The briefing classroom of the community hospital seems to have some changes compared to the last time I came to the consultation.

The equipment has been updated, and there are transparent touch panels and VR eye masks in front of several chairs.

"When did this happen?" Zheng Ren felt a little strange when he saw it and asked.

"Recently." Su Yun didn't care and said with a smile, "Aren't you going to try it?"

"It's more exciting to see a medical record with that kind of iron medical record clip." Zheng Ren said.

"Human progress is destroyed by you. I think you should go to the Middle Ages and be regarded as a dark wizard." Su Yun said.

Zheng Ren sat down and couldn't wait to say, "Start?"

Su Yun stood on the podium in front, turned on the switch, and a ray of light shone down. Like a shadowless lamp, his temperament went from careless to extremely professional, completely seamlessly connected.

"Everyone, the consultation has begun." Su Yun said, "Please bring VR glasses."

"Is it useful?" Chang Yue looked at her glasses and was very disdainful.

"Doctor Chang, 20 years ago, when the electronic case system was just running, someone said the same thing," Su Yun said.

"You were less than ten years old at that time."

"Experience can be passed down by word of mouth." Su Yun smiled, "If you don't want to be eliminated so quickly, it's better to accept new things as soon as possible."

Chang Yue curled his lips. Although he quarreled with Su Yun, he still wore VR glasses.

Mr. Yu saw that everything was fresh, and this place was definitely not a regular consultation in the 912 sense. He felt a little moved, how long has Boss Zheng just been here? Judging from his posture, he has a territory.

The key is that the territory here is definitely not the type in the ordinary sense, but brand new.

VR technology is used for consultation?

Too luxurious.

Wearing VR glasses, a case appeared in front of me. Next to the case was Su Yun.

Although he knew it was virtual reality, Mr. Yu still couldn't help but want to touch Su Yun to see if it was a real entity or a virtual light and shadow.

"Don't do meaningless things. You'd better focus on the case, Mr. Yu." Su Yun said, "It's your patient. If the consultation is not successful today, you can prepare for the consultation in the whole hospital. You have to write the consultation records of the whole hospital, a lot of messy things."

"Hurry up." Zheng Ren said impatiently.

"It's now started. I will make a brief statement. Click on the touch screen in front of the medical record. You will have new discoveries. This mode will appear as a remote consultation in the future."

"The patient visited our hospital for strangulation of right waist and was observed in the emergency department 6 days ago. There was no abnormality in the routine examination except for the routine erythrocytes +++ in urine."

Su Yun began to introduce that he was basically a true performer in virtual reality. Zheng Ren didn't know what kind of technology this was, but he looked quite advanced.

"After admission, the body examination was performed, the right waist percussion pain was positive, and Murphy's sign was positive..."

"Wait." Zheng Ren interrupted Su Yun and asked, "Murphy's sign was positive?"

"Yes, there was no inflammation or stones in the gallbladder area of ​​the B-ultrasound, the tenderness was not obvious, there was no rebound pain or muscle tension. I just confirmed this, and Mr. Yu's physical examination was still very detailed." Su Yun said.

Zheng Ren stopped talking.

"I have also noticed this point, but the patient's colid horn tenderness is obvious. Typical coliform often occurs in the lower back and upper abdomen at the corner of the costal ridge, occasionally starting at the lower edge of the ribs, and radiating to the ipsilateral groin along the ureteral path. The patient has no nausea, vomiting, and no gastrointestinal symptoms are considered."

What Su Yun said is correct, and Zheng Ren also thinks so.

Generally speaking, if there is a problem with the gallbladder, there should be imaging evidence such as gallbladder stones, inflammation, and at least the roughness of the gallbladder wall.

However, the patient has no positive signs except that he is usually positive in urine.

"The patient has no family history, genetic history, and no trauma history. All previous history is negative." Su Yun said, "Ct, b ultrasound image can be clicked on the touch screen in front of it, which is the same as what you see on the computer."

"Has the urography been done?" Zheng Ren asked while looking at the CT image.

"The positive rate of urogram diagnosis of stones is only 66%, and it has not been done for the time being. If you think it is necessary, I can notify Mr. Yu to have a test as soon as possible." Su Yun said.

Although in front of Mr. Yu, Su Yun still said that he would notify Mr. Yu as soon as possible, which seemed particularly touching.

Zheng Ren shook his head slightly and began to click on the touch screen in front of him to view the video information.

The examination can be said to be very comprehensive, and clinicians know what renal colic means.

A small stone can solve all problems, but there are no stones.

Zheng Ren did CT three-dimensional reconstruction, but still found no problems.

"Does the patient have a history of taking aminopyrin, phenytoin sodium, rifampin, and phenol red?" Chang Yue asked.

"No." Su Yun said, "The patient claimed to be healthy, had never taken any medication or had any surgery."

"The routine urine and blood routine show no inflammation, and there is no inflammatory lesions in CT films. If inflammation, stones, tumors, trauma, and urinary dysmorphia are eliminated, I consider it to be gout kidney." Chang Yue said.

"What a genius suggestion." Su Yun said contemptly: "Gout kidney is more common in patients with gout who have a medical history of more than 10 years, and if it is a gout kidney, the renal tubules will have some crystallization."

"Doctor Chang, this is a consultation, not an exam that casually allows you to get answers randomly." Su Yun said.

"Cardiovascular diseases, such as congestive heart failure, renal embolism, and renal venous thrombosis, can also cause hematuria." Zheng Ren interrupted Su Yun's long-windedness and said, "Has the heart been checked?"

"The possibility is not high, the kidney parenchyma has not changed, renal embolism and renal venous thrombosis can be basically eliminated. After all, the medical history has been 6 days, if..."

"It's mainly congestive heart failure." Zheng Ren asked.

"It's impossible." Su Yun said: "The patient has to play badminton for three hours a day."

"Badminton? Three hours? I'm in good health." Zheng Ren said.

"Well, when I was young, I was a national sports athlete. After retiring, I insisted on playing badminton." Su Yun said: "One day before the onset of the disease, I found no problems when I played badminton."

Zheng Ren began to ponder.

"Don't have food allergies or are exposed to heavy metals?" Chang Yue asked.

"From the current signs, there should be no." Su Yun said, "The patient lives a regular life and is very healthy. The colleagues and family members around him have no similar situations. I have asked about this."

Mr. Yu quietly looked at the video materials and said nothing.

He had known about these for a long time, but he just didn't know why the symptoms of kidney stones such as hematuria and renal colic came.
Chapter completed!