My Medical Skills Give Me Experience Points Chapter 618: 260: Recognized, Digestive Internal Medicine Ga

Chapter 618: Chapter 260: Recognized, Digestive Internal dicine Gained Face_3

Diabetes treatnt is often a specialty of the Endocrinology Departnt.

However, the current symptoms of the patient are basically unrelated to diabetes.

This has left the chief physician of the Endocrinology Departnt only able to sit there and do little. The cause of the illness has not yet been identified, and no conclusions have been discussed, so he cannot leave.

Zhou Can continued to review the patient’s other test results.

The ultrasound re-examination shows that the patient’s right liver lobe is hugely enlarged, presenting as a solid occupying lesion.

Before hospitalization for cerebral infarction treatnt, the ultrasound showed that the liver was basically normal.

This ans that both the patient’s lungs and liver developed lesions after the treatnt of a cerebral infarction.

It’s easy to understand why Director Jiang was so anxious.

Any doctor whose patient develops such serious complications would definitely be worried!

It’s a situation where the patient could easily succumb.

Especially elderly patients who already have various underlying diseases.

“Directors, may I share my diagnostic opinion?”

Zhou Can raised his hand and asked.

Director Jiang looked at Zhou Can with so surprise, not expecting that he already had a diagnostic opinion. However, he had little hope.

How insightful could an intern’s diagnostic opinion be?

Director Luo also turned to Zhou Can and said, “Please tell us!”

“I have reviewed all the patient’s docunts and have a few preliminary opinions. First, the patient has cotton-like cluster shadows on both lungs; could this be considered as lung abscess? I suggest performing a sputum culture test on the patient’s sample. Second, the patient’s right liver lobe is greatly enlarged with a solid occupying lesion, which I suspect to also be an abscess. I recomnd performing an ultrasound-guided puncture to extract pus. If needed, I can perform this puncture.”

Zhou Can was sure that performing this puncture himself was likely to earn him 100 Experience Points.

“The patient’s sputum culture experint is already under way, and results should be available soon. I didn’t expect Dr. Zhou to be quite skillful,” Director Luo expressed great appreciation for Zhou Can after hearing his diagnostic opinions.

No other attending physicians dared to underestimate this intern anymore.

“You being able to propose targeted examinations indicates you have a certain diagnosis in mind. Please share your results! Liver abscess and lung abscess have been diagnosed by us already. What we need now is the cause of the disease to treat the patient precisely as quickly as possible.”

Although Director Jiang’s tone was still sowhat patronizing, his attitude had clearly changed.

At least, he was now actively interested in understanding Zhou Can’s diagnostic conclusions.

“It is very likely that the patient has a bacterial blood infection, resulting in septicemia. Then, due to not using precise dication in ti, it further deteriorated into septicemia.”

Zhou Can unveiled his diagnostic conclusion.

This disease was actually not as difficult to diagnose as imagined.

It was unclear whether the multiple attending physicians in Cardiovascular Internal dicine couldn’t diagnose the cause due to inadequacy or other hidden factors.

“At first, I also suspected that the patient contracted an infection during the administration of antithrombotic drugs due to his diabetes, leading to septicemia. However, the blood culture and infusion fluid culture both indicated no bacterial growth. Therefore, we ruled out the possibility of septicemia.”

Director Hong from the Endocrinology Departnt was the first to raise an objection.

After hearing this, Zhou Can suddenly realized.

No wonder so many attending physicians could not diagnose the patient’s cause.

This practice of ruling out a series of diseases based on one-ti test results is extrely harmful.

Sotis, initial tests show no problems, but a problem might be detected a day or two later.

Zhou Can had encountered many such cases when diagnosing complicated diseases.

The biggest fear as a doctor is sticking rigidly to rules.

This can easily obscure the broader picture.

One must have the courage to question test results and overturn them with facts to avoid creating ‘diagnostic blind spots.’

“I reviewed the blood culture and infusion fluid culture reports, which were conducted four days ago. Shortly after the patient received the infusion of antithrombotic agents, he soon developed symptoms like high fever and chills. It’s actually possible that the infection had just started and couldn’t be detected, which is quite normal.”

Zhou Can stated his view.

“Since a sputum culture experint has been done for the patient, even if we didn’t consult our Digestive Internal dicine, we could still find out the cause.”

Once the sputum culture experint confirms lung infection with sepsis, it can imdiately lead to the diagnosis of septicemia in the patient.

“This was out of concern that the patient might die! The patient’s condition has been dragging for four days, worsening each day, and I am as anxious as if a cat’s scratching at my heart,” Director Jiang’s attitude towards Zhou Can completely changed.

He even proactively explained why he was so agitated.

Director Hong from Endocrinology still stubbornly said, “Whether it is septicemia is still hard to say. There are many diseases that can cause similar symptoms in the lungs and liver. I have seen liver cancer patients with similar symptoms.”

This kind of stubborn rebuttal was actually very weak.

It was rely an attempt to save a bit of face.

The hospital has many old doctors like Director Hong, who are used to being treated with deference. Being praised and flattered every day can make one’s ears grow calluses.

Over ti, this can make people beco conceited.

Once their reputation is on the line, it is difficult to step down.

Director Hong is a typical example. Although he knew Zhou Can’s diagnosis could likely beco a reality, he still argued for the sake of his reputation.

“Other diseases might indeed show similar symptoms. Director Luo, do you think it’s possible to proceed with a liver puncture for the patient and extract pus for further confirmation?”

Zhou Can tried his best to save so face for Director Hong.