He had asked boss Zheng to come because he wanted to see his superb dissection skills.
However, who would have thought that boss Zheng would not play by the rules? he did not look for the location of the cerebral hemorrhage, but directly found the thrombosis in the internal carotid artery through dissection.
“Boss … Zheng, what do you mean?” Li zhaosen couldn’t speak properly.
“The deceased suffered from carotid artery’s cirrhosis, and the elasticity of the blood vessels was poor. In the process of avoiding and fighting, his neck had excessive stretching or side – bending and other strenuous activities.
It pulled the carotid artery violently in an instant, causing the membrane of the carotid artery to tear, causing thrombosis, and blocking the tube.
Acute cerebral thrombosis leads to multiple and large – scale necrosis due to blood vessel occlusis or part of the thrombosis falling off the encephalon branches of the brain tissue. “
Zheng Ren placed the knife in front of li zhaosen, took off his gloves, and said.
Everyone was stunned.
“Boss, the incidence of carotid endocardium rupture is very low. How did you think of it?” Su Yun asked with a frown.
“The development of the disease is very strange. I suddenly became incontinent. The main illness I’m considering is the carotid endartium tearing syndrome.” Zheng Ren said casually.
“How did you know?” This was what Su Yun was concerned about.
“Before you went to the emergency department, there was a similar patient in the observation room. He was sent to the medical University.” Zheng Ren spouted nonsense. Since Su Yun had arrived at the emergency department a few days later than him, he could just go along with whatever he said.
Zheng Ren believed that Su Yun would not be so free to return to Haicheng to look for medical cases.
Su Yun was just asking casually, and he did not think about what Zheng Ren said.
It was a very clear logical chain. If he had the opportunity to perform an autopsy, he would definitely look at the carotid artery. Regarding this, Su Yun did not doubt his boss’s intelligence.
That guy had a low EQ, but his IQ was definitely not low. ‘Only a little lower than me,’ Su Yun thought.
“Boss Zheng, you …” Li zhaosen was slow with his words and didn’t know what to say.
“What?” Zheng Ren turned to look at him, smiled, and said,””What’s wrong?”
“Traumatic carotid artery obliteration and cerebral infarction are two completely different judgments in court. The forensic doctor must be careful, can you … Be sure?” Li zhaosen said in a low voice.
Zheng Ren looked at his expression carefully and felt that he was not trying to defend the other party. He was just asking him to be more careful.
Perhaps in li zhaosen’s opinion, his judgment was a little far – fetched. But in his own opinion, it was obvious.
Actually, it was true. How could an autopsy be done by a top expert in diagnosis and surgery in the country?
Top surgeons charged tens of thousands of RMB for each surgery, and they might as well go for freelance surgery if they had the time. Who was going to pay for an autopsy?
This time, it was a coincidence. He should teach li zhaosen something.
The man was very skilled in dissecting, but an autopsy couldn’t be done just by dissecting.
The corresponding clinical knowledge and the development of the disease would provide many clues.
Zheng Ren could make a guess based on his attitude toward the medical records.
“It’s like this,” Zheng Ren turned around and took off his white clothes.”Traumatic carotid artery obliteration refers to the complete thrombosis in the neck caused by a blunt or sharp weapon injury, excessive stretching and curving of the neck, or a skull fracture in the temporal stone area, which causes the inner membrane of the internal carotid artery to tear and rupture,” he said.
“This type of disease can be divided into two types, open and closed. The patients … The conditions of the deceased are easy to distinguish.”
“That … Teacher li, it’s not enough to just do an autopsy. If the deceased is from the hospital, you should read more medical records. There are some descriptions in the medical record, and we can infer a lot of situations. ” Zheng Ren said.
“…” Li zhaosen silently looked at Zheng Ren, his face full of grievance. But he wasn’t unconvinced, he was more confused.
After the day of the autopsy with the “ESD”, li zhaosen’s attitude toward Zheng Ren had skipped the level of indifference, friendliness, respect, and reverence, and had directly gone to worship.
Zheng Ren thought li zhaosen was quite interesting and was willing to talk to him. As he washed his hands, he said,””Just like how clinical medicine has differential diagnosis, forensic doctors will definitely have it too. There is a difference between traumatic cerebral infarction and pathological cerebral infarction. “
“What’s the Difference?” Li zhaosen immediately asked like a student.
“First, he has a clear history of head and neck injuries. The part where external force acted on could easily cause the neck to be overstretched or bent.
Second, there was an incubation period between the injury and the onset of the illness. The patient just now had an incubation period of two to three days. During the incubation period, the patient was completely fine. “This is also the main basis for my judgment that the patient is suffering from carotid endartium tearing syndrome.
“Third, after the onset, there may be mild hemiplegia, sensory impairment, and loss of speech. Some may be accompanied by Horner’s syndrome. This was not obvious in the medical records, because it was difficult for County hospitals to make a targeted judgment.
Fourth, a CT scan of the brain would show multiple large areas of cerebral soft lesions on one or two sides, which were different from the more common areas of the latter.
Fifth, the autopsy showed that the carotid endocardium was ruptured and that it had thrombosis. “
Zheng Ren had the standard thinking of a science student, and Li zhaosen was dumbfounded by his explanation.
What the hell was this?
Even though she couldn’t understand what he was saying, a feeling that she couldn’t help but feel reverberated in her heart. “Boss Zheng is really professional,” li zhaosen thought to himself.
Although he was a doctor, he had crushed him in the autopsy.
“Boss … Zheng, please speak slowly, I’ll take note of it.” Li zhaosen’s face was full of admiration.
Unlike Liu Zewei, who was a veteran, li zhaosen was a one – Track minded person. He always showed his thoughts on his face and didn’t hide them in his heart.
Zheng Ren felt that li zhaosen was a bit of a fool. He was obsessed with skills, but he was not a bad person.
He explained it bit by bit, and after li zhaosen recorded it down, Zheng Ren finally realized that he could use WeChat voice chat.
“Boss Zheng, I’ve brought the cadaver’s specimen.” Zhou chunyong answered a phone call.
Li zhaosen’s ears perked up when he heard the words “cadaver”.
“Alright,” he said. “Teacher li, let’s …” Zheng Ren and Li zhaosen said.
Just as he said that, Zheng Ren’s phone rang.
[They’re saying that they should quickly write a love song for both elegance and vulgarity …]
Zheng Ren picked up the phone.”Director, I …”
“Yes, I’m at the University of Medicine.” Zheng Ren’s expression immediately turned serious. Zhou chunyong’s heart trembled when he saw this.
An ominous premonition quickly rose in his heart.
“Alright, I’ll rush over immediately!” Zheng Ren said with a serious expression.
“What’s wrong, boss?” Su Yun asked.
“An employee working overseas was injured by a gunshot wound. He was sent back to the country after a simple treatment. It had been eight days, but the bullets were nowhere to be found. Vice President Yuan asked me to go for a consultation to see if I can find anything. ” Zheng Ren left in a hurry after he finished speaking.
“Boss Zheng …” Zhou chunyong’s voice was very soft, and it was getting softer.
