(Thanks to [Feng Wu Xuanqi and Fang] for two thousand rewards, and thanks to [Flower Nude on the Other Side] for one thousand rewards!)

Thinking of this, Yang Xiaozi was a little panicked!

"No, I have to check and check!" Yang Xiaozi immediately turned his head and went to register a new number.

Soon, when Yang Xiaozi finished the examination, she was stunned! Her xiong part was really infected, and there was a slight tear!

"It turns out that the doctor is not a hooligan?" Yang Xiaozi woke up from a dream.

......

Ruan Bin finished the matter at hand, walked out of the operating room, and met the big U girl around the corner!

But as soon as he saw the other party, he immediately wanted to take a detour, and his kindness was said to be a hooligan, and he was afraid of being caught and said again.

"This doctor, wait a minute!" Yang Xiaozi chased after him.

"What do you want to do, beauty? I was straightforward just now, don't hold a grudge. Ruan Bin thought that the other party was settling accounts after the autumn.

Yang Xiaozi: "......"

"I'm apologizing and saying thank you to you, and I wouldn't have known I was hurt if it weren't for your kind reminder. Yang Xiaozi blushed a little.

After her examination just now, the doctor told her that if she didn't find it in time, the situation would be more serious, and she would probably have to undergo surgery. Now that I found it early, I can take some anti-inflammatory drugs or something.

"You went to check?" Ruan Bin breathed a sigh of relief, not to find fault.

"Well, thank you, you just told me that the matter was so clueless that it was easy to misunderstand. Yang Xiaozi said in a coquettish voice.

"Well, I didn't think much of it at the time. Ruan Bin scratched his head and smiled.

He actually admitted that the double U was too attractive and didn't look at the feet......

"Then I'll go first, thank you again!" Yang Xiaozi thanked.

"Uh...... Okay!" Ruan Bin secretly said in his heart, this is leaving, don't you add a prestige so that you can talk about your life ideals at any time in the future?

............

In a flash, it was afternoon time.

I didn't have lunch until 2 o'clock, and as soon as I returned to the emergency department, I saw a patient coming in from outside.

It was a female patient, about 50 years old.

"What's the situation?" asked Ruan Bin to the doctor who came with him.

"The patient had a cough and intermittent fever for three months, and we did a CT scan on her and she had a pleural effusion. We did a laparoscopy on her yesterday to remove the fluid in her chest. After the smoking, we did another follow-up examination, but the CT scan showed that there was still fluid in the chest. We thought it was the first time we had a clean pump, so we smoked again this morning. However, when I was rechecked after surgery, I still had water accumulation...... We had no clue, so we suggested that the patient be transferred. The doctor on the car explained succinctly.

"Twice pumped and there is still fluid in the chest?" Ruan Bin frowned after hearing this.

The skills of the doctors in this lower hospital are too good, right?

Do you think it's the one who tossed this patient?

"Yes. The doctor nodded awkwardly.

"Hmph, quack! My mom was operated on twice by you and it hasn't solved the problem. The level of doctors in your hospital is too low, and when I go back, I will definitely report that your level is too low, and I should go back to the furnace and recast it!" said a girl in her twenties next to her indignantly to the doctor who was on board.

"Ahem...... Maybe your mother's condition is too complicated...... "The doctor from the lower hospital was scolded by his family like a grandson, but he didn't dare to breathe, so he could only explain in a good voice.

"What's complicated, you haven't even checked the cause for us now, why is there so much fluid after two surgeries!" the girl said disdainfully.

Ruan Bin next to him sighed with emotion, the quack doctor has also been scolded miserably in these years.

But think about it from another perspective, your family can't solve the problem after two surgeries in the hospital, this is not counted, and the cause is not even clear, so whoever else will scold and scold, right?

"What's the matter?" At this time, Director Qian didn't know where to come from.

"Director, here's the thing. Ruan Bin said briefly.

"Well, let the family go through the admission procedures, you go to the patient to check the cardiopulmonary CT, and come to me when you get the results. Director Qian said to Ruan Bin.

"Good. ”

Soon, the patient's family went through the admission procedures, and Ruan Bin also took the patient for an examination.

At this time, Ruan Bin was very curious about what caused the patient's chest effusion to be unclean.

"Diagnosis!" Ruan Bin used general medicine on the female patient.

His diagnosis is absolutely 100 times better than that of various medical equipment examinations!

Patient: Li Sujuan

Age: 49 years old

Medical records: anterior thoracic lesion teratoma, back hydropleural.

After seeing the real situation of the patient, Ruan Bin suddenly realized!

"No wonder, no wonder there is still fluid in the CT re-examination after the lower level hospital has taken two fluid accumulations, and it turns out that there is a teratoma!" Ruan Bin was secretly shocked.

Because fibroids such as teratomas, lymphangiomas, and bronchial cysts can also appear black when taking CT scans, and the black is usually pleural effusion, so it is thought to be pleural effusion. Because this kind of thing is also black when it comes out, it is easy to be confused with pleural effusion.

This is the root cause of misdiagnosis!

Like this patient, the anterior chest lesion is teratoma, and the back is the pleural effusion. So the reason for the many convulsions and pleural effusion. Because the teratoma shown on CT looks like a pleural effusion, it is not a teratoma. I thought it would be okay to smoke pleural effusion, but who knew that after 2 draws, I still found that there was pleural effusion!

Soon, when the CT results of this patient came out, Ruan Bin took a look, and sure enough, one-third of the CT was pitch black, and the CT showed a large amount of pleural effusion!

"This situation is indeed easy to misdiagnose!" Ruan Bin held his forehead. It is estimated that the pleural effusion will be drawn again, and the subsequent re-examination will definitely show that there is still a pleural effusion!

Because there is still a large amount of pleural effusion in the back, it is impossible to pump it once, and a little bit comes out every time it is pumped.

Soon, Ruan Bin found Director Qian.

When Director Qian watched this CT scan, his brows were also furrowed. Because it shows that the patient does have a pleural effusion!

"Even if the doctors in the lower hospitals can't smoke it the first time, they should smoke it the second time, why does it show that there is still so much fluid in it?" Director Qian squinted and thought.

"Ruan Bin, I see if you have anything to say?" Director Qian asked when he saw Ruan Bin's appearance of wanting to speak.

"Director, I wonder if the patient may have fibroids such as teratomas, lymphangiomas, and bronchial cysts, because this situation is also prone to misdiagnosis of pleural effusion. Ruan Bin pretended to guess. In fact, he knew that it was actually a teratoma!

"Oh, what do you say?" Director Qian was a little surprised, because he was also guessing in this direction. As a big director, he has terrible experience, and he has not encountered similar situations before!