Chapter 1686: Zheng boss, you can die for me.

If I had not followed the director's surgery, I saw that the appendix was cut down. I really suspected it was an ectopic tail.
I don't know if the boss of Zheng, who is in the eccentric Emperor of Shanwei, has done this before. This is a surgery that requires human life. Once you can't find it, the sense of helplessness on the operating table is enough to make people collapse.
I found the pain point, only tenderness, no rebound pain and muscle tension.
Percussion is also very standard. But nothing new, do it yourself.
auscultation……
After completing the examination, Zheng Ren returned the clothes to the patient and turned away from the ward.
"Zheng boss, you..." Li Yong is nervous.
He looked at Zheng Ren’s expression without any sorrow and sorrow, and seemed to win the game, and it seemed to be awkward.
"5ml of Meilan from the urinary tube, 30 minutes after the abdominal cavity effusion." Zheng Ren walked down and went to the doctor.
"Ah?" The little doctor snorted.
"If you can see blue fluid when you are taking ascites, it proves that the bladder is ruptured. It may be caused by the rupture of the surgical scar many years ago." Zheng Ren said as he walked.
"..."
"Zheng boss, this..." The little doctor felt that it was incredible.
"Young man, asking for medical history and physical examination must be detailed and serious.
The medical records reflect that the patient's medical history was not detailed when he was admitted to the hospital. For example, more than 20 years ago, the patient had a partial cystectomy due to a bladder mass, which led to missed diagnosis and mistreatment of important diseases. Zheng Ren said very gently.
Although this little doctor is more concerned, but because of working in the town hospital for a long time, too much detail has not paid attention. Zheng Ren is just a kind reminder, there is no swearing tone.
"In the first appendectomy, the lesions were found to be inconsistent with the diagnosis, the inflammation of the appendix was not typical, and the amount of fluid collected was also a bit large. Have you considered whether it was caused by other reasons?
No further investigation was carried out. As for the presence of a large amount of ascites at the time of surgery, it is estimated that there was a small amount of urine during the operation. But it did not cause the surgeon to pay attention, or you used the urine as exudation.

"..." The little doctor was sweating.
"Third, after the application of diuretic drugs, the patient's abdominal distension is obviously aggravated. I remember this sentence you wrote in the medical record, as long as you consider one more step, you think of the truth." Zheng Ren smiled.
"The patient's kidney function is no problem. With diuretics, especially after 40mg of furosemide, there will be ml urine. But the urine tube does not increase the yellowish urine, which is the biggest problem."
"In summary, I think it is the rupture of the bladder. Take time to do the Meilan test. If the blue liquid is pulled out by the abdomen, go to the urology department for surgery. The operation is not too difficult, and the sewing will be finished."
"Zheng boss, really?" Li Yong still felt incredible. He saw Zheng Ren still have some green face, and his heart was slightly confused.
"Well? What is it?" Zheng Ren did not understand that he was so meticulous and thorough, how could he not understand?
"I will go right away." When the little doctor saw Zheng Ren to go, he took the courage to ask: "Zheng boss, I... Can I leave you a WeChat?"
"Ok?"
"I will wear a belly after half an hour. If there is a blue liquid, I will report it to you." The little doctor took a chance and found a reason.
Zheng Ren smiled.
He took out his mobile phone and opened the QR code of WeChat to the little doctor. The two added WeChat.
"You are busy, I will go back and look at Lao Liu." Said, Zheng Ren left on his own.
The level of diagnosis and treatment and operation in Xilin Town is indeed the level of grassroots hospitals. Simple and rough, right lower quadrant pain is appendicitis, and it is not considered elsewhere.
The differential diagnosis is not done, and the abnormal situation is not treated during the operation. After the operation... Hey, using furosemide, the amount of urine is not much, the kidney function is no problem, so obvious points are not noticed.
Forget it, it has nothing to do with myself. Zheng Ren walked out of the ward of general surgery, and he no longer thought about it.
This kind of small medical record, now Zheng Ren has no need to use the system panel of the big pig's hoof. First look at the history of the disease, look at the test list and the course of the disease, you can basically follow the clues to draw conclusions.
It is obvious that the bladder is ruptured, and the peritoneal effusion is urine. Zheng Ren finally used the system panel of the big pig's hoof to refer to it, and the answer was given.
As for surgery, simply suturing the bladder, Zheng Ren has no interest at all.
In addition to the opening of the abdomen, the difficulty of this operation can not match the appendicitis. And the operation of urology surgery in Xilin Town People's Hospital was a bit too much.
Back to the ward, and Liu Xuzhi's gossip about Li Yong's lover's condition, Liu Xuzhi's lover came in with a lunch box.
She deliberately gave Zheng Ren a hot soup noodles, and the noodles were particularly strong.
"Zheng boss, if you go to the emperor, Lao Liu can't raise a house, I am going to find a small noodle restaurant to work." Liu Xuzhi's love.
"No, you can rest assured." Zheng Ren said with a smile: "National, there are no more than 500 people who are better than Lao Liu in interventional surgery."
500, this is a big number.
In fact, Zheng Ren wants to say 100, but that is TIPS surgery. Considering comprehensively, 500 are relatively standard.
As a doctor, it can rank in the top 500 in the country, and the level of the professors in the appropriate provincial hospitals.
And Lao Liu’s daughter-in-law was so worried, even Liu Xuzhi was almost gone for 30,000 yuan.
It is ridiculous to say.
A bitter tears.
Zheng Ren saw that Liu Xuzhi and his wife had already prepared for the battle, and did not persuade. When I went to the Imperial Capital, even if the level is high, I have to work hard.
You can live when you lie down... It seems that you can do it now.
The tenured professor at the Massachusetts General Hospital can enjoy life with a salary of more than $100,000 a month.
Oh, I didn’t notice that I would go to this step so soon.
See Liu Xuzhi's body is no problem ~ EbookFREE.me ~ Zheng Ren Dakou's noodles, ready to eat, let Feng Xuhui book tickets, and hurry to return to the Imperial Capital.
Xilin Town has brought Liu Xuzhi back, and the matter is over.
When Lao Liu rests for a few days, he will take the family to the Imperial Capital, and then he can carry out large-scale gastric fundus and gastric left artery embolization surgery.
I knocked him on several operations to see how much Lao Liu can master.
His talent, Zheng Ren has some understanding. It is medium, and the height that Liu Xuzhi can achieve in this life is not expected to exceed the level of Su Yunyan.
But what about being a man, can't be compared with Su Yun, Zheng Ren smiled.
Lao Liu is not expected to be too bad. After all, he can feel the threshold of TIPS surgery, which is much stronger than most people.
The face has not finished eating, a chunky, sturdy person knocked in the door.
He saw Zheng Ren, and immediately showed a charming smile, and extended his hands and said: "Zheng boss, you can die of me!"