Chapter 1330： busy body

Liu Xuzhi was very skilled in taking out two medical record clips and handing them to Zheng Ren.

"It's not a pre-operative patient. I saw it yesterday. I will go to see the patient's condition." Zheng Ren smiled slightly. "Look at the medical history of malaria."

"..." Liu Xuzhi stunned.

"Show him, or else this product can't sleep well." Su Yun held his mobile phone in his hand, did not play the game, but was in contact with something. When I heard Zheng Ren’s words, my eyes didn’t lift up, and I said it.

What is his own boss, Su Yun is clear.

"Oh." Liu Xuzhi did not know why, but it should be heard.

"Old Liu." Zheng Ren suddenly said: "Does the patient have red maculopapular rash?"

Uh... Liu Xuzhi’s eyes are wide, as if he saw a ghost.

"Zheng... Zheng boss, how do you know?" Liu Xuzhi stuttered.

"He has a perspective. He used to peek at the little widow in Haicheng and almost didn't get killed." Su Yun added a sentence.

Zheng Ren looked at him helplessly and explained: "Malaria, the special medicine is quinine, not expensive, I believe you use it often."

Liu Xuzhi nodded. Although not a physician, he knows this.

People in the town rarely get malaria. But grassland herders, malaria is a very common epidemic.

"Old Liu, have you seen the instructions of Quining?"

Liu Xuzhi nodded, but then shook his head.

Quinine, also known as Jinji Nashuang Cream, specializes in treating malaria and cannot enter the eyes. These basic knowledge Liu Xuzhi knew, but he immediately thought that Zheng Boss said that it was definitely not a simple thing, so he shook his head.

"Quining, can induce immune system abnormalities, but it is not very common. Generally speaking, the most common is the cinchona reaction." Zheng Rendao: "Malaria, after using quinine, other symptoms, need to upgrade antibiotics, it is very Rare. So I guess it is a complication caused by quinine, then continue to think about it."

"Nodular panniculitis?" Su Yun continued to play with his mobile phone and suddenly spoke.

"Well, consider it possible, you have to look at it. If you have b-super, you can basically determine it." Zheng Ren is embarrassed. "Old Liu, you talk to the doctor of the gastroenterology, see if you can let me Be a b super."

"Boss, asking for people is worthless." Su Yundao: "You sit here steadily, waiting for someone to come to you, how good."

"They are not director Luo... Besides, if they are at 912, Director Luo will not be diagnosed with quinine complicated with nodular panniculitis." Zheng Ren smiled and didn't care.

Treating people and saving lives, in the eyes of Zheng Ren, is just the kind of thing that should be done, and there is no trace of connection between the high and high force.

Liu Xuzhi sweats.

In this case, I don’t know how to pick it up.

Full of confidence? Or... But people have this ability, and they can’t accept it.

Standing in the hallway for a while, listening to a malaria, I judged the possible diseases.

Yes, what is nodular panniculitis?

What does this diagnosis mean? Liu Xuzhi does not know.

He scratched his head and said, "I will ask, it should be."

After that, Liu Xuzhi turned and left, Zheng Ren shouted: "Old Liu, medical records help me find it!"

Liu Xu was busy with the medical record clip, handed it to Zheng Ren, and ran out.

When Liu Xuzhi went out, Su Yun looked up and smiled. "Boss, I think you are particularly tired. I don't stop there. It doesn't matter to us. It's just a matter of going straight to surgery. If you do this, will you? I don’t know if the local doctor hates it."

"I saw it, I can't see it. They didn't have a clear diagnosis. By the way, it's not a big deal. If you see it, don't say it, and finally delay the diagnosis and treatment. I don't want to go." Zheng Ren is also helpless. .

"Sister Lin responded, she will arrive soon." Su Yunyang raised the mobile phone.

Zheng Ren concentrated on seeing the medical record, and he gave a voice.

Pasted test sheets are also legendary things.

It is said that in the first hospital of Haicheng City, 15 years ago, when there was no electronic medical record, the laboratory sent a report to the clinical department. Then the doctor will attach a test sheet to the white paper and clip it in the medical record.

This is really retro, Zheng Ren is very careful to read through. I didn't expect this age, there are handwritten medical records, and there are pasted test sheets.

"Nodular panniculitis? What is the diagnosis?" A person's voice came from the door.

Zheng Ren looked up and saw a female doctor in her thirties, wearing glasses, hurriedly walked in.

"You are the old ...... teacher?" She originally wanted to be a little more angry, but looked at Zheng Ren, seeing a young man, some hesitant.

She is afraid that she will admit the wrong person.

"Well, I am a doctor at 912." Zheng Ren is looking at his medical record, and he already has a score in his heart. There is no big difference with your own judgment, just do b super. As for the pathology, it is estimated that it will not wait so long.

"Teacher, is there a basis for your diagnosis?" asked the doctor of the Department of Gastroenterology.

"Blood routine: (9) / l, n% 89%, mg / l, after the treatment of Roche's anti-infective treatment, the diarrhea was relieved, but there was still fever. One day before admission, the limbs were scattered under the skin with red induration, accompanied by tenderness. Infectious fever was admitted to hospital." Zheng Ren looked at the medical record, simply said: "There is a history of illness, a tender red induration, the diagnosis is very obvious."

The small doctor of Xilin Town Hospital has a dew Zheng Ren is helpless. It is a hospital in Haicheng. It is enough to say so much. The medical level here is really average, but there is no good way.

I expect all doctors to be at the same level as the 912 doctors, and that is nonsense.

He smiled and made his attitude as mild as possible. "Nodular panniculitis, also known as idiopathic lobular panniculitis or recurrent febrile non-suppurative panniculitis.

The disease is characterized by repeated subcutaneous nodules in the batch, painful and significant tenderness in the nodules, and fever in most episodes, combined with the second stage histopathology can confirm the diagnosis. ”

"Old Liu, can you do this diagnosis in the pathology department here?" Zheng Ren then looked at Liu Xuzhi and asked.

Liu Xuzhi shook his head in vain.

“I started thinking that it was a serious abdominal infection. The red maculopapular rash was caused by drug allergy. But then I thought about the difference from the allergic maculopapular rash, which negated the idea.” The doctor of the Department of Gastroenterology also talked very self-consciously. .

"The red spotted rash associated with allergies will not be painful."

"What should I do?"

"What medicine?" Zheng Renwen asked.

"Peloxicillin tazobactam, the effect is not good, I am going to go to vancomycin. This is not the recent antibiotic control, advanced antibiotics can not be approved without the principle, is preparing to apply." The doctor of gastroenterology said, " Teacher, what do you think?"