I can see the status bar

Chapter 843 Misdiagnosis? (addition 09 for leader Arashiyama froeset)

Sun Li'en was completely unaware that there was a malicious staring at him.From his point of view, this was just a very... poor and unlucky patient.He is desperately trying to find a way to save his life.

When seeing a doctor, Sun Li'en thought to himself that he had done his best every time.But until now, Sun Lien was surprised to find that he still had some potential to tap.

Treating this patient was a big undertaking.Sun Lien said before that treating a newborn is like treating another species.Although it is not as exaggerated to see a doctor for the elderly, it is indeed different from ordinary patients.

Before infusing Qiu Zhenhua, Sun Lien deliberately controlled the amount of medicine infused.The heart function of the elderly is generally weak. If the fluid rehydration is carried out according to the customary standards of healthy adults, it is very likely to induce acute left heart failure immediately.But how much is safe, Sun Li'en doesn't know.

What is more troublesome is that there is no dedicated geriatric ward in the fourth hospital.It is impossible to directly grab a specialist doctor for consultation as before.Sun Li'en thought about it, and finally decided to invite a doctor from the Department of Endocrinology to come over to take a look - many of the patients that the Department of Endocrinology usually handles are middle-aged and elderly people, and their experience in handling them is worth learning from.

In addition to endocrinology, the ICU doctors were also invited by Sun Lien.The humble little grandson apologized online, said all the good things and promised to treat him back to dinner, so the attending physician who came to the ICU for consultation reluctantly agreed to "help monitor it" and promised him an ICU bed.

I don't know if Qiu Zhenhua's physical fitness is really good, or the old man should not die.After fresh frozen plasma and vitamin K infusion, his vital signs gradually stabilized.Although the blood oxygen saturation is still around 93%, at least the cough and hemoglobin levels have basically stabilized.

Qiu Zhenhua's current vital signs are relatively stable, and the next treatment cannot be flooded.Sun Lien checked the status bar again and again, and after confirming that Qiu Zhenhua had no other problems, together with the two nurses and Qiu Huaqiang, he pushed the old man into the CT room to start the examination.

Soon, the doctors in the radiology department found the abnormality of Qiu Zhenhua's lungs - there was a nodular high-density shadow about 2.3 cm by 2.1 cm in the thymus area in his mediastinum, with uniform density and clear boundaries.Under the enhanced scan, it showed uneven mild enhancement, with a CT value of 70-80HU.

"This is a space-occupying lesion." The doctor in the imaging department looked at the examination results with a helpless expression. "Looking at the location, the chances of thymoma are very high. Now I have symptoms... Trouble."

Thymus cancer has a high mortality rate, mainly because tumors in this location often have few signs and symptoms.The diagnosed patients are almost all in the late stage, from discovery to death...the progress will be very fast.

Sun Lien glanced at Qiu Zhenhua who was lying on the CT examination bed, then frowned and asked, "Are there any space-occupying lesions in other places?"

"The chest and abdomen are gone." The doctor in the imaging department didn't dare to neglect. After repeated inspections, he shook his head and said, "This part is not found, so it's hard to say about other places."

"Is the lymphatic swelling in other places?" Lymphatic tissue is densely distributed around the thymus. If the patient has thymus cancer, the possibility of lymphatic metastasis is also very high.

"It doesn't seem to be..." The CT scan of the chest and abdomen area can also see the patient's axillary lymphatic tissue.But this area is also currently everything is normal. "Could it be the early stage?" The imaging doctor pondered for a long time, but couldn't figure out why this old man in his 70s who was still showing symptoms had no signs of metastasis.

"So, it is very likely that this location is not a tumor at all." Now, Sun Lien finally understood what was going on with the previous diagnosis - this is not a rare case of a tumor being cured by traditional Chinese medicine and the human body at all.This is a misdiagnosis misled by the results of imaging examination!
With the help of the status bar, Sun Lien can confirm the diagnosis [-]%, and Qiu Zhenhua has no tumor.The mediastinal space-occupying lesion that looked like thymus cancer was actually his bullae.

"The tissue density in this place is about the same as the lens of the human eye, 70-80 HU." The doctor in the imaging department knew that he should try his best to explain the significance of the imaging examination to Sun Lien.Although Dr. Sun is extremely talented, he is still young.Clinical experience may not be particularly rich.A detailed explanation of the examination may help him identify the cause as soon as possible.

The lens in the eyeball is essentially an elastic tissue rich in water.The outer side is surrounded by a transparent tegument without any other structures except the lens capsule, lens epithelium, lens fibers, and zonules.

The CT value is essentially a measurement unit for measuring the density of the human body, and the unit is the Hoinz unit (HU).Air has a CT value of -1000, while dense bone is +1000.

"Similar to a crystal?" Sun Li'en was taken aback for a moment, and then immediately came up with a hypothesis - if the tissue outside the bulla acts like a lens capsule, then the material in the bulla...may have a density similar to that of crystal fibers.

In other words, there is something in Qiu Zhenhua's bullae, and the density is about the same as a mixture of water and protein... Sun Lien's eyes widened suddenly, and he asked the imaging doctor beside him, "What is the HU density of the thrombus?" How many?"

"It's usually 64~84HU." The doctor in the imaging department thought for a while and replied, "Do you think... this is a thrombus?"

"It may not be a blood clot." Sun Lien shook his head, he seemed to have guessed the answer, "The patient has symptoms of coughing up blood, so... where did the blood come from?"

"From...from the blood vessel?" The imaging doctor was obviously not a qualified joker, even though he was already working very hard to answer Sun Lien's question. "I didn't see any hemorrhage in him."

"No, no, you've seen it." Sun Lien pointed to the space-occupying lesion on the screen and said, "This is it."

"This is the diaphragm, which is not connected with the lungs." The doctor in the imaging department wondered, "Do you think the patient has a lung perforation? This is impossible. He has no symptoms of pneumothorax, and I have not seen any pneumothorax. "

Sun Lien was taken aback, the doctor in the imaging department said it was the diaphragm, but...the status bar did not mention that there was a problem with the diaphragm.He looked at the CT display again, but with Sun Lien's level of two knives, there was really no difference. In the past three years, radiologists with different specialties in the two hospitals had all performed examinations, and both of them thought The lesion in this place is the thymus, not the lungs.How did this happen?

　The second is less... The position of the thenar on Sanguan's right hand is unbearably painful, probably due to muscle damage caused by typing too many spaces... So the update is late and the volume is not too much, I'm sorry everyone.I'll write more when things get better.

　　
　
(End of this chapter)