The Surgeon’s Studio

o and sat down next to Chief Qi.

He had just entered, and he already had such a difficult multiple choice question?

What was the meaning of this? Zheng Ren was in a daze.

“This is the medical record.
Take a look first,” Chief Qi said.
“If you know a little bit, say a few words.
If you’re not, just watch from here.”

Zheng Ren understood the meaning and nodded.

The patient was a 23-year-old female patient.
Because she did not menstruate, she was infertile and came to Imperial Capital to see a doctor.
In the end, she discovered an adrenal tumor.

As soon as the opening chapter began, Zheng Ren was drawn by the special case.

A 23-year-old who had never had menstruation before knew how to treat a disease? How sloppy was that?

After taking a closer look, Zheng Ren realized that the patient was a woman from another city.
She had not been pregnant since she got married.
She came to Imperial Capital to see a doctor, and only then did she know that she had never had menstruation.

Abdominal Color Doppler imaging revealed that the right adrenal region was an echo tumor.
The size was about 6.5cm by 6.4cm.

Abdominal contrast-enhanced CT scan revealed a mass of low-density of the right adrenal area, about 6.54 cm in size.
Contrast-enhanced CT scan revealed that there were many blood vessels in the lesion, and the venous phase was quickly cleared.
Adrenal tumors were considered.

Various test sheets were also relatively complete.
Testosterone, androstenedione, dehydroepiandrosterone sulfate, blood cortisol, and adrenocorticotropic hormone were all on the high side.

This should be a disease for the Department of Endocrinology, but there was an adrenal tumor, so they came to the Department of genitourinary Surgery to be hospitalized and prepared for excision.

This kind of relatively complicated disease was different from simple trauma.

Zheng Ren had some understanding of Chief Miao of the Department of Genitourinary Surgery.
His surgical techniques were quite good.

A kidney invaded by cancer could almost perfectly be excised, and the hydatid vesicles were stripped clean.
This level was already very high.
Using the System’s judgment, it was at least at the Grandmaster level.

However, the patient’s disease was not that simple.

One had to know that the position occupied was the adrenal gland.

Zheng Ren had encountered patients with liver cancer accompanied by adrenal metastasis.
During the operation, the adrenal gland metastasis was embolized, and the patient’s blood pressure suddenly dropped.

After touching this endocrine organ, there would be unexpected changes.

This was especially so for this woman whose condition was very complicated.
It was not something that could be simply removed by excising the adrenal tumor.

Zheng Ren looked at the medical record and gradually became stunned.

At this moment, the doctor from the Endocrinology Department was giving his opinion.
He were in his forties or fifties.
His speech was very melodious.

Zheng Ren read the medical record while listening.
What he meant was to consider the possibility that the tumor on the right adrenal gland was a cortical source, with the exception of adrenal cortical carcinoma.

The patient’s cortisol level was currently elevated.
During the perioperative period, he should closely monitor the changes in vital signs, electrolytes, and mental state, and also give her glucocorticoid supplementation therapy.

He followed the rules, and there was nothing wrong with the treatment and judgment.

“Little Zheng, can you find the problem?” Chief Qi asked in a low voice.

Zheng Ren asked, “Is there a physical examination in gynecology?”

“…” Chief Qi was stunned.

“I’m thinking that it’s not a simple adrenal disease.
It’s just a change in the adrenal gland.” Zheng Ren whispered.
“I’ll think about it again.”

“It’s not a simple adrenal occupation disease.
You’re also thinking about it?”

“Huh? Who’s also thinking about it?” Zheng Ren’s interest was piqued.
It was just a sudden thought.
He thought that this disease might be similar to a rare disease, but it was just a thought.
He did not dare to talk nonsense in this kind of situation.

“I said it in the kidney,” Chief Qi pouted and said.

“What did Chief Qi think about it?”

“She’s not very sure.
She just said that it might be a disease caused by a hydroxylase deficiency.”

“21-hydroxylase deficiency?!”

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