My Medical Skills Give Me Experience Points Chapter 769: 311: Incisive Pathological Analysis, The Lateco

Chapter 769: Chapter 311: Incisive Pathological Analysis, The Latecor Takes The Lead_2

Hu Wanjun was humble enough to seek understanding.

She genuinely wanted to know Zhou Can’s diagnostic approach.

The other doctors also waited eagerly for Zhou Can to share.

“It sounds complex, but actually it isn’t. I’ve treated many diabetes patients, so I’m deeply familiar with the physical symptoms of the disease, such as the skin darkening and turning brown, and even obvious skin diseases. In clinical diagnosis, darkened skin on the neck or armpits, no matter how black and scary, cannot diagnose diabetes.”

“Only when this condition appears in pregnant won does the probability of a diabetes diagnosis increase. Moreover, the greater the gestational age, the higher the chance of diabetes developing in the patient.”

The diagnosis of the cause is more complex than one might think.

A single symptom is often not enough to diagnose a specific illness.

For example, stomach pain could indicate enteritis, uterine fibroids, or even inguinal hernia.

Multiple areas of skin darkening combined with 37 weeks of pregnancy make diabetes ketoacidosis a possible diagnosis.

“Later, when the patient picked up the cup to drink and missed it, I imdiately realized she might have visual problems. After observing her behavior, I beca even more certain. At this point, I was basically sure she had developed diabetic ketoacidosis.”

Zhou Can’s diagnostic thod was much more efficient than the process of elimination.

Combining the two symptoms with the special condition of late pregnancy allowed him to directly identify the cause.

“Her blood sugar was normal when tested two days ago, how could it suddenly beco a problem?” Du Leng couldn’t resist his intense curiosity and blurted out a question.

As soon as he asked, Du Leng realized he had exposed his own lack of knowledge.

However, many people wanted to know the answer to his question, so their gazes weren’t on him, but rather focused on Zhou Can.

“The patient had a severe upper respiratory tract infection five days before admission. Such acute infections are a stress condition for patients; during stress, the body’s insulin becos insufficient. Insulin, in turn, regulates the increase in hormones and the release of liver glucose, ultimately leading to severe hyperglycemia in the patient. If the patient’s food and water intake are restricted during the two days of hospitalization to accommodate examinations, it can further exacerbate the condition.”

“The above is the entire pathological chanism of my diagnostic reasoning. There may be so oversights, and I welco everyone’s corrections.”

After Zhou Can finished speaking, there was silence throughout the room.

Many doctors were imrsed in his analysis.

“Dr. Zhou’s analysis is incisive and brilliant, fully in line with the pathological chanisms of human endocrinology.”

A doctor from Xinxiang Won and Children’s Hospital couldn’t help but praise.

“This case is very instructive, reminding us to also consider the stress conditions of pregnant patients in our future diagnoses.” Hu Wanjun, a sixty-year-old senior expert and professor, is indeed experienced and knowledgeable.

However, this was the first ti she had encountered such a rare case.

Of course, it also had to do with her specialty being in Gynecology, not obstetrics.

“Respect for the younger generation! The world will belong to you young people in the future!” Director Zhang Bihua expressed her feelings.

Her specialty involved obstetrics, and she did not expect that in this case, she would be outperford by a resident.

As she said, each generation has its own talents, and the world belongs to the young.

The older generation will eventually have their curtain call.

“I just got lucky, being sowhat familiar with this type of case,” Zhou Can didn’t dare to presu himself above these senior doctors.

Everyone present was a heavyweight, not to be underestimated.

…

After IV therapy, the pregnant woman’s blood sugar dropped to around 14 mmol/L, and the fetal heartbeat strengthened significantly.

Everyone breathed a sigh of relief.

Director Zhang Bihua instructed the nurse to switch from normal saline to 5% dextrose in saline.

The purpose of this was to increase the patient’s caloric intake, which is beneficial for correcting ketone bodies more quickly.

With treatnt at this stage, the patient was essentially out of danger. A heavy weight was lifted from the hearts of Professor Hu Wanjun and others.

Their expressions relaxed slightly.

The group returned to the conference room to discuss several backlog cases of difficult and critical illnesses.

By this ti, Zhou Can’s status had noticeably risen, and no doctor from Xinxiang Won and Children’s Hospital dared to underestimate him anymore.

As for those from Tuya Hospital, they had already witnessed Zhou Can’s abilities and now respected him even more.

anwhile, the patient with lower limb pain and venous thrombosis had completed her examination.

It was almost certain that her condition was due to deep vein thrombosis in the lower limbs, with multiple thrombi and accompanying varicose veins. Considering the patient’s family was relatively poor, and the patient herself was in poor condition for surgery, the experts imdiately devised a treatnt plan for pharmaceutical thrombolysis on the spot.

If the results were unsatisfactory, hospitalization and surgery at a later date would be the only option.

The diagnosis of this patient was just a minor incident, not particularly difficult.

At least, for the experts present, this type of deep vein thrombosis was nothing out of the ordinary.

In total, seven backlog cases of difficult or critical illnesses were discussed one by one. The atmosphere in the eting room gradually beca livelier as everyone eagerly participated.

The doctors from both hospitals evolved from a clear division to much more harmony.

“Our hospital has admitted a 63-year-old female patient with a CT scan showing a mass in the upper lobe of the left lung. Considering the high probability of pulmonary cancer, could the experts present give their opinion on whether surgery is an option?”