Xu Qiu spoke slowly: "You all overlooked a very important point."

Everyone's expressions became solemn.

A lot of diseases also popped up in the screen in front. It was Xie Yunshi's diagnosis, with more than ten items, which was extremely confusing.

When I saw this medical record for the first time, two words popped up in everyone's mind... I was so immense.

Palace dramas are not so chaotic.

"This is……"

“This is related to pulmonary hypertension?”

Many doctors have thought about it carefully.

However, the patient's lungs and heart diseases have long been eliminated. How can we find the cause of pulmonary hypertension from previous diagnoses?

Xu Qiu circled out several of them, namely chronic liver failure, alcoholic cirrhosis, and autoimmune hepatitis.

Liver disease?

Everyone was shocked.

Xu Qiu continued: "The patient's liver failure and other diseases lead to portal hypertension. There is a special type of pulmonary hypertension, which is portal hypertension-related pulmonary hypertension!"

After saying this, the conference room was silent.

Everyone looked at the introduction of special pulmonary hypertension on the screen in shock...

"Portal hypertension-related pulmonary hypertension is a special type of pulmonary hypertension...

"Its characteristics are that the pulmonary artery pressure is increased and the pulmonary vascular resistance is increased, while the pulmonary capillary wedge pressure is normal. The characteristics of portal hypertension-related pulmonary artery hypertension are that vascular lesions are located in small arteries and small arteries, and arteries can appear.

Pleuromorphic lesions, endometrial fibrosis, outer membrane hyperplasia, and arteriolar cellulose-like necrosis, etc.... It is difficult to detect routine examinations."

“…”

"It turned out to be this!" The director of the cardiology department stood up suddenly, his pupils wide open, and he was shocked.

Portal hypertension-related pulmonary arterial hypertension is rare, and it is difficult for clinicians to associate liver disease, portal hypertension and pulmonary hypertension.

Moreover, portal hypertension-related pulmonary arterial hypertension has a relatively small impact on right ventricular function and morphology, so this disease is not easily diagnosed through examination.

Even the director of the Department of Cardiology, he has only seen a few cases in the literature.

However, this does not mean that it is low in danger.

On the contrary, the mortality rate of portal hypertension-related pulmonary hypertension is much higher than that of idiopathic pulmonary hypertension!

Everyone present also had shocked expressions.

Who would have thought that the culprit of the disease was hidden in the seemingly chaotic diagnosis!

Leukopenia, hypoproteinemia, mild spleen enlargement and elevated tumor markers are all caused by nonspecific inflammation of retroperitoneal fibrosis.

Loss of consciousness and difficulty breathing are caused by autoimmune liver, cirrhosis, liver failure, etc., which lead to portal hypertension, which then triggers pulmonary hypertension, and then continues to progress, resulting in acute heart failure...

At this moment, as Xu Qiu analyzed it step by step, Xie Yunshi's condition was also clearly revealed in front of everyone.

The new diagnosis has finally been clear.

The primary diagnosis was replaced: portal hypertension-related pulmonary hypertension.

Then comes pulmonary heart disease, acute right heart failure, and retroperitoneal fibrosis.

Next is the earlier diagnosis of autoimmune liver disease, alcoholic cirrhosis, etc....

Soon, this medical record was summarized and uploaded to the internal group of Lin Medical.

A few minutes later, there were only 666 left on the screen.

"It's so complicated!"

"I thought the skin pectoris was caused by idiopathic purpura. If I were asked to do it, I would never have thought of plum blossom needles!"

"Yes, and it's useless to just eliminate skin pepsy. You have to bite the infection indicators, which are inflammation in the body. Combined with constipation and slight obstruction of the transverse colon, you can suspect retroperitoneal fibrosis!"

"It's so confusing. If this patient is treated for me, he will have no clue at all!"

"A coma and difficulty breathing involve so many pathogenic factors... Is this a doctor or a case-solving case? Why is it different from the disease I learned in school?"

Xie Yunshi's medical records made everyone see the gap between them and Xu Qiu.

In textbooks, the diagnostic criteria for retroperitoneal fibrosis are clearly written.

Similarly, the literature also marked the diagnosis ideas for portal hypertension-related pulmonary hypertension.

But in real clinical practice, the doctor faces an "uncomfortable" patient.

In addition to knowing that you feel uncomfortable, most of the information needs to be explored and summarized by yourself, and sometimes you even need to find useful clues from the numerous symptoms like solving a case...

Finding clues that can point to diagnosis from various information is the dividing line between experienced doctors and top doctors.

...

After the diagnosis was clear, Xu Qiu also made new adjustments to Xie Yunshi's treatment plan.

Three days later, the patient recovered and was discharged from the hospital.

After obtaining the consent of the family, this medical record was forwarded by Xu Qiu's personal popular science account, Lin Medical, Baiyun Provincial Medical Channel, etc., and the number of views exceeded 100,000 in an hour.

For popular science articles like medicine with high threshold and strong professionalism, it is almost impossible to read more than 100,000 yuan in an hour.

Even if it is the top medical forum, the same data will appear in a few days or even a week or two.

However, the name Xu Qiu is worth several medical science popularization numbers.

Soon, in the second hour, the comments also broke one thousand.

[Name is not anonymous: Non-medical professionals, I worship Mr. Xu Qiu! The patient's diagnosis made his head hurt. He actually completed the diagnosis the day after he arrived at the doctor. It was incredible!]

【Limited clinical experience for many years: Otherwise, Dr. Xu is an academician…】

[Medical knowledge is forever: I have learned it. However, the popular science records provided by Dr. Xu every time are something that many doctors can't see once in their lifetime. Is this really meaningful?]

[Milky white Xuezi: Why is it meaningless? Do you still expect ordinary doctors to encounter such patients? What you need to learn is Dr. Xu's diagnosis idea, see constipation from various symptoms, and then combine it with CT tablets to push it back to the retroperitoneal fibers

There are also portal hypertension - pulmonary hypertension - isolated right heart failure - acute heart failure - loss of consciousness, difficulty breathing. Such a complete logical chain is simply a pleasure!]

[Doctor Xu's dog: Support! Doctor Xu is invincible! I really hope I can be followed by Dr. Xu once!]

[Drinking all her bath water: Let's change your wish upstairs... If you can be followed by Dr. Xu, you might be gone before you reach the doctor's office! In addition, can your name be normal? Isn't against the sky!]

...

Medical doctor, in the president's office.

Wang Shengde slid up and down the comments, and his mouth twitched from time to time, but soon sat upright again.

"Director Wang, the Director of the Provincial Health Department is here!" The little assistant came over to report.

Wang Shengde immediately stood up.

A few days ago, Fu Qing and the director of the Baiyun Provincial Health Department called him, who made an appointment to meet him today.

Although I don’t know what happened, Wang Shengde is very sure. The only one who can attract these two bigwigs to pay attention to is Director Xu Qiu, a doctor in the medical field...

——
Chapter completed!