The wonders of creation are boundless; Zhou Can has witnessed all kinds of strange events.
In the obstetrics department, there was even a baby whose heart developed outside the chest cavity. Later, it was relocated through surgery, and the resilient baby survived. Now, he has grown to five years old.
The internal hemorrhage of this patient was extremely bizarre. Though the blood pooled in the abdominal cavity, the patient vomited a large amount of blood from the mouth.
From a medical perspective, this situation is highly abnormal.
"Must we perform an autopsy to determine the cause of death?"
Assistant Dean Qin is not a clinical doctor, yet he also es from a medical background.
He naturally understands that the cause of this patient’s death is like a riddle.
"Let’s first look at the imaging data from the CT and ultrasound rooms! We might find clues to unravel the cause of the patient’s death."
Zhou Can replied.
Two points can now be confirmed. The first is that the patient did not die from a ruptured bladder with urine flooding into the abdominal cavity. The patient should have been in a state of anuria before death. There are many reasons for anuria, most monly seen in ICU settings, often occurring due to major organ failure, especially kidney failure.
This patient might have caused anuria due to excessive blood loss.
Currently, it’s just a hypothesis.
The second point is that the patient’s cause of death may likely be massive hemorrhage due to an aortic rupture. Many symptoms before death correspond strongly to this.
The pre-death images of the patient were soon retrieved.
Ultrasound images are usually recorded in real-time, very flexible, requiring one doctor to handle the reading, reporting, and diagnosis. Therefore, when reporting, as many images are available as submitted.
Fortunately, the CT room retained six films, some without a report, but were archived.
Zhou Can examined each carefully.
"I’ve found something!"
Zhou Can quickly made a significant discovery and excitedly pointed to a point on the image.
"Look here, there is clearly a vascular aneurysm."
After careful discernment, everyone agreed there indeed was a vascular aneurysm.
"This vascular aneurysm should be growing in the liver area, seeming like an arterial aneurysm on the liver."
"Not just seeming, this is a hepatic artery aneurysm."
Director Shi and Director Shang both voiced their opinions after review.
Zhou Can frowned at the image, examined closely for a while, then continued, "This vascular aneurysm seems to grow in a strange location, right at the lower right portion of the liver. This location is adjacent to the duodenum and colon."
Zhou Can stopped at this point.
Because medicine is a rigorous science, one cannot speak carelessly.
Any diagnosis requires medical data to support it.
The best support es from various clear examination reports, be it laboratory tests, imaging tests, or other unconventional specialized tests; they all provide diagnostic evidence.
With the current examination reports, Zhou Can’s bold hypothesis cannot be substantiated.
"What does Dr. Zhou mean? Feel free to speak; after all, everyone here is from our own hospital."
Vice Director Xiong, true to his friendship with Director Shang, continuously sided with Digestive Internal Medicine at key moments.
"I suspect this hepatic artery aneurysm has grown into the duodenum. In other words, this artery may have protruded into the duodenum, causing the arterial wall and the duodenum wall to bee intertwined."
This is akin to two houses being adjacent; to save costs and maximize space, they share a wall.
"If this is indeed the case, then it is unbelievable!"
Director Shi uncharacteristically did not refute but marveled at the patient’s internal wonders.
"When a massive arterial aneurysm in the liver intertwines with the duodenum, and the aneurysm ruptures, a massive amount of blood flows into the digestive tract. Significant bleeding enters the abdominal cavity through the intestines, while some enter the stomach, making the patient’s pre-death massive vomiting just as expected. Indeed, this is likely the case."
Director Shang’s eyes shone bright, pleased at pinpointing the patient’s true cause of death.
"Although this sounds bizarre, facts speak louder than words, and this is indeed possible. The hepatic area lacks pain nerves, so even if this aneurysm ruptures, the patient barely feels it. I support Dr. Zhou Can’s hypothesis."
Director Shi holds high status in the Quality Control Unit’s first team.
Especially in the death cause investigations, his words carry significant weight.
Now, openly supporting Zhou Can’s hypothesis, the patient’s cause of death can essentially be conclusively determined.
The hospital handles death procedures with rigorous yet efficient progress.
Under no circumstances will they allow the deceased’s family to cause disturbances with wreaths and burnt offerings in the hospital.
Such occurrences have a profoundly negative impact.
"Yes, well done! You’ve all done great work. The patient’s cause of death has been discussed with results; the remaining tasks are for the Medical Department to handle. Be sure to fort the family’s emotions and do well in explaining and disseminating information. The hospital should maintain utmost goodwill, offering conceivable assistance to the family."
Assistant Dean Qin summarized.
Most of his words were directed at the Medical Department.
"Well done, Zhou Can! It seems the vice presidents’ strong remendation for you to join the Quality Control Unit was indeed a wise decision. Keep up the good work; the hospital needs capable employees who are bold yet meticulous like you."
Assistant Dean Qin praised Zhou Can, then stood up.
"Meeting adjourned!"
In Zhou Can’s first task at the Quality Control Unit, his performance left Assistant Dean Qin highly satisfied.
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