Chapter 2075

"By the way, urinary tract irritation symptoms and bladder contracture are the most common in patients with tuberculosis. There are low fever and ascites. Is that how you judge urinary tuberculosis?" Su Yun asked.

"Yes." Zheng Ren nodded, "listen to what you said. We should judge that it is not urinary tuberculosis."

"I did relevant tests, not urinary tuberculosis." Su Yun said, "the patient has multiple system involvement, and it is necessary to consider whether there is autoimmune disease, but only ana low titer positive, a small amount of urinary protein and slight decrease of complement. In addition, there is no more evidence."

"What about renal biopsy?" Zheng Ren frowned and asked.

"It is said that the family members of the patients refused. They had a history of nausea and vomiting and got teratoma. As for the kidney, it is estimated that they can't understand it." Su Yun smiled bitterly.

"And then?"

"At the last hospital consultation, the multi-disciplinary ward round considered that although it did not meet the diagnostic criteria of systemic lupus erythematosus, Lao Gu thought that the patient was a young woman with multiple systems involved and still tended to systemic lupus erythematosus. He... Insisted." Su Yun finished and sighed slightly.

The ability to stand out from public discussion and explain their diagnosis. This kind of person has ability, which is recognized by Zheng Ren.

Su Yun made friends with people at the general level of hospitalization, not to mention their character, but their level is good. In the foreseeable future, one by one will become a professor and a group leader. Professor Gu is one of them.

"But after the patient used up the medicine, there was palpitation on the first day, the heart rate was 120 beats / min, and the third heart sound could be heard at the apex of the heart."

Galloping rhythm is a kind of extra heart sound in diastole. It is combined with the first heart sound and the second heart sound to form a rhythm similar to galloping, so it is called galloping rhythm.

When the myocardium is seriously damaged, galloping horse law will appear.

When Zheng Ren heard Su Yun say this in a heavy tone, his heart fell down.

Excessive doses of cyclophosphamide may damage the myocardium or kidney. If Benma law appears after medication, it is cyclophosphamide.

Facts have proved that Professor Gu's insistence is wrong.

This is the disadvantage of diagnostic treatment, or uncontrollability, especially the side effects that often occur when the rheumatology and Immunology Department carries out diagnostic treatment.

Zheng Ren has done several diagnostic treatments and finally succeeded.

Not because the diagnostic treatment is reasonable, but because there is a big pig's hoof. Zheng Ren pushes back against the system panel and has some confidence.

The diagnostic treatment used by Professor Gu not only did not have a clear diagnosis, but also had a serious drug reaction, leading to myocardial injury.

Su Yun said here that the situation has been made clear.

Patients with unexplained abdominal pain and diarrhea came to 912 for treatment. It is considered that it may be caused by teratoma.

But after cutting, I found that the disease was not good, but it became more serious. The whole hospital consultation, we are helpless, after using the treatment plan of the rheumatology and Immunology Department, we have begun heart failure

This is a typical case in which the more governance, the more serious it is.

Speaking, they came to gynecology. The patient is still hospitalized in gynecology, but if you can't find the correct diagnosis and treatment, I'm afraid the patient will go to ICU soon.

"Professor Gu has great courage." Zheng Ren finally said with certainty.

"Courage is on the one hand, mainly high level." Su Yun said, "why don't I say that I must have a friend in the rheumatic immune department in the hospital? Once I suspected the problem of rheumatic immune system, I asked him to solve it."

"Why haven't you heard of it?" Zheng Ren thinks the name is strange to him.

"Aren't you here? You know the diagnosis when you think about it, so you haven't been looking for him. Unexpectedly, something happened to the goods today."

After passing the doctor's office, I saw the door tightly closed and knew it was a consultation in the whole hospital.

Zheng Ren said, "do you know which ward the patient is in?"

Su Yun looked at Zheng Ren with surprised and stupid eyes.

What did you ask wrong?

Zheng Ren has been thinking about the patient's situation. If systemic lupus erythematosus is a wrong diagnosis, what diagnosis may it be?

In fact, Zheng Ren himself is also considering systemic lupus erythematosus.

Su Yun sighed, "boss, don't you have a mouth under your nose? Dare you ask?"

“……”

"Wait a minute."

Su Yun blew his breath, his black hair floating on his forehead, and despised Zheng Ren together.

He went directly to the nurse station, and then Zheng Ren vaguely heard several laughter.

It's really provocative.

Zheng Ren sighed in his heart that going to a strange place in the future, whether with Su Yun or Chang Yue, seems to be a very good choice.

At least you don't have to ask for directions yourself.

Soon, Su Yun came back, "the innermost high room, but the patient's family members have a bad temper. Now they are in the brewing period and are about to break out. Do you... Want to go in together?"

Su Yun said that the brewing period and outbreak period are the accumulation of emotions of patients who are hospitalized and can not be cured for a long time.

In other words, the mood of the patient's family is about to collapse.

This is now. If rhubarb teeth were active a few years ago, their "high-quality customers" would have been targeted long ago.

It is a prairie fire to gently stir up the group of doctors who understand the weaknesses of the hospital and human nature.

They came to the door of the ward. Su Yun knocked on the door and then pushed the door in.

Zheng Ren followed him. Anyway, the goods have a high appearance. Female patients? It's estimated that they are a female escort.

As long as it's a woman, there's nothing wrong with throwing Su Yun in front.

After entering the ward, Zheng Ren didn't listen to how Su Yun communicated with the patient's family, but took the time to observe the patient's system panel.

The patient was young, pale, thin, and his cheeks collapsed.

The system panel is red. There are many and detailed diagnoses.

Zheng Ren quickly checked all the diagnoses. Unimportant diagnoses were directly thrown aside. He was looking for the most important diagnosis that led to the patient's prolonged illness.

Soon, Zheng Ren saw what he wanted to see.

Systemic lupus erythematosus!

Professor Gu's diagnosis is correct!

However, the problem immediately came. Why did the correct diagnosis and standard medication finally lead to myocardial injury and type I respiratory failure?

It's a little incredible.

Zheng Ren looked at the system panel and frowned.

He only knew a little about the patient, but Zheng Ren checked, simulated and reconstructed one by one according to the diagnosis of the system panel.

Soon, he had further ideas about the patient's situation.

This is not the first time Zheng Ren pushed back the patient's condition according to the diagnosis of big pig hoof, but it is a more complex one.

Zheng Ren thought of the end with some happiness and emotion.

Professor Gu is indeed a young talent. Even if he is a few years older than Su Yun, he can stick to his own opinion and diagnose that the patient's disease is systemic lupus erythematosus. He is really not an ordinary person.