"Hehe, this mother and daughter are really wonderful, there are dignified experts, the deputy chief physician doesn't look at it, what are you looking for Xu Zhuo? Do you know, that Xu Zhuo is an intern!"

Ginkgo Hospital, Pediatric Outpatient Department, Xu Zhuo, Ni Xiaomiao and Zhang Kaiyuan had not yet arrived, when they heard a young man's voice shouting from a distance. The latter sentence seems to be addressed to the mother and daughter who came to see the doctor. Listening to the voice, there is no doubt that it is the intern doctor Yang Wei.

The dignified expert and deputy chief physician in Yang Wei's mouth was naturally his instructor Du Wenmou! As his disciple, Yang Wei naturally jumped out and shouted when he saw his teacher humiliated. As everyone knows, this is a big fuss, but it will let more people know and watch the joke. It can be said that the horse's fart was slapped on the horse's leg.

Sure enough, in the consultation room, Du Wenmou's displeased voice came out coldly: "Yang Wei, you do your own thing! Don't talk about it here, what kind of system will it be!"

"Ah, Dr. Zhang and Xu Zhuo are here!" a medical staff exclaimed when they saw Xu Zhuo and them.

"Hehe, now the Lord is here. I watched the excitement, and I don't know what nerves the mother and daughter had made a mistake, so they designated Xu Zhuo!"

"Hehe, yes, if you appoint Dr. Zhang, it is excusable, designate Xu Zhuo? It's just funny!"

"This is the first time that an intern has been in such a limelight in our hospital!"

"It's not over yet, how do you know it's a showmanship? Maybe, it's a big mess?"

"Haha!"

……

The onlookers were all talking about the medical staff, patients and their families. Of course, there are also many people who support Xu Zhuo, after all, Xu Zhuo and Zhang Kaiyuan are quite popular in the hospital. But no matter how good they are, there are always some people who don't like them. After all, the forest is big, and there are all kinds of birds.

"It turned out to be you!" Xu Zhuo squeezed into the crowd, and when he saw the mother and daughter, he couldn't help but smile and said. He naturally recognized the mother and daughter, the girl was thirteen years old, and she had come to see the doctor a few days ago, Xu Zhuo knew that she had four kidneys, and now her condition has deteriorated a little, and her backache, pain, and swelling are sore, painful, and swollen, but her mother thinks that the little girl's menstruation is coming, which is a normal phenomenon, so she ignores Xu Zhuo's construction. Now, presumably menstruation is over, but the symptoms of backache and backache and backache and backache are still there, maybe even stricter, and then thinking of Xu Zhuo's groaning that day, he hesitated, just thinking that it was a serious illness, so he rushed over in a hurry.

In fact, it is. **Not far from ten.

"Ah, Doctor Xu, you're here!" As soon as the middle-aged woman saw Xu Zhuo, her eyes lit up, and she hurriedly pulled her daughter and rushed up, saying, "I offended a lot last time, and I hope that Doctor Xu will not be surprised." You could see it last time you checked it casually...... My daughter has other diseases, and she must be very skilled, so hurry up and help my daughter take a look. But don't be a serious illness!"

Xu Zhuo groaned slightly, and said: "Your daughter's illness is not serious, but it is not light!"

"Ahh

At this time, everyone around also looked at Xu Zhuo, wanting to hear what he had to say.

Xu Zhuo glanced at everyone, and said to the girl's mother: "It's not light, because if this disease wants to be cured, surgery is inevitable." ”

"Huh, still need surgery?" the girl's mother couldn't hold her breath, interrupted Xu Zhuo, and asked eagerly.

Xu Zhuo said: "It must be operated." I preliminarily concluded that she had a repetitive kidney malformation, which was caused by chromosomal abnormalities, which occurred in the mother's womb, and had little to do with heredity. ”

As soon as these words came out, the girl in question lost her face, and the girl's mother was even more stunned for a while! Kidney problems? Kidneys are important organs of the human body!

The people around were also talking.

Yang Wei was very unconvinced and shouted: "Repeated kidney malformation? That can only be known after a series of examinations, and you haven't given them a list of examinations, how can you make such a random conclusion?"

In the consultation room, Du Wenmou, who had been sitting without moving, also sneered at the corner of his mouth, and said in his heart, what kind of apprentice this Zhang Kaiyuan brought is simply unbelievable. Isn't this fooling the patient indiscriminately? Hehe, see how you end up with Zhang Kaiyuan?

Zhang Kaiyuan naturally frowned, he didn't expect that Xu Zhuo would say this directly. Just as he was about to step forward to say a few words, Xu Zhuo seemed to sense his thoughts, and turned around and said, "Doctor Zhang, don't worry, I am ninety percent sure of this." Besides, the real diagnosis must be done after the examination. ”

Seeing Xu Zhuo so confident, and thinking of all the strangeness that Xu Zhuo usually expressed, Zhang Kaiyuan smiled slightly and motioned him to let it go.

"Well, doctor, what is the disease of repeated kidney malformation?" the girl's mother reacted, anxious and still confused.

Xu Zhuo explained it to them in detail, but looking at their final expressions, it was estimated that they didn't understand, but it didn't prevent them from understanding the trickiness of this condition.

Subsequently, Xu Zhuo took the mother and daughter into the consultation room and used Dr. Zhang's account to write a CT examination list for the sick girl. Zhang Kaiyuan naturally followed in and checked it.

In terms of renal duplication malformation, there are generally three imaging diagnosis methods in Western medicine.

One is intravenous urography, which clearly shows well-functioning duplicate kidneys and double ureteral malformations, but is prone to misdiagnosis of malfunctioning duplicate kidneys.

One is ultrasonography, which can show well-functioning repeat renal malformations, but it is not good for double ureters and duplicate kidneys with hydrops, and ultrasound is difficult to detect the location of the ectopic opening of repeat ureters, and it needs to be differentiated from cysts of the upper pole of the kidney and double renal pelvic malformations.

The other is CT examination, which can clearly show duplicate renal malformations and double ureters with hydrops, which can more clearly show the contents of the duplicate kidneys, and CT continuous level observation can determine the ectopic opening of the ureter, but the repeated ureters without dilation are not clear and intuitive.

For this girl's condition, Xu Zhuo felt that CT examination was the most suitable. In addition, a list of urine routines was opened. These two checks, in fact, are very fast, the key is to see how many people are lined up in front.

The girl's mother hurried away with the sick girl, while Xu Zhuo and Dr. Zhang waited in the consultation room. Naturally, acquaintances come and talk to them and discuss their condition.

Not far away, Yang Wei smiled coldly, and said to a few people around him: "Everyone will watch a good show in a while! If it is found out that there is no disease at all, or kidney stones or something, it will be funny." ”

Du Wenmou shouted: "Yang Wei, I told you a long time ago, don't talk nonsense." Misdiagnosis, or making a fool of yourself, is that someone else's business, does it have anything to do with you? To be a doctor is to be calm. The implication is that even if you want to gloat, you have to wait for the results to really come out.

Regarding Du Wenmou's yin and yang weirdness, Zhang Kaiyuan didn't bother to pay attention to it.

Actually, Zhang Kaiyuan is not very sure, but since he let Xu Zhuo do it, although he has no confidence at this time, he has to grit his teeth and harden his head.

Seeing that Zhang Kaiyuan didn't accept the offer, Du Wenmou said again: "Misdiagnosis or making a fool of yourself is a trivial matter, the key is that if it affects the reputation of our Ginkgo Hospital, it will be very bad! Hmph, when the time comes, I will have to report this matter to the director and the dean!"

Zhang Kaiyuan still ignored it, because his level was one level lower than Du Wenmou. Xu Zhuo couldn't help it, and said loudly: "Doctor Du, you think too much, misdiagnosis will never occur." ”

Du Wenmou was quite displeased, and he wanted to reprimand, but when he thought of his identity, he immediately didn't bother to reason with a junior. He whispered and ended his shouting: "The results will come out soon, and you will know when the time comes." ”

Xu Zhuo was stunned, shouldn't I be able to say this?