Zheng Ren ignored Luan Yingjie and directly took the film in his hand.
The thin one is an upper gastrointestinal tract radiography film.
This kind of examination was called upper gastrointestinal barium dialysis many years ago. Because the barium was unpleasant to drink and viscous, the examination effect was not very good. Later, liquid meglumine diatrizoate was used as the contrast agent.
The effect... is just that, there are not many diseases that can be diagnosed. But at some point, this kind of inspection still has a role.
For example, Su Yun now believes that achalasia can be initially diagnosed if the "bird's beak sign" is seen in the cardiac segment during upper gastrointestinal angiography.
Zheng Ren pulled out the thin film and looked at the light.
The esophagus is very smooth, with no imaging manifestations of the bird's beak sign. The overall esophagus does not have achalasia, nor are there diverticula or other conditions that may lead to coma after eating.
Zheng Ren and Su Yun were silent.
What disease is this? I feel dizzy when I eat, and my symptoms are still progressing, and now I am in a coma when I eat.
I went to the hospital for a checkup, but nothing was found.
What a strange thing.
Is it really a mental illness? Is it more serious hysteria
Zheng Ren didn't want to diagnose like this. The diagnosis of any mental illness must be done with caution, just like the diagnosis of tumors.
Su Yun took out the PETCT films and looked at them quickly one by one.
There is no tumor, and the old man of the Luan family is in good health... in a mess.
Luan Yingjie saw Zheng Ren and Su Yun watching a movie and remained silent for a long time, smiling bitterly in his heart. Maybe they don't know what the disease is, which is no wonder, after all, they are too young.
Being young means steady hands, fast reaction speed, and good eyesight.
These are not necessary and sufficient conditions for a surgeon.
But being young also means seeing fewer patients and not having enough experience. Experience is gained over time.
Some geniuses, such as Su Yun... forget what they are doing. The miraculous Boss Zheng who is rumored in Pengcheng is nothing more than that.
But what about my old man? He would not be sent to a mental hospital for treatment. Luan Yingjie suddenly began to feel sad.
"Boss, what do you think?" Su Yun asked Zheng Ren while Luan Yingjie was thinking wildly.
"Dizziness after eating may be a transient insulin secretion problem. However, abdominal CT did not reveal any problems, and PETCT did not reveal insulinoma." Zheng Ren said, "But it cannot be ruled out for the time being."
"Pancreatic β-cell tumor or β-cell hyperplasia causes excessive insulin secretion, which in turn causes hypoglycemia, which is a bit like dizziness." Su Yundao said, "As the disease progresses, it becomes more and more serious, so that now coma occurs. "
"It's just a guess." Zheng Rendao, "Insulinoma often presents with the typical Whipple triad, namely: symptoms of hypoglycemia, coma, and psychiatric and neurological symptoms. It is easy to attack on an empty stomach or after labor."
"It only meets points 1-2. It's a bit reluctant to say it's insulinoma, and it's not shown on the images. Have you reconstructed it? I reconstructed it again, but I can't see it." Su Yun looked at the film and whispered, as if mumbling to himself. arrive.
Zheng Ren suddenly paused and looked at Luan Yingjie.
With a simple and honest expression and sharp eyes, Luan Yingjie was startled for a moment, then immediately smiled and said: "Boss Zheng, what are your orders?"
"Do you have insulin at home?" Zheng Ren suddenly asked.
"Insulin?" Luan Yingjie was stunned.
"Fraudulent hypoglycemia?" Su Yun asked, "But is it necessary?"
"What can't the elderly do if they want their children to go home with them? Sometimes elderly people with paranoid personality disorder are likely to do such things." Zheng Rendao.
"Boss Zheng, this..." Luan Yingjie was a little dissatisfied.
"Lao Luan, don't say anything." Su Yun smiled and said, "Two days ago... Song Ying, do you know him?"
"Of course I know Xiao Song. His business is big and much better than mine." Luan Yingjie didn't know why he mentioned Song Ying.
"Song Ying's brother, the one named Chu Huainan has a problem and has to go to the boss for surgery."
Luan Yingjie's heart moved. Chu Huainan and Song Ying were both people he could not match. Could it be said that this is boss Zheng’s real material
But his guess sounded very unreliable.
Although I really don't want to, a conclusion about mental illness is better than such a blind guess. What kind of fraudulent hypoglycemia sounds very unreliable...
"I went to see a patient, and there was an old man next door to the special needs ward. He was talking unpleasantly, talking about his son and so on. Later, someone with care sorted out what he said, and based on the investigation, the problem was found."
"..." Luan Yingjie was surprised, there is a father who cheats his son so much
Su Yun said simply, something, there were countless guesses in these four words. It is normal for people who do business to wander in gray areas.
But usually they are cheated by business partners, and some are cheated by mistresses. It's really rare for someone to be tricked by his own father.
"Oh? What about this? What happened next?" Zheng Ren asked.
"Later, the old man was discharged from the hospital. He is probably very depressed now." Su Yun said: "I can't explain these things clearly. It is said that many big people were involved. Having said that, fraudulent hypoglycemia is possible. Lao Luan, you Say something.”
"Uh... I've never seen insulin." Luan Yingjie thought about it quickly and immediately denied it. Then he said, "I'll ask the nanny and look through the house."
This attitude is very correct, and Zheng Ren is quite satisfied.
Fraudulent hypoglycemia and insulinoma are all possible, but the likelihood is not high. Zheng Ren can't convince himself.
But in such a strange case, it’s always a good idea to give it a try.
At the table, Lin Ge saw that the two of them were watching the movie intently, so he smiled and said, "Boss Zheng doesn't have time to eat."
"Director Lin, that's how they are." Chang Yue said: "Most of the time they just eat and see doctors."
"It's the same as the emergency department." Lao He sighed with emotion.
Zheng Ren didn't notice what they were saying at all. At this time, he was quickly searching for cases, diagnoses, and differential diagnoses in his memory according to the patient's condition.
The first impression is that this syncope is closely related to gastrointestinal diseases, including hiatal hernia, esophageal stenosis, achalasia and esophageal cancer.
However, imaging data denies all the above possibilities, so there is no need to think about it anymore.
Then there is the heart problem.
Atrioventricular block is the most common electrophysiological problem, followed by sinus node dysfunction, including sinus bradycardia, sinus arrest, and asystole.
However, the patient's electrocardiogram, echocardiography, and coronary CT refuted these diagnoses.
Just like Su Yun complained just now, he is 72 years old, and there is not even a small amount of tricuspid regurgitation in the echocardiogram. This old man's health is really good.
But what is the problem