Regarding this issue, Tao Le is very confident.
In her previous life, she had studied various radiological images from her mentor. Because Chinese medicine also needs to keep pace with the times, having detailed test results will be more conducive to prescribing the right medicine.
Although she had a golden finger, firstly, the teacher taught her to learn well; secondly, she also took this opportunity to use the golden finger to correct her ability to interpret pictures.
Over the past few decades, she has seen and verified CT, MRI, electrocardiograms, various laboratory tests, and more advanced detection maps in the future.
So when she spoke at this moment, she spoke clearly:
"The CT shows clearly that there are a small number of linear high-density shadows along the left tentorial area and the interhemispheric cistern - indicating a small amount of subarachnoid hemorrhage."
"...It could also be a smaller subdural hematoma. How can you be sure it's a subarachnoid hemorrhage?" Qin Feng asked.
He wanted to know if Tao Le really knew how to distinguish, or if he was just fooled.
Tao Le understood why Qin Feng asked this. The two conditions are very similar on CT images, so misdiagnosis can easily occur.
She had a very good reason for this: "Subdural hematoma usually has clear borders and mild mass effect."
The so-called space-occupying means that the tumor, whether benign or malignant, squeezes other tissues and organs.
"At the same time, the band-like high-density shadow of subdural hematoma is generally narrow. As long as you are a little careful, you can completely distinguish it."
Qin Feng felt depressed. Tao Le said it easily, but how to define this so-called "clear boundary" and "relatively narrow" is difficult to easily distinguish without many years of clinical experience.
If it were really that easy, there wouldn't be so many doctors falling for it.
Even he himself came to a high probability conclusion after combining the patient's symptoms and other indicators.
In order to inspire Tao Le to think proactively, he also gave her a CT image. Unexpectedly, she was able to make a correct diagnosis based on it.
What a wealth of experience and keen observation this requires! How did the school girl train herself?
Wait, is she too arbitrary to form a conclusion based on just one CT image? Nor is this a praiseworthy quality for a doctor.
"So, if you get the patient's CT image in clinical practice, what will you do?" Qin Feng asked very skillfully.
He didn't say that you can draw conclusions based on just this one inspection result, which will make people immediately aware of the problem and correct it.
Directly asking what would be done next sounded like he was asking about treatment, but in fact, he wanted to see if Tao Le would do further examinations to support his judgment.
You know, many jobs can be fault-tolerant, but medicine cannot. Because a person only has one life, and if something goes wrong, it may kill the patient.
To his surprise, Tao Le answered very rigorously: "If it is clinical, I will conduct further tests based on the patient's condition."
"Subarachnoid hemorrhage is mostly caused by rupture of saccular aneurysm, but there are also other causes such as trauma. Patients will have severe headaches, followed by vomiting, and may also suffer from irritability, confusion, and convulsions."
Tao Le's words became smoother and smoother: "Some patients are also accompanied by fever, elevated blood pressure, and bloody cerebrospinal fluid."
"So what are you going to do next?" A voice intervened and asked.
When Qin Feng and Tao Le looked at it at the same time, they found that they both knew the person coming.
Dong Cheng, Doctor Dong. There were several people in white coats following behind him, one of whom looked very familiar.
Hey, isn't that her classmate Yang Ruixue?
Yang Ruixue is different from other students. She is a true academic leader.
During college, the only person in their second clinical class who won a special scholarship for five consecutive years was Yang Ruixue.
Tao Le knew in his previous life that Yang Ruixue was admitted to the first hospital as a trained doctor, and later stayed in the first hospital and became a slightly famous expert in a certain subject.
The relationship between Tao Le and Yang Ruixue is just acquaintance. Those who can catch Yang Ruixue's eyes are either medical authorities, professors and experts, geniuses who are better than her, or classmates with superior family backgrounds.
Seeing Tao Le here was beyond Yang Ruixue's expectation. In her eyes, Tao Le had an average appearance, came from a working-class family, and was not as good as her in academics. He was the type with no social value.
But how could such an outstanding senior Qin Feng know Tao Le? And judging from the few words he just heard, he was still discussing the diagnosis of CT imaging with her. But how is this possible? Why should she?
What makes her even more confused is that Dr. Dong has been busy all day and is not in a hurry to summarize and get off work. He still has time to ask questions.
He just didn't want to think about how Tao Le could know about such a problem that could only be encountered in clinical practice.
While she was uncertain here, Tao Le had already begun to answer Doctor Dong's questions:
"If it is determined to be subarachnoid hemorrhage, an angiogram must be done immediately to determine the cause and then prescribe appropriate medicine."
Tao Le spoke concisely, and she already wanted to drop the topic.
Both she and Qin Feng realized that it was not wise to talk about this case in the elevator.
The last time Hou Bo asked Qin Feng to give Tao Letou a question, Doctor Dong was also present, but he didn't hear any trouble between them.
He is a person with an upright personality, and he only thinks that Qin Feng is the doctor who wants to teach his schoolmate Xiao Tao. Since he met him, he just asked him by the way.
Just one question and one answer made Dr. Dong very satisfied. As expected of Doctor Xiaotao, this basic skill is really solid!
Perhaps he was used to asking questions because he had brought new people with him in the past two days, so he asked the next question without saying anything:
“What are the possible complications of this disease?”
Tao Le did not hesitate. She encountered this problem back then, more than once: "Subarachnoid hemorrhage has a high mortality rate, and one of the big reasons is that there are too many complications."
She talked eloquently with a confident light on her face: "About half of the patients will suffer from delayed cerebral ischemia and then die; in addition, rebleeding within 24 hours, hydrocephalus, epilepsy, hyponatremia, and increased intracranial pressure will High, these are common complications.”
A textbook answer! Doctor Dong nodded frequently, gave Tao Le a thumbs up, and then called to the people in white coats behind him:
"This Doctor Tao is also a senior of your medical university. You can't read or explain the same picture. Not only does he understand it clearly, but he also has rich clinical experience. You have to learn from him."
When he said this, the interns immediately became active: It turns out that this knowledgeable young lady is a senior from our school! Then there will be no sense of loss at all!
"Hello, senior! Senior, you look so young!"
"We are fourth-year clinical medicine students. Which class is our senior sister from?"
"Senior sister, you are so awesome, which hospital are you currently employed in?"
"What level is Senior Sister now? At least a resident, right? Ouch! Who hit me?"
"You are the one who is being beaten. Although the senior sister looks young, she has such rich clinical experience, she must be the attending physician!"
Yang Ruixue was stunned on the spot and said nothing. She was still thinking about what Dr. Dong said just now.
