Chapter 149: Eating Deflated

The good news Sun said is based on the characteristics of patients with PDS malformations - they will have two sets of reproductive systems in their bodies. ~Sui~Dream~Small~ Say~щww~suimеng~com If Lin Lan is indeed a PDS patient, then she must still have a set of naïve uterus hidden in her body.

If diagnosed, perhaps after removing the cryptorchidism in Lin Lan's pelvis, hormone therapy can be used to promote the redevelopment of her uterus, so as to obtain fertility - but the eggs need to rely on donors, and Lin Lan herself does not have this ability.

It's just that this set of treatment can only be handed over to other general hospitals. After all, the Fourth Central Hospital is a hospital that is biased towards the emergency direction, and it is more appropriate to give this kind of treatment to a hospital that specializes in endocrinology and reproductive medicine. All the Fourth Central Hospital can do now is to diagnose Lin Lan's condition.

·

·

·

"I think...... At the beginning, Director Liu's judgment was not wrong. Sun Lien led the way in the corridor, and he suddenly whispered, "Lin Lan's condition is too right. Sun Lien suddenly discovered a logical blind spot, a huge loophole that neither Dr. Pascal nor Xu Yourong could immediately discover - in the status bar, Lin Lan is a "male", not a "female".

Patients with PDS should have the same genetic sex as their social sex, and although they have reproductive disorders, they generally do not exhibit the sex of the opposite sex. In general, male patients with PDS with gene X may present with an inguinal hernia. The contents of the inguinal hernia are the childish development of the uterus.

In contrast, women with PDS with the XX gene do not exhibit significant external differences and have a relatively normal female reproductive system – but the ovaries are replaced by cryptorchidism. These women are usually admitted to the hospital because of menstrual irregularities or infertility.

You can't go wrong with the status bar, at least so far, it's 100% correct. Since the status bar believes that Lin Lan is male, it means that Lin Lan's genetic sex must be x male, not female. However, if it is a male with the X gene, it is unlikely that it will manifest as a female malformation of PDS.

It doesn't make sense.

"Something is wrong?" Xu Yourong frowned, "It's not appropriate to discuss this issue in the corridor, go to my office." ”

It is not allowed to discuss the patient's condition in public, which is one of the rules and regulations of the hospital.

It's not surgery day, but there aren't many doctors in the office. After greeting the two doctors who were familiar with each other in the office, Xu Yourong directly pushed open the door of the small conference room.

"Actually, there's nothing to discuss, just do genetic testing. Dr. Pascal spread his hands after listening to Sun Lien's doubts, "I insist on my own judgment, if it is AIS, she should not have a menstrual cycle." ”

Sun Lien opened his mouth, but he didn't know how to explain his findings. Of course, the status bar judged Lin Lan's gender, and of course it can't be said.

"I think the biggest point is in Lin Lan's undescended testicles. Xu Yourong called up Lin Lan's abdominal T map from the computer and projected it on the screen with a projector, "Although it is an undescended testicle, the location is in the groin." In the case of PDS, the cryptorchidism should be in the pelvis, replacing the position of the ovaries. The position is too low. ”

"Let's do genetic testing. Dr. Pascal continued, "This is the most straightforward way to check. ”

Sun Lien was about to nod, but suddenly saw a somewhat strange organizational structure on the picture. "Here......" he stood up from his seat and pointed to a small high-density area on the screen, "isn't this bladder tissue?"

Sun Lien could barely see a small protrusion in the part he pointed to, about two centimeters thick.

"It could be just a simple structural anomaly. Of the three doctors present, only Xu Yourong was a surgeon, and he was also a neurosurgeon. Sun Lien is inexperienced, and Dr. Pascal certainly doesn't look at the T-chart as often as Xu Yourong. The three of them looked at the change in this position, and they were naturally a little uncertain. She looked at this pelvic T-chart, looking a little hesitant.

"It looks like we need at least one surgeon on our team. Sun Lien made a joke helplessly, "Please take a look at the gynecology." ”

·

·

·

"It's the womb, the naïve womb. Feng Chujie, the attending gynecology doctor who came to the consultation, made a judgment almost instantly. But as soon as she made a judgment, she made another difficulty, "This picture is wrong." ”

"The shape of the pelvis is wrong. Sun Lien and Xu Yourong said in unison. Feng Chujie looked at the two of them, "Where did you find this picture?"

Sun Lien spread his hands, "This is the patient we received a few days ago in the emergency department. ”

"Let's go to our Cory. Dr. Feng straightened his hair and expertly pinned it behind his ears, "This should be a hermaphroditism, right?"

"It's not decided yet. The person has been lying in the IU, and only regained consciousness the day before yesterday. Sun Lien frowned, "This patient hasn't been diagnosed yet." ”

Doctor Feng glanced at Sun Lien strangely, "What is there to diagnose here?" She directly supported Professor Pascal's judgment. "The naïve uterus plus cryptorchidism is obvious. ”

"PDS doesn't have this pelvis. Xu Yourong joined Sun Lien's camp, "AIS is more likely." ”

The conference room was lively, and a neurosurgeon began to look inside at the door. Ningyuan Medical College has a lively academic style, and it has almost become a habit for everyone to get together and discuss. Seeing the warm atmosphere in the conference room, they also joined in the excitement.

"No...... It's not just PDS. Sun Lien listened to everyone's discussion, and suddenly had a flash of inspiration. "It's a composite case!"

The conference room fell silent, and Xu Yourong stared at Sun Lien expectantly. She vaguely felt that Lin Lan's case might be more complicated than everyone imagined.

"I think ......" Sun Lien was still immersed in the excitement of his discovery, and he didn't notice that everyone around him was quiet. He stood up and pointed to the image on the screen, "Mullerian tube persistence syndrome causes her to have a naïve uterus and fallopian tubes in her body, and AIS causes her cryptorchidism to be lower, but the cryptorchidism is still in the pelvis...... The patient has both PDS and AIS!"

Dr. Feng was about to retort, but Sun Lien took the initiative to ask, "If it is a female PDS patient, she will show some masculine characteristics, right?"

Dr. Feng nodded hesitantly. Due to the presence of well-active cryptorchidism in the body, most female patients with PDS will have symptoms such as heavy hair, dark skin, deep voice, and hormone disorders.

"Lin Lan is very beautiful. Xu Yourong probably understood what Sun Lien meant, "She has good skin, and her complexion is also very white." ”

"What kind of evidence is this called. Dr. Feng shook his head and said, "Is it because I stay up late on duty every day and have acne on my face, so I am PDS?" Dr. Xu also has good skin, and she is also an AIS patient?"

Sun Lien was stunned by Dr. Feng's theory, "But other than that, there is no reasonable explanation." ”

"Seeing a doctor is not only based on logic and explanation, but also on evidence, and modern medicine is evidence-based medicine. "Dr. Feng has no malicious intentions, Sun Lien's legend has gradually spread throughout the hospital in the past few days, and even she has heard of it. She didn't think that Sun Lien said this for the sake of being in the limelight, after all, he was still young and sometimes inexperienced. "Let's do a genetic test. It's the evidence that counts. ”

·

·

·

At lunchtime, Hu Jia heard that her boyfriend had a deflated meal in the morning, not only did she not comfort her, but she laughed out loud.

"What are you doing?" Sun Lien was a little depressed, "I made a mistake and it's worth laughing at?"

"You. Hu Jia wiped his mouth with a tissue, looked at the depressed Sun Lien and smiled, "You should really look in the mirror and see how you look." This expression is exactly the same as Director Liu's appearance after losing the quarrel. ”

Sun Lien was taken aback, "Director Liu has ever lost a quarrel?"

"Of course. Hu Jia narrowed his crescent-like eyes, "I saw last year that Director Liu and Dean Song had a quarrel and lost, and this expression hung on his face for several days." ”