Liu Xuzhi skillfully pulled out two medical record folders and handed them to Zheng Ren with both hands.
"It's not a pre-operative patient. I saw this yesterday. I'll just check on the patient's condition later." Zheng Ren smiled slightly and said, "Look at the malaria medical records."
"..." Liu Xuzhi was stunned for a moment.
"Show it to him, otherwise this guy won't be able to sleep well." Su Yun was holding his mobile phone in his hand, not playing games, but contacting him about something. Hearing Zheng Ren's words, he spoke with disdain without even raising his eyes.
Su Yun knew exactly what his boss was like.
"Oh." Liu Xuzhi responded although he didn't know why.
"Old Liu." Zheng Ren suddenly said: "Does the patient have red maculopapular rash all over his body?"
Uh... Liu Xuzhi's eyes widened, as if he had seen a ghost.
"Zheng... Boss Zheng, how do you know?" Liu Xuzhi asked stammering.
"He has clairvoyance. He once peeped at the little widow taking a bath in Haicheng and almost got beaten to death." Su Yun added at the right time.
Zheng Ren glanced at him helplessly and explained: "The specific medicine for malaria is quinine, which is not expensive. I believe you often use it here."
Liu Xuzhi nodded. Although he was not a physician, he knew this.
Very few people in the town get malaria. But for grassland herdsmen, malaria is a very common epidemic.
"Old Liu, have you read the instructions for quinine?"
Liu Xuzhi nodded, but then shook his head.
Quinine, also called cinchona, is specially used to treat malaria and should not be allowed into the eyes. Liu Xuzhi knew these basic knowledge, but he immediately thought that what Boss Zheng was talking about was definitely not simple, so he shook his head.
"Quinine can induce immune system abnormalities, but it is not very common. Generally speaking, the most common reaction is cinchona reaction." Zheng Rendao: "Malaria, if other symptoms appear after taking quinine, antibiotics need to be upgraded, which is very serious in itself. It’s rare. So I guess it’s a complication caused by quinine, so I’ll keep thinking about it.”
"Nodular panniculitis?" Su Yun continued to play with his mobile phone and suddenly interrupted.
"Well, considering the possibility, we need to do a B-ultrasound. With a B-ultrasound, we can basically confirm it." Zheng Ren was a little embarrassed, "Old Liu, please talk to the doctor in the gastroenterology department and see if he can let me Get a B-ultrasound."
"Boss, it's not worth asking for help." Su Yun said, "It would be great if you just sit here and wait for people to come to you and ask for help."
"They are not Director Luo... Besides, if it were 912, Director Luo would not be able to diagnose quinine complicated by nodular panniculitis." Zheng Ren smiled and didn't care.
Treating illnesses and saving lives, in Zheng Ren's eyes, is just the kind of thing that should be done, and has nothing to do with pretentiousness.
Liu Xuzhi sweated profusely.
I don't even know how to answer this.
Full of confidence? Still... But people have this ability, so I can't accept it.
After standing in the corridor for a while, I heard myself say "malaria" and judged the possible disease.
By the way, what is nodular panniculitis
Liu Xuzhi didn't even know what this diagnosis meant.
He scratched his head and said, "I'll ask, it should be okay."
After saying that, Liu Xuzhi turned to leave, and Zheng Ren shouted: "Old Liu, help me find the medical records!"
Liu Xuzhi hurriedly found the medical record folder, handed it to Zheng Ren with both hands, and ran out.
When Liu Xuzhi walked out, Su Yun raised his head and said with a smile: "Boss, I think you are very tired and don't stop anywhere. This matter has nothing to do with us. Just do the surgery and leave. If you do this, will you? I don’t even know how annoying the local doctors are.”
"If you saw it, you can't just pretend you didn't see it. They didn't make a clear diagnosis, so just mention it by the way. It's not a big deal. If you saw it and didn't tell me, it would have delayed the diagnosis and treatment in the end, and I would feel very regretful." Zheng Ren was also very helpless. .
"Sister Lin replied, she will be here soon." Su Yun raised his cell phone.
Zheng Ren concentrated on reading the medical records and responded casually.
The pasted test report is also a legendary thing.
It is said that at Haicheng City No. 1 Hospital 15 years ago, when electronic medical records were not available, the laboratory department would send reports to the clinical departments. The doctor will then paste the test sheets one by one on white paper and insert them into the medical record.
This page is really retro. Zheng Ren flipped through it one by one very carefully. Unexpectedly, in this day and age, there are still handwritten medical records and pasted laboratory test sheets.
"Nodular panniculitis? What is that diagnosis?" A person's voice came from the door.
Zheng Ren looked up and saw a female doctor in her thirties, wearing glasses, walking in hurriedly.
"Are you the teacher of 912?" She originally wanted to be more angry, but when she looked at Zheng Ren and saw that he was a young man, she hesitated.
She was afraid that she would be embarrassed if she recognized the wrong person.
"Well, I'm the 912 doctor." Zheng Ren was looking through the medical records and already had a picture in his mind. There is no big difference from what I judged, just do a B-ultrasound and it will be fine. As for pathology, I guess we can’t wait that long.
"Teacher, is there any basis for your diagnosis?" the doctor from the Department of Gastroenterology asked.
"Blood routine: WBC? 19.62×10(9)/L, N%? 89%, g/L. The diarrhea was relieved after anti-infective treatment with Rocefen, but fever was still there. Scattered subcutaneous red indurations appeared on the limbs 1 day before admission. , accompanied by tenderness, admitted to the hospital with infectious fever." Zheng Ren looked at what was written in the medical record and simply said: "With a medical history and tender red induration, the diagnosis is obvious."
The young doctor at Xilin Town Hospital was dripping with tears.
Zheng Ren was helpless. If he were in Haicheng City No. 1 Hospital, it would be enough to say so much. The medical level here is really average, but there is nothing good to do.
It is nonsense to expect all doctors to be of the same caliber as 912 doctors.
He smiled and tried to be as gentle as possible, "Nodular panniculitis, also called idiopathic lobular panniculitis or relapsing febrile non-suppurative panniculitis.
The disease is characterized by clusters of recurrent subcutaneous nodules that are painful and significantly tender. Most attacks are accompanied by fever. The diagnosis can be confirmed by combining second-stage histopathology. "
"Old Liu, can your pathology department do this kind of diagnosis?" Zheng Ren then looked at Liu Xuzhi and asked.
Liu Xuzhi shook his head blankly.
"At first I thought it was a severe abdominal infection, and the red maculopapular rash was caused by drug allergy. But then I thought it was different from allergic maculopapular rash, so I rejected this idea." The doctor in the Department of Gastroenterology also said to himself in confusion. .
"The red maculopapular rash associated with allergies is not painful."
"What should we do?"
"What medicine should I use?" Zheng Renwen asked.
"Piperacillin and tazobactam are not effective, so I'm going to use vancomycin. This is not the latest antibiotic control. There is no reason why high-end antibiotics cannot be obtained after approval. I am preparing to submit an application." The doctor from the Department of Gastroenterology said, " Teacher, what do you think we should do?"