Chapter 1551

"Boss, are you sure?" Su Yun asked.

Let alone others, even Su Yun was confused.

"It should be more certain." Zheng Ren smiled: "lead poisoning will affect many systems such as digestive system, hematopoietic system and immune system. The most common clinical symptoms are mainly digestive system.

The clinical symptoms of the patient were paroxysmal abdominal colic, centered around the umbilicus, belching, constipation and weakened bowel sounds.

It is easy to misdiagnose digestive system diseases in clinical diagnosis.

Abdominal CT and CTA were improved after admission. Results acute inflammation of abdominal organs, organ torsion or rupture, peritonitis, intra-abdominal vascular obstruction, abdominal wall diseases and other related diseases were excluded.

So I think lead poisoning is a very reasonable speculation. And you just saw the changes in renal imaging. Combined with the changes in blood routine and anemia, there should be no big problem in the diagnosis of lead poisoning. "

"The inference is a little reluctant, but it is reasonable. You are so sure. Who gave you confidence?" Su Yun was still a little surprised.

But after looking back, he was not fully sure to overturn Zheng Ren's conclusion.

"Rich clinical experience." Zheng Ren said very seriously.

"Cut." Su Yun especially despises the saying that the goods are forced to load.

"There are few reports of lead poisoning caused by hair dyeing at home and abroad, so it is easy to be misdiagnosed clinically. Some literature reports that the misdiagnosis rate of misdiagnosis of colic caused by lead poisoning as surgical acute abdomen is 43%." Zheng Ren began to beat people with data.

Although the misdiagnosis rate has been said to be 43%, Su Yun does not think it is true.

The more accurate it is, the more it looks like a lie.

"After checking, you will know right and wrong." Zheng Ren said, "go back first. I can only do this level of diagnosis."

The patient's family was stunned for a long time before they knew that Zheng always drove himself away.

"Oh." He said dejectedly.

In the eyes of middle-aged men, this is perfunctory.

What lead poisoning is bullshit. Intestinal obstruction? Don't talk if you don't understand.

Or the old doctor in the Affiliated Hospital of Medical University is reliable. Why don't you ask him yourself? Just now, the patient sent the banner to him, but he didn't give it to President Zheng at all.

The middle-aged man secretly glanced at Liu zewei from the corner of his eye.

At this time, the old doctor's aura has crushed the charm value given to Zheng Ren by the big pig's hoof.

Some things, especially stereotypes, can't even be overcome by big pig hooves.

But the middle-aged man saw a picture that he couldn't forget.

Liu zewei called to do the test and examination, and then went to Zheng Ren. He bent slightly and said respectfully, "boss Zheng, the examination has been contacted, and the patient's family can send blood samples at any time. But don't take too long, it's best to do it within 4 hours."

"Can you do it right away?" Zheng Ren asked.

"The diagnosis you gave must be done immediately." Liu zewei smiled and wanted to try to ease the embarrassment that the patient's family members only took pictures of themselves before. "Don't worry, the blood sample will be sent and the result will be sure within 2 hours. I said hello to the director's father. I did the operation. I have to find me when I go back."

The middle-aged man was stunned.

He saw the careful flattery on Liu zewei's face, even flattery.

Don't be obvious, don't hide it at all.

"OK, that... Li Liangfen's family?" Zheng Ren called.

"Oh, oh." The middle-aged man immediately replied.

"You can send it yourself or find someone to send it. Hurry up." Zheng Ren said, "you can get results in two hours after you go. Let director Sun tell me at that time."

"Oh, oh." The middle-aged man was almost speechless and didn't know what to say, just oh.

Zheng Ren was very happy. He also encountered lead poisoning caused by low-quality hair dye for the first time. Unfortunately, I can't operate, and I can't use the degree of operation completion to prove whether my judgment is right.

His heart was intertwined with anxiety and excitement.

This is a difficult disease. I don't rely on big pig hooves to judge it. If the diagnosis is correct, it means that their diagnosis level has made great progress.

"Yes." Su Yun pondered Zheng Ren's derivation process and said with a smile.

"When I think of normal reasoning, I feel more and more like it." Zheng Ren said, "it's easier to push backwards."

"I've heard of an old man before, and his condition is similar to this." Su Yun looked at the patient's film and said with emotion: "he likes massage and has to push oil every day."

"Essential oil?"

"Well, I pushed it for a long time, and then I was hospitalized because of renal failure." Su Yun said: "I didn't see it with my own eyes. It is said that the final diagnosis was lead poisoning."

"If there are similar cases, the diagnosis will be more sure." Zheng Ren's attention is still focused on the patients in front of him and has never deviated.

"Renal failure is easy to diagnose. Intestinal obstruction is caused by lead poisoning. It is too easy to miss diagnosis." Su yundao.

"OK, that's it." Zheng Ren waved happily, took the film off the reader and put it in the corresponding film bag.

The test sheets are sorted out in chronological order.

When the middle-aged man came back from the phone, he couldn't stop thanking him when he saw that everything was sorted out. Then he asked Liu zewei for contact information.

"Are you going back to send blood samples or the rest of the family?" Zheng Ren asked.

"Go home." The middle-aged man said, "I'm in a hurry. As soon as I heard that there might be a clear diagnosis, I went directly to director Sun. It's estimated that now... We should all start."

"Well, go early, get the test results early, and treat the symptoms early." Zheng Rendao.

"Mr. Zheng, if you are sure, can you treat it directly now?" The middle-aged man asked cautiously.

"A few hours." Zheng Ren patted him on the shoulder and said with a smile, "if it wasn't for the wrong medication, it would be a big problem."

"OK, OK." The middle-aged man nodded and felt embarrassed.

"Find a place to sleep and don't drive back." Zheng Rendao: "wait a few hours, you will wake up and the results will come out. If the diagnosis is wrong, I'll take you to the director of 912 gastrointestinal surgery to have a look."

The middle-aged man bowed again and again to thank Zheng Renxiang for his thoughtfulness. In this way, I won't go in vain.

It's just that boss Zheng said it very easily. Will the chief director of 912 take care of such a small doctor?

After he left, Zheng Ren also recalled the process of previous diagnosis, feeling a little proud.

Suddenly, before he could show off, he caught a glimpse of Su Yun's face, his hand holding the mobile phone trembling slightly.

"Su Yun, what's the matter?" Zheng Ren asked.