Chapter 1523: Mycobacterium tuberculosis was really detected

(Second!)

"Ye Xiu, what's the situation?"
Seeing that Ye Xiu had finished the pulse, Wang Yanchao asked immediately.
"Director Wang, this uncle may have hollow tuberculosis."
Ye Xiu's expression was a bit solemn and authentic.
"Ok?"
Wang Yanchao raised his brows slightly, "Ye Xiu, how did you make a judgment?"
As the director of the Department of Respiratory Medicine, Wang Yanchao is no stranger to hollow tuberculosis. The number of hollow tuberculosis patients he has seen for so many years is not 1,000 or at least 900.
But he didn't think that the uncle's illness in front of him was hollow tuberculosis.
This is not because this uncle is a patient of his old partner Lao Huang. He believes in Lao Huang’s judgment. More importantly, he has carefully read the patient’s medical records just now, whether it is from the filming situation or Judging from the patient's symptoms, there should be no doubt that all lung abscesses.
"The patient's symptoms."
Ye Xiu said, "There is also the situation where I got my pulse just now."
"symptom?"
Wang Yanchao frowned.
He doesn't understand the pulse of Chinese medicine, but he does understand the symptoms.
"I said, you wouldn't judge it to be tuberculosis just because you think there is blood in the sputum the patient just coughed up!"
An intern couldn't help being authentic.
He also followed this patient.
He is very clear about the patient's symptoms.
He didn't think there was anything wrong with Deputy Director Huang's diagnosis, let alone what kind of hollow tuberculosis the patient was.
If it were not for Wang Yanchao's face, he would directly reprimand Ye Xiu for nonsense.
But even so, the irony in his words is quite obvious.
The other interns also showed a mocking look.
Although they don’t understand the patient’s condition, they are quite clear about the strength of the two directors, Deputy Director Huang and Wang Yanchao. Now it is clear that the two directors’ diagnosis is not hollow tuberculosis, and Ye Xiu actually said that the patient is hollow. Tuberculosis, isn't this funny?
And they all felt that Ye Xiu wanted to show off his level with his little knowledge, and wanted to express himself.
The symptoms of cavitary tuberculosis and lung abscesses are indeed very similar. This is known to doctors with a little experience. For example, both of them are phlegm and cough up blood.
"of course not."
Ye Xiu didn't seem to feel the sarcasm in the intern's words, and seriously explained, "Strictly speaking, it is not entirely. The blood in the sputum is only one symptom, but only with this symptom, It is not possible to determine the patient’s true symptoms. Many lung infections and diseases can cause symptoms of phlegm and hemoptysis."
Yo, do you also know that many symptoms can cause phlegm and hemoptysis?
Is it pretty rigorous?
There was a sneer at the corners of the interns' mouths, "Then, how do you judge? Don't tell me the pulse. I am a Western medicine doctor. I don't understand this, and I don't believe it."
He wanted to see how Ye Xiu would tear it down next, how he would tear the patient in front of him into a hollow tuberculosis.
Wang Yanchao glared at the intern, but he didn't say anything.
Although the intern's tone and attitude made him very dissatisfied, he now focuses more on the patient. He is now anxious to know what the basis for Ye Xiu's case of the patient's hollow tuberculosis is.
"I just looked at the medical record carefully. Judging from the medical record and the patient's last examination result, the patient's condition seems to be obviously an abscess in the lungs. There is not much controversy."
Ye Xiu didn't care about the intern's tone and attitude, and continued to explain seriously, "But I noticed one detail, that is the patient's frequency of hemoptysis, and the patient's more obvious physical symptoms in the afternoon."
"The patient's condition became significantly worse in the afternoon, and repeated night sweats, pan-force... and other common symptoms such as hollow tuberculosis and lung abscess."
"You have said that this is a common symptom that also occurs in lung abscess. Why do you say that this is hollow tuberculosis?"
The intern didn't expect that Ye Xiu actually understood a little bit, and he actually pulled out some details, somewhat surprised, but he never said anything, waiting for a loophole in Ye Xiu's words.
When Ye Xiu talked about his symptoms in the afternoon, he finally couldn't help but interrupted Ye Xiu's words and ridiculed.
"It really can't be determined."
Ye Xiu nodded, "When I saw these records, I was skeptical based on my own experience and intuition, but none of the so-called experience and intuition can be used as a basis for diagnosis, but it happened that I had When I was in doubt, the uncle happened to cough up. After helping the uncle to cough up the sputum, I took a serious look at the sputum."
Listening to Ye Xiu talking about the sputum, the eyes of the several interns all subconsciously looked at the spittoon of the uncle just now.
They also saw the uncle spitting just now, but they didn't pay much attention.
But after a serious look, they didn't see anything special.
"Don't tell us, what do you see in this sputum? You see tuberculosis?"
The interns who spoke just now were sarcastically speaking.
"There is no tubercle bacillus. Although my eyesight is good, it is not a microscope after all, not so powerful."
Ye Xiu smiled slightly, "But I did see some differences."
"I used to stay in the Respiratory Medicine Clinic for a period of time and met many patients with tuberculosis. Every time they coughed very hard, I would press and rub them to help them cough up the sputum smoothly. After coughing up, I will carefully observe it every time. I want to see it. The sputum coughed out is a little different from other common symptoms. Over time, I really have a little experience and experience, sometimes it is true. The sputum spit out by the patient can be used to determine whether there is tubercle bacillus."
Can you really see it through that sputum?
He used to observe the sputum every day?
Really bragging!
Isn't he afraid of blowing up the cowhide like this!
Listening to Ye Xiu's words, the faces of the interns were all suspicious and disdainful.
They don’t believe in Ye Xiu's words at all. As a doctor, they can’t avoid these things. Sometimes, observing these sputum, or even urination and defecation, is a must, but even as a doctor, if it’s not necessary, I definitely wouldn't go to watch more, let alone stare at it seriously.
As for what Ye Xiu said to see through sputum, it seemed to them even more nonsense!
Don't talk about the interns, even the patients and family members of the patients next to them felt a bit of a joke.
Ye Xiu naturally felt the doubt and ridicule in the eyes of those people, but he didn't take it to heart. After all, he knew that it was really hard to believe it.
Besides, this is not very desirable, it is not very scientific, and the diagnosis rate of his observation is indeed not 100%.
And, more importantly, he never thought of persuading them to believe it.
Shaking his head, Ye Xiu was about to suggest to Wang Yanchao that he would check the patient again.
But when Ye Xiu was about to speak, there was a sudden rush of footsteps at the door of the aisle.
"Tuk Tuk...!"
Accompanied by the sound of footsteps from far to near, Deputy Director Huang with a hasty expression appeared in the sight of everyone.
"Director Huang?"
Seeing the hasty look of Deputy Director Huang, everyone showed a look of surprise. According to reason, Deputy Director Huang would not be here at this time. This point is the time for Wang Yanchao's ward round. Under normal circumstances, Deputy Huang The director will be busy with other things of his own first.
"Ye Xiu?"
After nodding to everyone, Deputy Director Huang immediately noticed Ye Xiu, and the look on his face was subconsciously stunned.
"Hello, Director Huang! Long time no see."
Ye Xiu said hello quickly.
Although he didn’t have much contact with Deputy Director Huang in the Department of Internal Medicine, Ye Xiu admired the medical skills and medical ethics of Deputy Director Huang. This is the same as Wang Yanchao, who dedicated most of his life to patients. Doctor.
"Long time no see! Wait a minute, let's talk to Lao Wang's office."
He smiled reluctantly, and after greeted Ye Xiu, Deputy Director Huang immediately turned to Wang Yanchao who was aside in a hurry, "President, 150 bed patient, haven't you taken any medicine?"
"Not yet, what's wrong?"
Wang Yanchao looked at Deputy Director Huang with a worried look, with a look of doubt on his face.
While speaking, he glanced at the uncle next to Ye Xiu. The 150-bed patient in Deputy Director Huang's mouth was the uncle who Ye Xiu suspected of having hollow tuberculosis.
"Nothing is fine, I suspect that this patient may have cavitary tuberculosis!"
Hearing Wang Yanchao said that he had not taken any medicine, Deputy Director Huang heaved a sigh of relief and immediately said to Wang Yanchao with a serious face, "I might want to change the patient's treatment plan again!"
Snapped!
An intern who had just received the patient's medical record from Wang Yanchao, before he could put it back on the bedside of the patient, fell to the floor with a snap.
What I said just now ridiculed Ye Xiu. After Deputy Director Huang arrived, the trainee who was about to open his mouth to report to Deputy Director Huang Ye Xiu's doubts about him, the words that were originally going to be spoken directly stuck in his throat and couldn't vomit it anymore. , The open mouth is also directly open, almost enough to lay two eggs.
The other interns also widened their eyes, wondering if they had heard it wrong!
"Old Huang, what did you just say?"
Even Wang Yanchao's eyes widened, with a look of disbelief, "You said this patient has hollow tuberculosis?"
"Yes, the patient’s condition repeated itself last night. I thought about it, and the more I thought about it, the more I felt wrong. Before leaving, I sent the patient’s sputum for testing. Mycobacterium tuberculosis was detected in it."
Deputy Director Huang nodded, the expression on his face was a bit solemn and authentic.