“By the way, symptoms of urinary tract stimulation and bladder contractions are the most common in patients with tuberculosis. There are also low fever and ascites. Is this how you judged urinary tuberculosis?” Su Yun asked.
“Yes.” Zheng Ren nodded.”From what you said, everyone should be able to tell that it’s not urinary tuberculosis, right?”
“I’ve done the relevant examination, and it’s not urinary tuberculosis. ” Su Yun said,”the patient has multiple systems involved, and we need to consider whether he has an autologous disease. However, there is only a low-titer of ANA positive, a small amount of supplementary urine, and a slight decrease in urine protein. There is no other evidence.”
“What about a kidney biopsy?” Zheng Ren asked with a frown.
“It’s said that the patient’s family refused. They already found it unbelievable that an abnormal tumor appeared with a history of nausea and vomiting. As for the kidney, I don’t think they can understand it. ” Su Yun smiled bitterly.
“What happened after that?”
“During the last hospital-wide consultation, although the multi-department ward rounds did not meet the diagnostic standards of systemic lupus Chimaera, old Gu believes that the patient is a young woman and has more systems involved. He … Insists. ” After Su Yun finished speaking, she sighed.
Zheng Ren acknowledged that this person had the ability to explain his diagnosis and stand against the opinions of the masses.
The chief residents that Su Yun befriended were not bad, let alone their character. In the foreseeable future, all of them would become professors and team leaders. This professor Gu was one of them.
“But after the patient took the medicine, he would have heart palpitations on the first day. His heart rate was 120 beats per minute, and he could hear the third sound of heart galloping at the tip of his heart.”
The galloping horse rhythm was a type of additional sound of heart during dilapidation. When combined with the first and second sound of heart, the rhythm formed was similar to that of a galloping horse, so it was called the galloping horse rhythm.
When the heart muscle was seriously damaged, it would be like a galloping horse.
When Zheng Ren heard Su Yun’s heavy tone when she spoke about this matter, his heart sank.
An over-dose, or even a normal dose of appear, could damage the heart or kidney. If the symptoms appeared after the medication, then it was because of the effects of the shot.
It turned out that professor Gu’s insistence was wrong.
This was the disadvantage of the diagnostic treatment, or rather, it was unpredictable, especially the side effects that often occurred when the Rheumatology Department carried out diagnostic treatment.
Zheng Ren had done a few diagnostic treatments before, and they were all successful in the end.
It was not because the diagnosis and treatment was reasonable, but because of the big pig trotter’s presence, Zheng Ren relied on the system panel to perform a reverse deduction and had some confidence.
However, the diagnostic treatment used by professor Gu did not give a clear diagnosis. Instead, there was a serious drug reaction, which led to cardiac damage.
When Su Yun said this, the situation was clear.
The patient had abdominal pain and diarrhea for some unknown reason, so he came to Room 912 for consultation. It was considered that it might be caused by monstrous tumors.
However, after the incision, she realized that her illness had not recovered. Instead, it had worsened. The whole hospital had a consultation, but everyone was helpless. After using the Rheumatology department’s treatment plan, he had already started to suffer from heart failure …
This was a typical case where the more the treatment, the more serious it became.
As they spoke, the two of them arrived at the gynecology department. The patient was still being hospitalized in the gynecology department. However, if the correct diagnosis and treatment method could not be found, the patient would probably be sent to the ICU soon.
“Professor Gu, you’re quite bold.” Zheng Ren finally said with certainty.
“It’s not just because he’s bold, but also because he’s a skilled player. ” Su Yun said,”why don’t I tell you that I must have a friend from the Rheumatology Department in the hospital? I once had a disease that I suspected had a problem with my Rheumatology immune system, so I went to him to solve it.”
“Why haven’t I heard you mention it before?” Zheng Ren felt that the name was very unfamiliar to him.
“I have you here. He could easily diagnose any patient, so he had never looked for him. I didn’t expect that this fellow would get into trouble on his own today. “
When she passed by the doctor’s office and saw that the door was tightly closed, she knew that this was a hospital-wide consultation.
Zheng Ren asked,”do you know which Ward the patient is in?”
Su Yun looked at Zheng Ren in surprise, as if she was looking at an idiot.
Did I ask the wrong question?
Zheng Ren kept thinking about the patient’s condition. If systemic lupus Chimaera was an error in diagnosis, then what could be the possible diagnosis?
In fact, Zheng Ren was also considering systemic lupus chiropractic.
Su Yun sighed.”Boss, isn’t there a mouth under your nose? do you dare to ask?”
“……”
“Wait a moment.”
Su Yun blew at him, her black hair fluttering in the wind as she looked at Zheng Ren with disdain.
He went straight to the nurses ‘station, and Zheng Ren could vaguely hear laughter.
This guy was really good at cowering.
Zheng Ren sighed in his heart. In the future, when he went to unfamiliar places, whether it was Su Yun or Chang Yue, it seemed like it would be a good choice.
At the very least, he didn’t have to ask for directions.
Very soon, Su Yun returned.”It’s the highest room in the innermost area. However, the patient’s family has a bad temper. It’s brewing now and is about to explode. Do you … Want to go in with us?”
The brewing period and outbreak period that Su Yun was talking about was the accumulation of emotions after the patient was hospitalized and did not recover for a long time.
In other words, the patient’s family members were on the verge of a mental breakdown.
This was now. If it were a few years ago when the yellow-teeth gang was still active,”quality customers” like them would have been targeted long ago.
Even if he did not do much to the troublemakers who understood the weaknesses of hospitals and human nature, he could start a fire with just a slight nudge.
The two of them came to the door of the ward. Su Yun knocked on the door and then pushed it open.
Zheng Ren followed behind him. This guy was good-looking anyway. Since he was a female patient, he was probably a female caretaker.
As long as it was a woman, there was nothing wrong with leaving Su Yun in front.
After entering the ward, Zheng Ren did not listen to how Su Yun was communicating with the patient’s family members. Instead, he took the time to observe the patient’s system panel.
The patient was very young, his face was pale, and he was very thin. His cheeks were sunken.
The system’s panel was red, and there were many detailed diagnoses.
Zheng Ren quickly looked through all the diagnoses and threw the unimportant ones aside. He was looking for the most important diagnosis that had caused the patient’s condition to delay and not recover.
Very quickly, Zheng Ren saw what he wanted to see.
Systemic lupus Chimaera!
Professor Gu’s diagnosis was correct!
But then came the question. Why did the correct diagnosis and standard medication eventually lead to cardiac damage and Xun-type respiratory failure?
This was a little unbelievable.
Zheng Ren looked at the system panel and frowned in deep thought.
He only knew bits and pieces of the patient’s condition, but Zheng Ren had checked, simulated, and reconstructed them one by one according to the diagnosis on the system panel.
Very quickly, he had a further idea of the patient’s condition.
This was not the first time that Zheng Ren had used the diagnosis of the big pork trotter to reverse-deduce the patient’s condition, but it was a more complicated one.
At the end of his thoughts, Zheng Ren felt lucky and emotional.
That professor Gu was indeed a talented young man. Even though he was a few years older than Su Yun, he was able to insist that the patient’s illness was systemic lupus chiropractic. He was truly not an ordinary person.
