and no one was allowed in. If they really missed it, they would be scolded by the director for four hours.
Soon, the inspection began, and Dr. Wang from the Endocrinology Department began to explain the patient’s condition.
Elder li read the words on the A4 paper while listening to the patient’s brief. The person who wrote this should have some understanding of the patient’s condition and was very detailed.
The test items that listed the problems were almost the same as the pre-hospital medical history reported by Dr. Wang.
This was getting interesting. Elder li felt that this patient’s family was quite attentive. The doctor Who went to consult him was probably an experienced doctor. He omitted the parts that needed to be omitted, and the parts that needed to be detailed were detailed, but he could not find any mistakes.
It was only a pre-hospital medical analysis, but elder li felt a sense of appreciation for talent.
He was a talent. It would be a pity if he spent half his life in a small hospital and ended up being mediocre.
He decided to take a look first. If his final diagnosis was close, he might as well ask this doctor for his thoughts.
If he was really a good young talent, he would give him an opportunity.
Old Li thought to himself as he flipped to the second page.
[The CT scan before the patient was admitted showed that there was a solid space-occupying lesion on both sides of the supurekidney gland. I don’t think the standard of the Affiliated Hospital of the medical University is that low. They should really take the patient to the Department of Urology and prepare for surgery.]
This child.
Elder li adjusted his glasses. After seeing this sentence, he didn’t get angry. Instead, he revealed a smile.
She looked at the CT scan, and it did look like a solid space-occupying lesion. If it was a doctor from a small hospital, he might consider it a malignant tumor. But after she saw it, she thought it was swelling. The 64-slice CT scan that came back later also confirmed this.
This child still had some talent. It was not that simple to watch films. It was just that his tone was a little sharp, and he had not polished it.
[I think the enhancement has been completed. There’s no blood supply. It’s diagnosed as a blood clot. [If you already have a clear judgment, you can ignore this sentence.]
If you want to use the advantage, you must first rub the edge. Elder li leisurely thought to himself that this child still didn’t know how many experts there were in the world and thought that his little bit of ability was amazing.
If he was his student, he might have to scold him for a period of time to wear down his arrogance.
Thinking of this, elder li smiled awkwardly. He wasn’t that kind of person. Even if he pretended to be fierce, it was hard to scare people.
However, there were many ways to get rid of one’s temper. It didn’t necessarily have to be a scolding.
[Combined with skin coloring, a decrease in cortisone, an increase in Arcus, a decrease in aldosterone, an increase in Renen level, and a decrease in estrogen level, primary adrenal cortex dysfunction is clearly diagnosed.]
Well, this sentence was right.
[Have you already completed the differential diagnosis? [If you haven’t done it yet, then don ‘t. It’s an immune system disease. It’s not too late to ask me for a consultation now.]
“Oh, so it’s a Rheumatology doctor,” old Li thought.
Usually, high-level doctors in the Rheumatology Department who were responsible for dealing with all kinds of difficult and miscellaneous diseases would inevitably have a sense of pride in their hearts and think that other people did not know how to treat illnesses.
Rheumatology is immune to diseases? I’m also thinking the same thing. Let’s see what he has to say first.
However, elder li was not in a hurry. Instead, he fixed his gaze on the patient and listened carefully to the consultation opinions of the other departments.
The diagnosis for adrenal tuberculosis, fungal infection, solid tumor, and so on were all properly identified. Elder li was very satisfied with the doctors he had trained.
It was well-founded and logical, just like solving a difficult mathematical problem.
In the end, Dr. Wang suggested that the Rheumatology Department have a consultation.
“Thrombosis is a type of disease that is prone to thrombotomy due to genetic defects such as anti-coginlin and coginlin, or the existence of risk factors for acquired thrombosis.” The director of the Rheumatology Department sat in his seat, flipped through the medical records, and began to speak.
“Acquired sultriny is also known as acquired high coagulation state. Its causes include anti-phosphate syndrome, pregnancy or oral contraceptives, perioperative and external obesity, Tumor Diseases, diabetes, intermittent hibernating hemorrhagrophilia, Nephrology syndrome, and so on. It’s most common to see an”
“Taking into account the patient’s medical history, the first thing we should consider in clinical medicine is probably the [sovereign]” s [sovereign] syndrome. “
Well, just as he had thought, elder li turned the A4 paper in his hand to the next page. He wanted to see if this Rheumatology doctor from another hospital had also made the correct diagnosis.
[As for the APM, I’m sure that the technical power of the Affiliated Hospital of the medical University would have thought of this. Although the patient has a medical history of oral contraceptives and multiple miscarriages, this is only one of the causes of the worsening of the APM.]
The little fellow was quite interesting, and old man Li’s interest grew.
Next, the A4 paper listed some test results. Some of them were what he knew, and some were not out yet when he wrote the information.
The results that were not out were all analyzed according to whether there was a problem or not.
[Now, are you sure it’s primary or secondary?]
Elder li looked at the report with great interest. The director of the Rheumatology Department also began to talk about this after analyzing the examination report.
[It’s a follow-up. Don’t waste your energy thinking about it.]
It was too arrogant. Although the analysis was reasonable, elder li still made a judgment on the person who wrote this information.
[According to the 2006 Sydney AP classification, the patient will not last that long.]
Elder li looked at the words on the paper and listened to the words of the director of Rheumatology.
“The patient has platelet reduction, splenic vein, renal vein, and dual adrenal vein thrombosis. Werewolf anti-coagulo-factor test positive, and anti-cardiopalline antibody& & gt: 120 RU/ml.”
The guesses on the paper were basically correct. He had not reported the data of the werewolf anti-coagulo-factor test when he obtained it. He could guess it just by guessing, right? Elder li was a little puzzled, but he felt that this child was a little immature.
[Are you wondering how I got it right?]
Whether it was a positive or negative deduction, there must always be an objective basis. The words on one page were gone, so elder li flipped to the next page.
It actually broke here, this was really intolerable!
[Actually, I’m not very sure, but the boss said that according to the video data, it can be confirmed that it’s a secondary APM. We argued for five minutes, and I couldn’t convince him. [If your final examination results can prove that boss’s statement is wrong, you must tell me. I will throw the examination results in his face.]
Uh …
Old man Li was stunned.