Back in Corey, Zheng Ren and Su Yun changed their clothes and turned around the ward first.

6 beds...... Compared with the first courtyard of Haicheng, it is much shabby.

Zheng Ren suddenly had an idea, if he returned to Haicheng, the entire emergency building would be rebuilt, and there would be at least 100 beds. Desperate surgery every day, 20 TIPS surgeries a day, 600 in a month, a few months is enough.

But this is just an idea, and Jung Ren didn't take it seriously. Really back to Haicheng, how can there be such a large source of patients?

The vice president in charge of the second hospital bragged about how many patients there were, but after doing it a few times, the patients couldn't keep up.

The postoperative patients in the ward are all stable and their symptoms have improved initially.

Professor Rudolf Wagner was intently sorting out the relevant documents, and Zheng Ren went to look through the documents, feeling that he was particularly like a stupid son of a landlord's family.

However, it was much more comfortable for the professor and Su Yun to deal with these transactional work. If you do it all by yourself, the sky will fall.

But Zheng Ren's mind was full of the picture of the disturbance in the emergency pediatrics, and he could not dissipate it.

I feel close to each other, and Zheng Ren is very sympathetic to the unjustified disaster of the emergency pediatric medical staff.

Just thinking about it, the phone vibrates and the ringtone is very small.

When I took it out, it was Director Qi of the B-ultrasound room.

"Boss Zheng, are you in Corey?" Director Qi answered the phone and asked directly.

"Director Qi, I'm here. ”

"Urology, conference room, hospital-wide consultation, take a look?" said Director Qi.

"Okay, I'll go up now. ”

After that, the phone had already hung up.

The head of the department, that's authoritative.

Whether it is Xiehe or 912, or the first, second, and third hospitals of Peking University, or the east and west tumors, counting them carefully, there are really countless bull-level figures in the imperial capital.

Every section director, who can successfully reach the top, has a huge technical level, and there are countless helpers behind him.

To be recognized by any of the big directors is a step to the sky. Just like Zheng Ren was recognized by Director Kong and could be directly transferred to 912, he was treated as a professor with a group and given 6 beds.

Director Qi is good to himself, and it is better to brush his face in the hospital-wide consultation, Zheng Ren thought.

Hurry up, the whole hospital will consult, and I don't know what the disease is. Urology ...... I'm really not very skilled.

During the surgical training of patients with hepatic echinococcosis, an intermediate skill book was ordered to improve the surgical skills of urology.

But this is completely insufficient.

Zheng Ren didn't think that he could say anything at the hospital-wide consultation of the Department of Urology, but it was probably Director Qi's support that allowed him to show his face in front of the big directors and the professors who took care of the house.

This is a great kindness, Zheng Ren knows.

Without delay, Zheng Ren took the elevator directly to the Department of Urology. Su Yun didn't follow, if he brought his assistant at this time, how big would the shelf be? I'm afraid that if I go in, I will be disliked by the big directors.

Urology, show the door of the classroom, Zheng Ren knocked lightly on the door, and then pushed the door in.

More than a dozen people sat in the room, and at the front was a projector with patient information.

Seeing Zheng Ren coming in, Director Qi and Director Miao of the Department of Urology beckoned at the same time.

Zheng Ren paused for a moment, then bowed slightly to Director Miao, and then came to Director Qi and sat down.

Did you have such a difficult multiple-choice question when you first came in?

What does this mean? Zheng Ren was in a trance.

"Here's the medical record, you take a look at it first. Director Qi said, "If you eat accurately, say a few words." If you can't eat it, just watch it here. ”

Zheng Ren heard the meaning of care and nodded.

The patient, a 23-year-old woman, came to the imperial capital for infertility because she had no menstruation, and an adrenal tumor was found.

As soon as he began, Zheng Ren was attracted by the special case.

At the age of 23, I have never had a period, so I know how to treat the disease?

After looking closely, Zheng Ren realized that this patient was a female patient from another place. After marriage, I have never been pregnant, and when I came to the imperial capital to see a doctor, I realized that I had never had a menstrual period.

Abdominal ultrasound examination showed that the right adrenal gland area was equal to the image of the echo mass, the size of which was about 6.5cm × 6.4cm.

Contrast-enhanced CT examination of the abdomen showed a mass of hypodense shadow in the right adrenal gland area, with a size of about 6.54cm, and the contrast scan showed that the lesion was rich in blood vessels and rapidly cleared in the venous phase, and the adrenal tumor was considered.

Various laboratory tests are also relatively complete, testosterone, androstenedione, dehydroepiandrosterone sulfate, blood cortisol, and adrenocorticotropic hormone are all high.

This is supposed to be an endocrinology disease, but there is an adrenal tumor, so I came to the urology department to be hospitalized and prepared for resection.

This is a more complex disease, which is not the same as a simple trauma.

Zheng Ren has an understanding of Director Miao of the Department of Urology, and his surgical techniques are quite good.

The kidneys eroded by the carcinoma can be almost perfectly removed and the hydatid vesicles are peeled cleanly, which is already very high. With a systematic way of judging, it is at least the level of a grandmaster.

But the patient's disease is not so simple.

To know where the mass occurs, it's the adrenal glands.

Zheng Ren has encountered a patient with liver cancer accompanied by adrenal metastases, and the adrenal metastases were embolized during the operation, and the patient's blood pressure suddenly dropped.

This endocrine organ, after touching, will undergo unexpected changes.

In particular, the woman's condition is very complicated, and it is not a simple removal of the adrenal tumor.

Zheng Ren looked at the medical records and gradually became stunned.

At this time, the doctor in the endocrinology department is making a point. The man was forty or fifty years old, and his speech was very good.

Zheng Ren listened while looking at the medical records. His main point is to consider the right adrenal mass as a cortical tumor, with the exception of adrenocortical carcinoma.

Patients with elevated cortisol levels should be closely monitored for vital signs, electrolytes, and mental changes during the perioperative period, and treated with glucocorticoid supplementation.

Decent and decent, there is nothing wrong with treatment and judgment.

"Boss Zheng, can you find the problem?" Director Qi asked in a low voice.

Zheng Ren asked, "Is there a gynecological examination?"

"......" Director Qi was stunned for a moment.

"I don't think it's just an adrenal gland lesion, it's just an adrenal mass change. Zheng Ren whispered: "I'll think about it again." ”

"It's not just an adrenal space-occupying lesion, you think so?"

"Hmm, who still thinks about it?" Zheng Ren suddenly became interested, he just thought on a whim, thinking that this disease might be similar to some rare disease, but it was just an idea, he didn't dare to talk nonsense on such an occasion.

"Director Cui in the kidney. Director Qi pursed his mouth and said.

"What does Director Cui think?"

She wasn't quite sure, but said it could be a hydroxylase deficiency that caused the disease. ”

"21 hydroxylase deficiency?!"

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798 Hospital-wide consultation