"Mr. Zhou, please send the patient for rheumatism immunity," Zheng Ren said.
"Why don't I see the cricoid cartilage... seems to have dissolved?" Zhou Litao asked in surprise.
"Relapsing polychondritis is a rare disease, and its etiology and pathogenesis are still unclear. There are reports that it is an autoimmune disease, and it also has a certain genetic tendency. The specific pathogenesis is still under further study."
Zheng Ren explained, “The manifestations of this disease in the lungs are mainly seen when the disease is accompanied by inflammation of the tracheal cartilage. Pathological examination shows dissolution of the tracheal cartilage, swelling of the tracheal mucosa, and granulation hyperplasia. The inner lumen of the trachea can be narrowed and even blocked. "
"But..." Zhou Litao paused. He still had questions, but how could he express his doubts about Boss Zheng? He swallowed it back.
"Oh, I guess it dissolves slowly, and the body gradually gets used to it. When an unexpected event occurs, a large amount of hormones are secreted, and the trachea itself will spasm. It happened to happen today, so it broke out immediately." Zheng Ren said, "This explanation is a bit coincidental. , so I insisted on taking a look with a fiberoptic bronchoscope."
Zhou Litao thought it was logical, and he immediately nodded, "Boss Zheng, what else should be checked after admission?"
"Just send him to the hospital. Our hospital's rheumatism immunity is very strong. Just write down the diagnosis clearly on the admission form. Relapsing polychondritis, don't write it wrong. By the way, the diagnosis of this disease is included in the ICD code."
"Yes, I know, Boss Zheng." Zhou Litao smiled and immediately went to write a hospitalization bill.
Su Yun hesitated, but still did not stay. Instead, he and Zheng Ren went to the operating room to change clothes.
It seems that I am... wrong again. Zheng Ren began to self-examine on the road. It seemed that he had not auscultated just now, so he suggested that Zhou Litao do a bronchoscopy. This is very lax, and the matter was urgent when I was at the branch today, so I bought a blade in the system space for emergency rescue.
Don't let Su Yun see any flaws, Zheng Ren is a little anxious.
"Boss, what do you think this is all about!" Su Yun complained on the road, and his mood was obviously not right.
"Oh, actually you can tell without auscultation." Zheng Ren said.
The things they talked about were obviously different. Su Yun frowned and asked, "What are you so hysterical about?"
"Ah? Didn't you say that I made a diagnosis without auscultation?" Zheng Ren was also stunned.
But he immediately realized that he was thinking that he didn't have auscultation just now, so he made a judgment based on the diagnosis of the big pig's hooves. And what Su Yun was talking about was that Qiao Liyan's lover had a date with someone, and he actually got a date with his own girl, which was such a mess.
"Don't be depressed, it's okay." Zheng Ren said with a smile, "Such a thing is a matter of probability. If it happens to happen, no one can do anything."
"I see Sister Qiao doesn't speak, and I'm a little worried." Su Yun sighed and said, "Except for you asking about her condition, she didn't say a word. If she was just having trouble, it would be okay. She would be silent. That’s big.”
"Oh, what can we do?" Zheng Ren sighed.
But this kind of thing is obviously not something that I can or should solve, so I can only sigh.
"Boss, what do you mean by what you just said?" Su Yun also knew that the most he could do was sigh, so he changed the topic directly.
“If there is a problem with the cricoid cartilage of the trachea, coughing, sputum production, wheezing, voice tearing, and dyspnea will usually occur. It gets worse progressively and is often misdiagnosed as chronic bronchitis.” Zheng Rendao, “It can also be complicated by pneumonia, repeated respiratory tract infections, and asthma. , the severe cough induced by it is characterized by a sudden, deep metallic sound-like dry cough or cough, which is often mistaken for asthma."
"When I heard the patient's asthma, my first impression was that there was a problem with the cricoid cartilage, so... "
"I'll go!" Su Yun quit this time.
As the rising star of cardiothoracic surgery in the Imperial Capital, it doesn't matter if he loses to Zheng Rendu in other fields. After all, they are all "side jobs." But when it comes to his heart, he is determined not to give in.
Deep metallic sound like dry cough or cough... can this all be judged, and can it also be used as a basis for diagnosis
After working in the dry chest department for a long time, Su Yun could subconsciously judge whether there was phlegm when someone coughed, whether the phlegm was in the upper or lower respiratory tract, and even whether the bronchospasm was mild or severe.
But what Zheng Ren said was so hurtful to his self-esteem.
"Uh..." Zheng Ren also realized this and immediately explained, "The main reason is that I met a patient with relapsing polychondritis, so I have an impression of it."
"How can you, a doctor from Haicheng, come across so many rare diseases?" Su Yun didn't believe it and directly questioned, "This disease was diagnosed and treated in Haicheng 100% according to bronchitis combined with asthma. Tell me, at that time Who made the diagnosis?"
"..." Zheng Ren was speechless. He could deny it in every possible way, but that would be too boring. He might as well just lie down without saying a word.
"Also, why are you carrying the blade with you?" Su Yun asked.
"It feels good. I keep touching the blade in my pocket with my hand to feel the texture and toughness of the metal. I think it will be helpful for the surgery." Zheng Ren talked seriously, completely forgetting about the sterile packaging. "Anyway, it's okay at ordinary times. If your hands are idle, they are idle. You might as well use them to feel them."
Su Yun still had countless questions, and at this time Zheng Ren's cell phone rang.
They said they should write a love song soon...
Zheng Ren took out his cell phone and raised it to indicate that he had a call. He glanced at the call and it was from Yiren, and a sweet smile immediately appeared on his face.
"Boss, your dog-licking smile is really skillful." Su Yun immediately sprayed.
Zheng Ren smiled slightly and didn't care about Su Yun's provocation.
"Yiren, what's wrong?"
"oh?"
"oh."
"oh!"
"I'll be there soon."
Three oh, three different tones, the contemptuous smile on Su Yun's face became heavier.
Seeing Zheng Ren hang up the phone, he immediately asked, "What happened?"
"One of Yi Ren's classmates is in trouble. Please consult me." Zheng Ren said.
"What trouble can a nurse have? Just follow the doctor's orders. Everything that happens is the doctor's fault. Did the IV drip go wrong? Let me go. Could it be that the blood transfusion went wrong?"
The two things Su Yun mentioned are mistakes that nurses occasionally make. Mistaken calls are slightly more common, and similar incidents occur several times every year. The second thing was too serious, and Su Yun secretly warned Zheng Ren not to agree to something he shouldn't.
"I know, Yi Ren is waiting for me underground, would you like to go and take a look?"
"Go and have a look, there aren't even any patients."
"Is Shi Huairu okay? Don't you need to give tutoring to your child?" Zheng Ren asked.
"..." Su Yun had a black line on his head.