Chapter 797: Whole Hospital Consultation

Back in the department, Zheng Ren and Su Yun changed their clothes and walked around the ward first.

6 beds...Compared with Haicheng No. 1 hospital, it is much shabby.

Zheng Ren suddenly had an idea that if he returned to Haicheng, the entire emergency building would have to be rebuilt, and there would have to be at least a hundred or so beds. He works hard every day, 20 TIPS operations a day, 600 a month, and a few months is enough.

But this was just an idea, Zheng Ren didn't take it seriously. Really back to Haicheng, how can there be such a large source of patients?

The deputy director in charge of the Second Hospital bragged that there were as many patients as they wanted, but after doing it a few times, the patients couldn't keep up.

The postoperative patients in the ward are all stable, and their symptoms have initially improved.

Professor Rudolf Wagner was concentrating on sorting out the relevant documents and materials. Zheng Ren went to look through the documents and felt that he was particularly like the idiot son of a landlord's family.

However, it was much more comfortable to have the professor and Su Yun handle these routine tasks. If you point at yourself to do it, the sky will fall down.

But Zheng Ren's mind was filled with images of the troubles in the pediatric emergency department, and he couldn't get rid of them.

Feeling sorry for me, Zheng Ren sympathizes with the emergency pediatric medical staff.

Just thinking about it, the phone vibrated and the ringtone was very small.

I took it out and saw that it was Director Qi from the B-ultrasound room.

"Boss Zheng, are you in the department?" Director Qi answered the phone and asked directly.

"Director Qi, I'm here."

"Urology department, conference room, hospital consultation, let's take a look?" Director Qi said.

"Okay, I'll go up now."

After speaking, the phone on that side was hung up.

The head of the department is authoritative.

Whether it is Xiehe or 912, or the first, second, and third hospitals of Peking University, or East and West tumors, if you count them in detail, there are really countless great figures in the imperial capital.

Every director of a department can reach the top successfully, and his own technical level is naturally extremely high, and there are countless helpers behind him.

To get the approval of any big director is to reach the sky in one step. It was as if Zheng Ren had been approved by Director Kong and could be directly transferred to 912. As soon as he came, he was treated as a professor and given 6 beds.

Director Qi treats him well, and he is better at the hospital consultation, Zheng Ren thought.

Hurry up, the whole hospital consults, and I don't know what the disease is. Urology... I am really not very skilled.

During the surgical training of patients with hepatic echinococcosis, I ordered an intermediate skill book to improve the surgical skills of urology.

But this is totally not enough.

Zheng Ren didn't think he would be able to say anything at the hospital-wide consultation of the Department of Urology. It is estimated that Director Qi helped him to show his face in front of the big directors and the professors who lead the team.

This is a great kindness, Zheng Ren knows.

Without delay, Zheng Ren took the elevator and went directly to the Department of Urology. Su Yun didn't follow, if he brought his assistant along at this time, how pretentious would it be? I'm afraid that if I go in, I will be disgusted by the directors.

Department of Urology, showed the door of the classroom, Zheng Ren knocked lightly on the door, and then pushed the door to enter.

More than a dozen people sat in the room, with a projector at the front with patient information on it.

Seeing Zheng Ren coming in, Director Qi and Director Miao of the Department of Urology waved at the same time.

Zheng Ren was taken aback for a moment, then bowed slightly to Director Miao, and then sat down beside Director Qi.

Were there such difficult multiple-choice questions when you first came in?

What does it mean? Zheng Ren was in a daze.

"This is the medical record, please take a look at it first." Director Qi said, "If you are sure, just say a few words. If you are not sure, just look here."

Zheng Ren heard the meaning of caring, and nodded.

The patient was a 23-year-old woman who came to see a doctor in Imperial City because of her lack of menstruation and infertility, and she was found to have an adrenal gland tumor.

As soon as the chapter started, Zheng Ren was attracted by the special case.

23 years old, did not come to menstruation, just know the treatment? How sloppy is that?

After looking carefully, Zheng Ren realized that this patient was a female patient from another place. After marriage, she has never been pregnant. When she came to the imperial capital to see a doctor, she realized that she had never had a period.

Abdominal color Doppler ultrasound examination revealed: the image of an echogenic mass in the right adrenal gland area, with a size of about 6.5 cm×6.4 cm.

Enhanced CT examination of the abdomen revealed a mass of low-density shadows in the right adrenal gland area, with a size of about 6.54 cm. The enhanced scan showed rich blood vessels in the lesion, which cleared rapidly in the venous phase, and an adrenal tumor was considered.

Various laboratory tests are also relatively complete, testosterone, androstenedione, dehydroepiandrosterone sulfate, blood cortisol, and adrenocorticotropic hormone are all high.

This should be a disease of the endocrinology department, but there is an adrenal gland tumor, so I came to the urology department to be hospitalized and planned to remove it.

This more complex disease is different from simple trauma.

Zheng Ren knew Director Miao of the Department of Urology well, and his surgical technique was quite good.

Kidneys eroded by worm cancer can be segmented almost perfectly, and the hydatid vesicles can be stripped cleanly. This level is already very high. Using a systematic judgment method, at least at the level of a master.

But the patient's disease is not so simple.

You need to know where the space-occupying occurs, but the adrenal gland.

Zheng Ren encountered a patient with liver cancer accompanied by adrenal metastases. During the operation, the adrenal metastases were embolized, and the patient's blood pressure suddenly dropped.

This kind of endocrine organ, after touching it, will have unexpected changes.

In particular, the condition of this woman is very complicated, and it is not enough to simply remove the adrenal tumor.

Zheng Ren looked at the medical records and gradually became stunned.

At this time, the doctors in the Department of Endocrinology were presenting their views. The man was forty or fifty years old, and his speech was frustrating, very nice.

Zheng Ren listened while reading the medical records. What he meant was mainly to consider the possibility that the space occupying the right adrenal gland was a tumor of cortical origin, except for adrenocortical carcinoma.

The patient's current cortisol level is elevated. During the perioperative period, vital signs, electrolytes, and mental changes should be closely monitored, and glucocorticoid supplementation should be given.

It is quite satisfactory, there is nothing wrong with treatment and judgment.

"Boss Xiao Zheng, can you find the problem?" Director Qi asked in a low voice.

Zheng Ren asked, "Is there any gynecological examination?"

"..." Director Qi was stunned for a moment.

"I think it's not a simple adrenal gland lesion, but a concurrent adrenal gland space occupying change." Zheng Ren whispered, "I'll think about it."

"It's not a simple space-occupying lesion of the adrenal gland, do you think so?"

"Huh? Who still thinks about it?" Zheng Ren suddenly became interested. He just had a whim, thinking that this disease might be similar to some rare disease, but it was just an idea. He didn't dare to talk nonsense on this occasion. Gossip.

"Director Cui in the kidney." Director Qi pouted and said.

"What did Director Cui think about?"

"She was not very sure, but said that it might be a disease caused by a hydroxylase deficiency."

"21-hydroxylase deficiency?!"