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Chapter 571 Pregnant young man

Yang Ping and Song Zimo could only drink apple cider vinegar, but the two brothers turned the vinegar into wine.

"Dry!"

"Dry"

Gululu Another cup.

Those who don’t know the truth must think that this is the heroic Qian Yun on the wine table.

Xu Zhiliang drank three glasses of wine, but his spirit of drinking was admirable.

Zhang Lin always said, "No, it's the last drink!", but he never poured it out, as if he was just short of the last drink.

Xiaowu's face was not red, his heart was not beating, as if he had just started.

Fatty Liang's performance is not very stable, but he performed well today.

The new anesthetist, Dr. Wei, seemed a bit out of place. He sat next to him, submissive and very reserved.

Dr. Wei is a scalper type character who only works and doesn't like to talk.

They drank all the two dozen beers.

Zhang Lin leaned back on his chair to rest. When the phone rang and his wife checked on him, he immediately woke up.

"Have a drink or two, I mean, I'm with Professor Yang. Don't worry, I haven't finished both cups, there's still half of them left, so good, good, good." Teacher Zhang was extremely gentle, bending so low that he was barely touching the ground, but he couldn't bear it.

I live in a drinking room.

The fat man here greeted the waiter and shouted, "One more dozen."

Zhang Lin quickly covered his phone.

The fat man squinted his eyes: "Look at you, you look like a bear, you are so afraid of your wife, I will train my wife to be considerate and submissive from now on."

The fat man touched the cup: "It's full."

But I found that the cup was long gone, where was the cup, where was the cup.

There are relatively few opportunities to drink freely like this, and usually everyone only waits until they finish their meal.

But today is different. The clinical trial of the spinal external fixator was successful, which is a big event for Corey.

In addition to the new Dr. Wei, there are many other people involved. Song Zimo and Xu Zhiliang are the backbones, Zhang Lin is responsible for collecting patient data after admission, and Xiao Wu is responsible for communicating with patients and following up after discharge.

Everyone has a contribution to this success, so everyone is very happy.

There is another reason: the fat man fell out of love and was depressed and depressed one day, so his brothers went crazy with him to vent his negative emotions.

After eating, everyone dispersed.

Xiao Wu and Zhang Lin accompanied the fat man to walk around the hospital. They didn't go home and went to the department to sleep and play a few games.

Yang Ping and Xiao Su were taking a walk around the hospital. The two families were urging them to get married. They wanted to discuss marriage.

Parents are always like this, urging you to find a partner, then want you to get married, and then encourage you to have children.

Yang Ping and Xiao Su are not in a hurry. Xiao Su knows that Yang Ping is busy with new projects now and the marriage can be delayed for a while.

But when people are in the arena, they can't help themselves.

——

In the morning, the weather is very good.

Yang Ping crossed the overpass and rushed to the hospital for work. Today, Saturday, the nine o'clock forum will give a live lecture.

The "Iron Triangle" drank a little too much last night and was still washing up in the duty room. They all had panda eyes. He must have been playing games very late last night.

Song Zimo and Xu Zhiliang arrived very early, and they were preparing for the nine o'clock lecture.

The location is set in a demonstration classroom, where there is a camera facing the podium, and lectures can be broadcast live.

People arrived at the doctor's office one after another. These graduate students, trainees and interns all came to attend the lecture.

Usually, there are three rounds of surgeries.

But today is Saturday, there will be no big shift handover, only the doctors and nurses on duty will hand over their shifts privately.

There were no surgeries arranged, and ward rounds were conducted by each doctor in charge of each bed individually checking their own patients.

Yang Ping asked the doctor on duty if there was anything special about the newly admitted patients. The doctor on duty said that a patient was admitted to the obstetrics and gynecology clinic in the afternoon.

Li Jun, male, 26 years old, had abdominal distension for three months.

Physical examination revealed a palpable mass in the lower abdomen, which was solid, with clear borders, mild tenderness, moderate ascites, sensory disturbances in the perineal area and perianal skin, and loss of anal reflexes.

Auxiliary examinations include color ultrasound and MRI.

"The patient was admitted from the obstetrics and gynecology department?" Yang Ping felt strange.

People often go to the wrong department when seeing a doctor, but few men go to the obstetrics and gynecology department. Even if a man has a bulging abdomen, he usually thinks of tumors first, not pregnancy.

It's not that Yang Ping is curious, but that the doctor wants to make the diagnosis and treatment process clear.

This is called medical history. Only by clarifying the medical history can we truly make a diagnosis, especially for difficult and complicated diseases.

"I don't know either." The doctor in charge was a little confused. He was also wondering how men should treat obstetrics and gynecology.

"Watch the movie!"

Yang Ping just mentioned it in passing and did not delve into the reason.

The outpatient clinic performs magnetic resonance imaging and color ultrasound. Usually, pictures are printed on the screen for everyone to analyze. This is not only to familiarize themselves with the new patient information, but also to cultivate the doctor's independent thinking ability.

After a brief analysis, we will print out the results of the imaging examination.

In fact, experienced clinicians are better at interpreting X-rays, CT and MRI images than radiologists because they can often combine images with surgical findings.

And junior doctors rely heavily on the diagnosis of radiologists.

However, color ultrasound is an exception. Most surgeons do not have the ability to interpret color ultrasound and can only rely on the report. Moreover, the pictures on the color ultrasound report are only symbolic, unlike X-rays, which can be directly interpreted.

"There is a mass in the abdomen? Is it a mass? You can clearly see the teeth, spine, and other bones."

"Did the medical record make a mistake? Is it a woman?"

"fetus?"

Everyone’s first reaction is, besides the fetus, how can there be a spine?

Some people questioned that he had mistaken the gender, which angered the doctor on duty. He defended his reputation: "I did a detailed physical examination and the genitals are male."

The implication is that if you suspect that I wrote wrong medical records, shut up and don't fan the flames.

At this time, more and more people gathered around the electronic reading screen. Song Zimo, Xu Zhiliang, Zhang Lin, Xiao Wu and Fatty also finished washing and had breakfast.

Drinking was still not good. After washing up after a night, Yang Ping could still smell the smell of their alcohol.

Fortunately, it's Saturday and everyone is off, so it doesn't matter much.

"Zoom in, is that the spine?"

"It looks a bit like a spine."

"Is there a CT scan?"

"No, I asked the admission director of the obstetrics and gynecology department, and she said she was really afraid of misdiagnosis, so she didn't dare to do CT." The doctor on duty was more serious and deserves praise.

This chapter is not over yet, please click on the next page to continue reading! So, at that time, the obstetrician and gynecologist was afraid that this was the fetus, so he did not dare to do CT and chose MRI.

NMR has no ionizing radiation, while CT has relatively large ionizing radiation.

Everyone discussed it for a long time, but the doctor on duty acted like he was lying and refused to release the diagnosis.

The main thing that troubles everyone is the vertebra. Among all the tumors in the mind, there is no vertebrae.

Even teratomas are mostly teeth, hair, nerves, bone, fat, etc.

I have never seen or heard of such an obvious spine.

Everyone is anxious, afraid that Professor Yang will ask questions later, and they hate the doctor on duty. He won't diagnose you even if he can't kill you.

The doctor on duty slowly announced the patient's diagnosis: pelvic teratoma combined with sacral nerve damage.

Yang Ping narrowed his eyes slightly and looked at the images on the screen.

Teratomas containing teeth, hair, and irregular bone fragments are more common, but teratomas containing a spine are indeed rare.

It is better to see the patient first. Clinicians should have personal contact with patients. This is a necessary principle.

It was only around seven o'clock when Yang Ping decided to go see the patient.

The patient is fair and clean, with exquisite facial features and excellent appearance. She has a feminine beauty that is typical of today's traffic niche.

But the color of my face was very poor, and I felt like I was suffering from a chronic disease.

Accompanying the bed was a sunny boy, tall and tall, wearing a fashionable T-shirt, with some strange tattoos on his arms, and tape on his fingers.

After Yang Ping asked about the medical history, there was no obvious discrepancy with what was recorded in the medical records.

The patient has always felt a bulging feeling in his lower abdomen, but he was concerned about it. Three months ago, his lower abdomen began to bulge slightly. At that time, he thought he had developed a small belly due to lack of exercise.

Until their belly got bigger and bigger, they went to the local hospital for a color ultrasound. They felt that the local hospital was not good enough, so they went across the province to seek medical treatment at Nandu Sanbo Hospital.

"Who are you to him?"

Yang Ping asked Sunshine Boy.

Patient Li Jun looked sideways at the sunny boy, as if he had no idea.

"I'm his cousin, is it serious?"

The sunshine boy is a little nervous.

"I'll talk to you in detail later."

Yang Ping felt that he should have a good talk with them. The tumor was compressing the sacral nerve and growing into the sacral foramen and the sacral canal. It would be difficult to completely remove it.

Moreover, the physical examination showed that the anal area had sensory impairment and that the bowel movements were somewhat uncontrollable.

"Did the outpatient doctor explain the treatment plan to you at that time?"

The patient Li Jun remained silent. Sunshine Boy helped to answer: "I didn't explain anything. I just said that I was considering teratoma and wanted to go to your department for surgery. He also said that this teratoma is a bit strange. How come there is still a well-developed spine?"

Never seen this kind of teratoma."

"It's indeed a bit complicated. Close the door and I want to check it for you." Yang Ping took the gloves from Song Zimo.

Although the door was closed, there was a large circle of trainees and interns surrounding it, all of them eager to learn.

Even boys are a little embarrassed.

"It's okay, we are a teaching hospital, this is normal."

It is true that while enjoying the superb medical technology of a teaching hospital, you must also remember that it is a teaching hospital and you must be mentally prepared to receive onlookers. If there are no cases for interns to observe, these interns will never be able to grow.

"it's okay no problem!"

The sunshine boy touched the patient's forehead and comforted him.

The patient lay down first, then on his stomach, took off his pants completely, and untied the diaper tied inside.

The medical record did not write the wrong gender. This time it can be confirmed and no one will have any doubts.

Yang Ping checked the skin sensation one dermatome after another and found that the doctor on duty performed a very accurate physical examination. The skin sensation in the perineum and perianal area was impaired, and the anal reflex could not be elicited.

"Do you have any problems with defecation or defecation?"

"Often I don't know it, and my bowel movements and urine just come out."

So he wears diapers.

That is to say, the sacral nerve root has been severely compressed.

These intern doctors could see more clearly now that there were so many people, and it was a bit crowded, and some of them were eager to come and check the anal radiation.

"You can check the muscle strength of myotomes and the feeling of dermatomes, especially the anal reflex, so that you can experience it."

There is no other way. When encountering classic cases, the intern doctors have to do it and experience it for themselves.

Everyone is eager to try it. They have already taken the pointed percussion hammer in their hands. They will use this sharp thorn to stimulate the patient's anal mucosa and observe whether there is contraction of the anus.

Sometimes, in order to prepare for the patient's condition, one would extend the index finger, apply paraffin oil as a lubricant, and put the index finger into the patient's anus to feel for contraction.

"Everyone line up, don't crowd! Come one by one!"

Zhang Lin maintained the order and then demonstrated himself how to check the anal reflex.

Although the sunshine boy was very unhappy, he just hid it in his heart and did not raise any objection.

"I'll discuss the condition with you alone later!"

It is true that the condition is a bit complicated. Even if the tumor is removed, the nerves may not recover after the operation. The skin of the perineum and perianal area will be numb, like a piece of dead skin. In addition, the patient may become incontinent, with stool and urine leaking out unknowingly.

The sunny boy's face looked gloomy and he agreed.


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