Chapter 2307: 【2307】Not convinced
In this patient, the pneumothorax line is the most clearly visible on the film. The percentage of lung collapse has not reached the peak. Is there any obvious signs of exudate in the pleural cavity?
"Teacher, it is difficult to identify a hydropneumothorax simply from the perspective of x-rays." Xie Wanying pointed out.
The easiest thing to see on x-rays is that the lungs are compressed, but how can you tell that there is not only gas but other things in the compressed lungs? X-rays are not camera lenses that can enter the human body to be carefully screened. Sometimes the addition of ct can be excluded, but you must know that the instrument is not a panacea.
If a patient like the respiratory medicine department would be better than a large amount of effusion, it is clear and intuitive. If a small amount of effusion is a localized hydropneumothorax, but the position is biased and affects the patient's condition, it will make the doctor feel more difficult.
Of course, Gang Duan has already mentioned the first point. It's just that her classmates and other classmates misunderstood Duan's meaning.
"He should mean that the pleura is thickened." Xie Wanying said, "My classmate said that the blunting of the cardiac septal angle is not a big mistake. He said that the possibility of infection also means the symptoms of thickening of the pleura. Fluid, the fluid level is usually seen at the bottom on x-rays and will flatten the shadow of the diaphragmatic arch. This patient is not typical of a complete flattening of the arch. It is easy to first show an obtuse angle of the heart septum and then flatten the arch. Confused judgment."
Hearing what Xie said here, Zhang Desheng blushed first: This is obviously because she was helping him and detouring the wrong words he said. All I can say is that Yingying is so nice.
The Guodu students present were the most surprised. One by one, they grabbed their school tyrants and asked, "Duan Sanbao, do you mean this?"
Asshole, you don't tell the other party if you guide the wrong person, causing a bunch of us to go astray.
Duan Sanbao, who was besieged by his schoolmates, shrank his neck like a little ostrich. He heard something wrong and didn't know what to do. He is a guest, so he cannot say to his face that he has misheard him. Moreover, people later said the factors of infection.
what can be confirmed is. Duan Sanbao's eyes were shining brightly on the pages of his notebook: This person may really be "Wang Zha".
Dr. Cheng Yuchen turned his head to read the film again, and then turned to Cao Zhao to confirm: "Mr. Cao, do you want her to try to perform closed thoracic drainage and puncture for the patient?"
A group of Guodu students at the scene realized that something was going on.
As far as they know, students who are not licensed to practice doctors basically do not have the opportunity to perform such operations, and interns at most change the dressings for patients individually in clinical practice.
This suggestion for subordinates is to retreat instead of advance? The corners of Cao Zhao's lips were curved, and the two black eyes inlaid on the jade surface were smiling.
Looking at Teacher Cao's face from the side, the students could feel the "evil" smile in Teacher Cao's eyes.
"Okay." Cao Zhao nodded, agreeing to the subordinate who "voluntarily volunteered".
It can only be said that the group of children in his class are all arrogant and unconvinced. A new classmate may be an overlord, and he must fight for a fight to the death.
Thank you for your support! ! ! Good night dears~
(end of this chapter)