The surgeon opens a cheat

Chapter 209 Misdiagnosis of Rare Cases
The director of the center, Shao Yifei, had an ugly expression on his face.

"The method taught by Zhang Gu is to let us carry out a lot of practice for a long time, and continue to become proficient in operating the rigid nephroscope in the tunnel..."

"Isn't this just proficiency? There is no operating skill at all!"

"This valley, shouldn't it be deliberately hidden."

Shao Yifei and others began to wonder whether Zhang Gu deliberately did not teach them the operation skills.

But gradually, after they watched Zhang Gu perform more surgeries, they gradually understood it themselves.

There is really no skill in this operation, it's just done with a skilled and solid hand feeling!
There was always a doubt in Shao Yifei's heart.

Why is Zhang Gu, who is young and has only recently been exposed to hepatobiliary surgery, able to have such proficient skills in the operation of rigid nephroscopes?
When did he start practicing?
This level of proficiency can only be possessed by senior doctors who have performed hundreds of operations for five years or more.

……

At the same time, another thing happened.

The Water Conservancy Hospital received a patient with suspected liver cirrhosis. The expert group discussed it for several days, but it was still unable to make a diagnosis.

Therefore, the Water Conservancy Hospital called the hepatobiliary surgery experts from the city's first hospital and the city's third hospital for a joint consultation.

This time, many acquaintances of Zhang Gu came.

Yao Yusen from the third hospital, Bao Zhihui and Shu Xinxian from the first hospital all came.

At this moment, Zhang Gu also happened to come to the Water Conservancy Hospital for training.

"Team Leader Zhang, are you here?" Shu Xinxian didn't expect to meet Zhang Gu here, so he was very happy.

Bao Zhihui also greeted with a smile: "Doctor Zhang."

Zhang Gu smiled at the two of them and said, "I'm here for training and exchange, are you here?"

The two talked about their intentions.

Zhang Gu said with a smile: "Okay, you go to work first, I will talk to you after I finish the lecture."

Shu Xinxian said with a smile: "You must come, I have something to tell you."

"Okay!" Zhang Gu looked at Yao Yusen: "After the meeting is over, let's go together."

The people are separated.

On Zhang Gu's side, after giving a lecture to the specialist doctors of the water conservancy hospital.

Come to the door of the large conference room next door and listen closely.

There is still a meeting in there.

"Isn't it over yet? This consultation is a bit long, it's been more than two hours."

Zhang Gu glanced inside through the crack of the door.

I saw that there were fifteen or sixteen doctors sitting there, all of them frowning and frowning.

Obviously, this joint consultation did not go well.

Zhang Gu quietly opened the door, walked in lightly, and sat down in a row behind Yao Yusen and Shu Xinxian.

In the boredom of waiting, Zhang Gu also simply listened to what kind of medical case it was.

I heard a senior doctor from the Water Conservancy Hospital say: "I still think it's liver cirrhosis, because the patient has a history of hepatitis B for 20 years, and his lower limbs are edematous. In his family medical history, his mother and sister are also hepatitis B patients. Besides, the patient's transaminase, Laboratory indicators such as bilirubin are on the high side, and low protein is down, which shows that the possibility of liver cirrhosis is very high."

Another doctor from the first hospital shook his head and said, "But how do you explain that the patient's platelets and white blood cells have not decreased? If it is liver cirrhosis, these symptoms of hypersplenism should appear at the same time, right?"

The doctors have been discussing it.

Each talked about their own persistence.

This case is indeed complicated and troublesome.

From the perspective of pathological indications, it clearly fits several diseases, but it is also contradictory, and lacks definitive diagnostic criteria.

Zhang Gu felt a little dizzy after listening for a while!

He estimated that even if the meeting continued for another ten hours, no one would be able to convince anyone.

And in his intuition, Zhang Gu also felt a little strange about this case.

Anyway, he is rich and powerful now, and the card pool is full, so he simply consumes one card and sees the situation.

In Zhang Gu's mind, he consumed a blank skill card, exchanged the "Basic Operations for Diagnosis and Treatment of Liver Cirrhosis", and raised it to an advanced level.

Immediately, various experiences about liver cirrhosis treatment appeared in my mind.

Zhang Gu looked at this medical case again, and then he understood!

Among the vast sea of ​​medical records in my mind, there was indeed a similar case of this kind of illness.

This is a condition that is easily misdiagnosed as liver cirrhosis. It was originally called "congenital extrahepatic portal vena cava malformation".

Extremely rare!

So far, hundreds of cases have been confirmed worldwide.

This is a congenital disorder in which developmental abnormalities lead to an abnormal shunt between the portal vein and the vena cava.This abnormal shunt will cause many appearances, which overlap with many indications of liver cirrhosis.

Zhang Gu sighed in his heart, it seemed that he had to intervene forcefully.

It is estimated that none of the people in the conference room had seen information on this rare congenital acute disease.

I haven't even seen it, so how can I be diagnosed right?

Zhang Gu coughed, and after attracting everyone's attention, he said, "Director Shao, have you ever considered that this is a congenital extrahepatic portal vein malformation?"

Shao Yifei was stunned, Yao Yusen, Shu Xinxian, Bao Zhihui and others also looked at Zhang Gu in a daze.

What did you just say?
Looking at the bewildered crowd, Zhang Gu sighed in his heart, sure enough.

There are only [-] cases of this rare deformity in the world. For the vast majority of hepatobiliary surgeons, they may never encounter a case in their lifetime, so it is no wonder that they were misdiagnosed.

"You can go to the database and look up this deformity. It's very rare, but it's definitely not cirrhosis."

Some quick-handed doctors have already made inquiries on the nearby computer.

Bao Zhihui, director of the Department of Hepatobiliary Surgery of the First Hospital, said, "Doctor Zhang, you said this is a rare disease?"

"Yes, there are only hundreds of cases in the world. This is a branch of the original portal vein and inferior vena cava..."

Zhang Gu briefly explained the cause of this rare disease.

These are all the data of the case in his mind, so Zhang Gu just read it according to the script.

But in the eyes of others, Zhang Gu is like a humanoid machine, directly recited this very obscure and unfamiliar information.

At this time, a doctor who was looking for information on the computer suddenly said: "I found it!"

Shao Yifei looked over: "Is there really such a rare disease?"

The doctor nodded: "Really! Its full name is Abemethy deformity, and all the information is exactly the same as what Dr. Zhang Gu said just now, almost... word for word."

After finishing speaking, the doctor looked at Zhang Gu with a little horror.

Dr. Zhang's memory is too scary, right? !

The others also had expressions of disbelief, reciting the information verbatim, how many things are stored in your mind!
Shao Yifei swallowed a mouthful of saliva: "Doctor Zhang, what is your standard for judging that this patient is a congenital deformity?"

Zhang Gu said: "I have listened to your detailed description of the condition and judged it based on experience. It is best for you to do two additional tests to confirm the diagnosis."

"One is imaging examination, angiography, and multi-planar vascular reconstruction. If it is found that the hepatic portal vein is small, the inferior vena cava meridian is widened, and the portal vein branches are thick, which is different from ordinary people, it is a congenital malformation."

Shao Yifei waved his hand and said to the doctor next to him, "Go and examine the patient."

(End of this chapter)