Chapter 2943

"President Zhou, the patient was sent to rheumatism for immunization." Zheng Ren said.

"Why don't I see cricoid cartilage... It seems to dissolve?" Zhou Litao asked in surprise.

"As a rare disease, the etiology and pathogenesis of recurrent polychondritis are still unclear. It has been reported that it belongs to autoimmune disease and has a certain genetic tendency. The specific pathogenesis is still under further study."

Zheng Ren explained, "the manifestation of this disease in the lung is mainly seen when the disease is accompanied by tracheal cartilage inflammation. Pathological examination shows the dissolution of tracheal cartilage, swelling of tracheal mucosa and granulation hyperplasia. The tracheal lumen can be narrowed to obstruction."

"But..." Zhou Litao paused for a moment. He still had questions, but how could he say what boss Zheng said? He swallowed it directly.

"Oh, I guess it's a slow dissolution, and the body gradually gets used to it. In case of an accident, it secretes a lot of hormones, and the trachea itself will spasm. It happened to catch up today, so it broke out directly." Zheng Ren said, "this explanation is a bit coincidental, so I insist on taking a look with a fiberoptic bronchoscope."

Zhou Litao thought it was logical. He immediately nodded, "boss Zheng, what do you want to check after admission?"

"It's good to send you to hospital. Our hospital has strong rheumatism immunity. Just write a clear diagnosis on the hospitalization list. Don't write it wrong for recurrent polychondritis. By the way, it's in the ICD code for the diagnosis of this disease."

"Yes, I know, boss Zheng." Zhou Litao smiled and immediately went to open the hospitalization form.

Su Yun hesitated, but he didn't stay. Instead, he and Zheng Ren went to the operating room to change clothes.

I seem... Wrong again. Zheng Ren started self-examination on the way. It seemed that there was no auscultation just now. For a long time, he suggested Zhou Litao to do tracheoscopy. This is not rigorous, and today, when things were urgent in the branch, I also bought a blade in the system space for emergency rescue.

Don't be seen by Su Yun. Zheng Ren is a little anxious.

"Boss, what do you think this is?" Su Yun complained on the road. His mood was obviously wrong.

"Oh, you can know without auscultation." Zheng Ren said.

The things they said were obviously different. Su Yun frowned and asked, "what's your hysteria?"

"Ah? Didn't you say I diagnosed without auscultation?" Zheng Ren was also stunned.

But he immediately realized that he was thinking that he didn't auscultate just now, so he made a judgment according to the diagnosis of big pig hoof. And Su Yun said that Qiao Liyan's lover made an appointment with others, and even made an appointment with her own girl. This kind of messy shit.

"Don't be depressed, it's okay." Zheng Ren said with a smile, "such a thing is a probability problem. When it happens, no one can help it."

"I think sister Qiao doesn't speak. She's a little worried." Su Yun sighed and said, "she didn't say a word except you asked about her illness. If she didn't even fight and make trouble, it would be great if she didn't say a word."

"Well, what can I do?" Zheng Ren sighed.

But this kind of thing is obviously not something you can or should solve. You can only sigh.

"Boss, what did you mean just now?" Su Yun also knew that he could only sigh at most, so he directly changed the topic.

"There is a problem with the cricoid cartilage of the trachea. Generally, there will be cough, expectoration, asthma, acoustic tear and dyspnea, which are aggravated progressively and often misdiagnosed as chronic bronchitis." Zheng Rendao, "it can also be combined with pneumonia, repeated respiratory tract infection and asthma. It induces severe cough, which is characterized by sudden and deep metal sound like dry cough or intermittent cough, which is often mistaken for asthma."

"When I listen to the patient's asthma voice, my first feeling is that there is a problem with cricoid cartilage, so..."

"I'll go!" Su Yun quit this time.

As the future star of imperial cardiothoracic surgery, it doesn't matter if he loses to Zheng Ren in other fields. After all, it's a "sideline". But he was determined not to give in to his heart.

Deep metal sound like dry cough or intermittent cough... This can be judged, and can also be used as a basis for scheduled diagnosis?

After a long time in the dry chest department, Su Yun subconsciously judges whether there is sputum when he hears people cough, whether the sputum is located in the upper or lower respiratory tract, and even whether the bronchospasm is light or heavy.

But what Zheng Ren said is really hurting his self-esteem.

"Er..." Zheng Ren also realized this and immediately explained, "mainly because I met a patient with recurrent polychondritis, so I was impressed."

"How can you encounter so many rare diseases as a doctor in Haicheng?" Su Yun didn't believe it and directly questioned, "the disease was placed in Haicheng. It was diagnosed and treated 100% according to bronchitis combined with asthma. Tell me, who was the doctor at that time?"

"...." Zheng Ren was speechless and could deny it in every way, but it was so boring that he might as well lie flat without saying a word.

"And what are you doing with a blade?" Su Yun asked.

"Feel ah, always touch the blade with your hand in your pocket to feel the texture and toughness of the metal. I think it will be helpful for the operation." Zheng Ren's serious nonsense completely forgot about aseptic packaging. "Anyway, it's OK at ordinary times. His hands are idle. It's better to feel it."

Su Yun still had countless questions, and Zheng Ren's mobile phone rang at this time.

[they said write a love song soon...]

Zheng Ren took out his mobile phone and Yang Yang, indicating that he had a phone. He saw that it was an Iraqi call, and his face was immediately filled with a sweet smile.

"Boss, you are so skilled at licking the dog's smile." Su Yun sprayed it right away.

Zheng Ren smiled and didn't care about Su Yun's provocation.

"Yi Ren, what's the matter?"

"Oh?"

"Oh."

"Oh!"

"I'll be right there."

Three Oh, three different tones, Su Yun's disdainful smile is heavier.

Seeing Zheng Ren hang up, he immediately asked, "what's the matter?"

"One of Yiren's classmates put up some trouble and asked me for advice." Zheng Rendao.

"What trouble can a nurse have? Just follow the doctor's advice. All the accidents are the doctor's. is it the wrong drip? I'll go. Is it the wrong blood transfusion?"

These two things mentioned by Su Yun are the occasional mistakes made by nurses. It is a little more common to hang up the wrong bit. There are several similar events every year. The second thing is too serious. Su Yun is also secretly warning Zheng Ren not to promise things that should not be promised.

"I know. Iraqis are waiting for me in the underground garage. Will you go and have a look?"

"Go and have a look, not even a patient."

"Shi huairu's face is all right? Don't you have to tutor the children?" Zheng Ren asked.

"..." Su Yun has a black line.