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Chapter 88 Is the patient a tumor?

 As soon as Zhang Jun came out, Ai Kelong quickly followed and asked: "How is it?"

Zhang Jun showed a normal movement, and then looked at Chen Qi who was sitting aside:

"Classmate Chen, the diagnosis of this patient is very simple. I believe you can see it at a glance. Don't be nervous."

Chen Qi smiled and said nothing. He just took the patient's examination report and read it. Lan Lijuan also sat next to him and read it together.

On the examination sheet, everything else showed no problems, only the B-ultrasound sheet showed: the patient's intrahepatic bile ducts were dilated, the junction of the left and right hepatic ducts was interrupted, there were local suspicious hyperechoic spots, and the common bile duct was not dilated.

Chen Qi glanced at Lan Lijuan sitting next to him and asked, "How is it? What's your first impression?"

Lan Lijuan thought for a moment: "Tumor? And it's malignant? There are suspicious soft tissue shadows, which are compressing the biliary tract and causing obstruction."

Chen Qi chuckled: "Zhang Jun must think so too, but not necessarily!"

Just as Lan Lijuan was about to ask why, Chen Qi had already stood up and walked into the ward with a blank medical record.

Lying on the hospital bed is a male patient in his 50s. Although he is wearing a large hospital gown, it is difficult to hide his fat body. In this era, fat people are still very rare.

Chen Qi thought to himself, it turns out that the non-staple food factory has a lot of oil and water.

Director Zhu's face looked very bad. At this time, he was lying on the hospital bed with random thoughts in his mind, and his eyes were filled with a deep sense of despair.

Yesterday, during the physical examination of regional leaders at the deputy section level and above, Director Zhu, who was originally indifferent, was happily lying on the examination bed. As a result, the B-ultrasound doctor repeatedly examined his abdomen back and forth for half an hour.

Finally, with a worried look on his face, he told him that there was something growing next to his bile duct, which was compressing his bile duct and causing stenosis, and he was about to be hospitalized for surgery.

Those who can become factory directors are all human beings. Factory Manager Zhu immediately realized that there was a big problem with his gallbladder and liver.

You must know that these days, unless it is a trauma or emergency, or a very serious illness, you will be hospitalized. Otherwise, who has the spare money and time to go to the hospital?

If there is really any disease, the doctor will prescribe some medicine, and it is rare to even use a needle for infusion.

Unwilling to do so, Factory Director Zhu took the physical examination report and immediately sneaked to the outpatient clinic and asked a familiar doctor to take a look at it. As a result, the doctor hesitated to speak, with an expression as if he was constipated, and only said that he should be hospitalized as soon as possible.

Check carefully.

Director Zhu doesn’t even know how he walked out of the People’s Hospital.

All I can think about is, has I eaten too much meat over the years? Has I received retribution? Is this a terminal illness?

As the director of a non-staple food factory, he had broad access. He made a phone call to the chief of the medical education department of the People's Hospital and asked for a bed. As a result, he was extremely anxious, but the hospital asked him to practice with interns?

Zhu Qingsan has the urge to scold his mother.

But when he thought about inviting Dean Guo Yidao to treat his illness later, he could only bear it, but his face looked much better.

As soon as Chen Qi entered the ward, he saw Director Zhu with a livid face and a middle-aged woman wiping tears next to him. He knew that interns were not welcome. This kind of expression was too common in hospitals.

Not to mention intern doctors, in the eyes of some people, even ordinary attending doctors don’t have a good look on them.

But Chen Qi felt happy when he saw Director Zhu's livid face, because he didn't see the patient's sallow face.

Jaundice is the earliest and most important symptom of bile duct disease. About 90% to 98% of bile duct cancer patients have varying degrees of jaundice on the skin and sclera. Director Zhu obviously does not have this major feature.

"Hello, are you Comrade Zhu Qingsan? I am Chen Qi, an intern at the People's Hospital. I have a few questions to ask you."

"Ask, ask, I've just asked it once and it's so boring to ask it a second time."

"Have you ever had any pain, distension or discomfort in the right upper abdomen in the past six months? It's just at this location."

Chen Qi asked while pointing at the location of the liver and gallbladder.

Zhu Qingsan and his wife thought about it for a long time, and then shook their heads hesitantly: "Probably not. I am actually a few kilograms heavier than I was six months ago."

"Do you have indigestion or poor appetite, especially the feeling of nausea when you see fat meat?"

Director Zhu did not hesitate this time and said directly:

"I haven't had it in the past six months. It tastes delicious. My favorite thing is fat meat. But don't mention it. Yesterday, the B-ultrasound said there was something wrong with me. I immediately felt like I couldn't eat or sleep. Fat meat

It doesn’t smell good anymore, doctor, have I won the lottery?”

Chen Qi did not answer this question directly. We are still in consultation mode. Where can we make a diagnosis easily?

However, the patient did not show symptoms such as progressive jaundice, skin itching, weight loss, indigestion, upper abdominal distension and discomfort. This diagnosis is still relatively optimistic in Chen Qi's eyes.

"Director Zhu, it's too early to say whether you've won the lottery or not. Don't worry too much. I'll do some tests for you now. If you feel bad about anything, please let me know right away."

"Okay, doctor, please press it."

Chen Qi was not polite and began to palpate the abdomen. After pressing in a circle, Director Zhu didn't even frown. Apparently he didn't feel any pain.

Director Zhu is now in a psychologically sensitive period, and he asked suspiciously: "Doctor, I can't feel any pain at all. Is this a painless tumor as others call it?"

Chen Qi chuckled:

"Director Zhu seems to know a lot. Don't worry, at least my diagnosis is relatively optimistic. However, several more tests will be done to determine whether surgery is needed."

As soon as these words came out, the factory director's wife sitting next to her became unhappy: "Doctor, that's not what the doctor who just came in front said. Who of you is more accurate?"

Director Zhu looked at his wife openly: "Of course this doctor is more accurate. Do you hope that something will happen to me?"

The factory director's wife was startled: "What nonsense are you talking about? Of course I hope you are fine."

Chen Qi ignored the couple's bickering and exited the ward. As soon as he closed the door, a large group of his classmates from the technical secondary school, including Wang Shinong, were waiting outside the ward. Apparently they were not in the mood to go to work in the afternoon.

"Chen Qi, how are you?"

Chen Qi patted Wang Shinon's shoulder and comforted him: "Everything is going well. I probably have an idea of ​​what the disease is. Now I'm going to write the medical record. Please wait a moment."

Chen Qi walked into the nurse's station and started writing the first diagnosis and major medical records in front of everyone.

At this time, Zhang Jun was already halfway through writing. He looked at the technical secondary school student next door and snorted softly.

He had already made a diagnosis in his mind, and he thought the diagnosis was too simple. He was afraid that Chen Qi, a technical secondary school student, could see it at a glance, so he took the time to write a large medical record and wanted to be the first to show it to the dean.<
Chapter completed!
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