2149 Coquettish operation
Feng Xuhui was shocked by Su Yun’s words.
Wasn’t the diagnosis already clear? Although he was not a doctor, Feng Xuhui knew about the danger of the adrenal gland. His illness was very serious and urgent, this was certain. However, it was undeniable that the medical standard of the Affiliated Hospital of the medical University was high. The patient should not be in any danger.
But big brother Yun said it was a big deal!
“It’s a seemingly reasonable diagnosis. An adrenal thrombosis causes a danger to the adrenal gland. There were even blood clots caused by bleeding. It’s just like a little boy suddenly suffering from metastasis from lower right abdominal pain and is diagnosed with acute appendicitis. There’s nothing to think about. “
Feng Xuhui looked at Su Yun blankly. When it came to the patient’s medical history, symptoms, objective examination, final diagnosis, and so on, he couldn’t get a word in.
“It’s good that this kind of thing is fine. Once something happens, it’s a big deal. “
“For example?”
“For example, kidney vein thrombosis can be said to be caused by oral contraceptives. We’ve treated this kind of patient before. He’s the student from the medical University who fell. ” Su Yun said as she gestured.
As she explained the situation to Feng Xuhui, Su Yun organized her thoughts.
Feng Xuhui had an impression of this surgery. Boss Zheng had removed a 12-centimeter blood clot, and he still remembered it clearly.
“But it’s too much of a coincidence. I don’t feel safe looking at it.” Su Yun chuckled.
Brother Yun’s judgment was too idealistic. Feng Xuhui didn’t believe it. He still felt that the danger of his adrenal gland was enough.
“The patient has been suffering from acute vertigo for the past seven days. She has also shown signs of thalinogen and has a clear diagnosis of adrenal crisis. Low blood pressure is the main cause of fainting.” Su Yun nagged nonchalantly,”yes, you were the one who said you had low sodium syndrome, and it’s not very obvious. This diagnosis can’t be counted for now.”
“Adrenal dysfunction leads to adrenal crisis. The common causes of primary adrenal dysfunction include adrenal tuberculosis, fungal infection, solid tumor, and disease immunity,” Wang Yao said.
“I guess the people at the Affiliated Hospital of the medical University will also be checked one by one.”
Su Yun stopped nagging at this point. There was no point in continuing. It was just a waste of her breath.
Therefore, he had to wait until he saw the limited test results.
Zheng Ren and the professor performed the surgery together, so they were not very fast. Since the professor was leaving, Zheng Ren was especially serious. He had to repeatedly correct every problematic step.
After the surgery was completed, Zheng Ren walked out of the operating room. Lin Yuan had also sent over all the information.
Su Yun dragged Lin Yuan into the group, and the moment he entered the group, Chu yanran’s profile picture started to flash.
The series of welcoming words made Lin Yuan feel that it was definitely worth it to ask his old man for help this time.
Only after entering the group would they be considered one of them.
She quickly uploaded the information, then watched Gu Xiaoran pick up the patients and finish the next surgery.
“There’s no big problem with the blood test. ” Su Yun and Zheng Ren said.
“Cortisone: 0.74 μ g/dl, Arcus: 356 ml, thyroid function normal; Lying down, the RAAS showed that the blood plasma epinephrine activity was 3.29 ng/ml/h, aldosterst&& amp; it 59 ml; The standing RAAS shows that they are composed of Sara, Sara, grade, 6.37 ng/(ml·h), and ALD, 78.1 ml/ml. “
He picked the ones with problems and Zheng Ren only nodded, looking like he was deep in thought.
Other than that, the results of the enhanced CT scan of the abdomen were the same as Zheng Ren and Su Yun’s judgment. The suprecorian glands on both sides of the kidney were swollen and enlarged. The sizes of the left and right sides were 3.2 cm x 3.4 cm and 2.5 cm x 4.9 cm respectively. The boundaries were clear, and the density was uneven.
The CT value was 36 – 65 Hu, and the enhancement scan did not show any clear strengthening, so the possibility of adrenal edema was high.
The left renal vein expanded, and an irregular low-density tumor could be seen in the tube. It was about 2.3 cm in length. There was also a low-density patch in the right kidney vein, about 0.8 cm in length, and the possibility of thrombosis was high.
“Boss, do you see the problem?” Su Yun saw that Zheng Ren did not say anything, so she continued to ask.
“The medical record says that the patient has palloxosis.” Zheng Ren said.
The physical examination at the Affiliated Hospital of the medical University was very detailed. It described the upper sternum, armpit, waist and abdomen, eardrums and palm prints, skin coloring on the back of the index finger, and lip and oral mucous membrane.
Blisters could be seen on the left wing of his nose. The skin on his lower jaw was piggybacked, and papules could be seen scattered on it. Some of the surface was broken.
Feng Xuhui didn’t describe these things.
“Yes, I saw it. Tuberculosis is not a concern, and adrenal fungal infection …”
“I won’t even consider it.” Zheng Ren said with certainty.
“The adrenal tumor has also been eliminated, so it’s possible that it’s a disease of the immune system.” Su Yun smiled.”We should ask Da Bai to take a look.”
“It’s fine. I’ll think about the condition …” Zheng Ren said.
“I’ve ruled out everything that can be ruled out. I think it’s probably an ‘sovereign’ syndrome. “
“Yes, it’s a secondary one.” Zheng Ren added.
“Do you have any thoughts on the treatment?”
Zheng Ren thought for a moment and started to discuss with Su Yun.
This was a very professional conversation, and Feng Xuhui couldn’t keep up from the beginning.
In Zheng Ren and Su Yun’s conversation, they had to ponder over every single word for a long time. Before he could figure out the content of the first sentence, President Zheng and Brother Yun had already said the tenth sentence.
Forget it. Feng Xuhui gave up on using his brain to figure this out. In the end, he just needed President Zheng and Brother Yun to give him an answer.
However, it was quite interesting to watch the two of them discuss the illness.
President Zheng was still the same President Zheng from Haicheng. He was honest and straightforward, and he spoke in a rigid manner. He was like an old professor who was in his twilight years, quoting classics. Big brother Yun didn’t change much either. He would feel uncomfortable if he didn’t say anything to President Zheng.
The two of them talked for nearly half an hour, as if they were quarreling. Xie Yiren was used to it, and she didn’t listen to what they were talking about at all. She just stared at the surgery.
After the surgery, the two were still arguing. It seemed that they were speculating about possible tests that had not been reported based on the current test results.
This was a non-human operation. Feng Xuhui was a little confused. Was this the right thing to do?
At the end of the surgery, President Zheng used the interval in between to explain the surgery to Fu Gui ‘er. Brother Yun found a pen washi and started writing.
Feng Xuhui had no idea what Su Yun was doing.
Just like that, time flew by as Zheng Ren and Su Yun discussed the patient’s condition and watched the surgery.
After the last surgery, Su Yun held a stack of papers and said with a smile,””That’s it. The diagnosis is secondary phosphate syndrome. “
“Yes.”
“It’s highly likely that it’s a case of systemic lupus Chimaera or that it’s a case of secondary sovereign of phosphate syndrome. There’s also a possibility that there’s a thrombosis in the dual adrenal veins, which will subsequently lead to a blood clot in the adrenal gland. Primary adrenal cortex dysfunction; Her adrenal gland is in danger. “
Su Yun wrote as she spoke, the black hair on her forehead fluttering in the wind. She looked extremely pleased with herself.
After Su Yun finished writing, Zheng Ren took a look at it and added a smiley face at the end.
“Boss, I already said that it’s useless.”
“I’m used to it,” Zheng Ren smiled and handed over a dozen A4 papers to Feng Xuhui.