"She has been sick many times in the past, right?" Zheng Ren asked.
"Well, the diagnoses in other places are similar. They are basically gastroenteritis or something." Zhou Litao said: "This girl was also tortured to the point of going crazy."
"Mr. Zhou, if you have any other medical history, think about it." Zheng Ren looked up at the roof and said to Zhou Litao casually.
"Hmm... Diagnosis, it seems that she was diagnosed with depression recently, and she was given oral medication for treatment. And she was also diagnosed with intestinal ascariasis!"
"Ascariasis?" Zheng Ren pondered, "The symptoms of ascariasis are typical colic pain under the xiphoid process. The patient is sweating profusely and restless, accompanied by nausea, vomiting, and abdominal pain. Sometimes he vomits ascariasis, and the abdominal pain can be severe during intermittent periods. Completely disappear."
Zhou Litao looked at Zheng Ren in surprise and sighed in his heart.
Boss Zheng seems to be focusing on the female patient who is about to jump off the building. Is this a subconscious reaction from reading too many books
"Nausea and vomiting are consistent only a small part of the time. The severe pain in the abdomen is not a pain in the top of the head. A pain in the top of the head..." Zheng Ren said, thinking of the two patients with loaches in their abdominal cavities.
I don't know how much it will hurt, but I guess it will hurt a lot.
It should be like this.
"Boss Zheng, the diagnosis of chronic gastroenteritis doesn't look very similar to me." Zhou Litao said, "Loss of appetite, upper abdominal discomfort, belching, nausea, vomiting, recurring stomach pain, etc. are all very consistent."
"10-year-old chronic gastroenteritis, 16 years old." Zheng Ren was still looking up, and Zhou Litao felt like he was a cheetah, ready to attack.
But what does a person who falls from a high altitude want to do when he is ready to go
"Mr. Zhou, we doctors can't be so hasty. Some patients seem to be fine, but in fact their condition is very serious. It would be a big delay." Zheng Ren said calmly, his voice was very low and soft.
But every word fell so clearly in Zhou Litao's mind.
The small freckles on his face are a bit shy.
"Zheng...Boss Zheng, what do you think the disease is?" Zhou Litao asked.
"I don't know." Zheng Ren said, "I didn't see the patient, and I didn't even see the test report. Do you think you can diagnose it just like this?"
“…”
Zhou Litao was completely speechless.
"Have you had a gastrointestinal endoscopy?" Zheng Ren asked.
"After checking, there is nothing wrong." Zhou Litao said.
"Everything is fine. Where did the chronic gastroenteritis come from?" Zheng Ren saw the girl upstairs suddenly sitting down, then turning around, her body shaking. He didn't know whether it was twitching due to pain or crying. .
He breathed a sigh of relief.
Then a faint light appeared in the night sky, and Su Yun's figure appeared, sitting next to the girl.
Zheng Ren was finally relieved. He looked at Zhou Litao, smiled slightly, and said, "The gastrointestinal endoscopy is fine, the CT and B-ultrasound are fine, and the blood test is fine. Is that so?"
"Yes." Zhou Litao replied immediately.
"How is your past history?" Zheng Ren asked.
"There is no history of surgical trauma, she is unmarried and has no children, and she has no high blood pressure or coronary heart disease... "
"Is everything okay?"
"Yes." Zhou Litao replied firmly.
"What about the family history?" Zheng Ren asked.
"Uh..." Zhou Litao was stunned for a moment, "I didn't ask about that."
"Wait until the patient's mood stabilizes and ask about the family history." Zheng Ren turned around and walked to the emergency department.
"..." Zhou Litao smiled bitterly.
Are all big bosses like this? Family history? Does the emergency department need to ask about family history
Generally, patients with heart disease will have a history of heart disease in their family, which is not important at all.
Therefore, family history is a medical history that is often ignored by lower-level hospitals. Even in the emergency department of 912, Zhou Litao thought it was not important.
"Does it make sense?" Zhou Litao caught up and asked, "It's just a stomachache. Is abdominal pain hereditary in the family?"
"Ask me, I don't have a clue now, I can only learn more about the situation." Zheng Ren said, "By the way, is there anything special about her look?"
Zhou Litao was startled for a moment, special
"Boss Zheng, what are you considering?"
"As I said, I didn't consider it. What I just meant was that special circumstances include environmental factors and family factors... No!" Zheng Ren suddenly said, "She is not from the Imperial Capital."
"No," Zhou Litao said, "They are migrant workers."
"Then these two points can almost be ruled out." Zheng Ren sighed and said: "The environment has been changed, and the living location has also been changed. Instead of getting better, the abdominal pain has worsened."
"Boss Zheng, I think the diagnosis of depression can solve all problems." Zhou Litao said.
"How serious is it to be depressed since you were 10 years old?" Zheng Ren's tone changed slightly.
Zheng Ren has always been cautious about diagnosing mental illnesses, and this time was no exception.
"Hypothesis, I say hypothesis. Suppose the patient has been depressed since he was a child, and then it became more and more serious. Later, the Dao Emperor worked a lot and worked overtime, and the depression became more severe." The more Zhou Litao talked, the more he felt that his analysis was correct.
Zheng Ren suddenly stopped, turned his head, glanced at Zhou Litao, and said with a smile: "Mr. Zhou, to diagnose depression, you need a medical history. Have you asked?"
Zhou Litao was a bit slanderous. Didn't he just say this
You can't just ask questions when a patient comes to the emergency department.
"The emergency department is too busy. You can't just ask questions when a patient comes in." Zheng Ren smiled randomly, turned around and continued to walk towards the emergency passage of the emergency department, "I'm not wearing white clothes. Take a look at it. If it's nothing, Question, go up and take a look.”
"What are you looking at?" Zhou Litao asked subconsciously, but immediately became scared.
Of course, ask about the medical history.
He took out the paper and was about to write down what Boss Zheng needed to ask.
On paper, the test results were recorded when 120 was just released.
Zhou Litao was stunned for a second and immediately asked: "Boss Zheng, tell me, I will remember, what you need to ask."
"Mr. Zhou." Zheng Ren couldn't laugh or cry.
"ah?"
"Ask normal medical history and observe your behavior. I think you usually do a good job." Zheng Ren said with a smile, "Go take a look and ask, I won't go up."
"you… "
"If you don't wear white clothes, you won't go. You should also be careful to see if the patient's mood is stable or unstable." The moment Zheng Ren walked into the emergency corridor, he turned back and saw that the air mattress was put away, knowing that everything was fine up there.
After returning to the emergency department, he looked around and found nothing. When Zhou Litao saw Zheng Ren sitting in the waiting hall, he said hello and went upstairs to see the situation alone.
On the top floor, people were coming down one after another. The hospital security guards and firefighters looked very relaxed. It was obvious that the girl was persuaded to come down in this way, and everyone felt relieved.
Su Yun and the female patient were walking side by side in the middle, and the female patient was still under close surveillance.