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¡¾1879¡¿The disease of cowardice and hardness

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    The current X-ray of the patient shows that there is generally no abnormality in the lungs, except for some pulmonary fibrosis. The county hospital has some basis for suspecting that the pneumonia has not healed, but it needs to be distinguished more carefully. Without a CT machine, the diagnosis can only go so far.  Now, if conditions permit, clinicians can make the next step of judgment based on CT scans.  The texture of the lung tissue was thickened and blurred, the bronchial wall was thickened, and fibrosis was evident in some parts.  Bronchial inflammation exists, which is consistent with Chang Jiawei's previous judgment.

    Seeing this, Xie Wanying had to admire Teacher Chang's unusually accurate vision for a non-cardiopulmonary doctor.

    Beside her, classmate Geng was heard asking the class monitor: Why did some people say they suspected that his brother had tuberculosis?

    The characteristics of tuberculosis on the lung film are temporarily absent.  .

    Before Fu Xinheng and Chang Jiawei arrived, the only ones who suspected that the patient had tuberculosis were Teacher Ren or Dr. Guo.  If specifically designated, they are teachers who are not clinicians who will not express opinions but are here to understand the situation.  It could only be that Dr. Guo was suspicious.

    After hearing what the students were talking about behind him, Fu Xinheng, who had just arrived and had time to get a full picture of the patient's condition, asked Dr. Guo: "Why do you suspect he has tuberculosis?"

    ¡°Anyway, as a cardiothoracic surgeon, he can guarantee that these films cannot confirm that the patient has tuberculosis.

    Dr. Guo wiped his palms carefully in the face of the superior teacher's questioning, and replied with his medical reasoning path: "It can't be seen in the film for the time being. But I have learned about the patient's medical history before. It is said that the patient's family has a grandfather who smokes all year round and often coughs.  , it cannot be ruled out that this old man has a history of tuberculosis. Tuberculosis is just a type of tuberculosis, Teacher Fu."

    Most tuberculosis bacteria invade the lungs, so it is commonly known as pulmonary tuberculosis.  When most people talk about tuberculosis, they habitually equate it with pulmonary tuberculosis, which is wrong.  Tuberculosis refers to the infection of the human body by Mycobacterium tuberculosis. According to the different parts of the body invaded by the bacteria, it can be divided into pulmonary tuberculosis, digestive tract tuberculosis, lymph node tuberculosis, etc. However, the latter are rare cases that are rare in clinical practice, just like spinal tuberculosis.

    One difference about spinal tuberculosis is that most spinal tuberculosis seems to be secondary tuberculosis rather than primary disease.  The so-called secondary means that, like tumor metastasis, the Mycobacterium tuberculosis does not directly invade the spine but comes to the spine from other primary tuberculosis lesions such as pulmonary tuberculosis, digestive tract tuberculosis, etc. through the blood circulation.

    Dr. Guo¡¯s suspicion of tuberculosis was definitely not from the featureless lungs, but from the spine.

    Spine X-rays include anteroposterior and lateral radiographs.  The anteroposterior film showed that the lesion area was between several vertebrae of the patient. It seemed that the soft tissue had been invaded and the bone showed signs of destruction.  It just so happens that a huge clinical difference between spinal tuberculosis and spinal cord tumors may lie in this point.

    Mycobacterium tuberculosis is not like a tumor. It is jokingly called a bastard by medical experts who bullies the weak and is afraid of the strong. He only dares to attack the soft tissues of the human body first, which is tantamount to bullying.  Tumors are the complete opposite. They like to attack the human body head-on. Clinically, it is more common for tumors to press in like an army and directly destroy bone tissue. They are a bit disdainful of the soft tissues of the human body and have both characteristics.  The typical difference between the two makes most doctors first question whether it is tuberculosis when they see soft tissue destruction on the film.

    Of course, each patient has his or her own individual differences.  Some patients have special physical conditions and may have symptoms that are reversed. These are all factors that doctors must consider.  (Remember the website address: www.hlnovel.com
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