"Spinal stenosis is very common in our orthopedics, and most patients do not need treatment because vertebral surgery is more difficult, and no one wants to do it without complete certainty." Deng Chaohong saw that Ji Xiang was very good at communication and did not be stubborn, so he started the mode of earnest teaching.

His teaching model is not the same as the system, and it is not verbose, which may have something to do with his age and Deng Chaohong's personality.

Ji Xiang listened carefully, and Deng Chaohong took advantage of the time when the patient went to pick up the film to tell Ji Xiang a little more.

His basic skills are solid, and the operation is good, otherwise Zhao Jixiang and Dean Zhao would not have sent his son to Deng Chaohong's hands.

Ji Xiang listened with relish.

After about ten minutes, the patient limped back with the film.

"Professor, I'm back, here's the film." The patient came back with a bag of tablets and handed it to Deng Chaohong.

"After watching the film, you'll know what spinal stenosis is." Deng Chaohong smiled, filling the teacher's demeanor, and then full.

"Click~"

The film is inserted into the reader.

Deng Chaohong glanced at it, and the person was stunned.

I actually "guessed" wrong, the patient is not a problem with the spinal canal!

There are cord-like and tortuous abnormal mass shadows in front of the spinal dura, and the T1 and T2 weighted images are hypointense, distributed behind the L4~S1 vertebral body, and are obvious at the level of the L4/5 space, and the two longitudinal arches of the anterior venous plexus in the spinal canal are dilated, located on the ventral side of the dura, forming a specific imaging manifestation of "spectacle sign".

Professor Tang looked at the "glasses" on the film in a daze, stunned for a few seconds, and then tried to recall what he saw during the physical examination.

The physical examination is not difficult, the joint is painful, there are no other neurological symptoms in the limbs, and the clinical signs of spinal stenosis are more consistent with the physical examination.

But!

Deng Chaohong thought of the question that Ji Xiang had just been "trained" by himself.

"It's not spinal stenosis, it's a blood vessel problem." Although Deng Chaohong didn't want to admit it, it was pointless to die until he died.

How to choose his own face problem and a true diagnosis and corresponding treatment, Deng Chaohong didn't think about it at all.

Isn't it clear how to choose?

"Our local doctor didn't get it." The patient said hopefully, "They asked me to come to the provincial capital."

"You sit down."

Deng Chaohong's ears rang with what Ji Xiang had said to the patient more than ten minutes ago.

He felt his old face flush a little.

But if the diagnosis is wrong, what can I do?

It should be a rare disease, and it is also a good choice to continue the physical examination along Ji Xiang's train of thought, Deng Chaohong comforted himself.

The patient takes off the socks.

Just as he took off his socks, Deng Chaohong's eyes widened and he was inexplicably surprised.

The patient wears a pair of black socks, which make little difference between those who take them off and those who don't.

Even taking off his socks gave Deng Chaohong the illusion that a patient was wearing another pair of socks in his socks!

Wrong!

As a doctor, Deng Chaohong immediately noticed that something was wrong.

But what was wrong, he couldn't tell. As for the discoloration of underwear and socks, it is even rarer than rare diseases, and few patients who usually see them will have a brain root to this extent.

"I wash my feet every day, and I don't know what socks are fading, really." The patient said nonchalantly, "Professor, do you need me to lie down?"

….

"Hmm." Deng Chaohong nodded absentmindedly.

Seeing that Ji Xiang didn't speak, he began to check his body.

A few minutes later, Deng Chaohong went to wash his hands, "Is your blood sugar normal?"

"Normal, I'm not diabetic."

According to the description in the book, the patient's condition is called pigmentation in the foot boots, which is extremely rare, and Deng Chaohong himself has only seen it once or twice.

What is the diagnosis? Deng Chaohong struggled to find the remaining fragments of memories in his mind.

"Don't you have a stomachache?" Ji Xiang suddenly

Ran asked.

Belly, belly......

Ji Xiang's question was like a flash of lightning, and Deng Chaohong immediately thought of a patient he met when he went to the consultation a few years ago.

Finally, the patient should have received the vascular department.

"It doesn't hurt." The patient grinned.

Although Ji Xiang is a young doctor, he still gives enough courtesy and respect.

"Xiao Ji, what are you thinking about?" Deng Chaohong, like the patient, also gave Ji Xiang full respect.

He never thought that Ji Xiang was just a regular trainee, which doctor of regular training could break so many records with a knot. So this time, Deng Chaohong was as good as a stream, and he knelt down all of a sudden, ready to listen to what Ji Xiang had to say.

"How do I feel like Budd-Chiari syndrome." Ji Xiang told the diagnosis given by N when he went to the system operating room for advice before.

"Uh......" Deng Chaohong was stunned for a moment, and then said, "You, lie down, your stomach is exposed."

The patient was a little surprised, but still lay down according to Deng Chaohong's words.

Lifting the clothes, several thick veins in the patient's stomach snaked like worms, and seemed to move with the blood flow.

Venous distension, pigmentation on the foot boots, these keywords and MRI images all invariably suggest Deng Chaohong - the patient will definitely not be a simple spinal stenosis!

"I'm going to make a call." Deng Chaohong patted the patient and motioned for him to get up.

"Professor, what's the call?" The patient asked.

"Find someone else to consult, your current situation should not be our orthopedic disease." Deng Chaohong tried his best to contain the emotions in his heart, and gently explained to the patient, "Rest assured, there is a high probability that there will be a clear diagnosis when you come to the Second Affiliated Hospital."

The patient is relieved.

Tossed hundreds of miles, dozens of days, in order to make a correct diagnosis.

Deng Chaohong turned to leave, and glanced back at Ji Xiang when he was about to go out.

A few minutes later, Deng Chaohong came in with Director Wang of the Vascular Department and Director Zhao Xiangming of the Interventional Department.

"I...... Dr. Hexiao Ji suspected Budd-Chiari syndrome." Deng Chaohong said.

"Doesn't your stomach hurt? Do you have to come to your orthopedic department? Does the patient have any signs of a spider-man?" Zhao Xiangming asked.

After entering the door, he glanced at the patient, Zhao Xiangming smiled, "It shouldn't be. More than 10 years ago, I watched the NBA draft, a big tall Spider-Man with long hands and feet, and I thought if he had a bulging belly, he would definitely have Budd-Chiari syndrome."

kd? Ji Xiang smiled, what Director Zhao said was really a bit similar.

Although having said that, Zhao Xiangming immediately went for a physical examination.

In addition to the absence of abdominal pain and chronic ulcers, the patient's symptoms were consistent with the thick sinuous distended veins of the thoracic and abdominal wall, pigmentation in the foot boot area, and a small amount of fluid on intra-abdominal percussion.

"I took the patient away, Budd-Chiari syndrome is not common, but the operation is very simple." Zhao Xiangming comforted the patient.

"That ......"

"Go with Director Zhao." Deng Chaohong personally sent the patient and Zhao Xiangming away.

The disease was treated by the interventional department, and the patient was found with a suitable department for treatment, and Deng Chaohong was also very pleased.

Doctor of the Department of Healing.

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