Chapter 167 Incredible Magical Skills (Fourth update, additional updates after monthly subscription)

Author: Jiangdi Youbai

Chapter 167 Incredible Magical Skills (Fourth update, additional updates after monthly subscription)

The patient on bed 15 is still Liu Chunhua, the patient who had an intra-abdominal abscess punctured, and the wound was re-debrided!

Wu Xie originally agreed to let her be discharged from the hospital, but later her son Qin Chongyuan was not happy.

I was very worried, so I had to wait until the sutures were removed and I was discharged from the hospital. I said countless good things to Lu Junyin, Wu Xie and others, and even went to the house to persuade them. It was also a filial piety.

It's not easy to chase people away.

After the ward check, Liu Chunhua said: "Director Lu, Dr. Wu, Dr. He, thank you..."

…

After walking out of the ward and continuing towards the office, Wu Xie pulled Guo Lixiang and said, "Guo Lixiang, have you ever asked Chu Yuming about his history of travel?"

Everyone was stunned when they heard this.

The history of travel is usually related to syphilis and AIDS. This Lu Junyin just looked at the x-ray of his knee joint. Can he still see problems in this area?

This can't be so awesome, can it?

I have never heard of anyone being able to detect AIDS or syphilis through MRI.

In fact, it is not easy to ask about travel history in the orthopedics department. If you are in the infectious disease department, it is necessary to ask.

Because once the travel history is discovered, the disease may be cured, but the family will be ruined. Therefore, clinical practitioners are extremely afraid of asking about this kind of medical history, although this medical history article is specifically mentioned in textbooks.

Luo Wei asked curiously: "Dr. Wu, are you considering it?"

"Syphilitic arthritis and bacterial infection."

"If the initial screening is negative, you have to aspirate the joint fluid to look for spirochetes. It is best to ask about your travel history." Wu Xie suggested very firmly.

This knowledge point instantly touched everyone’s knowledge blind spots.

Can syphilis cause arthritis?

"Xiao Wu, this? It's not easy to check it directly, right?" Luo Wei asked.

This is a direct test for syphilis in patients in the orthopedics department. Doesn’t this cause the relationship between other couples to break up?

Wu Xie looked at Lu Junyin: "Director Lu, what do you think?"

"If he insists on hiding it, he will not get proper treatment in the end, which may endanger his life."

Syphilis can be cured in the early stages, but when it gets to the later stages, it becomes really troublesome.

This is not only family harmony, husband and wife relationship, but also a life.

Everyone was silent and walked faster towards the office.

Halfway through, Lu Junyin deliberately called Wu Xie into the director's office. He told Guo Lixiang: "Xiao Guo, help Xiao Wu handle the medical orders."

Luo Wei realized what Lu Junyin wanted to do, so he smiled and whispered: "Director Lu, can you let me also gain knowledge?"

Lu Junyin said: "He Ling, please come in too."

Two minutes later, the door to the director's office was locked.

Wu Xie did not hide it, and explained frankly: "During the third stage of syphilis, syphilitic osteitis and gum swelling can spread to the bone ends and cause joint changes. The joint capsule and synovium become thickened and swollen, and the joints have a feeling of fluctuation, but local

The skin is not red.”

"And there are no fever symptoms in the joint cavity. The infection caused by syphilis is not a traditional bacterial infection."

"In addition, articular cartilage and the bone ends that make up the joint can be invaded, but the lesions are often limited to one joint surface. This is consistent with Chu Yuming's symptoms."

"Osteitis or osteomyelitis can occur in bones, with multiple irregular bone hyperplasia or scattered subchondral bone erosion in the diaphysis. Joint lesions are mostly single, common in the knee joint, and subluxation or Charcot joints can occur.

"

"This patient fits the corresponding characteristics. Of course, it's just a guess now..."

"A clear history of smelting and finding the diseased plants is the most important thing."

The reason why Wu Xie was so sure was that if he was diagnosed with syphilitic arthritis, then the first thing he would need to treat was not arthritis, but going to a dermatology department or a venereal disease department, or even transferring him to another hospital.

This disease must be reported, and then the local disease control department will directly contact the family members, and even find his suspected sexual partners to check on them or their physical conditions.

Everyone looked at each other in shock when they heard what Wu Xie said in such detail and with reasonable evidence.

Unexpectedly, Wu Xie actually confirmed it by reading the film.

It's just that this kind of thing makes everyone feel horrified and numb.

Seeing everyone's reaction, Wu Xie continued to explain: "Director Lu, if you can't ask directly or want to confirm the diagnosis, just check the first four items of blood transfusion as a routine admission check, and you can find antibodies.

."

"At this time, if we look at the antigens in depth, it will become more evidence-based."

Wu Xie knew that the reason why he was so good was not because his radiographic reading skills were incredibly advanced, but because he had a more thorough understanding of surgical infectious diseases.

When reading pictures, his ability to capture the details of the pictures has not become stronger, but his sensitivity and processing ability to the captured information and indicators have become better.

This is the advantage of good theory.

Lu Junyin said: "Let me ask."

"But Xiao Wu, have you thought about it, if you are diagnosed, should you stay for treatment or be transferred to a hospital for treatment?"

"Transfer him out. We are an infectious disease department, not an infectious disease department. Of course you can stay for treatment, Director Lu. It mainly depends on your wishes. His current condition is not particularly complicated."

"It can be accurately diagnosed, which is very important."

"After all, more than one person needs treatment," Wu Xie explained.

Although Chu Yuming's illness could be cured in a daze, things couldn't be done that way, because this time, not only Chu Yuming, but also his wife had to be treated.

If a doctor only considers the patients he is in charge of and ignores everyone else, he is not actually responsible.

…

Lu Junyin walked out, then called Chu Yuming into the office alone, and then pushed his wife out of the office.

But Lu Junyin came out within a few minutes.

Then he asked Chu Yuming's wife: "Your husband just said that you already know about his situation?"

Chu Yuming's wife nodded, looking a little lonely.

The smell of shit in his trouser pockets cannot be spread, and no one knows what he did. But if it spreads, and outsiders know about it, it will be a bit of a social disaster, but what can be done?

Lu Junyin said: "Sister, I won't hide it from you."

"Now, the most serious part of your husband's condition may not be the joints. If the final test results are true, you will have to go to the dermatology department."

"This is already the third stage, and it may be the terminal stage. If you can't treat it well, even if you have surgery, it will be difficult for the postoperative wounds to grow well, so you have to be mentally prepared."

"In addition, if you are free, you should check it yourself." Lu Junyin said very straightforwardly.

Chu Yuming's wife looked slightly gloomy and began to wipe the corners of her eyes.

But soon she raised her head again and said: "Director Lu, I'm not afraid of your jokes. In fact, when men are stressed, they need to relax and vent. Our family doesn't have this condition, so I can't be with him..."

The history of travel is not determined by the doctor, it is the name created by the patient himself!

Lu Junyin patted her shoulder and explained: "I am not asking you these questions to expose your sadness or embarrass you, but because our doctors are considering your safety, can you understand? Sister, you want it too.

Just get treatment."

"Phase 3 is contagious."

"And fortunately, Dr. Wu from our hospital saw this situation. Otherwise, when it reaches the fourth stage and the terminal stage, it will be really, really troublesome. Now this situation needs to be treated together! Our hospital can also

To deal with it, it’s just that your husband’s situation may still need to be observed in our surgical department.”

Syphilis can be treated at the county hospital. The Xuanxian Hospital of Integrated Traditional Chinese and Western Medicine also has a dermatology department, so Zhang Chunmei can go there. There is no need to transfer, and after Chu Yuming's syphilis is cured, the arthritis infection also needs to be treated, so there is no need to specialize.

toss.

…

After this happened, Lu Junyin told Wu Xie the final result.

Wu Xie did not express his position, but just said: "Thank you for your hard work, Director."

"It's all trivial matters. It's not easy for young people like you to ask questions."

"Work hard, Xiao Wu, you are really the lucky star of our department." Lu Junyin laughed, full of joy.

This Chu Yuming, if there is no accurate diagnosis, even if the arthritis is cured, if he does not go for treatment himself, and then the person dies, then the treatment this time will be meaningless.

And since he has not yet gone to a regular dermatology department in the third period, we know that Chu Yuming's awareness of this aspect is shallow.

This is not only an accurate diagnosis, but also a life saver.

…

Luo Wei and He Ling went fishing together, Zhong Yusheng was arranged to go on a blind date again, and Lu Junyin gave him another holiday.
To be continued...