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815 Rigorous scholarship (everything unknown to the leader burns to ashes 5)

The large imaging department is divided into x-ray, ct, nuclear magnetic field, and b-ultrasound. However, the B-ultrasound room of a general hospital is listed separately. Although it is also an imaging department, it is free from the imaging department.

Perhaps it was because there was no radiation, or perhaps it was the first time when B-extra was in China, so it was stipulated.

Just like spinal surgery in Europe is done by neurosurgery, while domestic orthopedics are done by orthopedics.

X-ray and CT, some hospitals are combined with large imaging departments, while others are separated.

912 is separated here, Director Chu is CT, the chief director of nuclear magnetic field.

Zheng Ren had done 64 row CT three-dimensional reconstruction before, and had a communication with Director Chu, and had come, so he went directly to the door of the director's office and knocked on the door lightly.

It was quiet inside.

Well? Is Director Chu not here?

Zheng Ren tapped it twice again, but no one answered.

Unexpectedly, after a short while, Zheng Ren was in a wax. He didn't contact Director Chu in advance, this was a big mistake.

While reviewing himself, he wondered whether to find Director Chu’s student Dr. Liang to solve this problem.

Let’s look for it first. Su Yun is also busy, and it’s very important.

Zheng Ren has always been a little bit calculating in his heart. It is a bit unreasonable to throw so much work to Su Yun and look for him for anything.

Although I was named as my boss, if I threw everything to Su Yun, that guy could kill me.

Doctor's office...office...office...

Most of the doctor's offices in the CT room are called reading rooms, which are the place where the magnetic doctors report the diagnosis after reading the film.

Zheng Ren found the reading room and saw through the crack of the door to see seven or eight doctors inside surrounding the reading device, discussing what they were discussing.

The middle one is Director Chu.

Finally found it, Zheng Ren quickly knocked on the door. Although no one would hear the knocking sound and no one would pay attention to his knocking behavior, Zheng Ren still knocked on the door in a regular manner and then went in.

Director Chu watched the movie and whispered something.

Zheng Ren walked behind and glanced at the movie first.

It's coronary artery 256ct, and the three coronary arteries are very unobstructed and don't look like coronary heart disease. But what are Director Chu and others thinking about in an almost normal film?

"Hello, Director Chu." Although Zheng Ren knew that he was not good at interrupting others, the patients in the gastroenterology department were waiting for the examination, so he was still shameless and hurry up and come on.

Director Chu was a little unhappy, but turned around and saw that it was Zheng Ren, and suddenly smiled.

He grabbed Zheng Ren's arm through the crowd, pulled him over, and asked, "Boss Zheng, come on."

Uh... Zheng Ren was stunned for a moment.

"Let's take a look and see what's wrong with this patient." Director Chu said without hesitation.

"I……"

"Watch the movie quickly, let's talk about it after watching it." Director Chu was also a little overbearing and directly interrupted Zheng Ren's words, "This is the user of the 64-row ct three-dimensional reconstruction new method, Zheng Ren and Zheng Boss."

Director Chu saw that several doctors around him were confused, so he introduced him.

The video reading device was quieter, and this young doctor turned out to be the famous Boss Zheng.

This is really a person who cannot behave like a person.

It is said that Boss Zheng is not old, but who would have thought he was so young?

Zheng Ren was also very strange. Coronary artery 256ct mainly looks at coronary artery. The film shows that the coronary artery is very smooth and there is no problem. What are Director Chu and others doing here?

Wait... The images of myocardial reconstruction seem to be something wrong.

"Director Chu, the coronary artery is fine, but the myocardium seems to have some problems." Zheng Ren said, looking at the film on the video reader.

"Xiao Liang, introduce the condition to Boss Zheng."

Dr. Liang stood aside, and he responded, holding a stack of paper in his hand, and began to pick the key points.

The patient was a 32-year-old male patient who had symptoms such as palpitations and shortness of breath after activity 6 months ago. He did not pay attention at the time, but the condition progressed very quickly. The patient fainted after activity once more than a month later, accompanied by swelling of the limbs.

He went to a local hospital for examination and found typical symptoms of myocardial infarction such as T wave changes and St segment depression.

Serum troponin and brain natriuretic peptides are elevated, and several tests are also shown to have heart disease.

It was strange that he was hospitalized for a comprehensive examination but found no coronary artery problems. The local hospital did not give a clear diagnosis, but only gave a suspicious myocardial infarction and asked him to come to the higher hospital in the imperial capital for diagnosis.

That's all the medical history, and Dr. Liang finished reading it quickly.

Zheng Ren sighed a little, 912 is really worthy of being a superior hospital, no wonder his level is very high!

The CT Room is only responsible for reporting the images according to the results, but Director Chu and others also need to compare the medical history and start discussing it directly in the department after discovering doubts.

This rigorous academic style is really great!

"Boss Zheng, the patient's medical history description should be a myocardial infarction. But there is no problem with the blood supply of the heart, and there is little possibility of a typical myocardial infarction." Director Chu clicked the film: "Here, I see that myocardial changes have changed. I suspect it may be some disease that changes myocardial structure. I have already told the circulatory clinic that the nurse will take it to urgently check for an echocardiac."

Zheng Ren nodded, he thought so himself.

What is the specific disease... There is only one picture of the heart coronary artery 256, and the answer cannot be given.

The passive ability of [Reconstruction] is not omnipotent. The system panel can be directly diagnosed, but in many cases, the patient's family brings a video to see the patient, but the patient does not follow, or it is like in front of him, and he cannot see the patient at all.

It has a completely different diagnosis and treatment model from Haicheng.

Zheng Ren recalled the illness that Dr. Liang said in his mind, and suddenly asked: "Dr. Liang, is there any test report on the patient's proteinuria?"

Some heart diseases are accompanied by proteinuria, and simple proteinuria does not indicate any problem, so Dr. Liang did not pay special attention.

He began to look for printed information, which was a case of circulatory internal medicine, and there was no report on urine routine and urine protein tests.

It is estimated that the patient brought himself to the local information, so the director of the Circulation Department did not issue a form for examination.

"Boss Zheng, the medical record has not been written yet, so we can't see it on this side." Dr. Liang replied quickly.

"Yes." Zheng Ren started watching the movie again.

This time, instead of focusing on the coronary artery, he began to carefully observe the changes in the heart structure.

【Reconstruction】The ability to convert a 64-row ct three-dimensional reconstruction into an echocardiac of the heart. MR, Zheng Ren noticed some changes in the patient's heart image.

Like the heart MR in China, it is a rare examination and is not very useful in clinical practice. However, this patient's heart MR delay can see the strengthening foci of the subendocardial annular annular heart.

Echocardiac movements have some subtle changes, thickening of the whole heart, and irregular echoes in the myocardium.
Chapter completed!
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