Chapter 2379

I... fuck!

"You see, I'll say it's underexposure. If the conditions are not enough, some lesions with small changes caused by interstitial pneumonia can't be seen." Sister Zhao smiled and made a film and uploaded it.

Director he stood in the back and looked at the mosaic changes in the density of dense and diffuse patchy ground glass on the image data. The whole person was stunned.

What's going on?!

Interstitial pneumonia? The patient has no previous history and work history. Where can interstitial pneumonia occur! The possibility of interstitial pneumonia is too low for such a young bank staff.

34 years old, age does not support the diagnosis of interstitial pneumonia.

And the progress is too fast. In two or three months, the limbs are weak to a certain extent.

This is impossible!

"Director he, patients should not need to be referred." Sister Zhao looked at the image and began to upload, "it may be allergic pneumonia, a rare situation. It is difficult to determine allergens. It may be necessary to check everything the patient touches."

According to Director Zhao's diagnosis of allergic pneumonia, director he has no opinion. Just remembering to check countless possible allergens, she turned one head into two big ones.

An enhanced CT image completely defeated director he. She left the CT room and walked back slowly.

Director Zhou said that director he had forgotten about asking her to call the Department. Her eyes were full of scattered ground glass images.

Really special! How small the interstitial inflammation is, the resolution of ordinary CT can't be seen at all.

Allergic pneumonia refers to a group of diffuse interstitial granulomatous lung diseases caused by repeated inhalation of various antigenic organic dust and low molecular weight chemicals by susceptible people.

Farmers' lung caused by repeated inhalation of hay containing thermophilic actinomycetes is a major clinical source.

Director he has considered this disease, but what allergens can a bank clerk be exposed to. Are you allergic to money?

If you are allergic to money, can you diagnose poverty? Is someone really poor? Director he knows it's impossible. But at the thought of impossibility, the enhanced CT image appeared in front of us.

Director he walked slowly back to the Department, thinking aimlessly.

How does Zheng always see it? Forget it, no matter how he sees it, it's impossible to find the allergen in the end.

Director he sighed. The "troublesome" patient still couldn't turn away.

Next, you should check for allergens! At the thought of this, director he was even more depressed. She felt that she had begun to have a tendency to depression.

Returning to the ward, director he pushed the door into the doctor's office and saw that the patient's family was also there. She remembered that she had not informed director Zhou about the uploading of image data.

But it doesn't seem to be necessary now.

"Boss Zheng thought it might have something to do with it. Throw it away, or send it to his parents' house or other friends' house. In short, don't let the patient contact again." President Wang said in earnest.

"Really... Really?" The patient's family members were stunned and asked.

Director he doesn't understand what happened.

Listen to what President Wang said. It should be that we have found the allergen. But why so fast? Walk back by yourself, no matter how slow it is, you won't find the allergen.

It takes time to pass the film, not to mention the trivial things of diagnosis and finding the source. Are you really allergic to money and want to throw it away?

"President Wang, what is the patient's allergy?" Director he asked without considering anything else.

"Boss Zheng thought it was down quilt allergy. He just asked the patient's family and said that his family did buy down quilt at off-season discount a while ago." President Wang replied with a smile.

With a clear diagnosis, everything is all right. It is the happiest time for doctors.

"Boss Zheng gave me a treatment plan. You should consider the details. I'm still busy on my side. Let's go first." President Wang handed a piece of A4 paper to director he.

Director he saw that it was written on it - first test the antigen-specific IgG antibody of duck or goose feathers. If it is confirmed, give prednisolone 40 mg orally once a day. It lasts for 1 month, then decreases every 2 weeks and gradually decreases.

There are also some tests to be done, such as bone mineral density, in order to avoid the reduction of bone mineral density and complications caused by long-term stimulation by glucocorticoids.

Another is to combine proton pump inhibitors such as omeprazole to avoid other complications.

These are routine, and it is reasonable to use glucocorticoids to control allergies.

It's just that the judgment of this allergen is too strange

……

……

"Boss, have you seen the asthma or bird allergy of bird lovers?" Su Yun asked.

"No, but it's on the diagnosis. For this relatively complex manifestation of lung allergy, the first thing to consider is the allergy to bird hair." Zheng Ren said with a smile, "President Zhou, I'll go if I'm okay."

Zhou Litao looked at boss Zheng foolishly and thought that if he changed himself and diagnosed a bird allergy, he must have begun to show off long ago.

But you see, boss Zheng smiled and didn't care.

It's like diagnosing an appendicitis. It's not serious at all.

"Don't introduce me, boss Zheng." Zhou Litao hurriedly said, "did the patient just touch the duvet? Is it too coincidental?"

"After exposure to a new duvet or pillow, the time of onset of symptoms may be between three weeks and five years. Over time, dyspnea will worsen, and patients will develop night sweats, dry cough, weight loss and fever." Zheng Ren smiled.

"Have you ever stayed in a fancy hotel?" Su Yun asked.

"Yes."

"Some people live in high-end hotels... I ask you, judging whether the hotel is high-end or not, what will you see at the first sight after entering the door?" Su Yun said, and the topic shifted again.

"..." Zhou Litao was stunned. Didn't he still say that birds are allergic? Why did you say hotel?

He knows what Brother Yun means. There are basically down pillows in high-end hotels. But is the hotel upscale or not, this kind of thing

"Look at the trash can." Su Yun said, "excluding other factors, the first look at the trash can, if there is no set of plastic bags, garbage bags and so on, the grade of this hotel should be good."

"..." Zhou Litao's thinking can't keep up with Su Yun's speed.

"Is it a legendary explanation that luxury means trouble, and the more trouble, the more luxury?" Zheng Ren asked with a smile.

"Of course!" Su yundao.

"Er... Brother Yun, what's the matter with bird allergy?"

"Eh? You haven't forgotten." Su Yun glanced at Zhou Litao and looked surprised. In fact, he was full of contempt.