Doctor of Healing

Chapter 420 How Much Do You Know about Mirizzi Syndrome
"What's your problem?" Zhai Yuhan waited for Ji Xiang to leave the ward, and she closed the door behind her hand, asking in doubt.

"The pain in the patient's right upper quadrant did not radiate, it was intermittent progressive severe pain, the score was 6/10, the pain had no obvious aggravating or relieving factors, the relationship with eating was unknown, and it was related to nausea, jaundice, dark urine, light stool color and self-consciousness. Fever related."

"I didn't see these things written in the medical records, Mr. Zhai, you and the director know about it, right?"

"..." Zhai Yuhan was taken aback for a moment, and then became annoyed.

Is Ji Xiang provoking himself?
Just now I asked him and Zhao Mengmeng some simple basic clinical knowledge and consultation knowledge in the tone of a superior doctor, but Jixiang turned his head and started to fight back.

What a fucking arrogant and aggressive young man.

"I think it's better to do MRI confirmation. By the way, our department has an ERCP room." Ji Xiang asked very "casually".

He had not been transferred to the Department of Hepatobiliary and Pancreatic Surgery in the Second Affiliated Hospital of Bai Medical University. He recalled that the gastrointestinal department of a large hospital had a gastroscope when he went to empathize with him, so he asked a question.

Zhai Yuhan's expression became even uglier.

ERCP is performed by gastroenterologists, and there are not many hepatobiliary and pancreatic surgeons in the country who can do ERCP. Only the hepatobiliary surgery hospitals in the metropolitan capital have ERCP rooms.

Is this a slap in the face?
Seeing that Zhai Yuhan didn't speak, Ji Xiang hesitated for a while, and smiled bitterly, "I'm sorry, Mr. Zhai, it's okay if you don't have one. I suggest an emergency MRI, and then ask the ERCP teacher for consultation tomorrow."

"Doctor Xiaoji." Zhai Yuhan suppressed the anger in his heart and tried to be calm in front of the camera to avoid being criticized.

"Teacher Zhai, it's like this." Ji Xiang's eyes were bright, and his face exuded a warm luster, as if a lighting engineer had cast a light on his face.

Zhai Yuhan was startled, and lost his mind for a moment.

This is so beautiful!
She is not Yangou, but at this moment, Ji Xiang's side seems to be full of hype, and Lun's voice is everywhere.

But Di Yuhan woke up quickly, feeling slightly annoyed.

"What do you think?" Zhai Yuhan asked unhappily.

She didn't want to talk to Jixiang at all, but there were cameras after all.

"Ms. Zhai, the patient is a rare Mirizzi syndrome, so there should be no problem, but MRI is still needed for diagnosis."

"Mirizzi syndrome? Xiaoji, the patient's gallbladder has been removed!" Zhai Yuhan said seriously.

"It's not Mirizzi's syndrome caused by stones compressing the neck of the gallbladder, but..."

Ji Xiang said while striding towards the doctor's office.

The photographer team behind him was completely dumbfounded. What kind of plot is this?Was it arranged by the director?
Is the patient also an extra you're looking for?
Ji Xiang's affirmative tone made them think that everything was arranged.

I was deceived, everything was a script, but the director controlled everything behind the scenes.

The photographer was a little sleepy, but he woke up instantly after seeing this scene.

……

……

In the comment room, the host's bald head was shiny, and he looked at Professor Shen blankly.

"Mirizzi syndrome..." Professor Shen lowered his head and flipped through his phone to look up the term Mirizzi syndrome.

He is not a doctor of hepatobiliary and pancreatic surgery, and he needs to search the Internet when encountering an extremely professional term like Mirizzi syndrome.

Soon, Professor Shen raised his head, with some confusion on his elegant face.

In his opinion, Ji Xiang is just a regular trainee, Zhai Yuhan is the chief resident of the First Affiliated Hospital, and this patient is obviously an old patient of the First Affiliated Hospital. The director has seen it countless times, so why did Ji Xiang give a new diagnosis?
impossible,

This unscientific!

But all these doubts were shaken in Ji Xiang's determined eyes.

The review room was quiet, and the atmosphere was a bit awkward, but Director Fan was extremely excited, his eyes were bright.

This is what he wants!
Ordinary people are interested in the work and life of doctors, which is one of the selling points of the show.

And everyone knows that young doctors will be ravaged in various ways when they enter the clinic, which is reasonable.

But if you want to make a hit, you need to be reasonable, not unexpected.

Now Jixiang showed all this in front of Director Fan.

Reminiscent of Jixiang bringing his own "working group" and the "old" director who graduated from Xiehe in the working group, his expectations for Jixiang were stretched to the fullest.

"The first group, the first group, keep up! The camera is facing Ji Xiang. The second group is showing Dr. Zhai a side shot." Regardless of the presence of the host and guests in the commentary room, Director Fan has already begun to direct his photographers to work.

……

……

The cameraman trotted along with Ji Xiang.

He murmured in his heart that Ji Xiang's legs were really long, and when he took big strides, he had to trot to keep up.

Back in the doctor's office, Ji Xiang sat in front of the computer and called up the B-ultrasound image.

"Teacher Zhai, look here."

"Ultrasonography revealed enlarged coiled cystic structures at the gallbladder bed, consistent with increased gallbladder remnants, and no sonographic evidence of biliary stones was found."

Zhai Yuhan was startled, "Doctor Xiaoji, do you know what you are talking about?"

"I know that although the image on the B-ultrasound is not certain, there is an image similar to an artifact below the department."

Ji Xiang pointed his finger at the screen.

"Do you think there is something wrong with this image?"

"What's wrong? What's wrong?" Zhai Yuhan looked blankly at the image of Ji Xiang's finger, completely unaware of what Ji Xiang was talking about.

"The image shows that the bile duct is slightly thicker than the normal one." Ji Xiangdao, "If the biliary tree is further evaluated by magnetic resonance cholangiopancreatography, I estimate that stones at the end of the cystic duct can be found, accompanied by compression of the common bile duct and dilation of the upstream bile duct. .”

"Here, this is this section. Although there is only a little afterimage, we can predict what's going on inside with the patient's medical history."

"!!!"

Zhai Yuhan was speechless.

estimate?

How dare he say that based on a short section of images from the B-ultrasound report?

"Mr. Zhai, our department doesn't have an ERCP room, so we can always make an appointment for an MRI at night."

Hearing Ji Xiang talking to himself in this tone, Zhai Yuhan really wanted to hold his ear and tell him that MRI can indeed be done at night, but the director needs to call.

"Are you sure?" Zhai Yuhan asked.

"Almost, Mr. Zhai, how much do you know about Mirizzi syndrome?"

Zhai Yuhan took a cautious look at Jixiang. She saw that Jixiang was staring at the computer screen intently, and she didn't seem to be provoking herself, but she became competitive and recalled the knowledge about Mirizzi syndrome in her mind again.

"Mirizzi's Syndrome is mostly due to incarcerated stones in the neck of the gallbladder or cystic duct and..."

Zhai Yuhan was explaining the professional terms, and he was indeed the chief inpatient of a high-level tertiary hospital, with excellent basic qualities.

But seeing this scene, the eyeballs of everyone in the review room almost didn't fall out.

If it was said that everyone just felt that the roles of teacher and intern had changed, then the question Jixiang raised directly erased the word "feeling".

(End of this chapter)