As soon as the nurse entered the emergency room, she immediately handed the three examination reports to Bai Mingming.
Bai Mingming took the report. For the first time, he didn't read it.
Zhou Yisheng and Liu Zhengqing were there, and he wanted to show the report to these two people first.
"Team Leader Zhou, Team Leader Liu, why don't you take a look first?"
Zhou Sheng said: "You should take a look first."
Liu Zhengqing also nodded.
They were all routine inspection reports, and both of them thought it was enough for Bai Mingming to read them.
Bai Mingming lowered his head and started to read the report.
The top one is the upper abdominal color ultrasound report, everything is normal.
Next is the urine amylase identification report, in which there is no sign of elevated amylase values. Everything looks very normal.
From these two reports, the possibility of acute pancreatitis can basically be ruled out.
Bai Mingming raised his head and said to Zhou Sheng and Liu Zhengqing with slight disappointment: "The upper abdominal color ultrasound and urine amylase identification are both normal."
Liu Zhengqing was slightly surprised.
It’s not acute pancreatitis. This chest pain is really weird!
Monday already knew this outcome.
He said calmly: "Look at the results of the chest CT scan."
"Um."
Bai Mingming immediately started to look through the third inspection report.
He just took a look and immediately showed joy.
Zhou Shengsheng knew that this chest X-ray would definitely be effective, so he was as confident as a rock.
Liu Zhengqing didn't know it. When he saw Bai Mingming's expression changed, he didn't see the report and immediately said anxiously: "Doctor Bai, what's wrong?"
"On the chest X-ray, there are more air shadows gathering in the middle mediastinum. This is a sign of pneumomediastinum accumulation!" Bai Mingming said as he handed the chest X-ray to Liu Zhengqing.
Liu Zhengqing got it and couldn't wait to look at it, "There is no main lung disease in both lungs, the structure of both lungs is normal, the trachea and major branches of the main trachea are unobstructed, only the mediastinum has pneumatosis, this is..."
Liu Zhengqing also has more than ten years of medical experience. He immediately thought of a disease, but he couldn't be sure because the disease was too rare.
He looked at Zhou Sheng with questioning eyes.
In the emergency room at this moment, in Liu Zhengqing's eyes, Bai Mingming is just a young man who has just started. Not to mention Cao Xin, he is not even a resident doctor. In Liu Zhengqing's eyes, he is not a doctor.
The only person worthy of Liu Zhengqing's serious treatment is Zhou Yisheng.
Zhou Sheng nodded towards Liu Zhengqing and said, "That's right. It's most likely a spontaneous esophageal rupture."
Hearing this name, Cao Xin didn't feel much.
He had only read about this disease twice in books.
Bai Mingming has never dealt with it personally in clinical practice.
I only witnessed one case when I was following a substitute teacher during my internship.
Over the years, the situation at that time has been completely forgotten.
Bai Mingming said: "Spontaneous esophageal rupture? This is too rare. No wonder I couldn't find the cause after searching for a long time."
Zhou Sheng said: "It's really rare. Let's arrange for an esophageal radiograph and notify the person outside the chest to come for consultation."
Chest CT can only see the impact on the chest after the esophageal rupture.
Specifically, whether the esophagus is really ruptured, where it is ruptured, and how big the wound is.
This thing can only be done through esophageal imaging examination.
After receiving the next step of instructions, Bai Mingming took action immediately.
The nurse, who had just returned not long ago, hurriedly took the boy for an esophagogram.
At the same time, Bai Mingming began to arrange consultations.
The condition has been generally diagnosed, and Liu Zhengqing feels that there is no need to stay.
He said hello and left first.
Zhou Sheng had no intention of leaving.
This is exactly what Bai Mingming wanted.
He was not familiar with this kind of spontaneous esophageal rupture, so Zhou Yisheng participated in the consultation, which made him feel more at ease.
Of course, it is best to let Zhou Sheng directly host the consultation.
As for Cao Xin, he will never leave.
Outside the heart, those who are exposed to heart disease all day long are those with heart disease.
When I came to this emergency center, my eyes were opened to the fact that there are spontaneous esophageal ruptures.
He knew something about esophageal perforation caused by foreign bodies.
It was strange that the esophagus ruptured on its own for no apparent reason.
While the patient had not returned from the angiogram, the consultation had not started.
Cao Xin began to search for knowledge about spontaneous esophageal rupture on the Internet, and began to take supplements crazily.
…
Esophagography is relatively quick among all esophagograms.
Take a barium meal and it will be effective within a few minutes.
The imaging of the digestive tract often takes more than half an hour, and the imaging of some parts even takes longer. For example, it may take 5 or 6 hours at the latest to observe lesions in the small intestine.
When the results of the boy's esophageal radiography came out, the thoracic consultant doctor also happened to come.
The time now is already past midnight.
At this time, most of the people who come for consultation are doctors at this level.
But because Bai Mingming had already told him on the phone that the patient's condition might be spontaneous esophageal rupture.
So this time, a big battle was launched outside the chest.
A deputy chief physician in his forties led the team, followed by two residents and three interns.
Six people came at once.
This number of people is more than the number of people participating in consultations at the landlord's emergency center.
The consultation room in the emergency center is not big, only about 20 square meters, which is about the same size as an ordinary bedroom.
In addition to a round desk, there are only six chairs inside.
So many people came all at once.
There are not even enough chairs.
On Monday, I was going to move the chairs.
Bai Mingming said: "You can preside over this consultation. I'll take care of the little things."
Don't wait for Zhou Yisheng to speak.
Bai Mingming invited Cao Xin to move chairs together in the rest room.
Bring the chairs.
The deputy chief physician who took the lead explained apologetically: "My surname is Lin. I'm really sorry that I didn't notify you in advance and brought so many people here. There are not even enough chairs to sit on."
Zhou Sheng said: "It's okay. The main reason is that the venue here is too small and there are too few chairs."
Dr. Lin went on to explain: "The main reason why so many people are bothering me is because I heard that this patient suffered from spontaneous esophageal rupture. This disease is relatively rare in clinical practice. Bringing these young people here will give me more experience."
Having said this, he glanced at Zhou Sheng and thought to himself, how could a young person be presiding over the consultation for such a rare serious illness? Judging from his age, he could only be a resident doctor at most.
Could it be said that the talent pool in the emergency center has withered to such an extent?
Isn’t there a supervisor on the night shift?
Don't even think about it.
The emergency center is newly established in the central hospital.
Although senior doctors are not welcome in the hospital, there should still be a few attending doctors.
Could it be that this young man is a little special?
At this time, he suddenly remembered that the director of the Department of Thoracic Surgery came back from the last meeting and mentioned that there was an intern named Zhou Sheng in the emergency center who was promoted to a regular position. Moreover, this intern was very powerful, and many people at the meeting talked about it.