Chapter 55: Diagnosis

"Lao Jiang, you are from the Department of Gastroenterology, what do you think?" Zhang Zhi asked Jiang Feng to answer by name, although he was the only attending physician present, his medical skills were obvious to all.

Jiang Feng's thick brows furrowed, and he shook his head, "I don't feel like appendicitis, but I can't tell what the disease is." ”

Zhang Zhi's gloomy expression was about to wring out of the water, "What about the others?" Don't have any other ideas? ”

The entire lecture hall was unusually quiet, and the leaders who usually called for wind and rain in their own departments were silent at this time, and they all lowered their heads and did not dare to look directly at Vice Dean Zhang Zhi.

"Think about some rare diseases!" Zhang Zhi was very anxious, and his palmar knuckles kept tapping on the table. "Do I have to go to the outer hospital to ask a specialist to come back for a consultation?" Zhang Zhi pondered in his heart.

In the wide room, I could only occasionally hear the sound of everyone flipping through the medical records, and I didn't dare to come out under the gaze of Zhang Zhi's eyes.

"Rare disease?" Jiang Feng's heart jumped when he heard this word, and he suddenly thought of a disease.

"Isn't this Crohn's disease in inflammatory bowel disease?!"

Jiang Feng recalled in his mind the 500-word paper that Zhang Fan showed him, although the article was short, but it described the clinical characteristics of inflammatory bowel disease in great detail, among which inflammatory bowel disease is divided into two categories, Crohn's disease and the other.

"Abdominal pain in the right lower quadrant can occur anywhere in the gastrointestinal tract, but is more common in the terminal ileum and right colon. The epidemiology and symptoms of Crohn's disease are exactly the same as in this patient's condition! Jiang Feng's face was flushed, but it was not obvious under the cover of his dark skin, and his hands trembled slightly as he flipped through the medical records.

All the directors in the lecture hall were sad, especially Yang Jie, the director of gastrointestinal surgery, the situation has developed to the point where it is completely beyond his control, and everyone is helpless about the patient's condition.

At this time, Jiang Feng stood up in the surprised eyes of everyone.

"Dean Zhang, I just had an idea." Jiang Feng looked around at the chief physician sitting around him, and suddenly felt that this feeling of looking down was wonderful.

"Speak quickly!" Zhang Zhi looked at Jiang Feng, a glimmer of light flashed in his eyes, and the fists in his hands were clenched.

The doctors from the surrounding departments all looked at Jiang Feng, and they knew Jiang Feng, the attending physician of the Department of Gastroenterology, who was able to sit here and consult with them.

A person who has not been able to be promoted for many years because of the poor level of his thesis can actually see the clues of this disease?

The doctors who came from various departments looked at each other, their eyes full of suspicion for Jiang Feng.

"I read in a medical journal about a disease whose signs are very similar to acute appendicitis, and the misdiagnosis rate in ordinary hospitals is about 80%!"

Jiang Feng's tone was sonorous and powerful, and he was about to continue, when the door of the room was suddenly opened.

The head of the medical department hurriedly walked in, "Dean, there is an emergency that you need to deal with!" ”

Zhang Zhi saw the anxious expression of the head of the medical department, and his heart sank, he had already ordered not to disturb this consultation if there was no major matter, "Section Chief Shen, what happened?" ”

Shen Lijun leaned into Zhang Zhi's ear and bowed his head and said a few words, his face became a little ugly, "Let's go, let's go out and have a look together." ”

After Zhang Zhi left, everyone in the classroom looked at each other, not understanding what was happening at all.

At this time, Yang Jie, director of the Department of Gastrointestinal Surgery, came over and gave Jiang Feng a smile that was difficult to see.

"Brother Jiang, what kind of disease is this? Tell me about it. Yang Jie enthusiastically hugged Jiang Feng's shoulders and tried his best to release the greatest kindness.

The surrounding doctors also focused their eyes on Jiang Feng, and this middle-aged man who was about to go bald made everyone feel new for the first time.

Jiang Feng was a little flattered, the doctors at this level present naturally wouldn't be too familiar with him, usually he had something to do with these directors, and everyone was reluctant to deal with him, but he didn't expect to take the initiative to find himself at this time.

Jiang Feng threw away the distracting thoughts in his heart and said softly: "Crohn's disease!" ”

The people present were all director-level figures, who knew something about various rare diseases, but when they heard the words "Crohn's disease", they all fell into deep thought.

"Crohn's disease?" Yang Jie frowned deeply, he hadn't slept well in the past two days, and the spread of his gray hair had increased a few points.

"Crohn's disease? Is it a type of inflammatory bowel disease? Yang Jie was a little hesitant, this disease is too rare in clinical practice, and it is not easy to diagnose Crohn's disease.

Jiang Feng bowed slightly, and told everything he knew about Crohn's disease.

"The cause of Crohn's disease is unknown, but it may be related to infection, genetics, humoral immunity, and cellular immunity."

"The clinical manifestations of this disease are abdominal pain, diarrhea, accompanied by extraintestinal manifestations such as fever and nutritional disorders. The course of the disease is often prolonged, recurrent, and not easy to cure. ”

Jiang Feng glanced at Yang Jie deeply halfway through speaking, "Crohn's disease is extremely easy to be misdiagnosed as acute appendicitis!" Many patients have abdominal pain that does not go away after their appendix is removed! ”

"Director Yang, did you explore the vicinity of the colon when you had appendicitis surgery that day?"

Yang Jie shook his head blankly, "I didn't think much about it at the time, but I just felt that the shape of the appendix was not the same as the shape of the general inflammation." I didn't think about other diseases, let alone the colon. ”

"What's the problem? Why explore the colon? Yang Jie continued to ask, he was only a surgeon in gastrointestinal surgery, and he didn't know much about other diseases.

"Crohn usually develops in the colon, so if you go to explore it, you can feel the ulcer of the intestine."