Chapter 1577 You can tell at a glance that is so magical?

When Shen Lang saw Zhou Congwen talking nonsense seriously, he was speechless and felt contemptuous.

This is when Shen Lang met Zhou Congwen at a loss and saw Zhou Congwen’s downfall, so Shen Lang rarely treats Zhou Congwen as an old expert.

What Zhou Congwengang said sounded unreliable.

The tall and thin little boy is willing to get spontaneous pneumothorax because of a slight deformity in the chest during growth and some pathophysiological reactions.

The probability is actually not high. The thoracic surgery department of Jianghai Third Hospital can accept 1-2 similar patients a year.

But Shen Lang had never heard of hematuria at all, and it had nothing to do with spontaneous pneumothorax.

"Patients generally have hematuria and proteinuria. If the urology surgeon or nephrologist who has insufficient levels will judge it as nephritis." Zhou Congwen said.

"What then?" Shen Lang asked.

"The other thing is that it is more common in little boys, and they usually have concurrent left varicocele."

Seeing that Zhou Congwen said it was particularly affirmative, Shen Lang turned around and walked back regardless of whether he was eating or not.

"Congwen, wait for me!" Shen Lang finally threw down a sentence.

Zhou Congwen saw that Shen Lang disappeared from his sight like a wild dog that had been removed from his reins, and he smiled.

This disease is rare in grassroots hospitals, but in the imperial capital, the Grade A hospitals in the Magic City are very common.

It’s not that the children in the Imperial Capital and the Magic City are willing to get this disease, but the nephrologists in grassroots hospitals don’t know what the situation is. The treatment has not improved for a period of time, so they can only recommend that the patient’s family take the patient to the higher hospital.

Patients across the country gather in the imperial capital and the magic capital, which is actually a kind of tiered diagnosis and treatment.

After reading too much, Zhou Congwen has been accustomed to it for a long time, but Shen Lang doesn’t know the specific reason yet.

In this era, there were quite a lot of doctors in Jianghai Third Hospital and even aortic dissection, not to mention Nutcracker Syndrome.

In a further twenty years, there are not many nephrologists in primary hospitals who can accurately diagnose Nutcracker syndrome.

Many children treat nephritis as treatment. Although it will not lead to serious consequences, it is also a misdiagnosis and mistreatment after all.

Shen Lang ran into the emergency department all at once. He found an opportunity and asked while there were not many people in the emergency room, "Sister Pang, how about the child who had hematuria just now?"

"Shen Lang, you are still here." The female doctor in the emergency department looked up at Shen Lang and started typing on the keyboard again.

I wrote the medical record of observation while there were no patients. Who has time to deal with such gossip as Shen Lang?

"Sister Pang, it's the child who urinates blood. How is he like? Is it a big problem?" Shen Lang's face was thick-skinned enough and came over to ask.

"That child, I asked him to go home and observe."

"Ah?!" Shen Lang was stunned, "Sister, the child is urinating blood. What should I observe when I go home? Not only nephritis or kidney tumors."

"What are you saying?" The emergency department doctor glanced at Shen Lang, "I've checked it. I have hematuria, proteinuria, varicocele. I had a CT scan and saw the left renal vein..."

"Wait!" Shen Lang immediately interrupted the emergency department doctor when he heard a diagnosis that Zhou Congwen had just said.

"What's wrong?" The emergency department doctor frowned, raised his head, put on his glasses, and looked at Shen Lang with an idiot-looking look.

Although Shen Lang is usually gossipy, he is very diligent. When he is having dinner, Shen Lang changes into a white suit and helps him with it for a while.

So she still tried to give Shen Lang a good face, although Shen Lang had delayed her work now.

"Shen Lang, have you never seen a patient with Nutcracker Syndrome?"

"Ah? What clip?" Shen Lang hadn't heard it before, and asked at the emergency department doctor in a daze.

"It is common for young boys, mainly from 12 to 18 years old. They usually develop diseases in junior high school, including hematuria and proteinuria."

"..." Shen Lang was stunned.

The emergency department doctor said exactly the same as Zhou Congwen said, and Shen Lang didn't understand at all.

"So after the patient came, I looked at the age and then looked at the test sheet. He took off his pants and looked at the vein collar and probably knew what was going on." The emergency department doctor said, "The left varicocele is very typical."

“…”

"Then you get a CT scan and you'll know what's going on."

"What's going on?" Shen Lang asked, anxious.

"During the process of returning to the inferior vena cava, the angle formed through the abdominal aorta and the superior mesenteric artery or the gap between the abdominal aorta and the spine is squeezed, which is often accompanied by a decrease in the blood flow rate of the left renal vein and the dilation of the distal vein at the compressed place."

"In human terms, the child is too thin, there is a problem with the space in the abdominal cavity, and the blood vessels are squeezed. Judging from the physiological and anatomical structure, it is generally a problem with the left kidney."

"!!!" Shen Lang was extremely shocked.

"Although I didn't see the result, I've basically confirmed it."

"How to treat it?" Shen Lang asked.

"Most people don't need to treat it, and varicocele will be cured when they grow up." The emergency department doctor laughed, "A small number of them require surgery, but it is generally not recommended."

As she said that, she lowered her head and began to pound the medical record again.

"It was not an emergency department, but I came and the symptoms were so typical, so the patients were not allowed to go to the outpatient department to see the blood vessels." The emergency department doctor said, "It is not troublesome to do an enhanced CT to see the blood vessels."

After the diagnosis is clear, I will explain to the patient's family. He is not in a hurry. If he wants to go to the nephrology department, he will go to the nephrology department. If he wants to go to the urology department, he will go to the urology department."

"I'll go, Sister Pang, is that amazing?!" Shen Lang asked in surprise.

"Is it amazing?" The emergency department doctor doesn't think so. "It's just that the doctor's level in grassroots hospitals has some problems, but it's understandable. If the level is as high as our 912...it's impossible."

The emergency department doctor and Shen Lang were already familiar with each other. He knew that he was a grassroots hospital and his basic knowledge and clinical experience may be a little worse, so he only said half of the words.

Shen Lang also ignored the disdain and offense in the words of the emergency department doctor. He didn't care about these things at all. He wrote down everything he should remember and ran to the CT room to wait for the child to have a checkup.

The examination results are exactly the same as what the emergency department doctor said - the inferior vena cava is located on the left side of the abdominal aorta and the spine to the inferior vena cava; at the level of the renal artery, the right renal vena passes through the abdominal aorta and the spine and enters the inferior vena cava, and pressure traces can be seen at the intersection of the right renal vena and the abdominal aorta; the inferior vena cava goes up to the intersection of the abdominal aorta and the twelfth rib and goes around to its right side to continue upwards.

Is it really that amazing?!

Shen Lang stared at the blood vessels on the screen for a long time.

The doctor in the CT room also knew Shen Lang. He smiled and said, "Xiao Shen Lang, have you seen him before?"
Chapter completed!