Doctor Xu slapped the student's head and said, "Are you admitting defeat?"
In fact, it is not necessarily more difficult to detect. The free thrombus may be small or attached to the wall, making it difficult to distinguish. If you go to the root cause, you may be able to find a larger one. The damaged heart will definitely show certain changes in the anatomical structure.
With this idea as a guide, doctors in the CT room must scan more carefully when scanning the patient's key areas.
The CT scan speed is not slow, but it takes time for the doctor to read the scan. Not long after, Xiao Shugang was pushed out of the examination room. Xie Wanying came out to say hello to her cousin and sister-in-law, and asked them to go to the inpatient department first, while she stayed in the office to talk to Xu
The teacher reads the film together.
Due to the fine scanning, hundreds of images are displayed on the computer, and it is not easy for the doctor to read each image one by one and find faults.
Xie Wanying and Dr. Zhao sat next to Teacher Xu and read together. To be honest, if you were not used to this job, at first glance at these hundreds of seemingly similar images, you would really suspect that you are going blind.
"This is a borderline ridge, not a thrombus or a tumor." Dr. Xu said, pointing to a small gray area that looked like an abnormal bulge in the white area on the film.
The crista terminalis is the fusion line between the original atrial appendage and the vena cava sinus. It is located between the right atrial appendage and the vena cava sinus, and extends from the superior vena cava to the inferior vena cava. The doctor in the CT room of the Provincial People's Hospital used this as an aside in the report.
Dr. Xu saw at a glance that the report was partly fabricated.
Enhanced CT was performed, and it seemed difficult to find the thrombus in the right atrium. Then we searched for the ventricle that was highlighted in the discussion just now.
If there is a thrombus in the right atrium, the right ventricle is the next focus of attention. Anatomically, the right ventricle can be divided into three parts, one is the inflow tract part, the tricuspid valve inlet and its accessory structures. The other is the outflow tract part, the conus arteriosus.
One tubular structure supports the pulmonary artery lobes. Three are the trabeculae between the upper two.
When the heart is impacted by an external force, the first symptom may be damage to the ventricular wall.
The ventricular wall of the right ventricle itself is very thin, only 3 mm. Doctors need to be more patient.
If there is no abnormality in the general outline of the heart structure, it is necessary to see if there are any problems with the activity function. It is best to do an ultrasound examination. Echocardiography can check the valve activity and blood flow in the heart. From CT, only the tricuspid valve and pulmonary valve can be identified
static structure.
Three pairs of eyes looked for faults in hundreds of images like a needle in a haystack.
Senior doctors read a lot of films, and their brain's perspective when viewing the images changes quickly with the films. Young doctors may not be able to keep up with this pace.
Dr. Zhao rubbed his eyes from time to time. As a student of imaging, his eyes were not only dazzled but also his mind was confused. For this reason, he glanced at classmate Xie next to him.
Xie Wanying followed the teacher closely with her eyes fixed, her expression looking very calm and meticulous.
Teacher Xu is fast. Like their top three specialty hospitals in Guozhi, the CT room has a huge workload every day. When encountering difficult cases, the doctor may spend more time and energy on research, but if they really can’t find it, they will give more
Time study has no effect. It is impossible to give one and a half years to do research. It's not that doctors can't wait, but the patient's condition can't wait. It's just that today's patients are more difficult to find, and Dr. Xu can't attend to teaching students.
While staring at the image, my brows were slightly anxious.