"Spinal stenosis is very common in our orthopedics. Most patients do not need treatment because vertebral surgery is relatively difficult and no one wants to do it without complete confidence." Deng Chaohong saw that Ji Xiang was easy to communicate and did not have a stubborn opinion, so he started the mode of teaching.

His teaching model is different from the system, and it is not long-winded. It may be related to his age and Deng Chaohong's character.

Ji Xiang listened carefully, and Deng Chaohong took advantage of the time when the patient went to pick up the film to tell Ji Xiang a little more.

He has solid basic skills and is good at the surgery. Otherwise, President Zhao Jixiang and President Zhao would not have sent his son to Deng Chaohong.

Ji Xiang listened with relish.

After about ten minutes, the patient limped back with the film.

"Professor, I'm back, this is a movie, you can see it." The patient came back with a movie bag and handed it to Deng Chaohong.

"You will know what spinal stenosis is when you watch the movie." Deng Chaohong smiled, filling his master's demeanor and filling him again.

"Click~"

Insert the film into the viewer.

Deng Chaohong glanced at him and was stunned.

I actually "guessed" wrongly, the patient is not a problem with the spinal canal!

There is a cord-shaped front of the inner dura mater of the spinal canal, with tortuous abnormal placeholding shadows. The t1 and t2 weighted images both show low signals, distributed behind the l4~s1 vertebrae, and is obvious at the l4/5 gap level. The two longitudinal arches of the anterior venous plexus in the spinal canal are expanded and located on the ventral side of the dura mater, forming a specific imaging manifestation of "glasses sign".

A very typical "glasses" sign appeared. Professor Deng stared at the "glasses" on the movie. After a few seconds, he tried hard to recall what he saw when he checked his body.

The physical examination process is not difficult, with joint pain and no other neurological symptoms on the limbs, which is more consistent with the clinical signs of spinal stenosis.

But!

Deng Chaohong thought of the question that Ji Xiang had just been "trained" when he heard this.

"It's not that the spinal canal stenosis is because of the blood vessels." Although Deng Chaohong didn't want to admit it, it was meaningless to hold on until he died.

Deng Chaohong didn't think about his own face problem, a true diagnosis and corresponding treatment.

Isn't it clear how to choose?

"Our local doctor didn't understand." The patient said hopefully, "They asked me to come to the provincial capital."

"You sit on it."

Deng Chaohong heard what Ji Xiang said to the patient more than ten minutes ago.

He felt his old face blushing a little.

But what else can I do if I diagnose a mistake?

It should be because I have encountered a rare disease, so it is a good choice to continue to check my body according to Ji Xiang's ideas. Deng Chaohong comforted himself.

The patient took off the socks.

Just as he took off his socks, Deng Chaohong's eyes widened, surprised and inexplicably.

The patient wore a pair of black socks, but there was almost no difference between taking off and not taking off.

Even taking off the socks made Deng Chaohong feel that a patient was wearing another pair of socks in the socks!

wrong!

As a doctor, Deng Chaohong immediately realized something was wrong.

But he couldn't tell what was wrong. As for the underwear and socks, fading, it was rarer than rare diseases. Few patients who usually see would have a brain that was so lacking.

"I wash my feet every day, and I don't know what socks fade, it's true." The patient said indifferently, "Professor, do you need me to lie down?"

….

"Yes." Deng Chaohong nodded absent-mindedly.

Seeing that Ji Xiang didn't say anything, he began to check his body.

A few minutes later, Deng Chaohong went to wash his hands, "Do you have normal blood sugar?"

"Normal, I don't have diabetes."

According to the description in the book, the patient's condition is called pigment deposited on the foot boots, which is extremely rare. Deng Chaohong himself has only seen it once or twice.

What is the diagnosis? Deng Chaohong tried hard to find the remaining memory fragments in his mind.

"Don't your stomach hurt?" Ji Xiang suddenly

Yen asked.

Belly, abdomen...

Ji Xiang's problem was like a flash of lightning. Deng Chaohong immediately thought of a patient he met when he went to the consultation several years ago.

In the end, the patient should have received the Vascular Department.

"It doesn't hurt." The patient grinned.

Although Ji Xiang is a young doctor, he still gives him enough politeness and respect.

"Xiao Ji, what are you thinking?" Deng Chaohong, like the patient, also gave Ji Xiang full respect.

He never thought that Ji Xiang was just a regular trainee. Which regular trainee doctor could break so many records. So this time Deng Chaohong was so kind that he knelt and knelt down all of a sudden, preparing to hear what Ji Xiang said.

"Why do I feel like Buga syndrome?" Ji Xiang told me about the diagnosis he had given before going to the system operating room for advice.

"Uh..." Deng Chaohong was stunned and then said, "You lie down and your stomach is exposed."

The patient was a little surprised, but he still lay down as Deng Chaohong said.

After lifting the clothes, several thick veins on the patient's belly winded like insects, and seemed to be moving with the blood flow.

Vein opening and pigmentation on the foot boots, these keywords and magnetic resonance images all remind Deng Chaohong that the patient will definitely not have simple spinal stenosis!

"I'll go and make a phone call." Deng Chaohong patted the patient and signaled him to get up.

"Professor, what phone call?" the patient asked.

"Look for someone else to consult, your current situation should not be the disease of our orthopedics." Deng Chaohong tried hard to curb his inner emotions and explained to the patient gently, "Don't worry, there is a clear diagnosis when you come to the Second Affiliated Hospital."

The patient is very pleased.

I have been struggling for hundreds of miles and dozens of days, just for a correct diagnosis?

Deng Chaohong turned around and left, and looked back at Ji Xiang before leaving.

A few minutes later, Deng Chaohong came in with Director Wang of the Vascular Department and Director Zhao Xiangming of the Intervention Department.

"I... and Dr. Xiaoji suspected that it was Buga syndrome." Deng Chaohong Dao.

"Does your stomach hurt? Do you have to come to your orthopedic department for treatment? Do the patient have any signs of spider-human?" Zhao Xiangming asked.

After entering the door, Zhao Xiangming smiled, "It shouldn't be. More than ten years ago, I watched the NBA talent show. A big, tall spider-man with long hands and feet. I think if his belly is a little bulging, he will definitely be a Buga syndrome patient."

kd? Ji Xiang smiled, Director Zhao said a bit like that.

Even though that's the case, Zhao Xiangming went to check the body immediately.

In addition to the absence of abdominal pain and chronic ulcer symptoms, the patient's symptoms are consistent with the thick and winding vein of the chest and abdominal wall, pigmentation in the foot boot area, and a small amount of effusion in the percussion in the abdominal cavity.

"I took the patient away. Bugat syndrome is not common, but the operation is very simple." Zhao Xiangming comforted the patient.

"That……"

"Go with Director Zhao." Deng Chaohong personally sent the patient and Zhao Xiangming away.

This disease is treated by interventional department, and Deng Chaohong was also pleased that he found a suitable department for treatment for the patient.

Healing doctor.

True Xiong Chumo reminds you: Remember to bookmark [】w                                                                                                                                                                                                                                                       


Chapter completed!