Chapter 1755： Fraudulent hypoglycemia?

Zheng Ren did not care about Ying Yingjie and took the film in his hand directly.

The thin one is the upper gastrointestinal angiography film.

This kind of examination called the digestive tract thoroughly many years ago, because the tincture was difficult to drink, and it was thick and thick, and the effect of the examination was not so good. Later, the liquid diatrizoate was used as a contrast agent.

The effect... It’s just that, there are not many diseases that can be judged. But at some point, this kind of inspection still works.

For example, now, Su Yun thinks that achalasia can be diagnosed if the upper gastrointestinal angiography sees the "bird's beak" in the Tuen Mun section.

Zheng Ren took out the thin film and looked at the light.

Very smooth esophagus, no image of the bird's mouth. There is no achalasia in the overall esophagus, and there are no diverticulum and other conditions that may lead to coma when eating.

Zheng Ren and Su Yun are silent.

What is this disease? Dizziness when eating, and the disease is still going on, and now it becomes a coma after eating.

Going to the hospital for examination, I can't find anything.

It’s a weird thing.

Is it true that it is a mental illness? Is it a serious snoring?

Zheng Ren does not want to be diagnosed like this. Any diagnosis of mental illness should be done with caution and the diagnosis of the tumor.

Su Yun took out the PETCT film and it looked like a quick one.

Without a tumor, the good health of the old man is a mess.

Yan Yingjie saw Zheng Ren and Su Yun watching the film, and he did not speak for a while, and he smiled in his heart. Maybe they don't know what the disease is, it's no wonder, after all, it's too young.

Young, meaning steady, means quick response, which means good eyes.

These are all necessary and sufficient conditions for a surgeon.

But young also means fewer patients and less experience. Experience is to use time to grind.

Some geniuses, such as Su Yun... I thought about doing this. The boss of Zheng, who is passed down in Pengcheng, is nothing more than that.

But what about my father? I will never go to a mental hospital to see a doctor, and Ying Yingjie suddenly began to suffer.

"Boss, what do you think?" Su Yun asked Zheng Ren when he was thinking about it.

"Diet, dizziness, may be a problem of transient insulin secretion. But abdominal CT did not see any problems, PETCT did not see insulinoma." Zheng Rendao, "but for the time being can not be ruled out."

"Isletia beta cell tumor or beta cell proliferation causes excessive insulin secretion, which in turn causes hypoglycemia. It is a bit like dizziness." Su Yundao, "As the disease progresses, it becomes more and more serious, and now there will be a coma. ”

"It's just a guess." Zheng Rendao, "Insulinomas often have typical Whipple triad manifestations, namely: hypoglycemia symptoms, coma and mental symptoms, and are prone to episodes after fasting or after work."

"Only only 1-2 points, said that the insulinoma is somewhat reluctant, and the image is not shown. Have you rebuilt? I rebuilt it and didn't see it." Su Yun muttered to himself, watching the film whisper To.

Zheng Ren suddenly made a note and looked at Ying Yingjie.

With a thick expression and sharp eyes, Ying Yingjie stunned and immediately lost his smile. "Zheng boss, what do you have to order?"

"Do you have insulin in your family?" Zheng Ren suddenly asked.

"Insulin?"

“Deceptive hypoglycemia?” Su Yun asked. “But is it necessary?”

“The elderly want their children to go home with them, what can't be done? Sometimes elderly people with paranoid personality disorder are likely to do this.” Zheng Rendao.

"Zheng boss, this..." Yan Yingjie is somewhat dissatisfied.

"Daddy, you really don't say it." Su Yun smiled and said: "The first two days... Song Camp, do you know?"

"Small Song, of course I know. People's business is bigger, it is much stronger than me." Ying Yingjie did not know why he talked about Song Ying.

"The brother of Song Ying, who has a problem with Chu Huainan, is not looking for a boss to do surgery."

In the heart of Ying Yingjie’s heart, Chu Huainan and Song Ying are all people who can’t climb themselves. Can it be said that this is true for Zheng Boss?

But his guess, it sounds unreliable.

Although I don't want to, I think that a mental illness argument is better than this. What is fraudulently low blood sugar, which sounds particularly unreliable...

"I went to see the patient. There was an old man next door to the ward. I didn't listen to it and said what his son was. Then I was sorted out by someone who was careful. According to a check, I really found out the problem."

"..." Yan Yingjie was surprised, is there such a son's jealousy?

Su Yun said simple, what, there are countless guesses in the four words. It is also normal for traders to walk in the gray area.

But they are generally pits by business partners, but also by small three pits. It’s really rare to be **** by myself.

"Oh? Is there something else? Later?" Zheng Ren asked.

"The old man was discharged from the hospital. It is estimated that he will not be able to stumble now." Su Yundao: "These things are not clear. It is said that many big people are coming out. In other words, fraudulent hypoglycemia is possible, old man, you Say something."

"Oh... insulin, I haven't seen it." Yan Yingjie quickly recalled immediately denied, and then said: "I asked the nanny, turn the house over."

This attitude is very correct, Zheng Ren is more satisfied.

Fraudulent hypoglycemia, insulinoma, these are only possible, but the possibility is not high, Zheng Ren himself can not convince himself.

But when you encounter such a strange case, it is always true that you try it.

On the table, Linger saw the concentration of the two people watching the film, smiled and said: "Zheng boss is not idle for dinner."

"Director Lin, they are like this." Chang Yue said: "Most of the time is to eat and see a doctor."

"How to say the same as the emergency department." Laohe felt a little emotional.

What they were saying, Zheng Ren did not notice at all, at this time he was searching for the case, diagnosis and differential diagnosis in memory according to the patient's condition.

The first feeling is that this syncope is closely related to gastrointestinal diseases, including hiatal hernia, esophageal stricture, achalasia and esophageal cancer.

However, the imaging data negates all the above possibilities, and it is no longer necessary to think about it.

Then there is the problem of the heart.

Atrioventricular block is the most common electrophysiological problem, followed by sinus node dysfunction, including sinus bradycardia, sinus arrest, and cardiac arrest.

However, the patient's electrocardiogram, echocardiography, and coronary CT have negated these diagnoses.

Like Su Yun just complained, they are all 72 years old. There is no echo of a small tricuspid valve in the echocardiogram. The old man’s body is really good.

Where is the problem?