I Have Unlimited Magic Skills

In medicine, this is the explanation for hydatidiform mole.

Usually refers to the hyperplasia of placental villous trophoblast cells after pregnancy, and the interstitium is highly edematous, forming blisters of different sizes.

Mole is divided into two types, complete mole placental villi are all involved, the entire uterine cavity is filled with blisters, diffuse trophoblast proliferation, no fetal and embryonic tissue.

The second type is partial hydatidiform hydatidiform mole with swelling and degeneration of part of the placental villi, local trophoblast proliferation, embryos and fetal tissues can be seen, but most fetuses die, and sometimes live fetuses or abnormalities younger than the gestational age can be seen, and full-term babies are rarely born .

If this Ms. Shang is really pregnant with a mole, it must belong to the second type.

Li Quan felt that the possibility of the fetus surviving eleven years in the mother's womb was very small.

Even if the aorta of the fetus directly shares 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 eleven years.

We all know that it is very dangerous for a pregnant woman to have no seizures for a long time after the expected date of delivery.

It is easy to appear the phenomenon of stillbirth.

Generally speaking, if there is no sign of childbirth one week after the expected date of delivery, you must go to the hospital for an examination. Then the doctor will give an injection of oxytocin, or advise the pregnant woman to have a cesarean section.

More than ten years past the expected date of delivery, the fetus is still alive, Li Quan always feels that it is not true.

"Ms. Shang, can I listen to the fetal heartbeat for you?"

Li Quan failed to find out the pulse, so he decided to listen to the fetal heart first.

Maybe some discoveries can be made.

Because the possibility of hydatidiform mole was ruled out, his inference was based on false pregnancy.

After arranging Ms. Shang 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 dense dark purple stretch marks.

Some pregnant women do not have stretch marks during pregnancy, while others do.

As long as stretch marks appear, it is difficult to eliminate,

Will accompany mother for life.

Just imagine, the originally smooth and beautiful abdomen has become particularly ugly and ugly after growing countless stretch marks. This is very harmful to women who are born to love beauty.

But they never regretted being pregnant.

This is the greatness of maternal love.

The nurse wiped some gel on her stomach, 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 right.

This is clearly a normal fetal heart rate.

It stands to reason that according to the results of the color ultrasound examination, there is indeed a fetus in the pregnant woman's abdomen, with a clear outline.

Now the fetal heart rate is also monitored.

The fetus in Ms. Shang's womb must be real.

But Li Quan is persistent.

The more this happened, the more he suspected that the fetus in Ms. Shang's womb was fake.

After all, no matter how advanced modern medical examination instruments are, they still have great limitations.

Li Quan didn't believe in evil, and carefully calculated the fetal heart rate.

The fetal heart rate per minute is 82.

"Why is it so low?"

Li Quan had been an intern in the obstetrics and gynecology department for a year, so he was very familiar with the normal range of fetal heart rate.

A fetal heart rate below 110 is considered abnormal.

But the fetus in Ms. Shang's womb has a fetal heart rate of only 82, which is frighteningly low.

This is definitely not normal.

"Ms. Shang, is it convenient for me to measure your heart rate?" Li Quan is a male doctor, and it is easy to cause misunderstandings when he measures a woman's heart rate.

Definitely ask her opinion first.

"Yes! You can test it!"

Ms. Shang was very cooperative.

Li Quan immediately measured her heart rate with a stethoscope.

The result is 83.

1 higher than the fetal heart rate.

Whether it is fetal heart rate or adult heart rate, it is actually an average value.

If you measure a certain minute alone, there must be errors.

The fetal heart rate is exactly the same as the mother's heart rate, which in itself is very abnormal.

"Have other doctors measured your fetal heart rate?" Li Quan asked.

"Well, I tested it. They said that 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 adult's heart rate." The pregnant woman gave an explanation.

This medical explanation is barely plausible.

Because this situation has never been experienced by any doctor, and no one knows what the fetal heart rate should be to be normal.

After birth, the baby's heart rate does slow down to a little faster than an adult's, but not by much.

And the child that Ms. Shang is pregnant with has been growing in her stomach for eleven years. Calculated by time, it is already equivalent to an eleven-year-old boy.

Therefore, the testing doctor believes that the fetal heart rate is similar to that of an adult, which is a normal phenomenon.

"Teacher, I measured her fetal heart rate just now, and it's basically the same as the mother's." Li Quan still calls Professor Liu a teacher even though he is the dean now.

Respecting the teacher is a virtue.

Li Quan also respects Professor Liu from the bottom of his heart.

"Do you think there is a problem with the fetal heart rate being consistent with the maternal heart rate?" Professor Liu asked.

"Well, I suspect that the fetus in Ms. Shang's womb is a fake one." Li Quan expressed his bold speculation.

【You have successfully performed the observation technique, skill points +10.】

【You have successfully performed pulse diagnosis, skill points +10.】

[You have successfully performed the Ousus and Diagnosis technique, skill points +10.]

As soon as Li Quan expressed his speculation, he was knocked out by the skill point.

In particular, the addition of 10 skill points to the auscultation technique made Li Quan overjoyed.

If I remember correctly, his experience in auscultation has reached 90%.

Just added another 10 points, and it reached 100%.

Sure enough, a powerful flow of information poured into his brain.

In other words, it is more like awakening the skills that already exist in the brain.

[Auscultation and diagnosis, a small success rate of 1%. 】

Li Quan checked his genius medical skill attributes, and found that his auscultation and diagnosis skills had been successfully advanced.

At this moment, a lot of brand-new diagnostic knowledge also appeared in his brain.

Including some never-before-experienced cases of auscultatory diagnosis, as well as higher-level application skills of auscultation, as well as pathological inferences and so on.

In the past, his auscultation technique could only diagnose some particularly obvious sick sounds.

Such as lung sounds, bone sounds, bowel sounds.

Now that he has reached the level of Xiaocheng, his auscultation technique can already auscultate the deeper sick sounds of the body.

For example, the sound of the patient's breathing is abnormal, or the sound of the heartbeat is abnormal, the pulse sound is abnormal, etc., all of which can be diagnosed directly by listening to the sound.

Of the three diagnostic medical skills that Li Quan learned, only the auscultation and diagnosis skills were hindered.

Because there are very few opportunities for the application of this diagnostic medical skill.

At this moment, Li Quan's auscultation skills have been upgraded, and his auscultation ability has doubled.

He decided to diagnose Ms. Shang again.

"I am definitely not pregnant with a false pregnancy. Famous doctors from many major hospitals have checked me. Color Doppler ultrasound can see 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 Even more authoritative than the gestational sac.

Besides, I could feel the presence of the fetus. Mother and child are connected, and he has fetal movements several times a day.

Ouch, ouch, look, when it comes to fetal movement, he's getting naughty again. "

I saw that Ms. Shang's belly really seemed to have a fetus moving inside.

Sometimes there is a bulge here, and a lump there.

It was as if the fetus was punching and kicking inside her stomach.

Ms. Shang's face also showed the kindness of maternal love, smiling and stroking her belly to comfort the fetus in her belly.

"Xiao Li, there are fetal images and fetal heartbeats. Why did you diagnose that Ms. Shang is pregnant with a false pregnancy?" Professor Liu has always been unable to figure out the student's ability.

In his opinion, Li Quan's ability can only be described as unfathomable.

"Teacher, wait a moment. I will try to auscultate her again while she is having fetal movement."

Li Quan is now 100% sure that Ms. Shang's fetus is a fake one.

It's just that this kind of unimaginable thing is also the first time he has encountered it.

He didn't use any instruments this time, but put his ear directly on Ms. Shang's belly.

Ms. Shang looked somewhat embarrassed and uncomfortable.

After all, this is a strange male doctor.

"You don't hide your illness from the doctor, so you don't have to be nervous. Keeping a calm mind will help me further find out whether you are carrying a real fetus."

Li Quan comforted Ms. Shang gently.

His auscultation technique is also fully displayed.

At this time, he heard a faint "crash" sound coming from Ms. Shang's abdomen.

How should I put it, it feels like a soft container is filled with water, and when the container moves, the water inside makes a sound.

"This is definitely not the sound a fetus should have." Li Quan further concluded that Ms. Shang was not carrying a real fetus.

Although after pregnancy, there will be amniotic fluid in the fetal membranes of the uterus.

The fetus makes the sound of fluid sloshing when it moves, but because the amniotic fluid fills the entire uterus, there is no air in it. According to the principle that a vacuum cannot transmit sound.

The fetus does not make sounds when it moves.

The sloshing sound of this liquid at this moment proved that Li Quan's deduction was correct.

Pregnant women are not carrying real fetuses.

Since his auscultation technique has just advanced to the Xiaocheng stage, it is particularly laborious to auscultate such difficult and miscellaneous diseases.

Li Quan immediately pressed on Ms. Shang's wrist pulse, performing pulse diagnosis and auscultation at the same time.

The pulse diagnosis technique of Master Realm is different.

After performing it, Li Quan unexpectedly discovered that Ms. Shang's pulse had changed.

A particularly weird pulse condition.

how to say.

That is, after the qi and blood in the veins reached the abdomen, there seemed to be a terrible whirlpool, pulling the qi and blood in Ms. Shang's body vigorously. Then greedily suck.

If a superstitious person finds out this kind of pulse, they will probably think that it is the ghosts and ghosts in the legends that are causing trouble.

Li Quan's eyes lit up slightly.

A strange disease name "ghost fetus" emerged in his mind.

This is an extremely rare obstetrical disease.

The fetus is like a ghost, which looks real, but is actually fake.

One of the most obvious features of this ghost fetus is the presence of a fetal heart.

In fact, its so-called fetal heart is a false heart formed by the combination of arteries and hyperplastic tissues.

Or rather, not the heart at all.

It's just a peculiar structure similar to an 'amplifier'.

It can amplify the sound and power of arterial pulse more than ten times. Let it become the so-called fetal heart.

"Okay, I've finished the examination."

Li Quan had a confident expression on his face.

"Teacher, now let me explain the basis for diagnosing that Ms. Shang is pregnant with a false pregnancy. First, her heart rate is consistent with the fetal heart rate in the womb. I can boldly speculate that the fetal heart rate is her own pulse.

Second, although she had stretch marks and the reactions of some pregnant women, no matter whether she took her pulse or auscultated the sound of the fetus moving in the abdominal cavity, it proved that she was pregnant with a false fetus.

The results of medical instruments are not 100% accurate, and everything may be just an illusion. "

Li Quan's diagnostic opinions and speculations are really crazy.

"Impossible! Doctor, every time I do a urine test, there are two lines, which prove that I am indeed pregnant." Ms. Shang obviously did not believe the young doctor Li Quan's diagnosis.

"Urine tests, pregnancy reactions, color Doppler ultrasound examinations have fetal images, and fetal heart rate. Everything looks the same as a real pregnant woman. If I tell you, the so-called fetus in the abdomen is actually just a placenta, and there is no fetus ,Do you believe it?"

Li Quan asked with a serious face.

Ghost fetuses are relatively rare in humans.

However, for some sows, if they are not properly mated after mating, or due to moldy feed, etc., this phenomenon of empty tires may occur.

It looks like a normal pregnant sow.

The stomach will gradually become larger.

But when it comes to the farrowing period, other sows will give birth normally.

It didn't move.

After the injection of oxytocin, it may have symptoms of childbirth. Then the placenta was delivered, or some bloody water, and the stomach slowly deflated.

This disease of sows is not called ghost fetuses, veterinarians call them false pregnancies.

Professor Liu frowned. After listening to Li Quan's analysis and diagnosis, he, an old professor who has studied obstetrics and gynecology 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 relatively safe way to test whether Dean 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 pregnancy, so she was naturally very upset.

Maybe I have already cursed in my heart.

This young doctor's medical skills are so poor that he has so many obvious signs of pregnancy, but he is talking nonsense, saying that she is pregnant with a false pregnancy.

"Dean Li? Is he the dean?" Ms. Shang looked at Li Quan again in shock.

"Yes, he is the director of our Wheel Hospital."

Professor Liu nodded solemnly.

"Do you also think his diagnosis is reasonable?" Ms. Shang's mentality changed after she learned that Li Quan was the dean.

She put away her contempt for Li Quan.

"I think it's possible, because your situation is very special. In a medical book abroad, I saw such a case. The pregnant woman was only pregnant with a placenta, without a fetus.

Under normal circumstances, after a pregnant woman is pregnant, the fetus will grow up with the placenta. If the fetus dies after a period of pregnancy, a miscarriage will occur.

The dead fetus is passed out of 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 does not peel off from the uterine wall.

However, further investigations are needed to clarify the specifics. "

After all, Professor Liu is an old doctor, and he speaks more cautiously than Li Quanke.