Chapter 459 Surprised!(1/2)
Chapter 459 Amazing! (Please subscribe)
Author: A lancet
Chapter 459 Amazing! (Please subscribe)
"Wang Huan, is this really what Teacher Zhou told you?" In a demonstration classroom, Peng Lingli looked at the shared learning materials that Wang Huan brought out. She couldn't move her eyes away immediately, and her tone was slightly sour.
"It's true, what the teacher just said today, I wrote it down."
"I asked my teacher that these things can be passed on to others. So I took it and shared it with Senior Brother Peng. In addition, thank you Senior Brother Peng for teaching me so many learning methods." Wang Huan nodded, reciprocating the favor.
.
She had asked Peng Lingli many questions before, but she had never had the opportunity to share anything with Peng Lingli.
"Thank you, Wang Huan, these are really good things. I'm afraid not many people can figure out how to learn them."
"When learning to read MRI films, first read the report, then the lesions, and then the anatomy. Then look at the layers and theories, and then look at the shortcomings of the current MRI."
"Teacher Zhou, this is not easy. Since this thing can be distributed, can I send it to Guo Lin for a look?" Peng Lingli suggested.
Guo Lin was an intern with them, but it was a seven-year internship, and now he is in another department.
But no matter which major you study, the general knowledge you learn can be used, so you can also form a temporary study group.
Now it is mainly Peng Lingli who leads Wang Huan.
"Okay, no problem."
"Oh, by the way, Senior Brother Peng, I have two examples here that the teacher gave me." Wang Huan took the initiative to share, mainly because he felt that he was too good at it, and Peng Lingli took her to study most of the time.
From Wang Huan's point of view, Senior Brother Peng Lingli had no secrets. Naturally, now that it was the other way around, she couldn't hide any secrets and told everything.
"Example question? What example question?" Peng Lingli was curious.
Zhou Cheng is such an awesome teacher that he even prepared sample questions for Wang Huan on film reading.
Peng Lingli knew that Zhou Cheng had taken Wang Huan to look at the joints and anatomy today, and she wanted to know what kind of thing Zhou Cheng would give Wang Huan to consolidate.
Wang Huan opened a compressed package from WeChat on his mobile phone. The compressed package contained a set of pictures and several word documents.
Respectively titled: 1. Learning rules, 2. Standard diagnosis, 3. Diagnostic analysis, 4. MRI original films.
"This thing is interesting, open it and take a look!" Peng Lingli came slightly closer, but kept a certain distance and did not mean to take advantage.
"Learn the rules!"
"The diagnostic content given by the standard diagnosis is absolutely correct! If the corresponding diagnostic content cannot be deduced from the original MRI film, it proves that your thinking is wrong. Please try to figure it out carefully or check the diagnostic analysis."
"You can have ten minutes for MRI reading and three minutes to sort out the diagnostic and inference process." This is very much like a rule of the game.
After Wang Huan read it, she found that senior brother Peng Lingli was waiting for her. He was obviously reading faster, and then said: "Brother, then I have opened the diagnostic criteria."
"Wait a minute, cast the screen!"
"The projector in this demonstration classroom can project a screen..." Peng Lingli became interested and planned to zoom in and take a closer look.
Almost five minutes later, the projection results came out. Wang Huan opened them one by one——
"Left ankle lateral ligament injury, suspected obturator lesion, lumbar disc herniation."
This is the diagnostic criterion for text.
"This diagnosis is an absolute diagnostic criterion!!!"
Peng Lingli and Wang Huan didn't pay attention at first, and then turned on the MRI. But Peng Lingli discovered the problem immediately: "That's wrong, why is this only an MRI of the ankle joint?"
"If you look at the other photos, there is no MRI of the hip joint or pelvis?" Peng Lingli was dumbfounded at the time.
Wang Huan turned around, and at the nuclear magnetic level given in the first example, the content displayed was indeed only at the level of the ankle joint!
Nothing else.
Peng Lingli swiped the various MRI levels left and right, and finally determined one point.
"Ah this?" Peng Lingli hesitated.
"How did this suspicious diagnosis come about?" Peng Lingli was confused on the spot.
Wang Huan shook his head: "My teacher sent me this, and I don't know."
According to the truth, as long as it is not a bad move, it will not be in the wrong position!
Would Teacher Zhou make such an obvious mistake? Did he want to re-make up two nuclear magnetic planes himself?
Is this guess correct?
Then the diagnosis must be wrong.
But before, Zhou Cheng also marked it with words. The diagnosis is an absolute standard and cannot be wrong. If you can't answer it, please see the diagnosis analysis.
Of course Peng Lingli would not read the diagnostic analysis so easily.
So, this movie is too strange.
After reading the X-ray carefully, it appears that there is no problem with lateral ankle ligament damage.
The diagnosis is benchmarked.
In fact, Peng Lingli feels that it is somewhat difficult to detect ligament damage from this MRI level.
Because generally speaking, ligament injuries are caused by rupture. However, at this MRI level, there is no continuous rupture. The anatomical structure is normal, but there is a relatively severe edema signal.
If you look more carefully!
According to the anatomy pointed out by Zhou Chengti, if you look at the layers, you can see that the fibrous structure with ligaments is broken!
That's right!
The diagnosis of damage can definitely be made. At this time, it only means minor damage, not the broad range, including fractures, etc.
But, after this diagnosis.
Peng Lingli looked at other aspects of the structure.
No more abnormalities were found.
The continuity of the ligaments is intact, there is no avulsion fracture, no bone edema, and no problems with nerves, blood vessels, muscles, tendons, or even skin.
No changes in lesions or organic changes were seen...
What about this?
This means that the diagnosis of ankle ligament injury is absolutely correct!
This is also in line with the sample questions provided by Zhou Cheng.
but?
In this case, what I need to supplement is just to supplement the obturator lesions and lumbar disc herniation?
But how to make up for it?
Wang Huan frowned.
More than twenty minutes have passed.
It was far beyond the suggested time given by Zhou Cheng, and the two of them still had no idea.
Peng Lingli asked simply: "Did you see it?"
Wang Huan shook his head: "Senior brother, why don't we look at the diagnostic analysis?"
"Okay!" Peng Lingli actually didn't want to read it, but maybe she wasn't used to Zhou Cheng's way of setting questions, so.
The two of them opened the film reading and analysis.
First, these few words appeared.
detail!
detail!
Two short words, plus a shocking exclamation mark.
As we all know, on the patient's MRI, basically every window of the MRI!
Basic information such as the patient's name, gender, MRI imaging site, etc. will be displayed.
Age is the main content of basic information!
When she saw this, Peng Lingli said: "Will you take out the MRI film again?"
"I'll send it to you, senior brother." Wang Huan suggested.
The two zoomed in on the MRI image and saw blurry words.
Patient: "Zhang XX, male, 45 years old."
At present, China's MRI medical equipment is not enough to support clinical needs. Therefore, all text is still replaced by words or letters.
Looking at the overall name of the MRI, which is the MRI of the left ankle joint, there is no site error.
"Zhang XX, male, 45 years, left."
To be continued...