"In addition to the abdominal mass, what are the symptoms of the elderly?"

Zhao Sheng pondered for a moment and asked the middle-aged woman.

Although the abdominal mass, emaciation, and abdominal CT showed a space-occupying lesion, it was almost certain that it was an abdominal malignancy.

To some extent, the doctors at the local hospital are right, and most of the experience is that only the final diagnosis needs to be done.

But out of rigor, Zhao Sheng still decided to ask about the medical history in detail, which is what many young doctors lack now.

"It's just a little feverish, and I've lost a little weight, and nothing else."

The middle-aged woman thought about it very seriously and said.

"Does your stomach hurt?"

Hearing the middle-aged woman say this, Zhao Sheng seemed to have a little idea and continued to ask.

"It's a little, it doesn't hurt much."

The middle-aged woman replied.

Obviously, she knows her old mother's condition very well, and it can be seen that since the old mother fell ill, she has been by her side to take care of her.

"Do you have any symptoms of bloating or blood in your stool?"

Zhao Sheng nodded and asked again.

"Nope."

The middle-aged woman shook her head.

"Abdominal slice, right?"

At this moment, Zhao Sheng already had a little idea in his heart, but he couldn't be sure yet.

"Well, I brought it."

The middle-aged woman hurriedly handed the paper bag she was holding to Zhao Sheng.

Zhao Sheng took the paper bag, took out the abdominal CT film, and looked at it carefully.

After a long while, Zhao Sheng slowly asked, "Does the old man have the habit of eating fish?" ”

"Huh?"

When Zhao Sheng asked this, not only the old man's children, but even Song Wei and Yu Ning were stunned for a moment.

Isn't it looking at malignant tumors?

Why did you suddenly talk about eating fish?

"Yes. . . Some. ”

The middle-aged woman hesitated for a moment, although she didn't know why Zhao Sheng asked, but she still replied.

"Well, judging from the abdominal CT film, it does look like a space-occupying lesion caused by an abdominal malignancy, but I suggest you do a 3D scan of the abdomen and take a look at it again."

Hearing the middle-aged woman's affirmative answer, Zhao Sheng had a certain number in his heart, and said slowly.

"Doctor, isn't my mom a malignant tumor?"

Hearing Zhao Sheng say this, the middle-aged woman thought of a possibility that she had never thought of, and asked in a trembling tone.

As soon as she asked, the middle-aged man's face also changed, and even the old lady was not the one who wanted to wait for death before.

After all, there is a good saying, it is better to die than to live, and if you can live, no one wants to die.

The old lady is only 67 years old, she has been doing farm work all the year round, she is in good health, and under normal circumstances, there are at least more than ten years.

"Let's go check it out first."

Zhao Sheng did not answer, and before the results came out, there were some speculations that could not be directly told to patients and their families, which was a rigorous and professional attitude that doctors must have.

"Okay, okay, doctor, you can prescribe a test, and we'll do it."

The middle-aged woman seemed to see a glimmer of hope from Zhao Sheng's attitude, because Zhao Sheng's attitude was slightly different from the regretful and embarrassing tone of the oncologist in the local hospital before.

People are like this sometimes, and a little hope will make them desperate to pursue.

After a while, Zhao Sheng opened the list of enhanced 3D scans of the abdomen, and called the imaging department again, asking Yu Ning to take the old lady for an examination.

If you queue up to do 3D scanning, I don't know when I will be in line, Zhao Sheng also sent the Buddha to the west, since I saw it, I have to be responsible for it to the end, so I called the imaging department.

In the First Affiliated Hospital, Zhao Sheng still has this face.

Half past four in the afternoon.

Zhao Sheng had just finished seeing a patient, Yu Ning was holding a paper bag containing CT films, and helped the old lady in with the middle-aged woman, and the middle-aged man also followed behind.

"Mr. Zhao, the results are out."

Yu Ning helped the old lady sit down, handed the paper bag to Zhao Sheng and said.

And the old lady and her children looked anxious and apprehensive, and in the midst of the apprehension, there was still a glimmer of hope.

"Hmm."

Zhao Sheng took the paper bag, took out the piece of the enhanced 3D scan of the abdomen, and looked at it carefully.

Seeing this, Zhao Sheng's previous guess was instantly confirmed, and his expression was also relieved and became a lot softer.

Seeing that Zhao Sheng's expression suddenly softened, several people in the consultation room looked at Zhao Sheng with blank eyes.

"You see, this is where the abdominal mass is, and it's the result of a multi-slice CT scan, which is a three-dimensional imaging."

Zhao Sheng saw that several people were very anxious, and he didn't sell it, put the film on the reader, pointed to a place, and said.

"Uh-huh."

Both the middle-aged woman and the middle-aged man nodded.

However, no matter how much they looked, they couldn't see why.

"Judging from the reading of abdominal malignant tumors, this is indeed a very obvious space-occupying lesion, but if you take a closer look, what is the difference between this placeholder?"

Zhao Sheng continued.

Different?

Hearing Zhao Sheng's words, several people were confused.

After a long time, the sharp-eyed Yu Ning said with some uncertainty and hesitation: "Teacher Zhao, I look like a fish bone. ”

As soon as Yu Ning's words came out, the old lady and her children were stunned.

[Fish bones] and [malignant tumors], these are two completely different results.

"Yes, even if it's not a fish bone, it's a foreign body, and if it's really a tumor mass, the edge can't be so clear, and the shape can't be so certain."

Zhao Sheng nodded, agreeing with Yu Ning's guess.

He also carefully inquired about the old lady's medical history, and found that she had a very clear onset time, and judging from the abdominal CT film, the shape of the abdominal mass seemed too regular, so he had such a guess.

These are two completely different outcomes for the old lady and her family.

If it is a malignant tumor, then such a large space-occupying lesion has lost the chance of radical cure, and the treatment measures can only focus on chemotherapy and radiotherapy, with the aim of prolonging life as much as possible, improving the quality of life within the deadline, and alleviating pain.

But if it's not a tumor, but a foreign body, then surgical exploration and debridement are all that's needed.

According to the principle of "curable" in diagnostics, that is, when two suspicious diagnoses are difficult to establish, one of them has little hope of cure, and the other diagnosis has an optimistic cure, then in any case, the diagnosis and treatment decision should be directed in the direction of hopeful cure.

"Doctor, is this true? Is it really not a tumor? ”

The middle-aged woman said in disbelief that since the old mother was [diagnosed] with a malignant tumor, the family has not eaten and slept well.

Now that she suddenly heard that the old mother might not be a tumor, the middle-aged woman had a feeling of disbelief.

"It's very likely not, so let's do it, you guys stay first, control the infection first, and then transfer to surgery for surgery."

Zhao Sheng said with great certainty.

After the results of abdominal CT enhancement and 3D scanning, combined with the old lady's medical history, Zhao Sheng was able to determine that the old lady was not an abdominal tumor, but an internal abscess caused by a foreign body in the abdomen.

"Okay, okay, thank you, thank you, doctor."

The middle-aged woman said with tears in her eyes.

And the old lady's expression at this moment is no longer as gray as in the morning, and there is also a trace of anger.

The middle-aged man was obviously holding back the excitement in his heart.