All possibilities related to green urine were investigated one by one. In the end, the second-line professor on duty in the ICU could not figure out why this happened.
Then consider the growth of Pseudomonas aeruginosa, which can cause green urine.
But this was just a possibility. After taking a look, neither the ICU resident nor Mr. Yang thought about this possibility.
Because the patient's urine is very clear, there is no flocculent sediment contaminated by a large amount of Pseudomonas aeruginosa.
Even so, some urine samples were carefully retained and sent for bacterial culture and identification.
Avoid all subjective guessing and let objective examination speak for itself. It doesn’t look like it, what if it’s some kind of mutant bacteria
It was getting brighter, and several doctors looked at the patient's urine bag dully, without saying a word.
The green urine in the urine bag occasionally reflects the light, making it shiny and even pretty. If he wasn't in the ICU, if he wasn't on duty, everyone would probably be curious and gossiping around me.
But when I was on duty, my mood was completely different.
In order to rule out external contamination, the urine bag and even the urinary catheter were changed. But when the new urinary catheter was inserted, the urine that came out was still green.
Not only is there no improvement, the color seems to be a little darker than before.
Soon, Mr. Yu from the Department of Urology was also found.
The pyocyanin pigment of Pseudomonas urinary tract infection was eliminated by Mr. Yu, and the green color in front of him could not be the color of urinary tract infection.
Looking at the light green urine that occasionally flashes with fluorescence, many doctors feel a sense of absurdity in their hearts.
I stayed up all night just to look at the green urine...
We usually chat and laugh together, and those doctors who are relatively vulgar and have a lower threshold use poop and fart jokes. But when the doctor on duty looked at her, the abnormal peeing and peeing was so terrifying.
I really don’t know what the point of the joke is.
There was a helpless silence in the ICU.
"Why don't you take a look at Boss Zheng?"
A voice came from the corner, the voice was small and timid.
Quan Xiaocao mustered up the courage to say this.
Mr. Yu glanced at the time, it was a quarter past five in the morning. He had long thought of asking Boss Zheng to have a look, but at this point, was it really okay to call someone from an unrelated department for consultation
After hesitating for a while, the ICU resident sighed and said, "Let me call Brother Yun."
…
…
Zheng Ren was called up and gasped, feeling very angry.
"Green urine?" After hearing this word, Zheng Ren suddenly woke up and became frustrated when he got up.
"Well, I said it was suddenly discovered early this morning. All the necessary tests have been done. Liver failure, pseudomonas aeruginosa in the urinary system, drug discoloration, hypercalcemia, vitamins... ah~~~"
With that said, Su Yun took a long breath.
Although I don’t feel like waking up, sleepiness is inevitable.
"Everything that needs to be checked has been checked. There is no problem." Zheng Ren frowned and said, "I have nothing to consider, what about you?"
"Neither did I. They thought too much about it." Su Yun said and smiled, "I must have been in trouble for a few hours, and the book was almost torn."
"Maybe, let's go see the eye patient." Zheng Ren said.
Su Yun mentioned the factors that might cause green urine right away, and Zheng Ren had nothing to investigate.
Unless it's a very rare disease that causes green urine.
The urine has turned green, so don't insist on relying on your own strength to find the answer.
Take a look at the patient, see what diagnosis the system panel gives, and then treat the patient accordingly.
They took the time to wash up, and five minutes later, the two of them were already running on the way to 912.
"Boss, people run in the morning for fitness, but we run in the morning because we are anxious to see the green urine. Don't you think it's ridiculous?" Su Yun said as he ran.
Running at this speed couldn't stop him.
"I thought about it again, there is no other possibility." Zheng Ren said, "Think again."
"I've thought about it a long time ago. I'm different from you mortals. I won't miss anything at all." Su Yun breathed evenly while running, and his contemptuous tone was still clear to his ears.
"Don't make trouble." Zheng Ren said: "The patient is still on a ventilator to assist breathing. He should not put colored food into the stomach tube."
"Definitely not, you are too imaginative."
"It is said that cimetidine may also cause the color of urine to change. It is a gastrointestinal surgery. As long as there is no concurrent acute pancreatitis, cimetidine may be used."
"Uh... where did you read that?" Su Yun tried hard to recall the instructions for cimetidine, but he didn't think of anything similar.
"According to research, cimetidine has anti-cancer effects. We don't use it very much here, but..." Zheng Ren said, paused, smiled bitterly, and speeded up.
Su Yun knew that he had found an unreasonable point.
It shouldn't be green urine caused by cimetidine, but what is it
When they arrived at the ICU, they asked to open the door, changed clothes, put on hats and masks and walked in.
"Brother Yun, Boss Zheng, I'm sorry." The ICU resident greeted him.
"It's okay, let's check on the patient first." Su Yun narrowed his eyes and made a smile.
The condition was critical and there was not much exchange of greetings. Zheng Ren and Su Yun strode into the ICU.
A bunch of doctors surrounded the patient, so conspicuous. In the middle gap, there is green urine in the urine bag...
It was really green. Zheng Ren came to the patient's side and took a look at the system panel.
The patient system panel is medium red, with several diagnoses on it, such as post-colon tumor resection, pneumonia, peritoneal effusion, and coronary atherosclerosis.
It’s just that these diagnoses have nothing to do with green urine.
strangeness!
Zheng Ren hugged his shoulders habitually and began to think deeply.
He went through the various system diagnoses again and still found no disease that might be related to green urine.
The patient's vital signs were stable, both the ventilator and the monitor were running well, and there was no alarm sound.
Weird, what's going on
The resident in the ICU began to report medical history. In her opinion, Boss Zheng and Brother Yun were the superior doctors.
The patient's medical history was not complicated. He had a colon tumor, which was discovered and later underwent surgery on 912. Because of his relatively high age, he was not weaned off the machine after the operation, but used a ventilator to assist breathing under sedation.
I was originally planning to be transferred out of the ICU without any problems today, but I didn't expect that I would have green urine in the early morning.
Mr. Yang from the gastrointestinal surgery department explained the operation process, and there was nothing to pay attention to. It was a routine operation and treatment, everything was so ordinary.
However, the green urine directly shattered all of this.