【1879】Counseling and hard disease
The current X-ray of the patient shows that there is basically no abnormality in the lungs, but there is some pulmonary fibrosis. The county hospital suspected that the pneumonia has not been cured, but it needs to be carefully identified. If there is no CT machine, it can only be judged to this point. Now, if there is a condition, clinicians can make the next judgment based on CT films. The lung tissue texture is thicker and fuzzy, the bronchial wall is thicker, and fibrosis appears in part. Bronchial inflammation is present, which is consistent with Chang Jiawei's previous judgment.
Seeing this, Xie Wanying had to admire Teacher Chang for being a very accurate person who was not a cardiopulmonary doctor.
Beside her, I heard classmate Geng ask the class monitor: Why do some people say they suspect that his younger brother has tuberculosis?
The characteristics of tuberculosis on lung films are not yet seen.
Before Fu Xinheng and Chang Jiawei arrived, the only one who suspected that the patient had tuberculosis was Mr. Ren or Dr. Guo. If the specific designation was made, Mr. Ren was not a clinician who would not express his opinion but came to understand the situation. It was only possible that Dr. Guo was suspicious.
After hearing what the students were talking about later, Fu Xinheng, who had just arrived in the future to understand the patient's condition, asked Dr. Guo: "Where are the reasons for you who suspect that he has tuberculosis?"
Anyway, he, a cardiothoracic surgeon, dares to guarantee that these films cannot confirm that the patient has tuberculosis.
In the face of the questioning of his superior teacher, Dr. Guo carefully wiped his palms and replied his medical reasoning path: "It's not obvious in the film for the time being. But I have learned about the patient's medical history before. It is said that the patient has a grandfather who often smokes and coughs all year round. It is not ruled out that the old man has a history of tuberculosis. Tuberculosis is just a type of tuberculosis, Teacher Fu."
Most tuberculosis bacteria invade the lungs, which is commonly known as tuberculosis. It is wrong for most people to say that tuberculosis habitually equate tuberculosis. Tuberculosis refers to the infection of the human body by tuberculosis. According to the different locations of the bacteria, it can be divided into tuberculosis, digestive tract tuberculosis, lymph tuberculosis, etc., but the latter are rare cases in clinical practice, and the same as spinal tuberculosis.
A different part of spinal tuberculosis is that most spinal tuberculosis seems to be secondary tuberculosis rather than primary disease. The so-called secondary, that is, like tumor metastasis, the tuberculosis bacillus does not directly invade the spine but instead comes from other primary tuberculosis lesions such as tuberculosis and digestive tract tuberculosis and other tuberculosis primary lesions through blood circulation to the spine.
Dr. Guo’s suspicion about tuberculosis is definitely not a film with no characteristics of lungs, but a film with the spine.
The spinal X-ray film has an orthotopic film and an orthotopic film. The orthotopic film shows that the lesion area is in the middle of several vertebrae of the patient, and there seems to be signs of damage to the bone. It just so happens that a huge difference between spinal tuberculosis and spinal cord tumors in clinical practice may be at this point.
Tuberculosis is not like a tumor. It is nicknamed by medical experts as a bastard who bullies the soft and fears the hard. He only dares to start from the soft tissues of the human body first, which is equivalent to bullying the weak. Tumors are completely opposite. They are a guy who likes to fight hard and hard in the human body. In clinical practice, tumors will be like a large army to directly destroy bone tissue. It is a bit disdainful of the soft tissues of the human body. The typical difference between the two makes ordinary doctors first call a question mark on whether it is tuberculosis when they see soft tissue damage on the film.
Chapter completed!