Chapter 193 Rare Cause of Death! A Detail!
Of course, the difficulty is high, which means the final score is also high.
The final score of this assessment will be linked to the difficulty.
For some patients with simple causes of death, relatively speaking, more points will be deducted for wrong judgments and fewer points will be added for correct judgments.
The body Xu Qiu chose is very difficult, and the points will be deducted less when the judgment is wrong, but giving the correct answer can result in higher scores!
The corpses are different, and the workload and the difficulty of dissection cannot be energized at all. The assessment team can only rely on artificial adjustments to ensure fairness as much as possible.
...
On the anatomy table, Xu Qiu and others quickly got into the state and began to dissect the anatomy.
Chen Qiao is no better than others. She is still a student. She is afraid that she will vomit it out, so she almost doesn't eat anything.
After retching several times, she slowly adjusted her condition and stood beside her with a pale face.
Wang Fan glanced at it, and saw that Chen Qiao seemed a little eager to try, so he stretched and said, "Chen Qiao, just follow me to cheer up. Brother Xu doesn't plan to let us get started!"
Instructor of Pu Chou: "Yes, I'm ready to lie down."
Chen Qiao was a little disbelief, she glanced at Li Xue, Yunmei and others.
As a result, everyone looked like they were standing next to them and learning, and from time to time they said, "What awesome" and "This is amazing"...
"Awesome teacher!" Chen Qiao couldn't help but sigh.
It took more than three hours of dissection.
At around twelve o'clock in the morning, Xu Qiu put down the scalpel and relieved his sore right hand.
In the past half a day, Xu Qiu had completed the anatomy of the abdomen, chest, upper and lower limbs.
Only the most important head and face are left.
This is also the anatomical order chosen by many medical schools.
The head and face are actually the most difficult places to dissect.
This is not just from an operational level.
It is a psychological test for doctors.
Doctors will not feel any psychological pressure when dissecting other places.
However, looking at the corpse's face, there are probably not many people who can still calmly cut the knife.
"Doctor Xu, you have completely stripped out all the anatomical structures in other parts. At present, there are only the last eleven parts of the head and face... If you find them all, you will get full marks for this detailed anatomy project..." Lu Dandan, the examiner of the team, recorded the data, and looked surprised.
The Famous Knife Competition has been held for more than ten sessions, and it has almost been carried out with the medical reform.
But, over the years, no one has completely separated all the structures in fine anatomy!
The tiny structures in the human body are still very easy to damage.
What's more, it's a corpse that has been soaked for a long time?
Many structures may be melted into muscle tissue, or simply necrotic into an unknown object, where can I find it?
But Xu Qiu did...
"Let's keep going." Lu Dandan had a little more respect for Xu Qiu.
...
The brain is divided into three grooves and five leaves.
There are many important blood vessels hidden between the grooves and below.
Xu Qiu had previously mastered master-level skull base tumor resection, so he was very familiar with the structure of the human brain.
The dissection of the head and face is not difficult for Xu Qiu.
only……
There is another problem now - judging the cause of death.
He found possible evidence of death when he performed abdomen and other anatomy.
For example, if the intestinal mucosa of the corpse falls out, it may be that there is enteritis.
Many organs in the abdominal cavity have melted.
But these are tissue autolysis!
After the human body dies, organs and tissues will undergo autolysis under the influence of internal and external environment and human factors.
Organs containing digestive enzymes, such as the pancreas, contain a large amount of digestive enzymes, hydrolase and esterases, and are the first and most likely to autolysis.
Then there is the large and small intestines in the ileocytosis area, and the latest ones are the skin and chord tissues.
Judging from the autolysis of the corpse, Xu Qiu did not find the cause of his death, but instead confirmed that he had been dead for about 12 to 20 hours when the corpse was treated.
Judging from the body size, the most susceptible causes of obesity, atherosclerosis, fatty liver, obstructive sleep apnea hypoventilation syndrome, etc., are not consistent with the signs.
also,
This general teacher also has a very confusing point.
He felt like he had a sudden heart death!
However, a careful examination revealed that although the patient was hypertrophy and white, it looked like a myocardial infarction, the blood vessels were examined and found that no signs of coronary blood flow were found.
Combined with the autolysis, this body did not die due to myocardial infarction!
Any doctor who is experienced and inexperienced would probably be diagnosed with sudden cardiac death!
...
Xu Qiu's eyes were still dull. He believed in his judgment that the cause of death could only be on the head and face.
"Frontumbens."
"Reduce the inter-brow muscle."
"Posterior inferior cerebellar artery..."
Xu Qiu found the anatomical parts in the test questions in turn.
A few hours later, he discovered a subtle abnormality.
Although the body has been swollen overall, the left cheekbones of the body are still swollen.
In addition, when you open the mouth, you can see several black spots on the white mucosa, which is a manifestation of contusion.
Then peel it carefully and check it out.
Xu Qiu also found that there were traces of bleeding under the scalp on the left temporal part of the patient's left temporal part, and even fine blood clots were found in the base of the brain.
However, these blood clots are very hidden and can easily be confused with the various fats and flesh that fall.
Xu Qiu accurately followed the blood clot and finally locked next to the basal artery.
The cerebrovascular vessels here—
Xu Qiu's pupils shrank and quickly separated with a scalpel, and finally found out the problem here.
Smoke disease!
“What is here?”
"A blood clot has started."
"Is this...smoke disease?!"
Yunmei was stunned.
Guan Chuyu, the patient who was bullied by a teacher in a preschool education institution and accidentally found smoke disease, was responsible at that time.
When Xu Qiu was doing vascular bypass, Yunmei also became an assistant.
Therefore, she could tell at a glance that this cerebral vascular malformation is very similar to a smoke disease!
Xu Qiu nodded: "Yes, smoke disease."
As soon as these words were said, Li Xue and others were shocked and sweated.
It turned out to be this rare disease!
Moreover, the malformed vascular mass was blocked by a blood clot.
If it is normal dissection, it will definitely be stripped off here. If you do so, you will cover up the malformed vascular mass and completely miss the direct signs of smoke disease!
However, Xu Qiu chose the most complicated method and carefully cut the blood clot, and finally exposed the blood vessel mass below.
This detail determines the success or failure of judging the cause of death!
Lu Dandan was also stunned.
She didn't know the cause of death, but when she saw Xu Qiu's skill like peeling off the silk, she suddenly felt that her anatomical ability and surgical level seemed to be inferior to that of such a young man...
This is not right!
Chapter completed!