Chapter 1767： Missing small details

The perfect classroom, ushered in a failed case study.

The stone that should have appeared in the patient's ureter does not exist at all, although all symptoms point to it should be in a certain position.

Yu is also somewhat lost. In his heart, Zheng Boss is synonymous with omnipotence.

But Zheng boss rarely spoke, just thinking about it, until the end of Su Yun's helpless end of the case study.

In the total and Changyue back to the 912 headquarters, Su Yun shut down the machine, sighed, said: "Boss, what do you want?"

"I was thinking about all the diseases that might cause kidney cramps in patients." Zheng Ren sat in his seat, just as there was a sun shining on his face.

"Useless." Su Yundao, "I recommend to contact the Department of Rheumatology and Immunology to prepare for consultation."

"You really can't understand and find rheumatism immunity?" Zheng Ren's voice is not loud, his brain is divided into two parts, 10 is used to talk about anything. In addition, 90 quickly searched for memories of cases that they had encountered and seen.

"What should I do?" Su Yundao: "Systemic lupus erythematosus, this symptom may occur, we can't diagnose it."

"Is the check done?"

"When I go back, I will go down." Su Yundao, "It is a big project to do inspections and eliminate immune system diseases."

"I think about it again." Zheng Rendao, "Do you see what is different about him?"

“Well?” Su Yun glanced at Zheng Ren and asked: “The boss, I’m looking for it, are you using it for my eyes?”

Zheng Ren smiled and didn't speak.

He has no idea at all, but he can't do it. He will go to see the patient and use the system diagnosis of the big pig's hoof to refer to it.

Without frustration, Zheng Ren does not think that it must be far from the big pig's hooves. The facts are facts and cannot be changed.

Besides, there is a good way to solve the patient's illness. Why should I be obsessed with my diagnosis or the diagnosis of the big pig's hoof?

I have studied hard and can't make a correct diagnosis. It only shows that I am still weak. Just the object of comparison is the system, and Zheng Ren does not feel embarrassed.

After thinking about it, Zheng Ren took a lazy look and smiled: "The new vr device is really good."

"A variety of configurations will continue to be sent from all over the world. Chu Nuangsai is counted." Su Yundao, "I hope he will live longer and healthier."

"What disease do you think the patient is?" Zheng Ren did not answer the words, said Chu Nuangsai, but pulled back to the patient in front of him.

"I don't know. When I checked the body, he was very painful and his body was sweaty. It is said that the kidney colic is attacked every 3 minutes, and it is more and more frequent. It is almost forced position." Su Yundao.

“Is there a plate belly?”

"The six packs are very well maintained, and they are inherently hard." Su Yundao, "The 40-year-old has no small belly and is rare."

"Do you suggest that you always check for peritonitis?" Although Zheng Ren looked at the abdominal ct, he determined that the patient did not have peritonitis, but this time it was still said.

He talked while thinking, the patient's symptoms were a bit strange, but he seemed to have caught some clues.

"I asked, this is the case when I was hospitalized. At first, they were highly suspicious of peritonitis. Later, after doing auxiliary examinations such as ct and b super, they were sure that they were in good health." Su Yundao.

This kind of good body, muscles, and hard people have been seen by Zheng Ren.

He can think of the situation when Su Yun checked the body. The patient curled up in the hospital bed like a shrimp, sweating all over the body, and the muscles only stretched and forced the body position.

Kidney colic, it hurts to be awkward.

In the northeast, it is usually more than three or four o'clock in the spring and autumn. Sometimes the emergency department receives three or five patients within a few hours, all of whom are licking their stomachs.

In the doctor's office just now, Zheng Ren saw the application of sputum drugs.

But the effect is not very obvious, after all, there is no stone at all, nor is it a simple ureteral smooth muscle spasm.

Hey... simple ureteral smooth muscle spasm?

“Does the patient feel sick and vomiting?” Zheng Ren felt that he seemed to find something critical.

“No.” Su Yun shook his head and said: “Don’t waste your boss, smooth muscle spasm causes cramps. This kind of colic is accompanied by pale, cold sweat, nausea, vomiting, and severe pulsation. Suddenly, blood pressure drops and other symptoms." Su Yundao, "I deliberately waited for a few minutes. In the case of a large attack of renal colic, the patient had only pale, cold and sweaty symptoms, and nothing else."

"Weird." Zheng Ren felt that Su Yun did not say all, and he had no match with a thought that had just drifted through his mind.

what exactly is it?

Zheng Ren hates this feeling.

It is clearly in front of me, but I can’t remember it.

It must be the details. He looked out of the window and began to recall every sentence and every detail of the consultation from the beginning, looking for the point he had forgotten.

"Go and have a look at the patient." Zheng Ren thought for two minutes, still couldn't touch the thought of the silk, and could only sigh and say.

Obviously just in front of you, you can't catch it.

"I thought you could understand Su Yun looked at Zheng Ren and said: "I thought you should check the sedimentation rate or the patient is a primary kidney cancer, and the tumor tissue just grows. Near the nervous system, causing..."

"No, immune system diseases cause pain, and there are few symptoms of colic. The primary kidney cancer, which erodes the nerves, is rare, but it is also possible. I thought about this and made 64 rows of 3D reconstruction." Zheng Rendao "Not what you said."

"A parathyroid gland dysfunction? It can also cause hematuria." Su Yun asked.

"We have to consider two symptoms of hematuria and renal colic, not a single one." Zheng Rendao, "I can't think of anything other than kidney stones..."

Said, he was stunned.

Su Yun saw Zheng Renyi’s look at himself and sighed. “I have flowers on my face?”

Zheng Ren did not speak, but his eyebrows wrinkled slightly.

“Stupid?” Su Yundao, “It’s just looking for a rheumatism immune consultation. You don’t have to be so strong.”

"No, don't talk first." Zheng Rendao, "I seem to think of something."

Su Yun curiously looked at Zheng Ren, this product can link kidney colic with hematuria, and rule out that it is caused by stones?

Not too possible.

Soon, Zheng Ren asked: "You just said that he plays badminton? Is it a national sports athlete?"

"Well, what?" Su Yun said with a smile: "Want to exercise? Or do you want to go to the night with the little Iraqi people at night?"

"No, I think I know what the patient is." Zheng Rendao: "Go and see the patient, let the general check the nuclear magnetic."

"What nuclear magnetic?" Su Yun asked curiously.

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