A perfect demonstration classroom ushered in a failed case study.
The stone that was supposed to be in the patient's ureter was not there, even though all the symptoms pointed to it being somewhere where it should have been.
Mr. Yu was also a little disappointed. In his heart, Boss Zheng was already synonymous with omnipotence.
But Boss Zheng rarely spoke and just meditated until finally Su Yun reluctantly ended the case study.
Mr. Yu and Chang Yue returned to the 912 headquarters. Su Yun turned off the machine, sighed and said, "Boss, what are you thinking about?"
"I'm thinking about all the diseases that may cause renal colic in patients." Zheng Ren was sitting on his seat, and a ray of sunlight happened to shine on his face.
"It's useless." Su Yundao said, "I suggest Mr. Yu contact the Rheumatology and Immunology Department and prepare for consultation."
"You really don't understand, so you're looking for rheumatism?" Zheng Ren spoke in a low voice. His brain was divided into two parts, and 10% was used to talk about anything. The other 90% quickly search their memories for cases they have encountered and seen.
"Then what should we do?" Su Yun said: "Systemic lupus erythematosus may have such symptoms, but we can't diagnose it."
"Have you done the checkup?"
"Mr. Yu, I'll get off as soon as I get back." Su Yundao said, "It's a big project to do a check-up to rule out immune system diseases."
"I'll think about it again," Zheng Ren said, "Do you see anything different about him?"
"Huh?" Su Yun glanced at Zheng Ren and asked, "Boss, I'm looking at you, are you using me as your eyes?"
Zheng Ren smiled and said nothing.
He had no idea at all, and it was really difficult. He would go see the patient later and use Big Pig's Hoof's system diagnosis as a reference.
Without any sense of frustration, Zheng Ren didn't think he had to stay away from the big pig's hooves. The facts are the facts and cannot be changed.
Besides, there are good ways to solve the patient's pain, so why should I insist on making the diagnosis by myself or by a big pig's hooves
I have studied very hard, but being unable to make a correct diagnosis only shows that I am still a little weak. It's just that the object of comparison is the system, and Zheng Ren doesn't feel ashamed.
After thinking about it, Zheng Ren stretched his waist and said with a smile: "The new VR equipment is indeed good."
"Various configurations will continue to be sent from all over the world. Chu Nuangse means what he says." Su Yun said, "I hope he has a long and healthy life."
"What disease do you think the patient has?" Zheng Ren didn't answer the question and said Chu Nuangse, but returned to the patient in front of him.
"I don't know. When I did the physical examination, he was in pain and his body was covered in sweat. It is said that renal colic occurs every 3 minutes, becoming more and more frequent. It is almost a forced position." Su Yundao.
"Does it have a slab belly?"
"The six-pack abs are well maintained, and they feel firm to the touch." Su Yun said, "It's rare for people in their 40s to not have a belly."
"Did you remind Mr. Yu to check for peritonitis?" Although Zheng Ren checked the abdominal CT and confirmed that the patient did not have peritonitis, he still said it casually at this time.
He was thinking while talking. The patient's symptoms were a bit strange, but he seemed to have caught some clues.
"I asked, and they said it was like this when I was hospitalized. At first, they highly suspected peritonitis, but after doing auxiliary examinations such as CT and B-ultrasound, they confirmed that he was in good health," Su Yundao said.
Zheng Ren has seen this kind of person who is in good health, with muscles all over his body and a strong body.
He could think of the situation during Su Yun's physical examination. The patient was curled up on the hospital bed like a shrimp, sweating profusely, and his muscles were only stretched, forcing him to stay in a forced position.
Renal colic is really painful.
In the Northeast, it usually occurs at three or four o'clock in the morning in the spring and autumn. Sometimes the emergency department sees three or five patients in a few hours, all of whom come holding their stomachs.
In the doctor's order just now, Zheng Ren saw the application of antispasmodic drugs.
But the effect is not very obvious. After all, there are no stones at all, nor is it a simple spasm of ureteral smooth muscle.
Uh... Simple ureteral smooth muscle spasm
"Does the patient feel nausea or vomiting?" Zheng Ren felt that he had found some key point.
"No." Su Yun shook his head and said: "Don't waste your efforts, boss. Smooth muscle spasm causes colic. When this type of colic attacks, the patient is accompanied by pale complexion, cold sweat, nausea, and vomiting. In severe cases, weak pulse and Symptoms such as rapid blood pressure drop." Su Yun said, "I waited for a few minutes, and when the renal colic broke out, the patient only had pain symptoms of pale face and cold sweat, but no other symptoms."
"Weird." Zheng Ren felt that Su Yun didn't tell the whole story and didn't fit in with the idea that just passed through his mind.
what exactly is it
Zheng Ren hates this feeling.
It's clearly right in front of me, but I can't remember it.
It must be some detail. He looked out the window and began to recall every sentence and detail of this consultation, looking for the point he had forgotten.
"Go take a look at the patient." Zheng Ren thought for two minutes, but still couldn't get the idea out of his head and could only sigh.
It's clearly right in front of you, but you can't catch it.
"I thought you could understand." Su Yun looked at Zheng Ren with disdain and said, "I thought you were going to check the sedimentation rate or that the patient had primary renal cancer, and the tumor tissue happened to grow near the nervous system. lead to… "
"No, immune system diseases cause pain, and symptoms of colic are rare. Primary renal cancer, which erodes nerves, is rare but possible. I thought about this and did a 64-row three-dimensional reconstruction." Zheng Rendao , "It's not the possibilities you mentioned."
"What about abnormal parathyroid function? It can also cause hematuria." Su Yun asked.
"We have to consider the two symptoms of hematuria and renal colic, not just one." Zheng Rendao, "In addition to kidney stones, I really can't think of other symptoms... "
As he said this, he was stunned.
Seeing Zheng Ren looking at him blankly, Su Yun blew a breath and said, "Is there a flower on my face?"
Zheng Ren didn't speak, but frowned slightly.
"Are you stupid?" Su Yun said, "I'm just looking for a rheumatism and immunity consultation. You don't have to be so strong."
"No, please don't speak yet." Zheng Ren said, "I seem to have thought of something."
Su Yun looked at Zheng Ren curiously. Can this guy connect renal colic and hematuria and rule out that it is caused by stones
Not too possible.
Soon, Zheng Ren asked: "Did you just say that he plays badminton? Is he a national-level athlete?"
"Well, what?" Su Yun said with a smile: "Want to exercise? Or do you want to go for a night run with Xiao Yiren at night?"
"No, I think I know what the patient's disease is." Zheng Ren said: "Go and see the patient and let Mr. Yu do an MRI."
"What NMR?" Su Yun asked curiously.