Chapter 1755

Zheng Ren ignored Luan Yingjie and took the film in his hand directly.

The thin one is a film of upper gastrointestinal radiography.

This kind of examination was called upper gastrointestinal barium penetration many years ago. Because barium was difficult to drink and viscous, the effect of the examination was not very good. Later, liquid meglumine diatrizoate was used as the contrast agent.

Effect... That's it. There are not many diseases that can be judged. But at some point, this test still works.

For example, now, Su Yun believes that if the upper gastrointestinal angiography sees the "bird's mouth sign" in the cardiac segment, it can be preliminarily diagnosed.

Zheng Ren pulls out the thin film and looks at the light.

The esophagus is very smooth, and there is no image manifestation of bird's beak sign at all. There is no achalasia or diverticulum in the whole esophagus, which may lead to coma when eating.

Zheng Ren and Su Yun were silent.

What is this disease? Eating makes you dizzy, and the disease is still progressing. Up to now, it has become coma after eating.

I can't find anything when I go to the hospital for examination.

What a strange thing.

Is it a mental illness? That is, more serious hysteria?

Zheng Ren doesn't want to make such a diagnosis. The diagnosis of any mental disease should be cautious, just like the diagnosis of tumor.

Su Yun took out PETCT films and looked quickly one by one.

Without tumor, Luan's father is in good health... A mess.

Luan Yingjie saw Zheng Ren and Su Yun watching the film and didn't speak for a long time. He smiled bitterly in his heart. Maybe they don't know what the disease is. No wonder, after all, they are too young.

Young means steady hands, fast response and good eyes.

These are not necessary and sufficient conditions for a surgeon.

But being young also means seeing fewer patients and not having enough experience. Experience takes time to grind.

Some geniuses, such as Su Yun... Forget it. What do you want. Boss Zheng, who was legendary in Pengcheng, is nothing more than that.

But what about your old man? Will not be sent to the mental hospital to see a doctor, Luan Yingjie suddenly began to feel sad.

"Boss, what do you think?" Su Yun asked Zheng Ren when Luan Yingjie was thinking.

"Eating and dizziness may be transient insulin secretion problems. But abdominal CT did not see any problems, and PETCT did not see insulinoma." Zheng Rendao, "but it can't be ruled out for the time being."

"Islets β Cell tumor or β Cell proliferation causes excessive insulin secretion, which leads to hypoglycemia, which is a bit like dizziness. " Su Yun said, "as the disease progresses, it becomes more and more serious, so that now there will be coma."

"Just a guess." Zheng Rendao, "insulinoma often has typical Whipple triad, that is, hypoglycemic symptoms, coma and psychoneurological symptoms, which are easy to attack after fasting or labor."

"It only meets 1-2 points. It is said that insulinoma is a little reluctant, and it is not shown on the image. Have you reconstructed it? I reconstructed it again, but I didn't see it." Su Yun muttered to himself, watching the film and whispering.

Zheng Ren suddenly paused and looked at Luan Yingjie.

With a simple and honest expression and sharp eyes, Luan Yingjie was stunned, immediately smiled and said, "boss Zheng, what can I do for you?"

"Do you have insulin?" Zheng Ren suddenly asked.

"Insulin?" Luan Yingjie was stunned.

"Fraudulent hypoglycemia?" Su Yun asked, "but is it necessary?"

"The elderly want their children to go home with them. What can't they do? Sometimes the elderly with paranoid personality disorder are likely to do such things." Zheng Rendao.

"Boss Zheng, this..." Luan Yingjie was dissatisfied.

"Lao Luan, don't say it." Su Yun smiled and said, "two days ago... Song Ying, do you know?"

"Xiao Song, of course I know. They do a lot of business and are much better than me." Luan Yingjie doesn't know why he talked about Song Ying.

"Song Ying's brother, Chu Huainan, has a problem. He has to find his boss for surgery."

Luan Yingjie's heart moved. Chu Huainan and Song Ying are people they can't climb. Is it true that boss Zheng has real talent?

But his guess sounds very unreliable.

Although I don't want to, the judgment of a mental disease is better than such a blind guess. What deceptive hypoglycemia sounds particularly unreliable

"I went to see the patient. There was an old man next to the special needs ward. He didn't like what he said about his son. Later, he was sorted out by someone with a heart. According to the investigation, the problem was really found."

"...." Luan Yingjie was surprised that he still had such a son's father?

Su Yun said simply. There are countless guesses in the four words. It is also normal for people who do business to walk in gray areas.

But they are usually cheated by business partners and also by small three. It's rare to be cheated by your own father.

"Oh? What else? What happened later?" Zheng Ren asked.

"Later, the old man was discharged from the hospital. It is estimated that he is poor now." Su Yun said: "these things are not clear. It is said that many big people are involved. In other words, fraudulent hypoglycemia may exist. Lao Luan, have a word."

"Uh... Insulin, I haven't seen it." Luan Yingjie quickly recalled it, immediately denied it, and then said, "I'll ask the nanny and turn over the home."

This attitude is very correct. Zheng Ren is quite satisfied.

Fraudulent hypoglycemia and insulinoma are only possible, but the possibility is not high. Zheng Ren himself can't convince himself.

But in such a strange case, it's always right to try.

On the table, ringer saw that the two were absorbed in watching the film, smiled and said, "boss Zheng is not free to eat."

"Director Lin, that's it." Chang Yue said, "I often eat and see a doctor."

"It's the same as the emergency department." Lao he felt some emotion.

Zheng Ren didn't notice what they were saying. At this time, he was quickly searching for cases, diagnosis and differential diagnosis in memory according to the patient's situation.

The first feeling is that this syncope is closely related to gastrointestinal diseases, including esophageal hiatal hernia, esophageal stenosis, achalasia and esophageal cancer.

However, imaging data deny all the above possibilities, and there is no need to think about it.

Then there is the heart problem.

Atrioventricular block is the most common electrophysiological problem, followed by sinus node dysfunction, including sinus bradycardia, sinus arrest and cardiac arrest.

However, the patient's ECG, echocardiography and coronary CT denied these diagnoses.

Like Su Yun just complained, they are 72 years old. Echocardiography doesn't even have a small amount of tricuspid regurgitation. The old man is really in good health.

But what's the problem?