1979 Suspected of feigning illness
“What?” Su Yun unceremoniously blew a puff of smoke onto President Yu’s face.”It sounds like something big has happened.”
Zheng Ren was also very curious.
“The patient’s eldest son is Department Director Liu’s friend. He’s currently staying in the VIP Ward.” “So I’m in charge of the patients,” President Yu said.
He was worried about the other leading professors. If something happened to Department Director Miao and a new department Director was replaced, there would probably be a fight in private.
This Department Director Liu had just been promoted, and his Foundation was not considered stable. If one carefully pondered this kind of thing, they could think about it for a day.
However, Zheng Ren had no interest in these things. He was more concerned about what kind of bloody urine would make President Yu worry.
Blood and urine were usually caused by inflammation, gallstones, or tumors.
It definitely wasn’t that simple to make things difficult for President Yu. As for the common factors, Zheng Ren did not consider them. This matter was probably very complicated, perhaps caused by some rare illness.
“Tell me about the situation.” Su Yun asked.
“The patient doesn’t show any positive signs. The old man was still managing the daily work of a listed company before he was hospitalized.”
“Oh? He was quite rich. A listed company, tsk tsk. ” Su Yun praised.
“He’s asking about her medical history, you need to be more focused. ” Lin Yuan said.
“When was I not concentrating? This is part of the past history. ” “Do you know how many people you have to meet every day to manage a listed company?” Su Yun scoffed. How much did he drink in a month? Do listed companies queue up to be listed or do they buy a shell to be listed?”
“……”
“Don’t mess around, listen to Vice President Yu. ” Zheng Ren felt a little annoyed. Su Yun’s nagging was not enough. Now that he had an opponent who was no match for him, he was even more talkative.
“The patient admitted that he had henied in blood for half a month. Blood (+++), protein (+++); Abdominal ultrasound showed that the liver was large, the right hepatic vein was dilated, the spleen was large, and there was a small amount of aberuptium. Urology ultrasound: prostate hyperplasia with gallstones. “
“At that time, I was considering if he had renal syndrome or urinary tuberculosis.”
“Urine protein is greater than 3.5g/d; Blood albumin is less than 30 g/L, I don’t think there’s any of these two points. ” Lin Yuan asked.
“Listen to her medical history and don’t interrupt.” Su Yun said in disdain.
Zheng Ren felt a slight headache.
“Well, none. Even tuberculosis is considered to be negative.” President Yu answered carefully. He did not know the background of the long-legged beauty who had just joined the medical group.
No ordinary person dared to argue with Brother Yun.
“President Yu, continue. Don’t mind the two of them.” Zheng Ren was deep in thought.
“Blood tumor markers: normal range; Looking for acid-resistant bacteria in multiple urine stains: X-ray scan: right pleura thickened and calcified; Electrocardiograms: sinus rhythm, normal electrocardiograms; CT scan of the lower abdomen showed the entire process of the inferior vena cava and its branches expanding, and the hepatic vein branches expanding in a limited manner. A small amount of ascites. “
“Wait a minute, the chest area is thicker than the pleura? Does the patient have a past history?” Zheng Ren stopped President Yu from continuing.
“No, I’ve asked for the details. I also felt that there was something wrong with the chest X-rays, so I gave the patient a CT scan. From the CT scan of the chest, the pleura has thickened and adhered to each other, and the pericardium wall has thickened and calcified slightly. “
“I’ll look at the X-ray later. ” Zheng Ren said.
“What are you suspecting?” Su Yun didn’t argue with Lin Yuan and asked after calming down.
“It’s hard to say. We still have to check if the hemorrhaging is caused by congested heart failure, but there’s only a small amount of calcification, so it won’t lead to heart failure. And from Vice President Yu’s description, I can guess that the old master’s health is better, and he won’t have such a serious illness like congested heart failure. ” Zheng Ren analyzed.
“Yes, boss Zheng is right. The patient’s health is quite good.” “I heard that he can still play table tennis for Two hours before he’s admitted into the hospital,” President Yu said.
“What the …” Su Yun was shocked.”How old is the patient?”
“72。”
‘It’s definitely not a case of cardiac failure,’Zheng Ren concluded.
Heart failure was due to the low pumping or filling function of the heart, the amount of blood discharged by the heart could not meet the needs of the body’s metabolism, and the blood infusion of the tissues and organs was insufficient. At the same time, there would be congestion in the lung circulation or the body circulation. It was a clinical symptom when various heart diseases developed to a serious stage.
Usually, when such a situation occurred, the patient would have already reached the point of terminal illness.
However, playing table tennis for Two hours on the first day, how could it be considered as chronic heart failure?
“Let’s take a look at the X-ray first. ” Zheng Ren said.
“I’ll do it. ” President Yu turned on the computer in his on-call room and began to look for the patient’s X-ray.
Zheng Ren pondered about the patient’s condition in his mind. It was not a tumor, not a stone, not … Then what was it?
“President Yu, what do you think it is?” Su Yun asked.
“I visit the old man every day, but when I went to see him yesterday and today, I felt that he was pretending to be sick.” Director Yu did not hesitate and directly said his true thoughts.
“Bloody urine?” Su Yun and Lin Yuan asked in confusion at the same time.
“It might be an Oral Medicine that caused henium.” Zheng Ren said,”since President Yu doesn’t have any diseases to consider for the time being, we can add this one in.”
“Is there a need to?” Lin Yuan asked.
“You’ve never seen someone swindle insurance before?” Su Yun looked at Lin Yuan in disdain. Seeing that she was at a loss, she knew that she was a rookie. She only knew how to analyze the illness and had not evolved to the point of considering human nature.
President Yu pulled out the film and gave up his seat.
Zheng Ren did not stand on ceremony. He sat on it and started to scroll with the mouse.
Zheng Ren was getting more and more confused as he looked at the X-ray and pondered over it bit by bit.
The patient’s X-ray scan information was just as what President Yu had just introduced. There was not much to look at. It was definitely not a tumor, but there were some minor problems with the liver. The portal hypertension did not seem to be very high.
By right, there shouldn’t be a continuous cycle of bloody urine.
“President Yu, why do you suspect that the old man is pretending to be sick?” Zheng Ren asked.
“He’s in such good health that there’s no reasonable explanation for his urine.” President Yu said,”there was one time when I went for a ward round. The old man went to the bathroom. I wanted to see how he was urinating. He pressed the water and washed it away.”
“It’s a personal hygiene problem. What’s so good about it?” “If you want to see it, you can just check a urine routine check,” Lin Yuan asked, puzzled.
“Lin Yuan, it’s not like that.” Zheng Ren said calmly,”President Yu’s words do make sense. But President Yu, have you found any medication like aminoblin, sodium phentrodelin, lefping, and phennonored around the patient?”
Vice President Yu shook his head.
“That’s not right. If it’s caused by Oral Medicine, how can there be red blood cells in the urine routine?” Lin Yuan caught a flaw and asked.
“Just some fingertip blood is enough, the kind used to test blood sugar. It’s very easy for red blood cells to appear in the urine. ” Zheng Ren was still watching the film. Light and shadow passed by, and he was so focused.
Lin Yuan was stunned for a moment.
Did they really have to make it so complicated? And the blood from his fingertips had dripped into the urine from the urine routine test … But thinking about it, it was really possible.
Other than the severe cases of the ICU, the urine was all left by the patients themselves. There were plenty of opportunities to do so.