Doctor Started a Plug-in

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Ma Yuehui stood there staring at the film, listening to Doctor’s side talking about the case, frowning at the chest CT.

“Patient woman, 33 years old, dyspnoea, cyanosis, cough, occasionally accompanied by nausea and vomiting, several times in the past 2 months, healthy history, pregnancy 2 births 2, no miscarriage…”

At this time, Chen Cang also saw a young couple standing beside him.

This should be Patient.

Ma Yuehui kept meditating. This sudden breathlessness has no heart and lung lesions. What should I consider?

infection!

Blood disease!

Can cause respiratory failure.

Infectious diseases…

Ma Yuehui suddenly asked: “Is there fever?”

The woman shook her head at this moment, and suddenly she thought of something, and quickly added: “No, I suspect it is allergic, because there was a urticaria when there was an irritation attack, and the ointment disappeared.”

Asked directly: “Has the allergen been checked?”

Young Doctor nodded: “Checked, no obvious allergies.”

Ma Yuehui said to the Doctor on the side: “Report me the test.”

The Doctor handed it over in a hurry. Chen Cang was tall and clearly seen behind him.

After reading it, Chen Cang suddenly froze.

Judging from the results of this test, it should not be an infection, nor an allergic symptom of the respiratory tract. In this case, what would it be?

At this time, even Ma Yuehui was a little surprised.

Chen Cang looked at the CT of the chest and looked down layer by layer.

I want to find some shortcomings, but… this film is ordinary and indistinguishable from ordinary.

Could it be caused by abdominal cavity disease?

At this moment, Chen Cang unable to bear said: “His left diaphragm… seems to have moved up, and the white blood cells have increased, and the monocytes have also increased significantly. In this way, can he consider the pathological changes of the hepatobiliary system?”

Hepatobiliary system disease?

Thinking of this, Ma Yuehui hesitated for a moment, did not turn around, and the Doctor around turned to look at Chen Cang, frowned in plain clothes, and said lightly: “Abdomen CT is normal.”

Ma Yuehui said: “Abdomen CT to me!”

The assistant on the side directly stuck the film on the watching film device. Suddenly the picture in the abdominal cavity appeared.

Indeed, this film seems to be no different from the ordinary.

The only difference is that the thick-walled cystic lesions in the liver and a fundamentally unremarkable liver cyst should have nothing to do with it.

The thickening of the inner wall of the liver may be related to Patient fatty liver, and a thickened inner wall simply has no clinical value.

The liver cyst is a meaningless thing, it is a congenital disease. As long as it does not affect the normal function of the liver, it will not consider his factors. Even more how…It is just so small, it can basically be ignored.

Ma Yuehui began to think.

After turning over the inspection report, it fell into silence.

No cause?

This is not at all!

At this time, Chen Cang looked at the cystic thickened liver wall and the liver cyst that looked a bit naughty, and suddenly he was familiar!

correct!

This is the familiar look.

This is Old Friend!

Thinking of this, Chen Cang was inexplicably happy. Didn’t expect first came to Beijing and met an Old Friend!

Chen Cang hesitated. Should I say it?

Looking at the gradually dignified atmosphere, Chen Cang suddenly said: “Have you ever been to Inner Mongolia, Gansu, Xinjiang, etc.?”

The woman was stunned for a moment, and the man on the side suddenly said, “We spent the New Year in inner Mongolia.”

Hearing this sentence, Chen Cang believes even more!

And Ma Yuehui turned around at this time, staring at Chen Cang, suddenly stunned.

Just now thought it was a Doctor, didn’t expect is a youngster in plain clothes, just…something familiar!

And Chen Cang continued: “Have you ever seen a mass in the upper abdomen? Occasionally, it disappears after a while.”

The woman was shocked and looked at Chen Cang, continuously nodded: “Yes! Yes, there is, there is! I am at first rather puzzled, what’s going on! Young man, have you ever?”

The man’s eyes were wide, too. There was too much meat on the wife’s belly, who could see multiple bags…

The young man in front of him actually knows his wife better than himself, which makes the man a little bit puzzled…

Chen Cang looked at men and women, unable to bear didn’t know whether to cry or laugh, turned to look at Ma Yuehui, and said: “I think it may be a liver hydatid cyst, which can only be said that it has not yet reached the developmental stage. , No specific lesions are visible now.”

“While the Patient is obese, there is fatty liver, and there are thick-walled cystic lesions in the liver.

“Moreover, the incidence of some typical signs of liver hydatid cysts on ultrasound and CT is only 65%. When these typical signs are lacking, they need to be distinguished from liver cysts.

Hepatic cyst is a congenital disease, and you can see this cyst. If you look closely, you will find that it is different from ordinary cysts!

The cyst wall is generally thin, and it is not clear on B-ultrasound, CT or MRI. There are no ascites in the sac, but… this is obviously different! “

Speaking of this, Chen Cang said: “I suggest to take a look at B ultrasound now, maybe good luck can see clearly.”

Ma Yuehui watched Chen Cang talking and talking, and it made a lot of sense. It was also impossible to bear a letter of 7-8. The most important thing is… he found this face to be familiar!

Ma Wenhui suddenly asked: “Are you… the man who was REBOA outside the hospital in the ambulance in the morning?”

Chen Cang froze for a moment: “How do you know?”

Ma Wenhui immediately said to the ultrasound doctor in the department next to him: “Be a Color Doppler Imaging, focus on the liver!”

Doctor B Chao got nodded and took the Patient to the next door.

And Ma Yuehui also followed in!

It didn’t take long for the results to appear!

“Leader of the horse, hepatic hydatid cyst, just…didn’t expect is so well hidden! Moreover, this thickened wall may be the original inner sac rupture, causing blood infection!”

This time, everything seemed clear.

Ma Yuehui opened a transfer department for the woman and was sent to Hepatobiliary Surgery.

Before leaving, the chubby woman looked at Chen Cang and said: “little brother, thank you, wait for me to be invited to dinner!”

The girl’s husband glare like a tiger watching his prey!

Liver and spine ball in this time of hepatic hydatid cyst larvae look at Chen Cang unable to bear simply said: son of a bitch! you again!

Chen Cang smiled awkwardly.

Hepatic hydatid cyst is a disease with a high safety factor, there is basically no accident, and the surgical success rate is very high!

Ma Yuehui looked at Chen Cang: “What are you doing at our Hospital?”

Chen Cang passed the registration card in his hand: “I am a doctor coming to study, Chen Cang!”

Ma Yuehui was surprised for a moment: “Are you Chen Chen?”

Chen Cang cough cough said: “It should be…”

Ma Yuehui was immediately excited, thinking that Director Yu Yonggang had invited Chen Cang!

The director’s skill is too big, did you find someone in the morning, but in the afternoon?

The director is great!

Suddenly, Ma Yuehui quickly sent a message to the director: “Director, your Little Darling is here to report! And I have tested it, it’s really great! Excellent!”

Yu Yonggang, who was operating here, heard the voice and said to the nurse: “Whose news?”

The nurse often does this: “Leader Ma!”

Yu Yonggang was shocked: “Read it.”

The nurse hesitated. Should I read it?

Yu Yonggang was shocked: “Why don’t you speak?”

The nurse clenched the teeth: “Director, your Little Darling is here…I tried it…excellent!”

Suddenly, there was a silence in the office!

Yu Yonggang had a numb scalp.

The right hand holding the surgical knife is also a bit stuck, this… what’s wrong with Ma Wenhui?

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ps: sorry, the update is late, but… writing this book is a bit of a thesis, forgive me, veterans also try to write a little more interesting.

Thanks to “Qingyan Little Guan” Dameng and “Moon Moon Company” for the reward of 100000! Add even more, don’t say anything, add even better!

Thanks to the “big brother to drink Bingkuole” Alliance Leader for 60000 rewards, and to “hushengayi” Alliance Leader and “Serving Soft Fairy” for 20000 rewards!

Thank you “Hehe hehe haha ​​after” and “Xiaocha vivi” for 10000 rewards!

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By the way, py is a book, a book that I feel awesome after reading it, “Ping Wu Wu First Senior Brother”, I have been chasing it for a long time, every time I can’t write, I go to see how he shows off So much so that when I was writing a few pictures in the middle, it was once transformed into a sand sculpture!

All in all, it is a very casual book, you can go to see it.

I dare not watch it now, I am afraid that Dao heart is unstable.