Chapter 353: 【353】The doctors are worried
Chapter 353 [353] The doctors are worried
"Yes, thirty-two years old."
"Uachal disease, which is rare in adults, exists clinically, and it is reported that there are more males. I remember that I received a female patient many years ago, who was also in her thirties." Professor Li recalled, "So I When I got this report, I was a little scared."
"You go out first." Shen Jinghui decisively asked the nurse to go out first.
"Director Shen, can't I know?" Hearing the doctor's tone not letting them know anything, the nurse became anxious.
"Our doctors will discuss and discuss first." Deputy Director Liu reassured the other party, "We have to discuss the results of our doctors themselves first, so it is more appropriate to tell you."
The nurse looked at Xie Wanying.
"Doctor Xie has to discuss with other doctors before giving you the answer." Gao Zhaocheng blocked the gun for the little junior sister.
"Yes, she is my student. What she wants to say to the patient, whether it is up to her to say, requires my teacher's approval." Tan Kelin's cold face turned and expressed the same position.
Helpless, the nurse had to go out first.
Don't worry, Gao Zhaocheng called Yue Wentong behind him to lock the door of the conference room, so that no one would suddenly break in to listen.
Immediately afterward, all the doctors were waiting for Professor Li to speak, because this kind of patient is very rare in clinical practice, and the seniors need to come out to impart special clinical experience.
"The patient I met came in with blood in the urine, painless and blood in the urine, and vaguely palpable signs of a mass when he came in. The CT examination revealed that the mass was about 2 to 3 cm. It seemed that there were no symptoms before. If there was a colonoscopy at that time, it is estimated that I can't find anything at first glance. There are many gynecological appendixes with b-ultrasound, so go to b-ultrasound. Unless your clinician confirms that this part is to be scanned by b-ultrasound, you will not be able to find out if you don't scan this position. People want to go to the bladder, because there will be no blood in the urine at the beginning. This disease can only be found more accurately with a full CT scan." Professor Li said.
"How is that patient now?"
"The result of the operation was a malignant tumor, and he lived for three or four years after the resection. Because this disease is rare and highly malignant. Usually, the patient will live less than one or two years after the operation, and it is too late when the patient comes back to the hospital with symptoms. It is too big, and it has infiltrated into the peritoneal bladder everywhere, can it still live for a long time? And it is easy to cause a lot of ascites, and it will die faster." Professor Li had a lingering fear after saying this, and took the examination report sheet and patted, "But now It cannot be said that this must be cancer, because she said that there is pain, and there is no feeling of cancer in the early stage. It needs to be surgically removed, and the pathological results will be seen after the incision.”
"So the nurse was very nervous when she got the report. Maybe the doctor in the CT room told her something."
As a result, why do people insist on finding an intern? Before leaving, they did not forget to look at an intern.
"You can't blame others. If you show me her hidden symptoms, I'll probably miss the diagnosis." Professor Li admitted with his presbyopic glasses, so he asked Xie Wanying, "Doctor Xie, tell me about it. , how did you see the problem?"
The old professor asked this, and the eyes of the other doctors were all locked on Xie Wanying's face.
"To be precise, she said that she had a stomachache but there was no obvious tenderness reflex on palpation. It was normal for the doctor in front of her to palpate her without palpation. She is obese and has thick subcutaneous fat in her abdomen."
(end of this chapter)
