"Do you still have to do ct?" The patient was a little unhappy, but his opinion was no longer important at this time. The patient's family seemed to have noticed something and agreed repeatedly.

This time, Zhou Litao did not try to squeeze out all the pus inside the patient's wrist skin, but instead gently disinfected the surface and covered it with sterile gauze.

I went to issue a CT order, and the patient and his family went for examination.

As soon as they left, Zhou Litao immediately pulled Zheng Ren to the duty room. While turning on the computer, he called the CT room. He said the patient's name and told him to upload the side immediately after finishing it.

"Boss Zheng, what disease do you suspect is the patient?"

"Mycobacterium seaweed?" Su Yun couldn't take it correctly, and looked at Zheng Ren and said in an inquiring tone.

"Well, it's the infection caused by Mycobacterium."

Zhou Litao tried hard to recall Mycobacterium fermentation.

He is very familiar with Fibrobacterium. Non-tuberculosis refers to all mycobacterium except tuberculosis and Mycobacterium leprosy, also known as Mycobacterium in the environment. Non-tuberculosis refers to the lesions of relevant tissues or organs caused by human infection with related bacteria.

"Boss Zheng, how did you determine it is Mycobacterium said?" Zhou Litao asked.

"Generally, the growth temperature of non-tuberculosis is relatively wide, and patients only have wrist problems. The maximum possibility is Mycobacterium aquatica with a growth temperature between 28-30 degrees Celsius." Zheng Ren said.

Although Zhou Litao understood the logical relationship, he ruled out other problems by taking a look, which was something that Zhou Litao could not accept.

"That's right. First of all, the patient's family members said that they had to change gauze six or seven times a day." Zheng Ren said, "This means that there is a lot of pus in the wound position of the patient. At the wrist position, about 20 ml of pus should be drawn out every day, and there will definitely be more inside. I guess there are already sinus tracts."

Zhou Litao listened quietly, and the first point was not fully answered.

"Secondly, for such a serious 'injury', the patient has no history of trauma, and the suppurative cavity is limited to the wrist of the left hand. My consideration was that there was an injury at that location, but the patient did not pay attention."

"If this is the case, our consideration will be much narrower."

"But it is not ruled out that it is a fine needle..." Zhou Litao was still a little puzzled.

"Stupid!" Su Yun had already figured it out, and he looked at Zhou Litao with contempt: "What did the patient say before coming? Rheumatism, rheumatoid arthritis!"

"Ah?" Zhou Litao looked at Su Yun blankly.

"What does this mean? Staphylococcus aureus infection will be misdiagnosed as rheumatoid arthritis or rheumatoid arthritis?" The mockery at the corner of Su Yun's mouth was already overflowing.

"Oh oh oh." Zhou Litao then wanted to understand.

"Well, so I guess the patient was stabbed in the left wrist by some marine creature while playing in the sea, but the wound was very subtle and he didn't notice it at all. Mycobacterium squid remains under the skin, which eventually led to this situation."

Zhou Litao was silent. He still didn't understand, but he didn't ask questions.

"Mr. Zhou, do you have to memorize the diagnosis?" Su Yun patted his shoulder and said, "Mycobacterium intracellular complexes will cause non-tuberculous Fibrobacterium pneumonia.Mycobacterium intracellular complexes and Mycobacterium scrofula will induce non-tuberculous Fibrobacterium lymphadenitis."

"There are too many, it's troublesome to say. Temperature is the main basis for final determination of F. argentidalis. It only appears under the skin but does not affect the internal organs. It is likely that F. argentidalis."

Zhou Litao sighed slightly, and he glanced at the computer. Before he finished writing the paper, is he going to look at the diagnosis?

Modern medicine has huge and complex branches. If you really want to become a general practitioner in the past, I am afraid that my hair will not be able to do this even if I have gray hair.

In the past, general practitioners were so rough that they were now professional.

"No need." Zheng Ren smiled, "Is the emergency department the main energy still focused on rescue. Others are enough to do a good job of triage. For example, this patient should be sent to the surgical department and they should be able to diagnose correctly."

"Just talk nonsense." Su Yun said contemptuously.

"It's not nonsense, there are still few people who can remember it if you can read it once. What if Mr. Zhou recites the letter as you said and delays emergency rescue." Zheng Ren said seriously.

Zhou Litao burst into tears.

It turns out that Boss Zheng doesn’t need to swear words when scolding others, because he is disgusted with being stupid.

But he quickly got out of some frustrating mood and asked, "Boss Zheng, how do you think the patient's condition is?"

"Not optimistic. A CT doesn't mean anything. I guess I need to do MRI. Tendons and the like should be almost corroded. The doctor has encountered big trouble this time."

Zheng Ren sighed and said.

So heavy?! Zhou Litao was stunned.

However, when the image was not back, he guessed everything he said. The few people chatted casually for a while until Zhou Litao's cell phone rang, and the doctor in the CT room said that the film had been uploaded.

Zheng Ren sat in front of the computer, searched the patient's name, and opened the ct image.

There was a 3x4cm abscess under the skin of the left wrist on the patient's left wrist. The tendon had been eroded, and even the ulnar and radius were violated.

It was indeed a big trouble, and Zhou Litao was once again impressed by Boss Zheng's diagnosis.

"We'll go back first, and the patients come back later, you can explain to them." Zheng Ren said, "Send to the hand department, first consult the infectious department to control inflammation..."

"You need to say the normal diagnosis and treatment process? Do you really think you are the director of the hand surgery department?" Su Yun interrupted Zheng Ren and said contemptuously.

Yes, Zheng Ren smiled.

"Boss Zheng, do you think the patient can be cured?" Zhou Litao asked.

"Let's talk about it after four or five surgeries. Chronic ulcer repair, tendon anastomosis, median nerve relaxation, local flap repair, negative pressure closure drainage, and then the effect can be seen."

Uh... the invisible wound actually induces such a serious disease! Zhou Litao was a little scared.

"This is nothing. Do you know what the most common infection pathway of Fritillaria sarcoidae?" Su Yun asked.

Zhou Litao shook his head.

"Cut vegetables in the kitchen, and then change the water for your own fish tank. The boss first asked if he had raised fish at home, and then asked if he had gone out for a trip." Su Yun said.

"Then why isn't it chopping vegetables?" Zhou Litao was still immersed in the tricks that Boss Zheng said and couldn't extricate himself. He asked in a daze.

Then, he saw Su Yun's eyes behind the black hair on his forehead and scolded himself in his heart. He said that there was no wound, so he directly ruled out this infection path.

What's wrong with me? I'm absent-minded. Zhou Litao first reflected on himself.

"Let him go for surgery quickly. There are two most serious things in this disease - amputation and skin cancer." Zheng Ren stood up and left, leaving a sentence at the end.
Chapter completed!