Chapter 1767 Partial Closure (Monthly Ticket 4000 Plus More × 8)

Urology department invited the whole hospital for consultation.

All relevant departments were invited, and even hepatobiliary surgery was invited because of the tenderness of the gallbladder area.

In the office, President Yu reported the medical history, and many professors expressed their opinions.

More laboratory tests, but no constructive comments that Yu always thinks.

This intractable disease is tricky, but it cannot be delayed. Yu always knew that the patient was in pain, and this kind of near-death pain really made people feel depressed.

If it drags on for a few days, even if the diagnosis is made clear in the future, and the symptoms are relieved by the correct treatment, the patient may leave a strong psychological shadow or even suffer from depression.

"That's it." The medical staff member in charge of presiding over the consultation of the whole hospital said politely, "Trouble everyone."

Everyone also knows that the opinion you put forward is only a possibility, a possibility with a small probability. I want to make a clear diagnosis... I don't really believe the diagnosis myself.

Packing up and preparing to leave, the door of the office was pushed open, and Zheng Ren strode in.

"Boss Zheng?" President Yu was surprised.

"Well, the diagnosis has been made." The smile on Zheng Ren's face was bright.

"Uh..." Everyone sat back again.

Everyone is also very curious about the "urinary calculus" that is missing a stone in this kind of unpredictable disease. What kind of disease is Boss Zheng diagnosed with?

"Check a cervical MRI." Zheng Ren said.

"..." Mr. Yu was speechless.

Is this for a full body check?

What is the relationship between cervical MRI and renal colic?

"That's right, let me just say a few words." Zheng Ren stood in front of the film reader, the film reader behind him was on, and he seemed to be radiating light.

Su Yun looked interesting, the boss must have thought about where to stand to be more conspicuous!

This location is so handsome, it is even more golden than the golden section, and you must try it in the future.

"The patient was an athlete when he was young, and he has maintained a considerable amount of exercise for so many years." Zheng Rendao.

"Boss Zheng, this has nothing to do with renal colic." President Yu asked weakly.

"It's related." Zheng Ren said with a smile: "I'll start with the diagnosis. Consider the patient's mild stenosis of the intervertebral foramen of the cervical spine, which can cause irritation of the nerve roots and excitation of the cervical sympathetic nerve. When it weakens, the vagus nerve is reflexively caused. Excited, causing the gallbladder neck sphincter and ureteral smooth muscle to contract, resulting in biliary and renal colic."

"..." The office was silent.

If it weren't for Boss Zheng, if it was a different person, I'm afraid some people would start to get impatient and stand up and leave.

The reason why the professors and directors here did not leave is because the recent diagnoses made by Boss Zheng are like legends. Especially when Lao He gave Director Mao an epidural anesthesia, everyone still occasionally thinks of it.

Could it be true?

Although it sounds absurd, seeing the serious and serious expression on Boss Zheng's face, the resident generals and professors of various departments who came to the consultation were all in a trance.

"But the patient has hematuria." Mr. Yu was still struggling.

"Athletes or healthy people who are training have hematuria immediately after a lot of exercise, and the apparent degree is closely related to the exercise load and exercise intensity."

"but……"

"Mr. Yu, you want to say that in the vast majority of cases of exercise-type hematuria, the red blood cells in the urine will completely disappear within 24 hours to 3 days after exercise." Zheng Ren said.

President Yu nodded, and it seemed that Boss Zheng had a good idea.

"The patient has severe pain, muscle spasm, forced posture, and a higher level of activity than normal exercise." Zheng Ren said: "It is understandable that the blood in the urine continues."

"And then?" President Yu asked while recording with a pen.

"There is no simple cervical spondylosis, and the patient should be consulted by an orthopaedic department. A neck brace, take some medicine, and it will get better soon."

"..." President Yu was dumbfounded again.

"Unscientific physical exercise can lead to or even accelerate the chronic strain of the muscles around the cervical spine." Zheng Rendao, "The amount of activity is too large, and the cervical spine movement is very frequent when playing badminton, which leads to cervical spondylosis."

"Cervical spondylosis is not a disease that can only be caused by sitting at work or using mobile phones to surf the Internet."

"It's that simple?" Mr. Yu still refused to believe it.

"Well, it's as simple as that." Zheng Ren said, "because of colic in the renal region, the patient and we both ignored his mild pain in his right shoulder and numbness in his right upper limb. After all, compared with renal colic, the pain in the shoulder and hand is a bit small. Hemp, easy to be ignored."

Zheng Ren looked around the office and saw that no one was talking, he smiled and said, "If everyone has doubts, then make a partial closure."

This is an immediate solution. After the local symptoms are relieved, if the renal colic also relieves, it proves that Boss Zheng's diagnosis is correct.

Although this diagnosis may sound unreliable.

Partial occlusion usually involves injecting a certain concentration and quantity of prednisolone injection and lidocaine hydrochloride into the affected area.

It is used to treat pain conditions, mainly using its anti-inflammatory effect. They can improve the permeability of capillaries, inhibit the inflammatory response, and reduce the damage of pathogenic factors to the body.

Partial closure is rarely used as a diagnostic treatment in clinical practice. In 912 hospitals, it is mostly done in outpatient clinics.

The closure is very simple. Zheng Ren completed it in 2 minutes under the onlookers of many professors and directors.

The whole process is simple and straightforward.

All eyes are on the patient, some expectations or other thoughts.

Within ten minutes, the patient's symptoms of renal colic were significantly relieved. Everyone, including the patient, is puzzled by this. How can a needle in the neck stop pain in the stomach?

It's also a little too incredible.

"Well, the diagnosis is still relatively clear." Zheng Ren looked at the patient's performance and was very satisfied. "Mr. Yu, hurry up and do an MRI, and then consult an orthopaedic department. It's a simple question, and it is estimated that the condition will not be serious."

"Oh, oh." Mr. Yu saw that the patient's renal colic had disappeared after the closure, and he was dumbfounded.

He thought about almost all the problems, but he never thought about the abdominal pain caused by the cervical spine problem.

The idea is so bizarre and unbelievable.

But no one refuted that one needle was partially closed, and the symptoms of the patient's renal colic were immediately relieved, which is enough to explain the problem.

The others were amazed and left one after another. Yu Zongze first ordered an emergency cervical spine MRI and asked the patient to do an examination. Then he took Zheng Ren and Su Yun to his duty room and questioned them for a while.

Although he could understand the logic, he refused to believe it in the end.

...

...

Note: Last year, I saw a case from the director of our department. It happened that a senior brother gave me a similar case, so I used it.

Similar medical records were searched, hematuria was uncommon, and extreme cases were used here.