Chapter 1767

The perfect classroom ushered in a failed case study.

The stone that should have appeared in the patient's ureter does not exist at all, although all symptoms point to that it should have been in a certain position.

Yu Zong is also somewhat lost. In his heart, boss Zheng is synonymous with omnipotence.

But boss Zheng seldom spoke, just meditated there, and finally Su Yun helplessly ended the case study.

Yu Zong and Chang Yue returned to headquarters 912. Su Yun turned off the machine, sighed and said, "boss, what do you think?"

"I'm thinking about all the diseases that may cause renal colic." Zheng Ren was sitting in his seat, and a ray of sunshine happened to shine on his face.

"It's useless." Su Yun said, "I suggest general manager Yu contact the rheumatology and Immunology Department to prepare for consultation."

"You really can't understand, so find rheumatism immunity?" Zheng Ren doesn't speak very loudly. His brain is divided into two parts, 10% of which are used to chat casually. Another 90% quickly searched their memory for the cases they had encountered and seen.

"What about that?" Su Yun said: "systemic lupus erythematosus may have this symptom. We can't diagnose it."

"Did you check?"

"Mr. Yu will go back." Su Yun said, "it's a big project to check and eliminate immune system diseases."

"Let me think again." Zheng Ren said, "do you see anything different about him?"

"Huh?" Su Yun glanced at Zheng Ren and asked, "boss, look, hear and ask. Are you using me as an eye?"

Zheng Ren smiled and didn't speak.

He has no idea at all. He really can't. He will go to see the eye patient later and use the system diagnosis of big pig hoof for reference.

Without frustration, Zheng Ren doesn't think it's necessary to stay away from the big pig's hoof. Facts are facts and cannot be changed.

In addition, there is a good way to solve the patient's pain. Why should I persist in making my own diagnosis or big pig hoof diagnosis?

I've studied very hard and can't make a correct diagnosis. It can only show that I'm still a little weak. But the object of comparison is the system, and Zheng Ren doesn't feel ashamed.

After figuring it out, Zheng Ren stretched himself and said with a smile, "the new VR device is really good."

"Various configurations will continue to be sent from all over the world, and Chunu Aung se means what he says." Su Yun said, "I hope he will live a long and healthy life."

"What disease do you think the patient is?" Zheng Ren didn't answer and said Chunu Ansai, but pulled back to the patient in front of him.

"I don't know. During my physical examination, he was in pain and sweating all over his body. It is said that renal colic occurs every three minutes, more and more frequently. It is almost forced posture." Su yundao.

"Do you have a plate-shaped abdomen?"

"The six abdominal muscles are well maintained. They feel hard." Su Yun said, "it's rare for people in their 40s to have no small belly."

"Did you remind Mr. Yu to pay attention to the investigation of peritonitis?" Although Zheng Ren looked at abdominal CT and determined that the patient had no peritonitis, he still said casually at this time.

He thought while talking. The patient's symptoms were a little strange, but he seemed to have caught some clues.

"Yes, it was like this when they were hospitalized. At first, they highly suspected peritonitis. Later, they did CT, B-ultrasound and other auxiliary examinations to determine that they were in good health." Su yundao.

This kind of healthy, muscular and hard man Zheng Ren has seen.

He could think of Su Yun's physical examination. The patient curled up on the hospital bed like shrimp, sweating all over, and his muscles were only stretched, forcing him to take a posture.

Renal colic, it hurts like hell.

In the northeast, it usually happens at three or four o'clock in the morning of spring and autumn. Sometimes the emergency department receives three or five patients in a few hours, all with their stomachs covered.

In the doctor's order just now, Zheng Ren saw and understood the application of spasmodic drugs.

But the effect is not very obvious. After all, there are no stones at all, and it is not a simple spasm of ureteral smooth muscle.

Uh... Simple ureteral smooth muscle spasm?

"Does the patient feel nausea and vomiting?" Zheng Ren seems to have found some key points.

"No." Su Yun shook his head and said, "don't waste your energy, boss. Smooth muscle spasm causes colic. When this colic occurs, the patient is accompanied by pale complexion, cold sweat, nausea and vomiting. In severe cases, there are symptoms such as weak pulse and rapid drop of blood pressure." Su Yun said, "I waited for a few minutes. When renal colic broke out, the patient only had pain symptoms of pale face and cold sweat, and nothing else."

"Strange." Zheng Ren felt that Su Yun didn't say everything and didn't fit in with an idea just floating in his mind.

In the end what is it?

Zheng Ren hates this feeling.

It's right in front of me, but I can't remember.

It must be some detail. He looked out of the window and began to recall every word and detail of the consultation from the beginning, looking for the point he had forgotten.

"Go and see the patient." Zheng Ren thought for two minutes, but still couldn't feel the thought. He could only sigh and say.

It's right in front of you, but you can't catch it.

"Thought you could understand." Su Yun looked at Zheng Ren contemptuously and said, "I thought you wanted to check the sedimentation rate or that the patient was primary renal cell carcinoma, and the tumor tissue just grew near the nervous system, resulting in..."

"No, immune system diseases cause pain, and there are few symptoms of colic. Primary renal cell carcinoma, which erodes nerves, is rare, but it is also possible. I thought of this and did 64 row three-dimensional reconstruction." Zheng Rendao, "it's not what you said."

"What about the abnormal function of parathyroid gland? It can also lead to hematuria." Su Yun asked.

"What we should consider is hematuria and renal colic, not a single one." Zheng Ren said, "in addition to kidney stones, I really didn't think there was..."

He was stunned.

Su Yun saw Zheng Ren looking at himself, blew his breath and said, "there are flowers on my face?"

Zheng Ren didn't speak, but his eyebrows wrinkled slightly.

"Silly?" Su Yun said, "it's just looking for rheumatism immunity consultation. You don't have to be so strong."

"No, don't talk." Zheng Ren said, "I seem to think of something."

Su Yun looked at Zheng Ren curiously. Can this goods connect renal colic with hematuria and rule out the stone?

Unlikely.

Soon, Zheng Ren asked, "did you just say he plays badminton? Is he a national athlete?"

"Well, what?" Su Yun said with a smile, "do you want to exercise? Or do you want to run at night with little Iraqi?"

"No, I think I know what's wrong with the patient." Zheng Ren said, "go and see the patient and let Mr. Yu check an MRI."

"What?" Su Yun asked curiously.