Chapter 2307: Chapter 2307: None Convinced
If inserting a tube, a simple pneumothorax with only gas in the pleural cavity can be handled with a thin tube. Other substances like blood or exudate entering the pleural cavity causing effusion and pneumothorax to coexist, is termed hydro-pneumothorax instead of simple pneumothorax. Clinically, it can be more specifically divided into seropneumothorax, hemopneumothorax, or pyopneumothorax, etc. A small tube may not be sufficient.
Currently, for this patient, the most clearly visible thing on the film is the pneumothorax line; the lung collapse hasn’t reached an extreme percentage. Are there any obvious signs of exudate in the pleural cavity?
"Teacher, it’s difficult to differentiate hydro-pneumothorax just from an X-ray." Xie Wanying pointed out.
On an X-ray, it’s easiest to see the lung compressed, but how to determine if there’s more than just gas compressing the lung. X-rays are not like cameras that can go inside the body for meticulous examination. Sometimes a CT scan can rule it out, but it’s crucial to know that instruments are not all-powerful.
If the patient from the respiratory department had a considerable amount of effusion, it would be straightforward and clear-cut. However, if the effusion is minor but forms a localized hydro-pneumothorax, affecting the patient’s condition due to its awkward position, it becomes a rather tricky situation for doctors.
Of course, Student Duan already mentioned the first point. It’s just that her classmate and others misunderstood Student Duan’s meaning.
"He probably meant, the pleura has thickened." Xie Wanying explained, "My classmate mentioned, the cardio-phrenic angle becoming blunted is not entirely wrong, saying possible infection also implies pleural thickening symptoms. If infused with effusion, the fluid level on an X-ray typically appears at the base, causing the diaphragm’s arc-shape shadow to flatten. This patient doesn’t have a typical complete flattening of the arc; initially showing a blunted cardio-phrenic angle then flattening the arc easily confuses the judgment."
Hearing Xie speak up to this point, Zhang Desheng blushed: Clearly, she was diplomatically correcting his misconceptions. One could only say, Yingying is so kind-hearted.
The Guodu students present were the most shocked, each grabbing their school’s top student asking: "Duan Sanbao, is this what you meant?"
Jerk, you led them astray but didn’t say anything, causing a bunch of us to all veer off course.
Surrounded by his own schoolmates, Student Duan Sanbao shrunk his neck like a little ostrich, not knowing what to do as he too realized the misunderstanding. After all, they were guests; he couldn’t flatly tell them on the spot that they misinterpreted his meaning. Besides, they mentioned the infection factor later on.
It’s certain. Student Duan Sanbao’s eyes brightly watching the pages of his notebook: This person might really be the "King Bomb".
Doctor Cheng Yuchen turned back to recheck the film, then turned back to confirm with Cao Zhao: "Teacher Cao, should we let her attempt the closed thoracic drainage puncture on the patient?"
The group of Guodu students on-site realized this was a big deal.
As they knew, students without a practicing doctor’s license generally don’t get such opportunities to perform these types of surgeries; interns mostly end up changing dressings on patients independently in clinical settings.
Facing this suggestion from his subordinate, was it a strategic retreat? Cao Zhao’s lips curved, and the ink-black eyes on his jade-like face sparkled with amusement.
Looking at Teacher Cao’s profile, the students could sense the mischievous "evil" smile in Teacher Cao’s eyes.
"Alright." Cao Zhao nodded, approving the "self-recommended" subordinate.
One could only say that in his class, this group of kids were all equally proud and competitive. The arrival of a new student, possibly a leader, certainly needed to compete to the death to see what’s what.
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