Chapter 1723

Under normal circumstances, Su Yun will not force himself to decide not to eat. The big deal is to go out for a drink. For him, as long as there is wine.

"Who else but master Yan?" Zheng Ren thought briefly, immediately connected several possible characters and asked in a low voice.

"Do you remember the apprentice of the Anglo race in suits and shoes of Chunu Ansai?" Su Yun said with a smile, "I said I had to come here today. I've been waiting for the phone."

"Oh? Technical information?"

"Of course, otherwise why rob your cell phone." Su yundao.

Sure enough, Zheng Ren smiled and didn't speak.

I'm really looking forward to it. If I can get the relevant technology through Chunu Ansai, not to mention quantitative production, it's good for me to try it.

Zheng Ren most wants to get a few technologies, but Su Yun seems to have added countless things later. He is not sure whether Chunu Ansai can get all these things.

But it's good to have feedback. Zheng Ren has a good impression of Chunu Ansai.

I didn't live up to myself and risked [operator, death] to operate on him.

Su Yun saw Zheng Ren's expression and knew what he was thinking. He said, "you're a man. You say no. your body is always honest."

"It's OK. The key is that I don't know what to do. How did master Yan get together with trunu Ansai?" Zheng Ren asked.

Both directors are confused.

Master Yan's name of rotten street and Chunu Ansai's name of Nanyang people are incomparably incompatible.

"Chunu Ansai is still trustworthy. The disciple in suit and shoes is William. He has a big background." Su Yun smiled.

"Not small?"

"Well, it is said that he is the only normal man in an ancient family." Su Yun said with a smile.

Zheng Ren is too lazy to chat with him like this. Except that Zheng Ren is willing to use his brain when analyzing his condition, he usually wants to be a panda, hang lazily in a tree, eat and die.

After changing clothes, Zheng Ren waited for Xie Yi to come out and called Lao he to take a bus to the restaurant of the Tang and Song dynasties.

Song Ying stood at the door and saw Zheng Ren and his party coming. He welcomed them with a spring face.

"Boss Zheng, you've been so proud lately." Song Ying smiled.

"No."

The party walked in, talking and laughing, full of enthusiasm.

……

……

Massachusetts General Hospital.

Dr. Mark looked at the email, made a rather exaggerated gesture and said, "Jason, is this the level of our new tenured professor?"

Jason frowned and said, "to check thyroid B-ultrasound? Why?"

"I can't find the reason to get sick. I'm talking nonsense. Does he suspect that the patient is a thyroid crisis?" Dr. mark disdained to say: "thyroid crisis, usually doing Hashimoto..."

He was stunned.

Admission to do CT enhancement, but used a lot of iodine!

The symptoms of typical thyroid crisis, such as high fever, sweating, tachycardia, irritability, anxiety, delirium, nausea, vomiting and diarrhea, are so similar to the patients at hand.

Did you make a wrong diagnosis from the beginning?!

The expression of disdain on Mark's face solidified into ice. He thought of many possibilities, the most serious and closest to the truth - his first diagnosis more than 10 weeks ago was a misdiagnosis!

It's not a periodic vomiting syndrome at all, but a damn thyroid problem!

Dr. Jason also thought of some, but he didn't know the patient as well as mark, so he still hesitated.

"No, I want to have a thyroid examination right away!" Mark bounced up from his chair, like a spring under his ass.

The two most prominent manifestations of tachycardia and weight loss suggest hyperthyroidism.

When Mark considered weight loss and tachycardia in the context of agitation, vomiting and neuropsychiatric signs and symptoms, hyperthyroidism immediately became one of the most important differential diagnoses.

Damn it, why didn't you think of it?

This is nothing. In this hospital, I made an enhanced CT for a patient with hyperthyroidism!

When a large amount of iodine enters the body, the function of the thyroid gland immediately falls into chaos

Mark's sweat came out and pushed the B-ultrasound machine to the female patient.

On the transverse and sagittal gray scale and color Doppler ultrasound images of the thyroid, the sagittal size of the thyroid was at the upper limit of the normal range, and Dr. mark saw a slightly uneven parenchymal echo.

On the color Doppler image, the whole gland is obviously congested, which is a characteristic manifestation of Graves' disease, called "Fire Sea sign"!!!

This Doppler flow pattern has high specificity (88% ~ 95%) and sensitivity (95%) for Graves' disease, and the peak systolic velocity in patients with Graves' disease is higher than that in patients with thyroiditis of other causes!

Standard Graves disease, also known as toxic diffuse goiter, is caused by the presence of a stimulant in the blood that excites the thyroid gland. It has three characteristics: hypermetabolism, diffuse goiter and exophthalmos.

The patient's condition is not serious. Because of the damn enhanced CT, his condition worsened, so that he has to enter the ICU for rescue and treatment.

Jason also saw the fire sign displayed on the B-ultrasound machine. He is different from mark. He has watched the live broadcast of the operation more, and his admiration for the operator has already risen to worship.

"Mark, you stupid guy, see! His diagnosis is correct!" Jason said behind Dr. mark.

"It's good to find it. Now do the treatment for the thyroid." Dr. Mark said quickly.

After treatment with methimazole, Dr. mark breathed a sigh.

As long as the correct etiology is found and the correct treatment is carried out, the patient will slowly get better in 3-5 days.

Damn periodic vomiting syndrome, it's not this diagnosis at all!

After finishing his work, Jason shrugged and said, "mark, I suggest you pay enough respect to the tenured professor. See, your query will soon reveal your stupidity."

Dr. mark sighed.

"The higher the degree of questioning at the beginning, it will prove your stupidity from the side." Dr. Jason is happy to see Dr. mark in his current state.

"Jason, look at the website of the live operation. Can you give it to me?" Dr. mark didn't refute. After he began to recall the whole diagnosis and treatment process, he was surprised that the lifelong professor got the correct diagnosis in more than an hour.

"You should write an enthusiastic thank-you letter. If it weren't for him, your patient would die soon." Dr. Jason suggested.