2192 Tumor-ridden hypoglycemia
Zheng Ren was stunned when he saw the patient.
The patient’s system panel was redder than he had imagined. All of his previous considerations were wrong. The patient’s diagnosis was a very common disease that rarely caused hypoglycemia.
“Boss Zheng, this is my client, Liang Du.” Lawyer GE introduced.
“Hmm, let’s go to the resuscitation room first.” Zheng Ren brought Liang Du to the resuscitation room and began the routine consultation.
Liang Du looked like he was in his 50s. He was dispirited, but his speech and manner of speech were still normal.
His emotions were normal, his memory and computing power were normal, his directional force was complete, and his self-awareness was normal. There was no problem with these.
“Have you been feeling any discomfort recently?” Zheng Ren asked.
“I’m not feeling well …” Liang Du hesitated for a moment and shook his head. However, the next second, he nodded.”Doctor, I often get distracted. When I wake up, I find that my mind is blank and I can’t remember what happened at all.”
“And after I wake up, my back hurts. Sometimes, my whole body hurts, especially my face.”
Su Yun almost burst out laughing.
How could it not hurt? he just slapped his own mouth like that. It would be a ghost if it didn’t hurt.
“Do you feel any other discomfort? “Is his weight …” Before Zheng Ren could finish his question, Liang DU’s hands started to tremble uncontrollably as he slapped his face.
Zheng Ren really wanted to cut the man’s carotid artery, but the case of the deceased made him hesitate.
“His illness acted up just like that? General manager Zhou, please measure the blood sugar level of your fingertips. ” Su Yun said.
“What’s your name?” Zheng Ren asked.
“I … I don’t know … Who am I?” Du Liang said vaguely,”I’m God Erlang’s descent. I remember now!”
“……”
“I guess she’s not speaking clearly.” Zheng Ren shook his head. Seeing that the patient was starting to sweat, he immediately said,””After measuring the blood sugar level, give me an intravenous injection of 50 ml of 50% glucose.”
Zhou Litao started to nag.
His blood sugar level was very low, 1.6 ml/L. Less than three minutes after the high sugar level was injected into the patient’s body through the intravenous injection, the patient slowly got better.
Lawyer GE had seen such a situation before, so he was not very surprised.
Compared to the patient, he was more concerned about what boss Zheng thought. If he brought her to 912, even if he had sufficient evidence, he would have to bear a huge responsibility.
“Let me think. Chief Zhou, come with me.” Zheng Ren said.
“Alright,” he said.
The few of them walked out of the emergency resuscitation room. Zhou Litao instructed a nurse to look after the patient and make sure nothing else happened.
“Boss, let’s check the abdominal CT scan. I suspect that there’s a problem with the pancreas.” Su Yun said directly.
This was the organ that Zheng Ren had previously considered to be the most likely to have a problem, but the diagnosis on the system panel was another matter.
“Check the ultrasound and CT scan of the pancreas.” Zheng Ren then said,”check another lung CT scan.”
Zhou Litao waited for boss Zheng to continue giving medical advice, but the doctor’s advice had already ended.
“Boss Zheng, is there nothing else?”
“Yes, I’ll check these three.” Zheng Ren said.
For admission examinations, x-ray films or CT scans of the lungs were the routine items. Other people thought that boss Zheng was just perfecting the relevant examinations in passing and didn’t pay much attention to it.
After writing the form and sending the patient to the examination room, Zheng Ren sat in Zhou Litao’s on-call room and waited for professor Liang from the CT room to send the scan over.
After more than twenty minutes, the CT scan of the pancreas was uploaded.
On the whole, there was nothing special about it. The membrane of the pancreas was intact, and nothing was growing on it. Hypoglycemia caused by tumors was more common in islet cell tumors, but the patient’s pancreas CT scan denied this possibility.
Very soon, the CT scan of his lungs was back.
There was a space-occupying lesion of 2×3.5 cm in the lower right lung, and it was very eye-catching. The frosted glass-like space-occupying lesion, indicating that it was a malignant tumor.
Zheng Ren sighed. Big pig’s trotter was still as reliable as ever. Although it was rare, a definite diagnosis could be made immediately after checking the lung CT scan.
“Er … Is it hypoglycemia due to tumor?” Lin Yuan said in surprise.
“Yes, he was diagnosed with lung cancer, accompanied by low blood sugar. Lin Yuan, call lawyer GE over. ” Zheng Ren said as he carefully examined the patient’s lung CT scan.
“Alright,” Lin Yuan ran out quickly. She was afraid that boss Zheng would say something wrong when she was not around.
Lawyer GE jogged over.
“Lawyer GE, please consider the patient’s lung cancer.” Zheng Ren said without turning his head.
Lung cancer?!” Lawyer GE was stunned.
“Yes.” Zheng Ren said,”the hypoglycemia that caused the patient to talk nonsense and have abnormal behavior is probably due to tumor-related hypoglycemia. This is just a symptom, so it’s not important.”
Lawyer GE was dumbfounded.
He just wanted to win a lawsuit, and hypoglycemia was enough to win him. Why did he have to deal with hypoglycemia with tumor?
The client was really sick, and it was lung cancer? But how did lung cancer induce hypoglycemia?
Lung cancer and low blood sugar, these two words could not be connected in lawyer GE’s mind.
Not to mention lawyer GE, even Zhou Litao felt that it was very unfamiliar.
“Boss Zheng, please tell us in detail.” Lawyer GE said as he rubbed his hands.
“Tumor-associated hypoglycemia is usually the clinical manifestation of the primary disease or the hypoglycemia that occurs after the diagnosis of the primary disease. It’s extremely rare to see lung cancer after low blood sugar is detected. “
“Uh … But low blood sugar …” Lawyer GE still didn’t understand.
“Low blood sugar is not an independent disease, but a syndrome of low blood sugar concentration caused by a variety of reasons.
The causes of hypoglycemia included malnutrition, hypoglycemia, and malnutrition. Liver-type hypoglycemia, kidney-type hypoglycemia, and liver-type hypoglycemia. Hypoglycemia caused by stroke; Reactive hypoglycemia, hypoglycemia caused by endocrine diseases; It’s not hypoglycemia caused by pancreatic tumor,” Zheng Ren’s thoughts ran through his head, and all sorts of technical terms confused lawyer GE.
“Among them, external pancreatic tumors accompanied by hypoglycemia are rare. Other types of tumors related to hypoglycemia include inter-hepatic tumors, which accounts for 64% of the cases. 50% of them are in the abdominal cavity, and 21% are hepatic tumors. This patient’s condition is even rarer. He has lung cancer. ” Zheng Ren said.
“Why would this happen …” Lawyer GE still didn’t understand.
“Lin Yuan, tell lawyer GE why.” Su Yun glanced at Lin Yuan and ordered.
“First, we have to consider that the patient’s symptoms are related to the tumor’s secretion of insulin-like factor 2. IGF 2 will bind and activate the corresponding receptor, thus increasing the absorption of glucose in the peripheral tissues and reducing the output of liver glucose, which will lead to a decrease in glucose in the blood, resulting in hypoglycemia.”
Su Yun looked at the way Lin Yuan spoke and felt that he was a little like the boss. He was simply too scholarly.
“Secondly, the increase in glucose usage by the tumor can also cause …” Lin Yuan did not notice Su Yun’s expression and continued to explain the situation.