Chapter 543 Auscultation is a small success, ghost fetus(1/2)
In medicine, this is how hydatidiform mole is explained.
It usually refers to the hyperplasia of villus trophoblasts after pregnancy, with high interstitial edema, forming vesicles of different sizes, and the vesicles are connected into bunches, shaped like grapes, also known as vesicular fetal blocks.
There are two types of hydular molars. Complete hydular molar placenta villi are all involved, the entire uterine cavity is filled with vesicles, diffuse trophoblast hyperplasia, and no fetal or embryonic tissue.
The second type is partially hydatidiform molar swelling and degeneration, local trophoblast hyperplasia, and embryos and fetal tissues can be seen, but the fetus is mostly dead, and sometimes live or teratogens with younger gestational age can be seen, and very few full-term babies are born.
If Ms. Shang is pregnant with a hydular mole, it must be the second type.
Li Quan felt that the possibility of the fetus living in her mother's belly for eleven years was very small.
Even if the fetal aortic blood vessels directly share the arterial blood vessels in the maternal uterus, blood oxygen exchange and nutrients can be directly obtained from the maternal body.
But it is still difficult to live for eleven years.
As we all know, it is very dangerous for pregnant women to not have an attack for a long time after the due date of birth.
It is easy to have a fetal womb.
Generally speaking, if there is no sign of delivery after one week after the due date, you must go to the hospital for examination. The doctor will then give a induced delivery injection, or recommend a pregnant woman to have a cesarean section.
Li Quan always feels that the fetus is not real after being more than ten years after the expected delivery period.
"Ms. Shang, can you tell me about the fetal heart?"
Li Quan failed to find out his pulse, so he decided to listen to the fetal heart first.
Perhaps some discoveries may not be possible.
Because the possibility of hydual molars is eliminated, his inference is based on fake molars.
After arranging Ms. Shang to lie down on the temporary treatment bed in the outpatient room, she took the initiative to lift her clothes up, revealing her round belly.
You can even see densely covered with dark purple stretch marks.
Some pregnant women will not have stretch marks when they are pregnant, while others will have them.
As long as stretch marks appear, it will be difficult to eliminate and will accompany the mother for life.
Just imagine, after countless stretch marks on the originally smooth and beautiful abdomen, it becomes particularly ugly and ugly. This causes great harm to women who are born to love beauty.
But they never regretted getting pregnant.
This is the greatness of maternal love.
The nurse applied some coupling agent on her stomach, and then Li Quan began to monitor the fetal heart.
"Dong!"
"Dong!"
...
The fetal heart is obvious and particularly loud, and the rhythm is also suitable.
This is clearly a normal fetal heart.
According to the results of the color ultrasound examination, there is indeed a fetus in the abdomen of the pregnant woman, with clear contours.
Now the fetal heart is also monitored.
The fetus in Ms. Shang's womb must be real.
But Li Quan is just persistent.
The more this happens, the more he suspects that Ms. Shang’s fetus in her abdomen is fake.
After all, no matter how advanced modern medical examination instruments are, they still have great limitations.
Li Quan did not believe in evil and seriously calculated the fetal heart.
The fetal heart rate of one minute is 82.
"Why is it so low?"
Li Quan had been intern in the obstetrics and gynecology department for one year and was very familiar with the normal range of fetal heart disease.
Fetal heart rate below 110 can be considered abnormal.
However, the fetal heart rate in Ms. Shang's abdomen was only 82, which was very low.
This is definitely not normal.
"Ms. Shang, can I measure your heart rate?" Li Quan is a male doctor. It is easy to cause misunderstandings for women to measure their heart rate.
She must be consulted first.
"Yes! You can test it!"
Ms. Shang cooperates very well.
Li Quan immediately took a stethoscope to measure her heart rate.
The result is 83.
It is 1 higher than the fetal heart rate.
Whether it is fetal heart rate or adult heart rate, it is actually average.
If you test a certain minute separately, there will definitely be an error.
The fetal heart rate is exactly the same as that of the mother, which is very abnormal in itself.
"Have other doctors tested your fetal heart rate?" Li Quan asked.
"Well, I tested it. They said that my fetal heart rate was too slow, maybe because I was pregnant for too long, and the fetus gradually approached the heart rate of adults." The pregnant woman gave an explanation.
This medical explanation makes no mistake.
Because no doctor has ever experienced this situation, no one knows what the fetal heart rate should be for normal.
After the baby is born, the heart rate will indeed slowly drop, slightly faster than that of adults, but not much faster.
The child Ms. Shang has been pregnant with, and the child has grown in her belly for eleven years. By time, she is equivalent to an eleven-year-old boy.
Therefore, the doctor who tested believes that the fetal heart rate is similar to that of adults, which is a normal phenomenon.
"Teacher, I just tested her fetal heart, which is basically the same as the mother." Even though Li Quan is now the dean, he still calls Professor Liu a teacher.
Respecting teachers and respecting Tao is a virtue.
Li Quan also respects Professor Liu from the bottom of his heart.
"Do you think there is a problem with the same fetal heart rate as the maternal heart rate?" Professor Liu asked.
"Well, I suspect that the fetus in Ms. Shang's abdomen is a fake fetus." Li Quan expressed his bold speculation.
[You have successfully performed the diagnosis and skills +10.]
[You have successfully used the pulse diagnosis technique, skill points +10.]
[You have successfully performed the sniffing and diagnosis technique, skill points +10.]
As soon as Li Quan expressed his speculation, he was knocked unconscious by his skill point.
Especially the addition of 10 skill points in the sensation surgery made Li Quan overjoyed.
If he remembers correctly, his experience in sniffing surgery has reached 90%.
I just added another 10 points, which reached 100%.
Sure enough, a powerful stream of information flowed into his brain.
In other words, it is more like awakening the skills that already exist in the brain.
【Hearing a diagnosis, small amount of 1%.】
Li Quan checked his genius medical skills and found that the sensation surgery had successfully advanced.
At this moment, a lot of new diagnostic knowledge has emerged in his brain.
It includes some cases of hearing diagnosis and diagnosis that have never been experienced, as well as higher-level application techniques for smelling diagnosis, pathological inference, etc.
In the past, his sniffing surgery could only diagnose some particularly obvious symptoms.
For example, lung sounds, bone sounds, and intestinal sounds.
Now that he has reached the level of Xiaocheng, his sniffing and diagnosis can already auscultate the deeper sounds of his body.
For example, if the patient has abnormal sound when breathing, abnormal heartbeat sound, abnormal pulse sound, etc., all of which can be directly diagnosed through auditory sound.
The only way to learn the three diagnostic techniques of Li Quan was to delay the diagnosis.
Because there are few opportunities for this diagnosis and medical application.
At this moment, Li Quan's hearing and diagnosis skills were upgraded, and his auscultation ability doubled.
He decided to diagnose Ms. Shang again.
"I am not pregnant with a fake fetus. Famous doctors from many major hospitals have examined me. The color ultrasound can see the complete outline of the baby, and even the fetal heart. In medical examination, fetal heart is a hard indicator to determine whether to get pregnant. It is even more authoritative than the gestational sac.
Besides, I can feel the existence of the fetus. Mother and son are connected to each other, and he has to move several times a day.
Ouch, Ouch, look, when it comes to fetal movement, he started to be naughty again."
To be continued...