Chapter 262 This is a malignant tumor.

Author: Jiangbianyu Weng

Chapter 262 This is a malignant tumor.

"The patient's abdominal lymphadenopathy is enlarged, and the neck lymph node tuberculosis, I think there is a certain basis for the tuberculosis diagnosed during the review of the second hospital."

Zhou Can consider saying.

"Do Dr. Zhou also think that it is a tuberculosis of spleen? I also think that the result of this diagnosis can stand on the feet and should continue to resist tuberculosis. Because tuberculosis is originally a chronic disease that is difficult to treat, it takes a long time to see the effect to see the effect."

The attending physician Huang Xinggui spoke.

The treatment cycle of many diseases is very long, and tuberculosis is generally more than half a year. Even some patients have serious illness and need to take medicine for a year or two.

"Uh ... I just think that the results of the review diagnosis of the second hospital have a certain basis, but they do not agree with this result. The patient's initial test results are very similar to tuberculosis, but the patient now reflects the pain of the whole body.

In fact, it is worthy of vigilance. When I was in orthopedic, I have been exposed to two cases of osteo joints that do not know the cause, and they are finally diagnosed with malignant tumors. "

Zhou Chan was trained in many departments, and all followed the chief physician, and the benefits gradually began to appear.

The so -called seeing a lot of knowledge can be widely known.

He diagnosed with the chief physicians, surgery, treatment, and so many chief physicians to teach him.

Don't look at the total time of rules and cultivation less than two years, the accumulation of various medical knowledge and clinical experience learned is already very considerable.

Especially in the diagnosis and treatment of incurable diseases, comprehensively the diagnosis and treatment experience and knowledge of multiple departments made his diagnostic level far exceed the ordinary doctor. This advantage is that even many deputy chief physicians, the chief physician, cannot be compared with him.

This is why many chief physicians still try to go to other departments, even other hospitals, and even other hospitals.

Because they will clearly feel their insight in daily diagnosis and treatment.

In particular, the lack of medical knowledge and clinical experience in some fields will become a shortcoming of them, which will severely lower their level of diagnosis and treatment.

"Doctor, do you mean that my illness may be a malignant tumor, right?"

The patient's nerves are tight immediately.

"This is not necessarily. I just think it is necessary to make up for a CT, and then check the spleen area. The B -ultrasound you did during the review of the previous hospital can see more solidity. In fact, it should be low in the film.

The echo area or low density area is not very obvious. "

Zhou Can explained.

Without getting the final examination basis, he must not dare to talk to the patient.

Suspecting that it may be a certain disease, then there is nothing wrong.

The doctor diagnosed the patient to the patient, which was originally to go to the pseudo -consciousness. A suspected disease was investigated and screened, and the real cause was finally left.

The B ultrasound uses ultrasonic to check the imaging, but CT uses the rays to perform a multi -layer scanning of the human body with a ray.

Different tissues and organs of the human body have different degrees of absorption of X -rays. In the end, they can form different images of different density .CT use this principle to check the human body's organs.

The resolution of the disease is higher, and the imaging information obtained is more, and the effect of the disease diagnosis is greater.

Many people think that the CT check is an upgraded version of X -ray inspection, but it is not exactly correct.

X -ray scanning is a graphic projection examination of a certain part of the body, and CT is a continuous multi -layer scan on a certain part of the body. The principle of imaging is not the same.

Check whether there is a low -density area in this organ, CT is a very good way to check.

Medically, considering the patient's economic withdrawal, doctors choose more B -ultrasound and CT checks for clinical diagnosis. The results of the two tests can be used for each other, which is very medical diagnostic significance.

"Xiao Zhou's diagnosis is getting higher and higher! It is basically the same as my diagnostic conclusion. This is a good CT examination application. You can pay for this check.

I can do it. In the afternoon, I am not here. If I am over time, I can go to the inpatient department of the digestive department to find me. If I have something to do, the same is true for you to find this doctor Zhou. "

Director Shang's rhythm completely pushed Zhou Can to the front line.

Such an honor, Zhou Chan wanted to protest two sentences, and finally moved his lips, swallowing the words back.

Seeing Director Shang's writing application form, Zhou Can understood that Director Shang had found out that it was intentionally exercised the diagnosis ability of several students.

"Okay, thank you! Thank you Dr. Zhou!"

The family members took the inspection application form, thanked Director Xiang Shang, and thanked Zhou Can alone.

These two family members are too realistic.

In fact, Huang Xinggui also made power in this diagnosis, but they did not thank Huang Xinggui.

People will always only care about things that are most close to their own interests.

Director Shang said that if he was not there, the patient had to take the test results to find Zhou Can.

Therefore, family members must have a good relationship with Zhou Can.

After the patient left, Huang Xinggui still asked with some puzzles, "Director Shang, the patient's symptoms and existing examination results are clearly prompting to be tuberculosis! Why do you and Zhou Can have suspected that the patient may have tumors?"

The other three graduate students are also quite puzzled.

Qiu Chengyu looked at Zhou Chan's eyes, which was very complicated.

He watched Zhou Chan's status from the first day's "door child", and quickly climbed to the current point.

Today, Zhou Chan's status has even surpassed Huang Xinggui's attending physician.

Whether sending Zhou Chan to the card of the cardiovascular department to replace Director Shang's diagnosis, or just explained that the patient could not find Director Shang, you can directly get the test results to find Zhou Can further diagnosed.

Super yellow and expensive.

You know, before Zhou Chan did not come, Huang Xinggui was a very heavy arm.

Xie Lin and Luo Jingyi, two female graduate students, even if they encounter difficult problems, they will ask Zhou Can privately.

For nothing else, because Zhou Chan is similar to them, they speak well. And they can help them answer doubts every time.

"Xiao Zhou, you can solve them."

Director Shang picked up the tea cup to drink tea.

When teachers are very lazy, things that can make doctors do not work in person.

Perhaps the ancient Zhuge Liang affairs must be in person, and the example of being exhausted was impressed by the world.

"There are three points in my diagnosis ideas! First, the B -ultrasound during the review of the patient shows that there is a low density area in the spleen. Although it is not obvious, for tuberculosis patients, this is a not good signal, which is worthy of vigilance.

Second, the patient's reaction occasionally pain in the body's bone joint pain. This unknown systemic bone joint pain is also dangerous, often a sign of leukemia and malignant tumors. "

Zhou Can did not hide, and shared his diagnostic ideas with everyone.

"In the last point, the patient's bone marrow elephant significantly increased and active. The grain red ratio was 7 to 1. This value was higher than the normal value, and it was easy to be ignored.

It ’s scary. It’ s not obvious in the early days. ”

After saying three diagnostic points in a row, everyone heard that it was orally.

Huang Xinggui even realized that "this is the case, it turns out that this is the case, Dr. Zhou not only has a solid medical skills, but also as carefully as possible, but also can achieve comprehensive use of medical clinical experience in many fields.

"Oh, Dr. Huang's soul soup has poured me a few or two!"

Excessive humility is equal to pride.

Sometimes blindly humble is easy to cause people.

Occasionally humorous, it is quite good.

Some people boast that Zhou Chan's medical skills are solid. This seems to be the first time.

It also shows that Zhou Chan's medical knowledge has achieved good results in the past two years.

After the patient left, he continued to diagnose the disease for the new patient.

The number of Director Shang is basically fixed every time the number released by the clinic, but there are always some patients with great magical powers. After knowing that he is favored, he wants to find ways to find various doorway plus numbers.

When I was busy at 12 o'clock at 12 noon, I was ready to get off work here. The patient with a large spleen mcstoma rushed over after the examination.

"Professor Shang, the results of the CT came out, please help it."

This patient was really amazing, and in about an hour, he lined up and finished the CT.

Director Shang took the film, CT results were much clearer than B ultrasound.

You can see multiple low -density areas in the spleen at a glance.

"The situation is not very good, I suggest to do further diagnosis of caesarean exploration.

Director Shang said this time very serious.

The tone was also quite serious, and his face was dignified.

At this level, he will not tell the patient to cut off a certain organ easily. Only when it is considered very dangerous, you will do this.

"Professor Shang, what is my mother -in -law?"

The patient's daughter -in -law looks relatively calm, and the patient's son has helped his mother nervously and looks panicked.

"Basically, tumors can be concluded in the spleen, and there are more than one. It is only because of concealment, and it is covered with the existence of tumors by lymphatic tuberculosis. Therefore, the first two hospitals have not been discovered.

Life -saving method. The spleen is an important organs around the spleen, and the lymph -dense, and the malignant tumor cells are very easy to transfer. Once spreading, it may be troublesome. "

Director Shang worked hard to persuade his family and patients to agree to this section.
To be continued...