Chapter 1523 Mycobacterium Tuberculosis Was Really Detected

(Second update!)

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"Ye Xiu, what's going on?"

Seeing that Ye Xiu had checked his pulse, Wang Yanchao immediately asked.

"Director Wang, this uncle may have cavitary tuberculosis."

Ye Xiu's expression was somewhat solemn.

"Um?"

Wang Yanchao raised his eyebrows slightly, "Ye Xiu, how did you make your judgment?"

As the director of the Department of Respiratory Medicine, Wang Yanchao is no stranger to cavitary tuberculosis. Over the years, he has seen at least nine hundred, if not one thousand, cavitary tuberculosis patients.

But he didn't think the uncle's illness was cavitary tuberculosis.

This is not because this uncle is a patient of his old partner Lao Huang. He believes in Lao Huang's judgment. More importantly, he has just read the patient's medical record carefully, whether it is from the filming situation or the Judging from the patient's symptoms, it should undoubtedly be an abscess in the lungs.

"Patient's symptoms."

Ye Xiu said, "There is also the condition of my pulse check just now."

"symptom?"

Wang Yanchao frowned.

He didn’t understand the pulse-taking thing of Chinese medicine, but he understood the symptoms.

"I said, you don't think it's tuberculosis just because you think there's blood in the sputum the patient just coughed up!"

A trainee doctor couldn't help but be honest.

He also followed this patient.

He is very clear about the patient's symptoms.

He didn't think there was anything wrong with Deputy Director Huang's diagnosis at all, let alone that the patient might have some type of cavitary tuberculosis.

If it wasn't for Wang Yanchao's sake, he would have directly scolded Ye Xiu for talking nonsense.

But even so, the sarcasm in his words was quite obvious.

The other intern doctors also showed a look of ridicule.

Although they don't understand the patient's condition, they are quite clear about the strength of the two directors, Deputy Director Huang and Wang Yanchao. Now it is obvious that the diagnosis of the two directors is not cavitary tuberculosis. Ye Xiu actually said that the patient is cavitary tuberculosis. Tuberculosis, isn’t this funny?

And they all felt that Ye Xiu wanted to show off his skills and express himself based on his little knowledge.

Many of the symptoms of cavitary tuberculosis and lung abscess are very similar, as any doctor with a little experience knows. For example, both have excessive phlegm and cough up blood.

"of course not."

Ye Xiu didn't seem to sense the sarcasm in the intern's words, and explained seriously, "Strictly speaking, it's not entirely true. Blood in sputum is just one of the symptoms, but based on this symptom alone, The patient's true symptoms cannot be determined, as many infections and diseases of the lungs can cause symptoms of excessive phlegm and hemoptysis."

Yo, did you also know that many symptoms include excessive phlegm and coughing up blood?

Pretty rigorous?

There was a sneer on the lips of those intern doctors, "Then, how do you judge? Don't ask me to take the pulse, I am a Western medicine doctor, I don't understand this, and I don't believe this."

He wanted to see how Ye Xiu would go on and turn the patient in front of him into a hollow tuberculosis.

Wang Yanchao glared at the intern, but he didn't say anything.

Although the tone and attitude of the intern made him very dissatisfied, he was now paying more attention to the patient. He was now eager to know the basis for Ye Xiu's diagnosis of cavitary tuberculosis in the patient.

"I just looked at the medical record carefully. Judging from the records in the medical record and the patient's last examination results, it seems that the patient's condition is obviously a lung abscess. There is not much controversy."

Ye Xiu didn't care about the intern's tone and attitude, and continued to explain seriously, "But I noticed one detail, and that is the frequency of the patient coughing up blood, and the patient's more obvious physical symptoms in the afternoon."

"The patient's condition obviously worsened in the afternoon, and he repeatedly suffered from night sweats, fatigue, and other symptoms that are common in cavitary tuberculosis and lung abscesses."

"You said this is a common symptom of lung abscess. Why do you say this is cavitary tuberculosis?"

The intern didn't expect that Ye Xiu actually knew something, and actually revealed some details. It was somewhat surprising, but he remained silent and waited for loopholes in Ye Xiu's words.

When Ye Xiu talked about his symptoms in the afternoon, he finally couldn't help but interrupted Ye Xiu's words and said sarcastically.

"It really can't be determined yet."

Ye Xiu nodded, "When I saw these records, I just relied on my own experience and intuition to have doubts. However, the so-called experience and intuition cannot be used as a basis for diagnosis, but it happened that when I had When I was suspicious, the uncle happened to cough. After helping the uncle cough up the phlegm, I looked at the phlegm carefully."

Hearing Ye Xiu talk about the spit, all the intern doctors subconsciously looked towards the spittoon where the uncle had just spit.

They also saw the uncle spitting just now, but they didn't pay much attention to it.

But after taking a serious look, they didn't see anything special.

"Don't tell us, what special thing did you see in this sputum? Did you see tuberculosis bacilli?"

The intern who just spoke said sarcastically.

"There is no tuberculosis bacilli. Although my eyesight is not bad, it is not a microscope after all. It is not that powerful."

Ye Xiu smiled slightly, "But I do see some differences."

"I used to stay in the respiratory medicine clinic for a while and met many patients with Mycobacterium tuberculosis. Every time they coughed hard, I would help them press and rub them to help them cough up the phlegm smoothly. After I coughed it up, I would carefully observe it every time to see if it was different from the phlegm coughed up with other common symptoms. Over time, I really gained some experience, and sometimes I really We can judge whether there is Mycobacterium tuberculosis bacilli through the sputum spit out by the patient."

Can you really tell it through the phlegm?

Did he still observe the phlegm every day?

He really knows how to brag!

Isn't he afraid of blowing his cover by bragging like this?

Listening to Ye Xiu's words, the faces of the intern doctors all showed doubts and disdain.

They didn't believe Ye Xiu's words at all. As doctors, although they couldn't avoid these things, sometimes it was necessary to observe the phlegm and even defecation, but even as doctors, if it was not necessary, I will definitely not look at it more, let alone stare at it seriously.

As for what Ye Xiu said about seeing through phlegm, they thought it was even more nonsense!

Not to mention the intern doctors, even the patients and their families next to them thought it was a bit nonsense.

Ye Xiu naturally felt the doubts and ridicule in those people's eyes, but he didn't take it to heart. After all, he knew that it was really hard to believe it.

Besides, this is not very desirable and not very scientific. The diagnostic rate of his observation is indeed not 100%.

And, more importantly, he had never thought of convincing them.

After shaking his head, Ye Xiu was about to suggest to Wang Yanchao that the patient should be examined again.

But just when Ye Xiu was about to speak, there was suddenly a rush of footsteps at the door of the corridor.

"Tuk tuk...!"

With the sound of footsteps approaching from far away, Deputy Director Huang appeared in everyone's sight with a hurried look on his face.

"Director Huang?"

Seeing Deputy Director Huang who looked anxious, everyone had a look of surprise on their faces. Logically speaking, Deputy Director Huang would not appear here at this time. This is the time for Wang Yanchao's ward rounds. Under normal circumstances, Deputy Director Huang would not appear here. The director will be busy with other matters of his own first.

"Ye Xiu?"

After nodding to everyone, Deputy Director Huang immediately noticed Ye Xiu, and the look on his face was subconsciously stunned.

"Hello, Director Huang! Long time no see."

Ye Xiu quickly said hello.

Although he didn't have much contact with Deputy Director Huang when he was in the Department of Internal Medicine, Ye Xiu admired Deputy Director Huang's medical skills and ethics very much. This was a man who, like Wang Yanchao, had devoted most of his life to patients. doctor.

"Long time no see! Let's go to Lao Wang's office to chat for a while."

He forced a smile, and after greeting Ye Xiu, Deputy Director Huang immediately turned to Wang Yanchao anxiously, "Old Wang, the 150-bed patient hasn't received any medicine yet, right?"

"Not yet, what's wrong?"

Wang Yanchao looked at Deputy Director Huang who looked anxious, with a look of doubt on his face.

While speaking, he glanced at the uncle next to Ye Xiu. The 150-bed patient mentioned by Deputy Director Huang was the uncle whom Ye Xiu suspected of having cavitary tuberculosis.

"It's good if it doesn't happen. I suspect this patient may have concurrent cavitary tuberculosis!"

When Wang Yanchao said that he had not taken any medicine yet, Deputy Director Huang breathed a sigh of relief, and then said to Wang Yanchao with a serious face, "I may have to change the patient's treatment plan!".

Snapped!

An intern doctor who had just taken the patient's medical record from Wang Yanchao, and before he could put it back to the patient's bedside position, the medical record in his hand fell to the ground with a bang.

He had just spoken sarcastically at Ye Xiu. After Deputy Director Huang arrived, the intern doctor was about to open his mouth to report Ye Xiu's doubts about him to Deputy Director Huang. The words he was about to say were stuck in his throat and he could no longer spit them out. , the mouth was opened so wide that it could almost fit two eggs.

The other intern doctors all widened their eyes, wondering if they had heard wrong!

"Old Huang, what did you just say?"

Even Wang Yanchao's eyes widened with a look of disbelief on his face, "You said this patient has cavitary tuberculosis?"

"Yes, the patient's condition recurred again last night. I thought about it, and the more I thought about it, the more I felt something was wrong. Before I left, I sent the patient's sputum for testing. The results of the test just came out, and the sputum was Mycobacterium tuberculosis was detected.”

Deputy Director Huang nodded, with a solemn look on his face.