Chapter 1879 [1879] Cowardly and hard disease

   The current patient's x-ray shows that the lungs are generally not abnormal, but there is some pulmonary fibrosis. The county hospital suspects that the pneumonia is not cured, but it needs to be carefully identified. If there is no CT machine, it can only be judged to this point. Now, when conditions permit, clinicians can make further judgments in combination with CT films. The texture of the lung tissue was thickened and blurred, the bronchial wall was thickened, and fibrosis appeared in some parts. There is bronchial inflammation, which is consistent with Chang Jiawei's previous judgment.

   Seeing this, Xie Wanying had to admire Teacher Chang who was not a cardiopulmonary doctor for being able to see very accurately.

  Beside her, she heard classmate Geng asking the monitor: why did some people say they suspected that his younger brother had tuberculosis.

   The characteristics of tuberculosis on the lung film are not seen for the time being.

   Before Fu Xinheng and Chang Jiawei did not arrive, the only person who suspected that the patient had tuberculosis was Teacher Ren or Dr. Guo. If they are specifically designated, their teachers are not clinicians who will not express their opinions, but come to understand the situation. It is only possible that Dr. Guo is suspicious.

   Hearing what the students were talking about, Fu Xinheng, who had just arrived in the future to know the whole situation of the patient, asked Dr. Guo, "Why do you suspect he has tuberculosis?"

   Anyway, as a cardiothoracic surgeon, he dared to make sure that these films could not confirm that the patient was tuberculosis.

Dr. Guo wiped his palm carefully in the face of the doubts of the superior teacher, and replied to his medical reasoning path: "I can't see it in the film for the time being. But I have learned about the patient's medical history before. It is said that there is a person in the patient's family who smokes and coughs all the time. Grandpa, it cannot be ruled out that this old man has a history of tuberculosis. Tuberculosis is just one type of tuberculosis, Mr. Fu."

   Most of the tuberculosis bacteria invade the lungs, so it is commonly known as pulmonary tuberculosis. Most people who say TB habitually equate tuberculosis are wrong. Tuberculosis refers to the infection of the human body by Mycobacterium tuberculosis, which can be divided into pulmonary tuberculosis, digestive tract tuberculosis, lymph node tuberculosis, etc.

   Spinal tuberculosis is different in that most spinal tuberculosis seems to belong to secondary tuberculosis rather than primary disease. The so-called secondary, that is, like tumor metastasis, Mycobacterium tuberculosis did not directly invade the spine, but came to the spine through blood circulation from other tuberculosis primary lesions such as pulmonary tuberculosis digestive tract tuberculosis.

   Dr. Guo's suspicion of tuberculosis is definitely not a featureless lung film, but a spine film.

  Spine X-rays are available in frontal and lateral views. The frontal radiograph showed that the lesion area was in the middle of several vertebrae of the patient, and it seemed that the soft tissue had been invaded, and the bone had signs of destruction. It just so happens that a huge clinical difference between spinal tuberculosis and spinal cord tumors may be at this point.

  Mycobacterium tuberculosis is not like a tumor. It is dubbed by the medical tycoons as a **** who bullies the soft and fears the hard. It only dares to start from the soft tissues of the human body to be strong, which is equivalent to bullying. Tumors are the exact opposite. He is a guy who likes to hit the human body hard. In clinical practice, it is more common for tumors to press in like an army and directly destroy the bone tissue. The typical difference between the two makes the general doctor put a question mark on whether it is tuberculosis when seeing soft tissue damage on the film.

   Of course, each patient has their own individual differences. Some patients have a special body, and the symptoms that may appear are reversed. These are all factors that doctors must consider.

   (end of this chapter)