Chapter 1330

Liu Xuzhi skillfully took out two medical record clips and handed them to Zheng Ren.

"It's not a preoperative patient. I saw this yesterday. I'll go and see the patient's state later." Zheng Ren smiled, "look at the medical records of malaria."

"..." Liu Xuzhi was stunned.

"Show him, or the goods won't sleep well." Su Yun is holding a mobile phone in his hand. Instead of playing games, he is contacting something. Hearing Zheng Ren's words, he didn't lift his eyes and said with contempt.

Su Yun knows exactly what his boss does.

"Oh." Although Liu Xuzhi didn't know why, he answered.

"Lao Liu." Zheng Ren suddenly said, "does the patient have red spots and papules all over the body?"

Er... Liu Xuzhi's eyes widened as if he had seen a ghost.

"Zheng... Boss Zheng, how do you know?" Liu Xuzhi stammered.

"He has perspective eyes. He used to peek at the little widow's bath in Haicheng and was almost killed." Su Yun added at the right time.

Zheng Ren looked at him helplessly and explained: "for malaria, the specific drug is quinine, which is not expensive. I believe you often use it here."

Liu Xuzhi nodded. Although he is not a physician, he knows about it.

Few people in the town get malaria. However, for grassland herdsmen, malaria is a very common epidemic.

"Lao Liu, have you read the instructions of quinine?"

Liu Xuzhi nodded, but then shook his head.

Quinine, also known as cinchona cream, is specially used to treat malaria and cannot enter the eyes. Liu Xuzhi knew these basic knowledge, but he immediately thought that what boss Zheng said must not be simple, so he shook his head.

"Quinine can induce abnormal immune system, but it is not very common. Generally speaking, the most common is cinchona reaction." Zheng Ren said, "malaria has other symptoms after using quinine, and it is rare to need to upgrade antibiotics. So I guess quinine is the cause of complications, so continue to think about it."

"Nodular panniculitis?" Su Yun continued to play with his mobile phone and suddenly interrupted.

"Well, considering the possibility, we should have a B-ultrasound. With B-ultrasound, we can basically determine." Zheng Ren was a little embarrassed. "Lao Liu, tell the doctor in the digestive department to see if I can do a B-ultrasound."

"Boss, it's not worth asking." Su Yun said, "it's good for you to sit here and wait for someone to come and beg you."

"They are not director Luo... Besides, if they were in 912, director Luo would not be able to diagnose quinine complicated with nodular panniculitis." Zheng Ren smiled and didn't care.

In Zheng Ren's eyes, saving people from illness is just the kind of thing that should be done, which has nothing to do with the superior pretending force.

Liu Xuzhi Khan.

I don't know how to answer this.

Confident? Still... But people have this ability. They can't refuse.

After standing in the corridor for a while, I heard myself say malaria, and then I judged the possible disease.

By the way, what is nodular panniculitis?

Liu Xuzhi doesn't know what this diagnosis means.

He scratched his head and said, "I'll ask. It should be OK."

With that, Liu Xuzhi turned to go. Zheng Ren shouted, "Lao Liu, help me find the medical record!"

Liu Xuzhi hurriedly found the medical record clip, handed it to Zheng Ren with both hands, and then ran out.

When Liu Xuzhi went out, Su Yun looked up and said with a smile, "boss, I think you're very tired and don't stop anywhere. It has nothing to do with us. Just have an operation and leave. I don't know if you'll annoy the local doctors."

"If you see it, you can't ignore it. They don't have a clear diagnosis. By the way, it's not a big deal. If you don't say it, you'll be sorry for the delay in diagnosis and treatment." Zheng Ren is also very helpless.

"Sister Lin replied. She will arrive soon." Su Yun Yang's mobile phone.

Zheng Ren concentrated on the medical record and answered casually.

The pasted test sheet is also a legendary thing.

It is said that 15 years ago, when the first hospital of Haicheng City did not have an electronic medical record, the laboratory department sent a report to the clinical department. Then the doctor pasted the test sheets on the white paper one by one and clamped them in the medical record.

This side is really retro. Zheng Ren looked through it carefully. I didn't expect that in this age, there are handwritten medical records and pasted test sheets.

"Nodular panniculitis? What's the diagnosis?" A man's voice came from the door.

Zheng Ren looked up and saw a woman doctor in her thirties, wearing glasses, hurried in.

"Are you the old... Teacher of 912?" She wanted to be more angry, but she looked at Zheng Ren and hesitated to see that she was a young man.

She was afraid that she would recognize the wrong person, which would be embarrassing.

"Well, I'm the doctor of 912." Zheng Ren is looking through the medical record and has a spectrum in his heart. There is no big difference from your own judgment. Just do B-ultrasound. As for pathology, I don't think we can wait that long.

"Teacher, is your diagnosis based on?" Asked the doctor in the Department of Gastroenterology.

"Blood routine: WBC? 19.62 × 10（9）/L，N%? 89%，CRP? 192.0 mg / L, diarrhea relieved after anti infective treatment with rochefen, but there was still fever. One day before admission, there were scattered subcutaneous red induration of limbs with tenderness. They were admitted with infectious fever. " Zheng Ren looked at what was written in the medical record and simply said, "with a medical history and painful red induration, the diagnosis is very obvious."

The little doctor of Xilin town hospital was exposed to dew.

Zheng Ren is very helpless. It's enough to say so much in Haicheng first hospital. The medical level here is really average, but there is no good way.

It's bullshit to expect that the level of all doctors is the same as that of 912 doctors.

He smiled and made his attitude as gentle as possible, "nodular panniculitis, also known as idiopathic lobular panniculitis or recurrent febrile non suppurative panniculitis.

This disease is characterized by a large number of recurrent subcutaneous nodules. The nodules have pain and significant tenderness. Most of them are accompanied by fever. It can be diagnosed in combination with phase II histopathology. "

"Lao Liu, can your pathology department make this diagnosis?" Zheng Ren then looked at Liu Xuzhi and asked.

Liu Xuzhi shook his head blankly.

"At first, I thought it was a serious abdominal infection. The red maculopapular rash was caused by drug allergy. But later, I thought it was different from the allergic maculopapular rash, so I denied this idea." The doctor in the Department of Gastroenterology also talked to himself blankly.

"The red maculopapular rash associated with allergy will not feel pain."

"What should I do?"

"With what medicine?" Zheng Renwen asked.

"Piperacillin tazobactam doesn't work well. I'm going to take vancomycin. This is not the recent antibiotic control. Advanced antibiotics can't be taken out without principle approval. I'm going to apply." The doctor of Gastroenterology said, "what do you think, teacher?"