Chapter 1765 An Epoch-Making Consultation (Monthly Ticket 3000 Plus More × 6)

Compared with the last time I came to the consultation, the Xiaoshi classroom in the community hospital seemed to have changed a bit.

The equipment has been updated, with transparent touch panels in front of several chairs, as well as VR goggles.

"When was this made?" Zheng Ren felt a little strange when he saw it and asked.

"Recently." Su Yun didn't care, he said with a smile, "Aren't you going to try it?"

"It's more interesting to look at the medical records with the iron medical record clip." Zheng Ren said.

"The progress of mankind is destroyed in the hands of you people. I think you should go to the Middle Ages and be treated as a dark wizard better." Su Yun said.

Zheng Ren sat down and said impatiently, "Start!"

Su Yun stood on the podium in front, turned on the switch, and a ray of light came down. Like a shadowless lamp, the temperament of the whole person ranges from casual to extremely professional, completely seamless.

"Everyone, the consultation begins." Su Yun said, "Please bring VR glasses."

"It's bells and whistles, is it useful?" Chang Yue looked at her glasses with disdain.

"Doctor Chang, someone said the same thing 20 years ago when the electronic medical record system was just running." Su Yundao.

"You were not ten years old then."

"Experience can be passed down by word of mouth." Su Yun smiled, "If you don't want to be eliminated so quickly, it's better to accept new things as soon as possible."

Chang Yue pouted, and even though she quarreled with Su Yun, she still wore VR glasses.

Yu always sees everything fresh, this is definitely not a consultation in the conventional sense of 912. He was a little emotional, how long has Boss Zheng been here? Look at the posture, people have their own territory.

The key is that the site here is definitely not the kind in the ordinary sense, but brand new.

VR technology used for consultation?

Too extravagant.

Put on the VR glasses, and a case appears in front of you. Next to the case, standing is Su Yun.

Although he knew it was virtual reality, Mr. Yu couldn't help but want to touch Su Yun to see if it was a real entity or a virtual light and shadow.

"Don't do meaningless things, you'd better focus on the case, Mr. Yu." Su Yun said, "It's your patient, if the consultation doesn't come up today, you should prepare for the whole hospital consultation. You have to write the full Hospital consultation records, a lot of mess."

"Hurry up." Zheng Ren said impatiently.

"Now that it has started, I will briefly state that if you have a medical record, click on the touch screen in front of you. You will have new discoveries. In the future, this model will appear as a way of remote consultation."

"The patient was admitted to our hospital 6 days ago due to strangulation pain in the right lumbar region, and was observed in the emergency department. Routine examinations showed no abnormality except for red blood cells +++ in the routine urine."

Su Yun began to introduce that he was basically acting in his true colors in virtual reality. Zheng Ren didn't know what kind of technology this was, but it looked quite advanced.

"Physical examination after admission, positive percussion pain in the right waist, positive Murphy's sign..."

"Wait." Zheng Ren interrupted Su Yun and asked, "Positive Murphy's sign?"

"Yes, the B-ultrasound did not find any inflammation or stones in the gallbladder area. The tenderness was not obvious, and there was no rebound tenderness or muscle tension. I just confirmed this, and the general examination of Yu was very meticulous." Su Yun said.

Zheng Ren stopped talking.

"I noticed this too, but the patient had significant tenderness in the costovertebral angle. Typically colic originates in the lower back and upper abdomen at the costovertebral angle, occasionally at the lower border of the rib, and radiates to the same side along the course of the ureter. Groin. The patient had no nausea, vomiting, and gastrointestinal symptoms were not considered.”

What Su Yun said was correct, and Zheng Ren thought so too.

Generally speaking, if there is a problem with the gallbladder, there should be gallstones, inflammation, or at least imaging evidence such as gallbladder wall roughness.

In addition to the same positive urine routine, the patient did not have any positive signs.

"The patient has no family history, genetic history, or trauma history, and all past history is negative." Su Yundao, "CT and B-ultrasound images can be clicked on the touch screen in front of them, and they are the same as those seen on the computer."

"Have you done a urography?" Zheng Ren asked while looking at the CT image.

"The positive rate of urography for the diagnosis of calculi is only 66%, and it has not been done for the time being. If you think it is necessary, I can inform President Yu that the examination can be done as soon as possible." Su Yundao.

Although in front of Mr. Yu, Su Yun still said that he would notify Mr. Yu as soon as possible, which seemed to be particularly emotional.

Zheng Ren shook his head slightly, and began to click on the touch screen in front of him to view the video data.

The examination can be said to be very comprehensive, and clinicians know what renal colic means.

A small stone can solve all the problems, but there are no stones.

Zheng Ren did a CT 3D reconstruction, but still found no problems.

"Does the patient have a history of taking aminopyrine, phenytoin, rifampicin, or phenol red?" Chang Yue asked.

"No." Su Yundao, "The patient reported that he was in good health and never took any medicine or performed any surgery."

"Urine routine and blood routine showed no inflammation, and CT films did not show any inflammatory lesions. Excluding inflammation, calculi, tumors, trauma, and urinary tract malformations, I thought it was gouty kidney." Chang Yue said.

"It's a really genius suggestion." Su Yun said contemptuously: "Gouty kidneys are more common in patients with gout patients with a history of more than 10 years, and if they are gouty kidneys, there will be crystals in the renal tubules to some extent."

"Dr. Chang, this is a consultation, not an exam that randomly confuses you with your answers." Su Yun said.

"Cardiovascular diseases, such as congestive heart failure, renal embolism, and renal vein thrombosis, can also cause hematuria." Zheng Ren interrupted Su Yun's long-winded words and said, "Have you checked your heart?"

"It is unlikely that the renal parenchyma has not changed, and renal embolism and renal vein thrombosis can be basically ruled out. After all, the medical history has been 6 days, if..."

"Mainly congestive heart failure." Zheng Ren asked.

"It's impossible." Su Yun said: "The patient has to play badminton for three hours a day."

"Badminton? Three hours? Good enough." Zheng Ren said.

"Well, when I was young, I was a national athlete. After retiring, I continued to play badminton." Su Yun said: "One day before the onset of the disease, I didn't find any problems when playing badminton."

Zheng Ren began to ponder.

"No food allergies or exposure to heavy metals?" Chang Yue asked.

"Judging from the existing signs, there should be no." Su Yun said, "The patient lives a regular life and is very healthy. My colleagues and family members around me have no similar situation. I have asked about this."

Mr. Yu looked at the video material quietly, without saying a word.

He knew all this for a long time, but he just didn't know why the symptoms of kidney stones such as hematuria and renal colic came from.