1767 Chapter 1767: the little detail that was missed
The perfect demonstration room welcomed a failed case study.
The stone that was supposed to be in the patient’s ureter was not there at all, even though all the symptoms pointed to a certain position.
President Yu was also a little disappointed. In his heart, boss Zheng was already synonymous with omnipotent.
However, boss Zheng did not speak much. He was only in deep thought until Su Yun helplessly ended the discussion.
President Yu and Chang Yue returned to 912’s headquarters. Su Yun turned off the machine and sighed.”Boss, what are you thinking about?”
“I’m thinking of all the diseases that could cause kidney cramps. ” Zheng Ren was sitting in his seat, and a ray of sunlight happened to shine on his face.
“It’s no use. ” Su Yun said,”I suggest that Vice President Yu contact the Rheumatology Department and prepare for a consultation.”
“You really can’t understand it, so you’re looking for Rheumatology immunity?” Zheng Ren’s voice was not loud. His brain was divided into two parts, and 10% of it was used to chat casually. The other 90% quickly searched for the medical cases they had encountered and seen in their memories.
“Then what do we do?” “It’s systemic lupus chiropractic wolves,” Su Yun said.”It’s possible for such symptoms to appear. We can’t diagnose it.”
“Have you done the examination?”
“President Yu will go back.” Su Yun said,”it’s a big project to do a checkup and rule out any diseases in the immune system.”
“I’ll think about it. ” Zheng Ren asked,”do you see anything different about him?”
“What?” Su Yun glanced at Zheng Ren and asked,””Boss, look, listen, ask, cut, are you using me as your eyes?”
Zheng Ren smiled and did not say anything.
He had no idea at all. If he really couldn ‘t, he would go to see the patient later and use the system diagnosis of the big pig trotter as a reference.
Without feeling defeated, Zheng Ren didn’t think that he had to stay away from the big pig trotter. The truth was the truth, and it could not be changed.
Besides, if there was a good way to solve the patient’s pain, why would he insist that he was the one who diagnosed it?
He had already studied very hard, but he was still unable to make a correct diagnosis. This could only mean that he was still a little weak. However, Zheng Ren did not find it embarrassing to compare himself to the system.
After thinking it through, Zheng Ren stretched his back and laughed.”The new VR equipment is really good.”
“Various configurations will be sent over from all over the world. Chunu Anse is a man of his word.” Su Yun said,”I hope he lives a long and healthy life.”
“What do you think the patient’s illness is?” Zheng Ren didn’t continue the conversation and talk about chunuanse. Instead, he brought the topic back to the patient in front of him.
“I don’t know. When I checked his body, he was in great pain and was covered in sweat. It was said that kidney cramps occurred every three minutes, and they were getting more and more frequent. It’s almost a forced position. ” Su Yun said.
“Do you have a plate – like abdomen?”
“Your six – Pack is well maintained. It’s already hard to the touch.” Su Yun said,”it’s rare for a man in his forties to not have a small belly.”
“Did you remind director Yu to pay attention to the screening for patients with splenic surgery?” Although Zheng Ren had seen the CT scan of the abdomen and confirmed that the patient did not have peritoneum, he still said it without thinking.
As he spoke, he thought about it. The patient’s symptoms were a little strange, but he seemed to have found some clues.
“I did, and he said that it was like this when he was hospitalized. In the beginning, they highly suspected that it was her, but after a CT scan, B – scan, and other auxiliary examinations, they confirmed that she was in good health. ” Su Yun said.
Zheng Ren had seen people with such good bodies, muscles, and hard bodies.
He could imagine the situation when Su Yun performed the physical examination. The patient was curled up on the bed like a shrimp, sweating all over, and his muscles were stretched out, forcing him to take a position.
His kidney was in excruciating pain.
In the northeast, it was usually 3 or 4 am in the spring and autumn. Sometimes, the emergency department would receive three to five patients within a few hours, and all of them would have to hold their stomachs.
Zheng Ren had seen the usage of the antispasmodic medicine in the medical order just now.
However, the effect was not very obvious. After all, there were no gallstones and it was not just a simple ureter muscular spasm.
‘Er … Is this just a ureter muscular spasm?’
“Does the patient feel nauseated or vomit?” Zheng Ren felt as if he had found a key point.
“No, I didn ‘t,” Su Yun shook her head.”Don’t waste your energy, boss. The flatmuscle spasms cause excruciating pain. When the excruciating pain flares up, the patient will turn pale, break out in cold sweat, feel nauseous, and vomit. In severe cases, the pulse will be weak, and the blood pressure will drop.” Su Yun said,”I purposely waited for a few minutes. When the kidney cramps flared up, the patient only looked pale and broke out in cold sweat. There was nothing else.”
“Strange.” Zheng Ren felt that Su Yun did not finish her sentence. It did not match the thought that had just flashed through his mind.
What was it?
Zheng Ren hated this feeling.
It was clearly in front of her, but she couldn’t remember it.
“It must be a detail.” He looked out of the window and began to recall every word and every detail of the consultation from the beginning, looking for the point that he had forgotten.
“I’m going to take a look at the patient. ” Zheng Ren thought about it for two minutes, but he still couldn’t figure out what to do. He could only sigh and say,”
It was clearly in front of him, but he just couldn’t catch it.
“I thought you would understand.” Su Yun looked at Zheng Ren in disdain and said,””I thought you were going to say that the sink rate or that the patient has primary kidney cancer, and the tumor tissue just happens to grow near the nervous system, leading to …”
“That’s not right. Immune system diseases cause pain, so it’s rare to have cramps. As for primary kidney cancer, it eroded the nerves. Although it was rare, it was possible. I thought about this and did a 64 – row three – dimensional reconstruction. ” Zheng Ren replied,”it’s not the possibility that you mentioned.”
“What if the beside thyroid gland is functioning abnormally? It can also cause hemorrhaging. ” Su Yun asked.
“What we need to consider are the two symptoms of hemorrhaging and kidney cramps, not just one of them.” Zheng Ren said,”other than kidney stones, I really can’t think of any other …”
He was stunned.
Su Yun saw Zheng Ren looking at her in a daze and blew a breath of air.””Is there a flower on my face?”
Zheng Ren did not say anything, but his brows furrowed slightly.
“Are you dumb?” Su Yun said,”I’m just looking for a Rheumatology immunity consultation. You don’t have to be so stubborn.”
“No, don’t say anything.” Zheng Ren said,”I seem to have thought of something.”
Su Yun looked at Zheng Ren curiously. ‘How did this guy link kidney cramps and bloody urine together? and he even ruled out the possibility that it was caused by stones?’
That was unlikely.
Very quickly, Zheng Ren asked,”did you just say that he played badminton?” Is he a National Sports master?”
“Yes, why?” Su Yun laughed and said,”you want to exercise?” Or do you want to go on a night run with Yiren?”
“No, I think I know what the patient’s illness is.” “Go take a look at the patient and let chief Yu do an MRI scan,” Zheng Ren said.
“What MRI?” Su Yun asked out of curiosity.