1714 Professional analysis
Diagnosis … What kind of diagnosis was that?!
Zheng Ren looked at Su Yun on the stage and started to recall the medical history that he had previously mentioned.
“Here are copies of the other data and existing medical cases.” Su Yun smiled and said,”because the incident happened too suddenly, this case discussion was just a preview.” The effect seems to be pretty good. Chang Yue, do you think I’m handsome?”
Su Yun’s symptoms started to show one by one, and she asked as she walked past Chang Yue.
“If you spend half of your time acting cool on surgeries …” Chang Yue took the medical record and said half of the sentence.
“I’m starting to regret giving you the medical records. ” Su Yun did not care about Chang Yue’s insults at all. She smiled and said,””Because you can’t understand it at all.”
“Abdominal pain? what’s so difficult about diagnosing it?” Chang Yue was disdainful. She adjusted her glasses and started to flip through the medical records.
After Zheng Ren received the medical record, he also started to read it.
Su Yun picked out the main points, as the information in the medical record was even more detailed.
Nausea, vomiting, abdominal pain, no bacterial or viral infection, what to consider?
He furrowed his eyebrows. In his mind, he had read countless medical cases in literature for reference.
“What do you think, Chang Yue? tell me your thoughts.” Su Yun waited for a few minutes. When she saw that everyone had almost finished reading the medical record, she chuckled and said,”
“Consider kidney stones.” Chang Yue gave her own answer.”Nausea, vomiting, and pain in the lower left abdomen. These all meet the diagnostic criteria for kidney stones.”
“What a wonderful diagnosis. I can’t bear to deny this fairy – tale diagnosis.” “However,” Su Yun said with a smile,”this is the first case discussion of the medical team. Director Luo is also here. You should be more serious.”
Chang Yue placed her hand on her glasses and a sharp glint appeared in her eyes.
“The pain caused by kidney stones can be very serious, and when the stones are located in certain positions, it will be similar to acute abdominal pain.
When stones caused obstruction and waterlogged kidneys, urinopurius might occur, and vomiting might be a prominent symptom of serious kidney stones.
The patient’s behavior suggests that you’ve seen the urine test report after this diagnosis. There are ++ red blood cells inside, which gives you a clear hint that this is caused by kidney stones. “
Chang Yue’s hand froze.
Su Yun was like a roundworm in his stomach. What she said was completely based on his own logical diagnosis, without the slightest deviation.
How good would it be if this fellow’s mouth was not so sharp and unkind?
“Unfortunately, these are all wrong!” Su Yun laughed.”You must have forgotten that I’ve specifically mentioned the period. The red blood cells in the urine are probably caused by menstrual blood. We don’t have to consider that the bleeding is caused by the rupture of the ureter membrane caused by urinary calculus.”
“How did you know?” Chang Yue asked coldly.
“Doctor Chang, I’m sure you didn’t understand the patient’s abdominal CT scan. The stone is in the kidney, and the ureter is smooth, so your diagnosis is 99.9% wrong. ” Su Yun blew out a breath of air, and the black hair in front of her forehead fluttered.
“The reason why I didn’t say 100% is that I have to take care of your poor self – esteem.” Su Yun said in disdain.
Zheng Ren was really helpless. Su Yun was a sharp – tongued person. It was already a miracle that she had not been beaten to death.
“Big brother Yun, there’s a problem with the electrocardiography of the patient.” Old he was still a bit more kind. He interrupted Su Yun’s words and smothered Chang Yue’s anger.
There were electrocardiograms in the medical record, but Su Yun did not list them.
Some heart – related diseases were manifested in the gastrointestinal tract, causing nausea and vomiting. As Su Yun had previously denied all gastrointestinal diseases, old he could see the abnormality on the electrocardiogram at a glance.
The 12 – lead electrocardiogram recorded during his consultation this time showed that he had octograph palpitation. The electrocardiography also showed that the gap between the runes was longer.
The Map of the Heart that was recorded after the injection of epinephrine showed the end of superseductual Paladins.
The patient had a case of sinus rhythm after a single ventricular isoteric beat and a brief atrial isoteric beat. The 12 – lead electrocardiography he did later proved that he was in a state of continuous sinus rhythm.
‘This is the most likely place,’ old he thought.
He had to perform, he had to perform! As an experienced anesthetist, old he was very sensitive to the heart and breathing.
The moment he took a look, he felt that there was something wrong with the electrocardiogram.
“No.” Without waiting for Su Yun to speak, Zheng Ren suddenly shook his head and said,””The patient’s rhythmically graph shows that he’s in tathpace, and the QR wave group is narrow. This discovery is consistent with ventricular fibrillation.
The patient’s heart rate was regular, so it was unlikely that there would be atrial septal defect tremor and focal atrial septal defect otherwise. The patient had sudden cardiac arrest, so it was unlikely for him to have sinus rhythm.
There would be a period where the heart rate would gradually increase, rather than a sudden increase of more than 200 beats per minute.
“Therefore, I suspect that the patient’s cardiac rhythm’s transcending heart rate is one of the three types: He had atrial septal defect retracing, which was caused by reverse conduction through an additional path.”Sometimes, it’s just a mild case of mild atrial fibrillation.
But no matter what, the electrocardiography will change after the use of epinephrine, but the symptoms will not change. For the time being, abdominal pain caused by heart disease will not be considered. “
Zheng Ren lowered his head. His clear and rigorous logical analysis overturned old he’s diagnosis.
Su Yun chuckled. For old he to think up to this point, he could already be considered an experienced doctor.
However, this was not enough. The patient’s condition was very strange, and Su Yun had only made a preliminary diagnosis.
But he didn’t say it.
Don’t say it out loud and get rejected by the boss. If that happens, the entire stage effect will be gone, and it’ll be very disappointing.
“Director Luo, do you have any considerations?” Su Yun’s tone softened as she asked Department Director Luo.
“The patient has taken opium – like drugs orally.” Department Director Luo said unhurriedly,”withdrawal from opium can be explained as having cardiac arrest, agitation, nausea, vomiting, and abdominal pain.” However, the patient didn’t sweat, yawn, have goosebumps, or have dilated pupils. He didn’t show any signs of withdrawal from opium. “
“So, I’m now more suspicious that the patient has sertrytry – disorder.”
Su Yun laughed.
He was also considering the possibility of a 5 – trytrypophobia.
5-<Br> hentronine syndrome was a symptom caused by the consumption of a hentronine drug or the combination of a hentronine drug and a monoamino -2 – amine inhibitor.
It was rare to see typical clinical cases.
Changes in mental state and behavior, such as mild mania, agitation, and changes in motor function.
Symptoms caused by plant nervous system disorders such as fever, nausea, diarrhea, headache, trembling, blushing, sweating, heart palpitations, shortness of breath, changes in blood pressure, dilated pupils, and so on.
The patient’s various symptoms were highly consistent with that of the 5 – dimensional trypetryton syndrome.
With director Luo’s judgment, Su Yun’s confidence increased greatly. The boss could only think of this at most.