Chapter 214: Controversy
What kind of hint did the two systems suddenly appear to indicate that the silicon reflection exceeded the standard, Xu Yuanyuan was stunned, and saw through the light, when did he have this function?
However, at this time, he was too lazy to be surprised, after all, many functions of the system are being explored, where can he completely touch the comprehensive, since the system now prompts this what silicon reflection exceeds the standard, then you have to figure out what it is.
After all, the attached ones and MRI and other examinations did not show that the lungs were abnormal, but my own light and transparency were shown, and it seems that it is necessary to confirm whether it is the real cause of the patient's cough.
Excessive silicone reflex is likely a sign of sand lung, a lung disease caused by inhalation of large amounts of industrial dust, which is more common among mine workers.
The manifestation is coughing, shortness of breath, etc., but this is not certain.
"Describe the detailed analysis report," Xu Ze continued to order.
"Di, the lung line is permeable and the patient's lung interstitium generally contains a small amount of dioxide, resulting in a slight lesion of the lung interstitium." The automatic response system responds quickly.
"Silica, silicosis?" Xu Ze couldn't help but raise his eyebrows, it turned out to be a cough caused by silicosis!
However, the attached lungs and MRI showed that no abnormalities were found, so their diagnosis should not consider silicosis, but since Li Moling said that it had been diagnosed, what kind of disease would it be that they misdiagnosed.
Thinking of this, Xu Ze had a headache, he had already been diagnosed with a disease, but he still had to figure out what kind of disease was misdiagnosed, which was really difficult.
But it's embarrassing, since you bet with Li Moling, you still have to think about it, otherwise if you lose, your face won't look good, and if you lose to such an obscene guy, you are really a little unwilling.
Looking at Xu Ze's frowning and embarrassed appearance, Li Moling became more and more proud in his heart. At most, you can conclude that there is a mycoplasma pneumonia, and you will never think about the problems of the central nervous system.
This was only diagnosed after a few of our doctors and the director consulted together, and I will see how good you are.
Li Moling thought so proudly, but when he saw Xu Ze turn around and look at himself, there was a hint of hesitation in his eyes.
Just as he Li Moling was becoming more and more proud, he heard Xu Ze frown and said uncertainly: "You should diagnose him as a central nervous cough."
"Ga" Hearing Xu Ze's words, Li Moling's expression instantly froze, he looked at Xu Ze in a daze, and said with an ugly face after half a sound: "Have you read this patient's medical records?" ”
Looking at Li Moling's ugly expression and the suspicion in his eyes, Xu Ze smiled disdainfully, and then said, "Doctor Li, this patient, you consider central nervous cough because the examination did not find any other abnormalities, and it is a frequent dry cough, so you should make a diagnosis!" ”
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Hearing Xu Ze's reason, Li Moling snorted: "You have really read this medical record, the consultation records on these medical records are very clear, no wonder you can guess correctly!" ”
"Doctor Li, whatever you say, you can admit this bet, or not" Xu Ze shook his head lightly and said with a light smile: "But there is a problem with your diagnosis, he is not a central nervous cough"
Hearing Xu Ze's words, Li Moling was happy again, and sneered: "Do you still think he is a mycoplasma infection?"
"No, mycoplasma infection I think you have already ruled it out, this patient should be a sand lung," Xu Ze said with a light smile: "You are wrong, simple central nervous system cough generally rarely appears, and he is this, but it is very likely to be caused by sand lung,"
Xu Ze hadn't finished speaking, but this Li Moling had already sneered, pointed at Xu Ze and laughed loudly: "Silicosis? You have a brain problem, chest X-ray, no problem with your lungs, you still say silicosis"
The classmates in Xu Ze's group were originally excited to see that Xu Ze had really checked out what was wrong, but at this time, Xu Ze actually said that the respiratory medicine department had made a mistake, and they were all surprised, thinking that Xu Ze was really dizzy suddenly, otherwise how could he say such a thing.
How could it be wrong to come to the conclusion that so many chief doctors of the Department of Respiratory Medicine were consulted together, even if it was wrong, no matter how powerful Xu Ze is, it is impossible to be more powerful than so many directors and doctors, right?
Thinking of this, everyone looked at Xu Ze worriedly, hoping that Xu Ze would stop dwelling on this issue, after all, he had already checked out this central nervous cough, and it would not be considered a loss
It's just that Xu Ze doesn't want to give up so easily, the first of all, he is really not used to seeing this Li Moling, and secondly, since they have been misdiagnosed, then if the treatment continues like this, using some central antitussive drugs, maybe there will be a certain amount of lying on the stomach for the time being. But there is no benefit, and with the passage of time, the patient's disease may become more and more serious, and at that time, even if silicosis is found again, the effect of drug treatment will not be too good.
Faced with Li Moling's sneer, Xu Ze chuckled, so lazy that he didn't bother to pay attention to him, and then continued to conduct some consultations on the patient to clarify whether there was more basis for his silicosis diagnosis.
At this time, the patient also listened to the words of the two, and Xu Ze, who saw him, seemed to speak very confidently, although he felt that this little doctor was not very reliable. But he was also a little worried, after all, he had been treated for a long time, and the effect was indeed not very good, so when Xu Ze asked for a consultation, he was extremely cooperative.
Soon, Xu Ze asked what he wanted. There is a large lime mine near the patient's home, and although he does not work in the lime mine, there is often a lot of dust in the vicinity of the house.
Since there is a history of exposure to industrial dust, Xu Ze is more and more sure of this, and immediately smiled at Li Moling: "Did you hear it, the patient has a history of exposure to industrial dust, so it is very likely to be sand disease, I suggest that you still ask Director Qian to consult again, otherwise, if you continue to use medicine like this." I'm afraid it won't work very well."
Seeing that Xu Ze looked like he was teaching himself, Li Moling was angry, this patient had obviously been diagnosed with central nervous system cough, but this kid was stunned to be here, messing around, and he looked like he was teaching himself, who he was.
immediately laughed angrily: "Okay, you are a trainee, but you have taught me, can it be that so many of our directors and doctors will be worse than you as a trainee?"
Li Moling was about to continue teaching Qi Xu Ze, but the patient next to him, who was becoming more and more worried, interjected: "Doctor Li, since this little doctor thinks so, you can talk to Concubine Qian Ren and see if you want to rule it out again, so that this little doctor can understand."
Listening to the patient's vague worried words, Li Moling only felt that blood rushed to his face. He was really stunned by Xu Ze's kid today, and even the patient was coaxed by him, so he laughed coldly and angrily: "Okay, since you insist, then I'll ask Director Qian to take a look!" Let me tell you Xu Ze, if Director Qian says that you have no basis for this, then you are a trainee who disrupts the medical order of our hospital and destroys the reputation of our hospital, I want to see if you can afford this responsibility! ”
"Okay, please ask Director Qian to take a look, this is also responsible for the patient" Xu Ze smiled lightly, and said indifferently; He wished that Director Qian would come and take a look, only if he came to see and persuaded him, it would be possible to diagnose this patient, and in this way, he would be able to suppress the arrogance of Li Moling.
Li Moling ran to the director's office and said something about it, saying that Xu Ze had ruined the reputation of the hospital, and Director Qian's face was not very good-looking when he came over. This Xu Ze is really good at causing trouble."
However, since the patient requested, he naturally had to examine the patient carefully to eliminate the patient's doubts;
After coming in, although his face was not very good-looking, he still asked Xu Ze why he doubted this diagnosis, after all, this Xu Ze was very familiar with his immediate boss, Zhang Lide, the director of the Department of Internal Medicine, and Zhang Lide also explained that Xu Ze could see patients at will, so he still gave Xu Ze some face, otherwise if it was someone else, I was afraid that he would have been brought to the office for a while.
Facing Qian Zhixun, Xu Ze did not have any fear at all, and told the situation he had just asked, of course, he could not say that he had discovered that there was already a small amount of silica, that is, silica dust, in the patient's lung interstitium.
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He just reminded: "The patient has a history of long-term exposure to industrial dust, and it is an irritating dry cough, I think it is still necessary to consider the cause of this aspect of the subtle changes in the early stage of silicosis, as if sometimes the line, and can not be clearly detected"
Qian Zhixun heard Xu Ze's words, and the look on his face became a little serious, some of what Xu Ze said also aroused his worry, at that time, he was diagnosed with central nervous cough during the consultation, and it was also because there was no abnormality found in various examinations, so he could only make this diagnosis.
But if Xu Ze said, then the possibility of silicosis is not impossible.
At the moment, Xu Ze's face softened slightly, and then he made a detailed inquiry to the patient again, and it was mainly for sand lung.
And Li Moling on the side, seeing that Director Qian was not directly taught this by his own words, the trainee, and asked the trainee so politely, and even seemed to seriously consider the trainee's opinion, and there was some interest, this Li Moling became more and more depressed now.