"I'm going to take a look at the patient." Zheng Ren said.
"Let's go together. I just took a brief look at the patients in the outpatient clinic. There were dozens of numbers in the morning, and I didn't take a detailed look at them before they were admitted to the hospital." Director Luo followed Zheng Ren out of the office.
The patient's family members followed carefully. He didn't understand why the doctor looked like he was facing an enemy when he talked about eating snails.
"Have you ever eaten snails in the United States?" Su Yun walked at the end and asked Lin Yuan without any seriousness.
"No, there are Chinese restaurants there occasionally, but I rarely have time to go out." Lin Yuan answered casually.
"Let's eat French snails." Su Yuntu said.
"..." Lin Yuan already knew what this guy was going to say.
"Well, you have diarrhea, and you run the risk of being infected with Trichinella spiralis." Su Yun said with a smile: "I suggest you go to the physical examination center for a checkup, at least draw blood. If eosinophils are increased, there may be something related Disease. Of course, this is just a suggestion, free of charge."
"Impossible!" Lin Yuan was worried, but still replied firmly: "I don't eat raw food."
"Tsk, tsk, are all PhDs from Harvard at this level?"
"you… "
"Trichinella spiralis larvae cysts have strong resistance and can withstand low temperatures. The larvae in the cysts in pork need to be stored at -15c for 20 days before they die, and they can survive in carrion for 2 to 3 months. Dry, pickle, and roast Methods such as rinsing and rinsing often fail to kill the larvae, but they can be killed at 70°C." Su Yun said leisurely.
Lin Yuan really didn't want to deal with this guy, so she quickened her pace and followed Boss Zheng.
But Su Yun's words were like a curse, swirling in his mind.
Do you need a checkup? Lin Yuan hesitated. But if you don’t go for a check-up, what if you are really infected with Trichinella spiralis
I had diarrhea during the operation... Lin Yuan shuddered when he thought of this possibility.
Arriving at the ward, Zheng Ren began to examine the patient. The system panel was red, and the most serious disease was not Trichinella spiralis, but complicated Loffler endocarditis.
Loffler endocarditis, also known as eosinophilic endocarditis, is a stress-induced change in the body due to an increase in eosinophils in the body.
No wonder the patient’s family members said that the patient has been unable to get out of bed in the past two or three months.
When you first hear this medical history, you will definitely think that it is an electrolyte imbalance caused by diarrhea. But Zheng Ren felt a little depressed after seeing the patient's system panel.
In addition to loffler endocarditis, the patient had secondary thrombosis in the left ventricle.
Zheng Ren felt a little regretful. Although he said it didn't delay anything, he now had a very bad tendency.
After meeting a patient, I always want to use my own strength to make a correct diagnosis.
It takes time to constantly ask about medical history and check for various abnormalities.
Although the analysis and diagnosis just now would not worsen the condition of the patient in front of him, Zheng Ren still kept this matter in mind and prepared to reflect on it after he was done.
"I want an echocardiogram." Zheng Ren put down the stethoscope and said firmly.
Director Luo asked a nurse to find a doctor to give medical orders and call the ultrasound department. When he came back, he asked in surprise: "Loffler endocarditis?"
"It's not just this." Zheng Ren didn't go into too much detail. After all, in front of the patient, what if he scared the patient out of his wits if he said too much.
Director Luo frowned.
Eosinophilia was complicated by Loffler endocarditis, which he had considered. But more serious diseases, such as heart complications, can be more difficult.
Zheng Ren did other physical examinations, and soon the ultrasound machine was brought over.
Sitting on the bedside, Zheng Ren began to perform an ultrasound on the patient.
"How is Boss Zheng's ultrasound level?" Lin Yuan asked Su Yun in a low voice.
"It sounds like your ultrasound level is very high." She always got a sarcastic answer from Su Yun.
"Can you please say it nicely?" Lin Yuan was a little disgusted with the person next to him.
This is because he is really good-looking. If it were anyone else, Lin Yuan would have been too lazy to talk to him.
"Well, the boss said this." Su Yun said, "Just take a good look at it. I'll probably need surgery soon."
"Surgery?" Lin Yuan was dumbfounded.
It's just diarrhea. Even if I have loffler endocarditis, I won't need surgery.
"Loffler has endocarditis and is complicated by thrombosis. Life is hard, Lao Liu is leaving, and Fu Guier is still working on Nobel Prize materials, so I can only follow." Su Yun was already prepared.
Lin Yuan tried hard to recall Loffler's endocarditis, a rheumatic and immunological disease that requires a very high standard even for diagnosis.
Just say surgery? How come you have so much confidence!
"It's okay. If you don't want to, I can." Lin Yuan whispered.
"It is indeed the practice of American doctors. Interventional imaging is just routine."
Just as Lin Yuan was about to show off, Zheng Ren suddenly said.
"A substantial strong echo can be seen at the apex of the left ventricle with irregular shape and suspicious thrombus. Loffler endocarditis is considered; the wall at the apex of the left ventricle is thickened, the local echo is enhanced, and the interventricular septal pulse is weakened; the systolic function of the left ventricle is mild. Reduction, moderate mitral and tricuspid regurgitation.”
The doctor doing the echocardiography hurriedly recorded it.
Director Luo frowned and watched Zheng Ren doing an ultrasound. The analysis of the images one by one is really scary.
Director Luo is not very good at ultrasound imaging examinations. It's easy to see, but when it gets serious, he becomes confused.
After all, it's not his specialty.
As for Boss Zheng...that's incomparable, Director Luo knew it.
After the examination, Zheng Ren asked: "When was the last time you ate and drank?"
The patient's lover said hesitantly: "I just ate something."
Zheng Ren said nothing, stood up, and walked out.
"Boss Zheng, what are you going to do?" Director Luo asked, following Zheng Ren.
"Interventional thrombectomy. I took a closer look. It's not granuloma complicated by eosinophilia. It's just left ventricular thrombus, induced left heart failure." Zheng Ren said in a low voice: "Director Luo, please prepare the patient to be transferred to another department. .”
Director Luo sighed.
I received a patient with endocarditis complicated by thrombosis.
I made a mistake in the clinic...
There's nothing I can do about it. I've been complaining of diarrhea for five years, but I'm not as capable as Boss Zheng... No!
Thinking of this, Director Luo suddenly woke up.
How come I have habitually judged Boss Zheng’s level to such a high level!
This is not a good habit.
"Is the operation difficult?" Director Luo asked.
"Fortunately, it's a thrombectomy, just be careful not to cause complications." Zheng Ren said: "If the circulatory department finds it difficult, you can ask them to call me."
"..." Director Luo was speechless.