Chapter 311 Incisive pathological analysis, latecomers catch up

Author: Jiangbian Yuweng

Chapter 311 Incisive pathological analysis, latecomers catch up

"Teacher, I..."

She enjoys this feeling of being in the spotlight. Ever since she started working at Tuya Hospital, she has never been so honored as she is now.

I only experienced this feeling of being worshiped and admired by everyone when I was in school.

It was only her inner integrity and strong self-esteem that spurred her on, making her involuntarily muster up the courage to clarify all this.

Because the person who actually diagnosed the pregnant woman as having diabetic ketoacidosis was Zhou Can.

"You're just shy! You did a great job today. You deserve to be praised. You don't have to feel embarrassed." Director Zhang looked at his beloved disciple with kind eyes.

Parents always think that their children are the best, and teachers also think that their apprentices are the best.

Zhang Bihua never imagined that this patient was not diagnosed by his apprentice.

"Teacher, actually the person who diagnosed this patient with abnormal blood sugar was Zhou Can, not me!" Yang Chan gritted her teeth and finally mustered up the courage to tell the truth.

Not only is she clean-looking, but her soul is also extremely pure.

She definitely doesn't want anything that doesn't belong to her.

Although she knew that even if she didn't tell the truth, Zhou Can wouldn't say anything.

However, her backbone and pride did not allow her to do this.

To test a person's character, you only need to look at his attitude towards money. But to test whether a person's soul is clean, you must see whether he can withstand the test and remain unwavering in the face of temptation.

"Is it Zhou Can again?"

Zhang Bihua was only slightly surprised by this result.

"It's also very good if you don't act arrogant."

After praising Yang Chan, Director Zhang looked at Zhou Can who was standing at the door.

This kid always likes to sit in a corner and keep a low profile.

"Xiao Zhou, come here and share your diagnostic ideas with everyone! This patient's diagnosis has extremely high learning value, and it also allows these young doctors to learn your diagnosis methods."

Zhang Bihua is not unhappy at all because a junior has stolen the limelight.

An inch is shorter and a ruler is longer.

Everyone has their own strengths and weaknesses. Medicine is vast and vast, and it is too vast to learn in a lifetime. In addition, each doctor’s diagnostic thinking, knowledge, experience, and understanding of the disease are different, and the diagnosis

The abilities displayed by different diseases are naturally very different.

No matter how powerful an expert is, even in the field he is good at, he still has shortcomings and blind spots.

For example, in the diagnosis of this pregnant woman, even Director Zhang Bihua did not expect that the patient had diabetic ketoacidosis.

She was particularly shocked when she heard the results from the laboratory.

Faced with the excellence of her younger generation, she behaved very calmly.

"Dr. Zhou is too strong!"

Gao Jian watched Zhou Can shine in all directions once again and made great achievements. It would be a lie to say that he didn't feel sad.

It's just that ability is something you can't just have if you want it.

For now, Gao Jian has to admit that his diagnostic ability and diagnostic thinking are not as good as Zhou Can's. It seems that his diagnostic experience is also far behind Zhou Can.

"Pretending to be good at letters!"

Du Leng snorted and looked quite ugly.

Unexpectedly, Zhou Can made great achievements under his nose again.

When Zhou Can asked Yang Chan to help check whether the patient's armpits and groin skin had changed color, he had been trying to figure out Zhou Can's diagnostic ideas. Unfortunately, he couldn't figure it out even after picking his brains out.

It wasn't until Yang Chan suggested that Director Zhang check the patient's blood sugar that Du Leng belatedly understood Zhou Can's diagnostic thinking.

Unfortunately, it was too late to say anything at that time.

Under the gaze of everyone, Zhou Can could only bravely walk to Zhang Bihua. He glanced at Yang Chan with some confusion, "Why did you drag me out!"

"Hurry up and share your diagnostic ideas with everyone! How can I take your credit?" She had a clear conscience, and naturally felt confident when replying to Zhou Can.

She is still the proud monitor.

"Tuya Hospital is indeed well-deserved. Not only are there many famous doctors from the older generation, but I didn't expect that the doctors from the younger generation are also so great. Is this Dr. Zhou really just a doctor with regular training?"

Hu Wanjun couldn't believe it.

Not to mention doctors with regular training, it is difficult for even resident doctors to have such a high level of diagnosis.

Ordinary people watch the excitement, but as a senior expert, Hu Wanjun, who is nearly sixty years old, only sees the secrets.

She knew very well how difficult it was to diagnose this pregnant woman with diabetic ketoacidosis. A seemingly simple diagnosis, but in the absence of obvious symptoms, lack of testing basis, and the fact that the patient had checked her blood sugar before admission,

It shows that the blood sugar value is normal. In this case, to diagnose the patient's blood sugar problem requires not only extraordinary courage, but also profound medical knowledge, rich clinical experience, and extraordinary thinking ability.

All four are indispensable.

Professor Hu Wanjun rarely praised others, but at this moment, she highly praised Zhou Can.

"It's true! In fact, I'm not as powerful as you think. I'm just an ordinary trained doctor. There are countless young doctors in Tuya Hospital who are better than me."

When Zhou Can faced this top expert from Xinxiang Women's and Children's Hospital, he was neither humble nor overbearing. He was modest but would not destroy the prestige of Tuya Hospital.

"The patient just had a check-up two days ago. Why did you think there was something wrong with her blood sugar?"

Hu Wanjun is not ashamed to ask.

She really wanted to know Zhou Can's diagnostic thinking.

Other doctors are also waiting for Zhou Can to share.

"It's actually not complicated. I have treated many diabetic patients, so I have a deep impression of some of the superficial symptoms of this disease. For example, the skin is dull and brown, and even obvious skin diseases appear. In clinical diagnosis,

If the skin on the neck, armpits, etc. is only dark, even if it is frighteningly dark, it cannot be diagnosed as diabetes.”

"Only when this condition occurs in pregnant women, does it increase the probability of diabetes diagnosis. And the longer the pregnancy, the higher the patient's likelihood of developing diabetes."

Diagnosing the cause is more complicated than imagined.

It is difficult to determine what a single disease is.

For example, stomach pain may be enteritis, uterine fibroids, or femoral hernia.

The skin is dull and brown in many places, and the combination of the 37 weeks of pregnancy may be related to diabetic ketoacidosis.

"Later, the patient picked up the water cup to drink water, and it was empty. I immediately realized that she might also have vision problems. After observing her words and deeds, I became more certain of this. At this point, I have basically determined that she

Diabetic ketoacidosis has occurred.”

Zhou Can's diagnostic method is obviously much more efficient than the elimination method.

The combination of the two symptoms and the special condition of late pregnancy allowed him to directly identify the cause.

"I checked my blood sugar two days ago and it was fine. Why did something suddenly go wrong?" Du Leng finally couldn't hold back his strong curiosity and blurted out.

As soon as he asked the question, Du Leng immediately realized that his shortcomings had been exposed.

However, many people wanted to know the answer to the question he asked, so everyone's eyes were not fixed on him, but focused on Zhou Can.

"On the fifth day before admission, the patient developed a severe upper respiratory tract infection. This acute infection is a stress state for the patient. When the patient is in a stressful situation, the insulin in the body will become insufficient.

Insulin in turn regulates the increase in hormones and the release of glycogen, eventually leading to severe hyperglycemia in the patient. If the patient is hospitalized for two days and is restricted from eating and drinking in order to cooperate with the examination, the condition will be further aggravated."

"The above is the entire pathological mechanism of my dialectical diagnosis. There may be some omissions, please correct me."

After Zhou Can finished speaking, the entire audience was silent.

Many doctors are immersed in his analysis.

"Dr. Zhou's analysis is incisive and wonderful, and is completely in line with the pathological mechanisms of human endocrinology."

A doctor from Xinxiang Women's and Children's Hospital couldn't help but praise it.

"This case is of great significance for learning. We should take their stress state into consideration when diagnosing pregnant patients in the future." Hu Wanjun, a 60-year-old expert and professor, can be said to be well-informed.

But this is the first time this rare case has been encountered.

Of course, it also has something to do with the fact that her field of expertise is gynecology, not obstetrics.

"Young people are terrible! From now on, this world belongs to you young people!" Director Zhang Bihua said with emotion.

Her area of ​​expertise involves obstetrics. Unexpectedly, in this case, she was worse than a trained doctor.

As she said, every generation has talents, and the world belongs to young people.

The older generation will eventually come to an end.

"I'm actually just a blind cat that bumped into a dead mouse. I just happen to have a certain understanding of this case." Zhou Can didn't dare to ride on the head of these chief doctors.

There are all big guys present, and none of them are simple.
To be continued...