"Boss, are you sure?" Su Yun asked.
Not to mention other people, even Su Yun was confused.
"It should be relatively certain." Zheng Ren said with a smile: "Lead poisoning will affect multiple systems such as the digestive system, hematopoietic system, immune system, etc. The most common clinical symptoms are mainly in the digestive system.
The patient's clinical symptoms were paroxysmal abdominal colic, centered around the umbilicus, accompanied by belching, constipation, and weakened bowel sounds.
It is easy to misdiagnose digestive system diseases in clinical diagnosis.
After admission, abdominal CT and CTA were completed, and the results were reported to rule out acute inflammation of abdominal organs, organ torsion or rupture, peritoneal inflammation, intra-abdominal vascular obstruction, abdominal wall disease and other related diseases.
So I think lead poisoning is a pretty reasonable guess. And you just saw changes in the patient's renal imaging. Combined with the changes in blood anemia, the diagnosis of lead poisoning should not be a big problem. "
"The inference is a bit forced, but it is reasonable. But you are so sure, who gave you the confidence?" Su Yun was still a little surprised.
But after thinking about it again, I am not completely sure to overturn Zheng Ren's conclusion.
"Rich clinical experience." Zheng Ren said seriously.
"Exactly." Su Yun especially despised this guy's pretentious statement.
"There are relatively few reports at home and abroad of lead poisoning caused by hair dyeing, so it is easy to be misdiagnosed clinically. There are reports in the literature that the misdiagnosis rate of colic caused by lead poisoning as surgical acute abdomen is 43% higher." Zheng Ren began Hit people with data.
Although the misdiagnosis rate has been mentioned as a precise figure of 43%, Su Yun does not think it is true.
The more precise it is, the more it looks like a lie.
"You will know right and wrong after the examination." Zheng Ren said, "You should go back first. I can only diagnose to this extent."
The patient's family members were stunned for a long time before they realized that Mr. Zheng had asked him to leave.
"Oh." He said dejectedly.
From the perspective of middle-aged men, this is just perfunctory.
All talk about lead poisoning is nonsense. Intestinal obstruction? If you don’t understand, don’t talk nonsense.
Is that old doctor from the Medical University Affiliated Hospital reliable? Why don't you ask him again yourself? The patient here just now received the banner as a gift, not to Mr. Zheng at all.
The middle-aged man secretly glanced at Liu Zewei from the corner of his eye.
At this time, the old doctor's halo has crushed the charm value given to Zheng Ren by the big pig's hooves.
There are some things, especially stereotypes, that not even a big pig's hooves can overcome.
But the middle-aged man saw a scene that he could not forget.
Liu Zewei called to contact him about the laboratory examination, and then walked up to Zheng Ren, bending his waist slightly, and said with a respectful expression, "Boss Zheng, the contact about the examination has been completed, and the patient's family members can send blood samples at any time. But Don’t take too long, preferably within 4 hours.”
"Can we do it right away?" Zheng Ren asked.
"With the diagnosis you gave me, the examination will be carried out immediately." Liu Zewei apologized, trying to ease the embarrassment of the patient's family who only asked him to take pictures before, "Don't worry, the blood sample will be sent over, and the results will definitely be available within 2 hours. I I said hello to the director’s father over there, I did the surgery and you have to look for me when I get back.”
The middle-aged man was stunned.
He saw a cautious approach to please Liu Zewei on Liu Zewei's face, which could even be called flattery.
Don’t be obvious anymore and don’t cover it up at all.
"Okay, what about... Li Liangfen's family?" Zheng Ren called.
"Oh, oh." The middle-aged man responded immediately.
"You can send it yourself or find someone to send it to you. Hurry up." Zheng Ren said: "The results will be available within 2 hours after you go there. Let Director Sun tell me then."
"Oh, oh." The middle-aged man was almost speechless and didn't know what to say, so he just said oh.
Zheng Ren was very happy. This was the first time he had encountered lead poisoning caused by inferior hair dye. Unfortunately, surgery is not possible, and I cannot use the completion of the surgery to prove whether my judgment is correct.
He felt nervous and excited mixed together.
This is considered a difficult disease, and I can diagnose it without relying on big pig's hooves. If the diagnosis is correct, it means that your diagnostic level has made great progress.
"Okay." Su Yun thought about Zheng Ren's derivation process and said with a smile.
"Normal reasoning, after thinking about it, it seems more and more similar." Zheng Ren said: "It is easier to infer in the opposite direction."
"I heard about an old man before who had a similar condition to this." Su Yun looked at the patient's film and said with emotion: "He likes massage and uses oil every day."
"Essential oil?"
"Well, I pushed it continuously for a long time, and then I was admitted to the hospital because of kidney failure." Su Yun said: "I didn't see the details with my own eyes. It is said that the final diagnosis was lead poisoning."
"If there are similar cases, we will be more confident in making a diagnosis." Zheng Ren's attention was still focused on the patient in front of him and never shifted.
"Kidney failure is easy to diagnose. Intestinal obstruction is caused by lead poisoning and is too easy to miss," Su Yundao said.
"Okay, that's it then." Zheng Ren waved his hand happily, took the film off the reader and put it into the corresponding film bag.
The test orders are also organized in chronological order and organized.
The middle-aged man came back after making the phone call. When he saw that everything was sorted, he kept thanking him and then asked Liu Zewei for his contact information.
"Are you going to send blood samples, or is it the other members of the family?" Zheng Ren asked.
"Go home." The middle-aged man said, "I'm so anxious. As soon as I heard that there might be a clear diagnosis, I went straight to Director Sun. I guess... everyone should be leaving now."
"It's good to go early, get the test results early, and get symptomatic treatment early," Zheng Ren said.
"Mr. Zheng, if you are sure, can you treat me directly now?" the middle-aged man asked cautiously.
"It's only a matter of a few hours." Zheng Ren patted his shoulder and said with a smile: "If not, the wrong medicine would be used, and the problem would be huge."
"Okay, okay." The middle-aged man nodded repeatedly, a little embarrassed.
"Go find a place to sleep. Don't drive back." Zheng Ren said, "The results will come out after you wake up in a few hours. If the diagnosis is wrong, I will take you to the director of 912 gastrointestinal surgery." Look again."
The middle-aged man bowed repeatedly, thanking Zheng Ren for his thoughtfulness. In this case, his trip will not be in vain.
It's just that Boss Zheng said it very easily. Would the chief director of 912 pay attention to a little doctor like him
After he left, Zheng Ren still recalled the previous diagnosis process, feeling a little proud.
Suddenly, before he could show off, he caught a glimpse of Su Yun's face turning pale and the hand holding the phone trembling slightly.
"Su Yun, what's wrong?" Zheng Ren asked.