Chapter 2349

"Certainly not. Do you know what chat is?" Su Yun looked at Zheng Ren contemptuously.

"Boss Zheng, what disease do you feel like?" Dr. Liang asked hurriedly.

"Just listening to your symptoms, I don't have any judgment." Zheng Ren said, "you will bring the old lady to me for a look and do a simple physical examination."

"Yes." Dr. Liang nodded.

Traditional Chinese medicine talks about seeing, hearing, asking and hearing, and Western medicine talks about seeing, touching and listening, which are the most basic.

Su Yun looked through the test sheet again and saw that Dr. Liang had done a comprehensive examination for his mother. There was really nothing to say.

In addition to some small problems in ECG, everything else is normal, including EEG, spike wave is not obvious, and it is impossible to diagnose any mental diseases, let alone seizures.

Dr. Liang left the examination report, said hello and hurried to pick up the old man. When he left, Su Yun asked, "boss, there's really no guess?"

"The only abnormality is the electrocardiogram." Zheng Ren took out his ECG, looked at it again and said, "what will you think of these changes?"

"Not only these, but also several waveforms can show that the voltage of P-wave and QRS complex decreases. Looking at that waveform, it must be suspected of hypomagnesemia. The standard is like a panda eating bamboo." Su Yun said, picking up the ion test report, "but you see, blood magnesium is normal."

"Pandas are carnivores..." Lin Yuan whispered.

"I don't know yet?" Su Yun stared at her and said, "well, how do you explain."

The following words are already talking to Zheng Ren.

"Serum magnesium is normal, and it is still not possible to determine whether there is a lack of magnesium ions. Because serum magnesium is greatly affected by the changes of pH, protein and other factors, a single ion detection can not explain any problem." Zheng Rendao.

Su Yun shrugged. "Your statement is a little hard to put together."

"Look at the eye patients and say that some hypokalemia will also have existing symptoms."

"If you don't talk nonsense, you can die." Su yundao, "to diagnose hypokalemia, identifying U wave is the key. The general rule is that with the gradual aggravation of hypokalemia, T wave decreases, U wave increases, and the leads of U wave increase. U wave is equal to or higher than that of the same lead. T wave is humped, T-U fusion cannot be distinguished and ST segment moves down."

Zheng Ren doesn't argue with Su Yun. He has too little information on hand. The current debate belongs to a situation in which no one can convince anyone.

Soon, Dr. Liang brought his mother. Zheng Ren saw the medium red system panel and the diagnosis was very clear - hypomagnesemia.

"Aunt, what's wrong with you?" Zheng Ren smiled and began to ask about the medical history.

Although there was a diagnosis given by big pig hoof, Zheng Ren still asked from the beginning. There were no details. Lin Yuan felt a little wordy.

The only positive history reported by the patient was paroxysmal foot spasm, nothing else.

After Zheng Ren asked, he said to Dr. Liang, "Liangzi, you take your aunt to do a magnesium load test."

Dr. Liang was stunned and asked, "boss Zheng, do you consider hypomagnesemia?"

"Well, the spasm of the wrists and feet, the changes of the ECG, the slight tremor in your mother's eyes during speaking, the slight hyperactivity of the reflex during physical examination, and the neuromuscular tremor. These are considered hypomagnesemia. Although the serum ion test is normal, this disease can not be ruled out."

"OK." Dr. Liang took his old lady for an examination.

"Boss, it looks like it now." After checking the body, Su Yun didn't object. He thought, "but how did you come?"

Zheng Ren is also thinking about this problem.

Lin Yuan didn't keep up with boss Zheng and Su Yun's thinking rhythm. In her opinion, only a slightly abnormal ECG, together with physical examination and medical history inquiry, gave a clear diagnosis - hypomagnesemia, which is magical enough.

As for how to get it... I'd better figure out how to diagnose it first.

"First, consider the loss of too much digestive tract." Su Yun, holding a mobile phone in his hand, chatted with people while focusing on two purposes. "Because magnesium is absorbed in the small intestine and part of the colon, severe diarrhea, fat diarrhea, malabsorption, intestinal fistula, and after subtotal small bowel resection can lead to hypomagnesemia."

"Well, I just asked. I haven't had surgery. Normal people shouldn't have magnesium ion absorption disorder, which can be ruled out." Zheng Ren sat in a chair, his eyes narrowed, and he was thinking about Dr. Liang's mother's condition.

"Second, too much kidney loss. Chronic pyelonephritis, renal tubular acidosis, polyuria of acute renal failure, or long-term application of loop diuretics, thiazides and osmotic diuresis cause renal magnesium loss and hypomagnesemia."

"I just asked, but I didn't." Zheng Rendao, "don't think about kidney problems."

"The loss is basically considered, and then there is the possibility of insufficient supplement and intake." Su Yun said, "I think this is the most important."

"But just now I asked, Dr. Liang didn't find any problem with the diet at home. A while ago, I read a report that vegetarians are prone to hypomagnesemia. The old lady shouldn't eat meat."

"What about drinking water?"

"Generally, there will be no problem." Zheng Ren shook his head. "Trace elements are minerals that account for 0.01% of the body weight of the regional human body, mainly including iron, zinc, copper, manganese, selenium, iodine, fluorine, cobalt and magnesium. These elements cannot be synthesized by the human body and must be obtained from food."

"The human body can only absorb trace elements in the organic state, but can hardly absorb trace elements in the inorganic state. Most trace elements in water are in the inorganic state, and the content is very small."

"It has nothing to do with drinking water. People generally get trace elements from plants and animals."

"Boss, have you read this book? Healthy water written by Dr. Martin Fox of the United States." Su Yun pulled the topic away again.

Zheng Ren shook his head.

"The book says that the standard of healthy water is to have a certain amount of hardness, the ideal value is about 170mg / L, and a certain amount of total dissolved solids..."

"Without saying this, how did hypomagnesemia come from? This disease is rare." Zheng Ren pulled the topic back and continued to ask.

"There must be a medical history. I didn't ask clearly. Boss, your clinical level is very poor. XIAOLINZI, send you to ask. You should understand." Su Yun smiled.

Lin Yuan didn't move and didn't talk much.

The medical history asked by boss Zheng just now is very complete. I don't know what to add.

And ask the medical history again? The patient with patent foramen ovale with migraine last time is still vivid. Lin Yuan doesn't want to experience it again.