Chapter 542: Minor Success in Hearing Diagnosis, Ghost Fetus
This is how hydatidiform mole is explained medically.
It usually refers to the proliferation of trophoblastic cells of the placenta villi after pregnancy, severe interstitial edema, and the formation of blisters of varying sizes. The blisters are connected in clusters and shaped like grapes, also known as vesicular fetal masses.
There are two types of hydatidiform mole. In complete hydatidiform mole, all the placental villi are affected, the entire uterine cavity is filled with blisters, there is diffuse trophoblastic hyperplasia, and there is no fetal or embryonic tissue.
The second type is partial hydatidiform mole, in which some of the placental villi are swollen and degenerated, local trophoblastic cells proliferate, and embryonic and fetal tissues are visible, but the fetus is mostly dead. Sometimes, live fetuses younger than the gestational age or malformed fetuses can be seen, and full-term babies are rarely born.
If Ms. Shang is really pregnant with a hydatidiform mole, then it must be the second type.
Li Quan felt that the possibility of a fetus surviving in the mother's womb for eleven years was very small.
Even though the fetus's large arteries directly share the arteries in the mother's uterus, it can directly obtain blood oxygen exchange and nutrients from the mother.
But it's still hard to live for eleven years.
As we all know, it is very dangerous for a pregnant woman to not have sex for a long time after her due date.
It is very easy for the fetus to die in the womb.
Generally speaking, if there is no sign of labor one week after the due date, you must go to the hospital for examination. The doctor will then give you an injection to induce labor or recommend a cesarean section.
More than ten years after the due date, the fetus was still alive, and Li Quan always felt it was not real.
"Ms. Shang, can I listen to your fetal heart rate?"
Li Quan was unable to diagnose the cause of the disease after taking the pulse, so he decided to listen to the fetal heartbeat first.
Maybe there will be some discoveries.
Since the possibility of hydatidiform mole was ruled out, his inference leaned towards false pregnancy.
After Ms. Shang was arranged to lie down on the temporary treatment bed in the outpatient room, she took the initiative to lift up her clothes, revealing her round belly.
You can even see densely packed dark purple stretch marks.
Some pregnant women will not develop stretch marks during pregnancy, while others will.
Once stretch marks appear, they are difficult to eliminate and will accompany the mother throughout her life.
Imagine that a smooth and beautiful abdomen becomes particularly ugly after countless stretch marks grow on it. This is very harmful to women who are born with a love for beauty.
But they never regretted getting pregnant.
This is the greatness of maternal love.
The nurse applied some coupling agent on her belly, and then Li Quan began to monitor the fetal heart rate.
“Boom!”
“Boom!”
…
The fetal heart rate is obvious and very loud. The rhythm is also consistent.
This is clearly a normal fetal heart rate.
Logically speaking, according to the color ultrasound examination results, there is indeed a fetus in the pregnant woman's abdomen with a clear outline.
Now the fetal heart rate can also be monitored.
The fetus in Ms. Shang’s belly must be real.
But Li Quan is a persistent person.
The more this happened, the more he suspected that the fetus in Ms. Shang's belly was fake.
After all, no matter how advanced modern medical examination equipment is, it still has great limitations.
Li Quan didn't believe it and calculated the fetal heart rate carefully.
The fetal heart rate is 82 per minute.
"Why is it so low?"
After all, Li Quan had interned in obstetrics and gynecology for a year and was very familiar with the normal range of fetal heart rate.
A fetal heart rate below 110 is considered abnormal.
However, the fetal heart rate of the fetus in Ms. Shang's belly was only 82, which was frighteningly low.
This is definitely not normal.
"Ms. Shang , would it be convenient for me to measure your heart rate?" Li Quan is a male doctor, and measuring a woman's heart rate could easily cause misunderstanding.
Be sure to ask her opinion first.
"Sure! Go ahead and test it!"
Ms. Shang was very cooperative.
Li Quan immediately took out a stethoscope to measure her heart rate.
The result is 83.
It is 1 higher than the fetal heart rate.
Whether it is the fetal heart rate or the heart rate of an adult, they are actually calculated as average values.
If you measure a single minute, there will definitely be errors.
The fetus' heart rate is exactly the same as the mother's heart rate, which is very abnormal.
"Has any other doctor measured your fetal heart rate?" Li Quan asked.
"Yes, I have measured it. They said my fetal heart rate is too slow. It may be because I have been pregnant for too long and the fetus is gradually approaching the heart rate of an adult." The pregnant woman gave an explanation.
This medical explanation makes sense.
Because no doctor has ever experienced this situation before, no one knows what the normal fetal heart rate should be.
After a baby is born, the heart rate does slowly slow down and becomes slightly faster than that of an adult, but not much faster.
The child that Ms. Shang is carrying has been growing in her belly for eleven years. In terms of time, she is already equivalent to an eleven-year-old boy.
Therefore, the doctor who performed the test believed that the fetal heart rate was similar to that of an adult and was normal.
"Teacher, I just measured her fetal heart rate, and it's basically the same as the mother's." Even though Li Quan is now the dean, he still addresses Professor Liu as teacher.
Respecting teachers is a virtue.
Li Quan also respects Professor Liu from the bottom of his heart.
"Do you think there is a problem with the consistency between the fetal heart rate and the mother's heart rate?" asked Professor Liu.
"Well, I suspect that the fetus in Ms. Shang's belly is a fake fetus." Li Quan made his bold speculation.
[You have successfully performed the art of visual diagnosis, skill points +10. ]
[You have successfully performed the pulse diagnosis technique, skill points +10. ]
[You have successfully performed the art of auscultation, skill points +10. ]
As soon as Li Quan expressed his speculation, he was stunned by the skill points.
Especially the fact that the smell diagnosis technique added 10 skill points made Li Quan overjoyed.
If I remember correctly, his experience value in olfactory diagnosis has reached 90%.
I just added 10 points, which brings it to 100%.
Sure enough, a powerful stream of information poured into his brain.
In other words, it is more like awakening a skill that already exists in the brain.
【Auscultation by smell, small success rate is 1%. 】
Li Quan checked the attributes of his Miracle Doctor Skills and found that his Smell Diagnosis Skill had been successfully upgraded.
At this moment, a lot of new diagnostic knowledge appeared in his brain.
It includes some case experiences of diagnosing diseases by auscultation that have never been experienced before, as well as more advanced application skills of auscultation, pathological inference, etc.
In the past, his olfactory diagnosis technique could only diagnose some particularly obvious pathological sounds.
For example, lung sounds, bone sounds, and bowel sounds.
Now that he has advanced to the minor success stage, his auscultatory technique can already detect deeper levels of disease in the body.
For example, if the patient's breathing sounds are abnormal, or if there are abnormal heartbeats or pulse sounds, etc., all of these can be diagnosed directly by listening to the sounds.
Of the three diagnostic skills that Li Quan learned, only the smell diagnosis skill lagged behind.
Because there are few opportunities to apply this diagnostic medical skill.
At this moment, Li Quan's auscultation skills have been improved and his auscultation ability has doubled.
He decided to diagnose Ms. Shang again.
"I am definitely not pregnant with a false pregnancy. I have been examined by famous doctors in many large hospitals. The color Doppler ultrasound can show the complete outline of the baby and even the fetal heart rate. In medical examinations, the fetal heart rate is a hard indicator to determine whether you are pregnant. It is even more authoritative than the gestational sac.
Besides, I can feel the fetus's presence . Mother and child are connected by heart, and he moves several times a day.
Ouch, ouch, look, speaking of fetal movement, he has started to act naughty again."
It looked like there was a fetus moving inside Ms. Shang's belly.
Sometimes there is a bulge here and a bulge there.
It was as if the fetus was punching and kicking inside her belly.
Ms. Shang's face also showed the kindness of maternal love. She smiled and gently stroked her belly to comfort the fetus in her belly.
"Xiao Li , you have both the fetal image and the fetal heartbeat. Why did you diagnose that Ms. Shang was pregnant with a false fetus?" Professor Liu could not understand this student's ability.
In his opinion, Li Quan's abilities could only be described as unfathomable.
"Teacher, please wait a moment. I will try to listen to her stethoscope again while she is feeling fetal movement."
Li Quan is now 100% sure that the fetus Ms. Shang is carrying is a fake one.
This was the first time he had encountered such an incredible thing.
This time he did not use any instruments, but directly put his ear on Ms. Shang's belly.
Ms. Shang seemed somewhat embarrassed and uncomfortable.
After all, this is a strange male doctor.
"Don't be nervous. Keeping a calm mind will help me further find out whether you are carrying a real fetus."
Li Quan comforted Ms. Shang in a gentle voice.
He also used his full strength in the art of smell diagnosis.
At this moment, he heard a faint "gurgling" sound coming from Ms. Shang's abdomen.
How should I put it? It feels like a soft container filled with water, and when the container moves, the water inside makes a sound.
"This is definitely not the sound a fetus should make." Li Quan was even more certain that Ms. Shang was not carrying a real fetus.
Although after pregnancy, there will be amniotic fluid in the fetal membrane of the uterus.
When the fetus moves, it makes a sound of liquid sloshing, but because the amniotic fluid fills the entire uterus, there is no air inside. This is based on the principle that sound cannot be transmitted in a vacuum.
The fetus does not make any sound when it moves.
The sloshing sound of the liquid at this moment proved that Li Quan's inference was correct.
The pregnant woman is not carrying a real fetus.
Since his auscultatory technique had just reached the minor success stage, it was particularly strenuous for him to auscultate such difficult and complicated diseases.
Li Quan immediately pressed on Ms. Shang's wrist pulse, performing the pulse diagnosis technique and the auscultation technique at the same time.
The pulse diagnosis technique at the master level is different.
After performing the technique, Li Quan unexpectedly discovered that Ms. Shang's pulse had changed.
A particularly strange pulse.
How to say it.
When the blood in the veins reached the abdomen, it was like a terrible whirlpool, pulling the blood in Ms. Shang's body vigorously, and then greedily sucking it.
If a superstitious person finds this kind of pulse condition, he or she might think that it is the legendary demon or ghost causing trouble.
Li Quan's eyes lit up slightly.
A strange disease name "ghost fetus" emerged in his mind.
This is an extremely rare gynecological disease.
The fetus in your womb is like a ghost. It looks real, but it is actually fake.
The most obvious feature of this ghost fetus is the presence of a fetal heartbeat.
In fact, the so-called fetal heart is a false heart formed by the combination of arteries and proliferative tissue.
In other words, it's not the heart at all.
It's just a strange structure similar to a 'power amplifier'.
It can amplify the sound and power of the arterial pulse by more than ten times, turning it into the so-called fetal heartbeat.
"Okay, I've finished my examination."
A confident expression appeared on Li Quan's face.
"Teacher, let me explain the basis for my diagnosis that Ms. Shang is pregnant with a false pregnancy. First of all, her heart rate is consistent with the fetal heart rate of the fetus in her abdomen. I can boldly speculate that the fetal heart rate is her own pulse.
Second, although she had stretch marks and some reactions common to pregnant women, whether taking her pulse or auscultating the sounds made by the fetus moving in the abdominal cavity, it was proven that she was carrying a false fetus.
The results of medical examinations are not 100% accurate, and everything may just be an illusion."
Li Quan's diagnostic opinions and speculations are really crazy.
"Impossible! Doctor, every time I take a urine test, there are two lines, proving that I am pregnant." Ms. Shang obviously did not believe the diagnosis of the young doctor Li Quan.
"Urine test, pregnancy reaction, color Doppler ultrasound with fetal images and fetal heart rate, everything looks the same as a real pregnant woman. If I tell you that the so-called fetus in the abdomen is actually just a placenta, and there is no fetus, would you believe it?"
Li Quan asked with a serious face.
Ghost fetuses are relatively rare in humans.
However, some sows may have this empty fetus phenomenon if they are not properly bred or because of moldy feed and other reasons.
It looks like a normal pregnant sow.
The belly will gradually get bigger.
But when it comes to the delivery period, other sows will give birth normally.
But it didn't move.
After the injection of oxytocin, the baby may experience labor symptoms, and then give birth to the placenta, or some blood and water, and the belly will slowly deflate.
This disease in sows is not called ghost fetus, veterinarians call it false pregnancy.
Professor Liu frowned. After listening to Li Quan's analysis and diagnosis, this old professor who has been studying obstetrics and gynecology diseases for decades fell into deep thought.
Li Quan's diagnosis is very bold. If it is true, then everything can be reasonably explained.
"Ms. Shang, I have a more reliable way to test whether President Li's diagnosis is correct." Professor Liu looked at Ms. Shang, who sat up with an angry expression.
Li Quan said that she was pregnant with a fake fetus, so she was naturally very unhappy.
Maybe he's already cursing in his heart.
The medical skills of this young doctor were extremely poor. There were so many obvious signs of pregnancy, but he just talked nonsense and said that she was carrying a false pregnancy.
"Dean Li? He is the dean?" Ms. Shang looked at Li Quan again in shock.
"Yes, he is the director of our Huier Hospital."
Professor Liu nodded seriously in confirmation.
"Do you also think his diagnosis makes sense?" Ms. Shang's mentality changed after she learned that Li Quan was the dean.
She put away her contempt for Li Quan.
"I think this is possible because your case is very special. I have seen such a case in a foreign medical book. The pregnant woman was carrying only a placenta, but no fetus.
Under normal circumstances, after a pregnant woman becomes pregnant, the fetus will grow together with the placenta. If the fetus dies after a period of pregnancy, miscarriage will occur.
The dead fetus will be expelled from the body.
But in your case, the uterine artery directly supplies blood, oxygen and nutrients to the fetus.
It is also possible that the placenta will not detach from the uterine wall.
However, further investigation is needed to clarify the details.”
Professor Liu is an old doctor after all, and he speaks much more cautiously than Li Quanke.
