Chapter 1766: Epoch-making consultation

The small classrooms in community hospitals seem to have changed somewhat compared to when they came to the clinic last time.
The equipment has been updated with transparent touch panels and vr eye masks in front of several chairs.
"When did this get it?" Zheng Ren felt a little strange after seeing it, asked.
"Recently." Su Yun does not matter, smiled and said, "Is not ready to try?"
"I still take the kind of iron medical record clip to see the medical record more." Zheng Rendao.
"The progress of mankind is destroyed in the hands of you. I think you should go to the Middle Ages and be better regarded as a dark wizard." Su Yundao.
Zheng Ren sat down, and some can't wait to say, "Begin?"
Su Yun stood on the front of the podium, turned on the switch, and a light came down. Like a shadowless lamp, the whole person's temperament is from a careless to a very professional, completely seamless.
"You, the consultation started." Su Yundao, "Please bring vr glasses."
"Flowering, useful?" Chang Yue looked at the glasses, very disdain.
"Current doctor, when the electronic case system was just running 20 years ago, some people said so." Su Yundao.
"At that time you were less than ten years old."
"Experience can be passed on by word of mouth." Su Yun smiled. "If you don't want to be eliminated so quickly, it is better to accept new things as soon as possible."
Chang Yue pouted, although he and Su Yun bicker, but still wear vr glasses.
Always look at everything fresh, here is definitely not a consultation in the 912 regular sense. He is a little emotional, how long has Zheng boss just arrived? The posture of the squatting, people have their own territory.
The key is that the site here is definitely not the same as the ordinary, but brand new.
Vr technology for consultation?
It’s too extravagant.
Wearing vr glasses, a case appeared in front of you. Next to the case, Su Yun stood.
Although I know that it is virtual reality, I still can't help but want to touch Su Yun to see whether it is a real entity or a virtual light and shadow.
"Don't do meaningless things, you'd better put your attention on the case, in the total." Su Yundao, "It's your patient. If there is no result in the consultation today, you will be ready to go to the hospital for consultation. You have to write all The hospital has a record of a lot of messy things."
"Hurry up." Zheng Ren said impatiently.
"Now it has already started, I will simply state that if you click on the medical record, click on the touch screen in front of you. You will have new discoveries, and this model will appear as a way of remote consultation in the future."
"Patients were treated in our hospital for 6 days before the right lumbar strangling pain and were observed in the emergency department. The routine examination, except for red blood cells in the urine routine, was normal."
Su Yun began to introduce that in virtual reality, he is basically a true appearance, Zheng Ren does not know what technology is this, but it looks quite advanced.
"After admission, the right side of the waist was positive for snoring, and the Murphy's sign was positive..."
"Wait." Zheng Ren interrupted Su Yun's words and asked, "Murphy's sign is positive?"
"Yes, b ultrasound did not find inflammation or stones in the gallbladder area, tenderness is not obvious, no rebound pain and muscle tension. I have just confirmed this, the general examination is still very detailed." Su Yundao.
Zheng Ren no longer speaks.
"I also noticed this, but the patient's rib angle is tender. The typical colic usually originates in the lower back and upper abdomen at the corner of the ribs, occasionally starting at the lower edge of the rib and radiating along the ureter to the ipsilateral side. The groin. The patient has no nausea, vomiting, and does not consider gastrointestinal symptoms."
Su Yun said that it is correct, and Zheng Ren thinks so.
In general, there is a problem with the gallbladder. There should be gallstones, inflammation, and at least the imaging evidence of gallbladder wall roughness should be there.
The patient may be as positive as the urine routine, and the other does not have any positive signs.
"The patient has no family history, hereditary history, no history of trauma, and all past history is negative." Su Yundao, "The ct, b super image can be clicked on the touch screen in front of it, and it is the same as seen on the computer."
"Is urography done?" Zheng Ren asked while looking at the ct image.
"The diagnosis of urography for stones is only 66, and it is not done for a while. If you feel it is necessary, I can inform you that you can always check as soon as possible." Su Yundao.
Although in the face of the general, Su Yun still said to inform the general as soon as possible, it seems that this is particularly sensational.
Zheng Ren shook his head slightly and began to click on the touch screen in front of him to see the image data.
The examination can be said to be very comprehensive, what the renal colic means, clinicians know.
A small stone can solve all the problems, but there is no stone.
Zheng Ren did a three-dimensional reconstruction of ct, and still found no problems.

Do patients have a history of taking aminopyrine, phenytoin, rifampicin, and phenol red?
Chang Yue asked.

No.
Su Yundao,
The patient’s self-report is usually healthy, has not taken any drugs and has done any surgery.

"Urine routine and blood routine showed no inflammation ~ EbookFREE.me ~ tablets can not see inflammatory lesions. Excluding inflammation, stones, tumors, trauma, urinary malformations, I think it is gout kidney." Chang Yuedao.
"It's a very genius suggestion." Su Yun said: "Gout kidney is more common in patients with gout patients with a history of more than 10 years, and if gout kidneys, the tubules will crystallize somewhat."
"Chang doctor, this is a consultation, not an exam that will make you confuse the answer." Su Yundao.
"Cardiovascular diseases, such as congestive heart failure, renal embolism, renal vein thrombosis can also occur hematuria." Zheng Ren interrupted Su Yun's awkwardness, said: "Is the heart checked?"
"The possibility is not great, the kidney essence has not changed, renal embolism, renal vein thrombosis can be basically ruled out. After all, the medical history has been 6 days, if..."
"Mainly congestive heart failure." Zheng Ren asked.

It’s not possible.
Su Yundao:
The patient has to play three hours of badminton every day.

"Badminton? Three hours? The body is good enough." Zheng Rendao.
"Well, when I was young, I was a national sports athlete. After I retired, I joined the work and also played badminton." Su Yundao: "On the 1st day before the onset, no problems were found when playing badminton."
Zheng Ren began to meditate.

Is there no food allergies or exposure to heavy metals?
Chang Yue asked.
"From the existing signs, there should be no." Su Yundao, "The patient's life is very healthy. There are no similar situations between colleagues and family members. I have asked this question."
I always looked at the video data quietly and said nothing.
He had known this for a long time, but he did not know why the symptoms of kidney stones such as hematuria and renal colic were coming.
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