v3 Chapter 2943： Dog licking

"General Manager Zhou, the patient is given rheumatoid immunity." Zheng Ren said.

"Why didn't I see the circular cartilage ... seems to be dissolved?" Zhou Litao asked in amazement.

"As a rare disease, the etiology and pathogenesis of relapsing polychondritis is still unclear. It is reported to be an autoimmune disease, and it also has a certain genetic predisposition. The specific pathogenesis is still under further study."

Zheng Ren explained, "The manifestations of this disease in the lungs are mainly seen when the disease is accompanied by tracheal cartilage inflammation. Pathological examination shows the dissolution of tracheal cartilage, tracheal mucosal swelling, and granulation hyperplasia. The tracheal lumen can become narrow to block. "

"But ..." Zhou Litao paused for a moment, but he still had doubts, but questioned how Boss Zheng's words could be said, and he swallowed directly.

"Oh, I guess it's a habit of slowly dissolving, and the body is gradually getting used to it. In the event of an accident, a lot of hormones are secreted, and the trachea itself will spasm. It happened to catch up today, so it broke out directly." Zheng Rendao, "This explanation is a bit coincidental , So insist on looking at it with a fiberoptic mirror. "

Zhou Litao felt logical, and he nodded immediately, "Boss Zheng, what else should I check after admission?"

"Just admitted to the hospital, our hospital is very strong against rheumatism, and the diagnosis on the hospitalization sheet should be clear. Do not write the wrong recurrent polychondritis. By the way, ICD code for this disease diagnosis."

"Yes, I know, Mr. Zheng." Zhou Litao smiled and immediately went to the hospital.

Su Yun hesitated, but still didn't stay, but went to the operating room with Zheng Ren to change clothes.

He seemed to be ... wrong again. Zheng Ren started self-examination on the road. It seems that he did not have auscultation just now. He suggested Zhou Litao do a bronchoscopy. This is very rigorous, and today when the branch office was urgent, I bought a blade in the system space for emergency rescue.

But don't let Su Yun see any flaws, Zheng Ren has a little anxiety.

"Boss, what are you talking about!" Su Yun complained on the road, his mood was obviously a little bit wrong.

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

The things they said were obviously different, and Su Yun frowned and asked, "What's the hysteria?"

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

But he immediately responded that he was thinking that he didn't seem to have auscultation, and made a judgment based on the diagnosis of the big pig's hoof. And Su Yun was talking about Qiao Liyan's lover and appointment, and he actually made an appointment with this messy shit.

"Don't be depressed, it's all right," Zheng Ren laughed. "This kind of thing is a matter of probability. It happens, and no one can help it."

"I don't think Sister Qiao speaks, I'm a little worried." Su Yun sighed and said, "She didn't say a word except you asked about the condition. If it's okay to fight, you'll be fine. It's big. "

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

But this kind of thing is obviously not something that can or should be solved by oneself, only a sigh.

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

"There is a problem with tracheal circular cartilage. Generally, cough, sputum, asthma, sound tearing, and dyspnea occur. It is progressively worsened and is often misdiagnosed as chronic bronchitis." Zheng Rendao, "Can also be combined with pneumonia, repeated respiratory infections and asthma "The severe cough that it induces is characterized by sudden, deep metal-like dry or parous coughs, often mistaken for asthma."

"When I heard the patient's asthma, the first feeling was that there was a problem with ring cartilage, so ..."

"I'm going!" Su Yun quit this time.

As the tomorrow's star of Emperor's Cardiothoracic Surgery, it doesn't matter if he loses to Zheng Ren in other fields, after all, it is a "sideline". But in this respect, he was resolutely reluctant to give in.

Deep metal sounds like dry cough or cough ... can all be judged, but also used as a basis for diagnosis?

After a long time in chest surgery, Su Yun can subconsciously judge whether there is sputum when he hears a cough. The sputum is located in the upper or lower respiratory tract, and even the bronchospasm is light or heavy.

But what Zheng Ren said was simply too hurtful of self-esteem.

"Uh ..." Zheng Ren also realized this and immediately explained, "It was mainly because I had encountered a patient with relapsing polychondritis, so I was impressed."

"How can you, a doctor in Haicheng, come across so many rare diseases?" Su Yun did not believe, and directly questioned, "This disease is located in Haicheng, and is 100% diagnosed and treated according to bronchitis and asthma. You said, then Who made the consultation? "

"..." Zheng Ren was speechless, and all sorts of repudiation could be done, but it was so boring to do so, it was better to just lay down without saying a word.

"Also, why are you carrying a blade with you?" Su Yun asked.

"I feel it. I have been touching the blade with my hand in my pocket. UU reads and feels the texture and toughness of the metal. I think it will be helpful for the operation." Aseptic packaging, "Anyway, it's okay anyway. I also have idle hands, so I might as well use them."

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

[They said to write a love song ...]

Zheng Ren took out his mobile phone and raised it, signaled that he had a phone call, and glanced at it from Yiren, and his face immediately overflowed with a sweet and greasy smile.

"Boss, your smile for licking the dog is so skilled." Su Yun sprayed immediately.

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

"Iren, what's wrong?"

"Oh?"

"Oh."

"Oh!"

"I'll be right there."

Three oh, three different tones, the scornful smile on Su Yun's face was heavier.

When Zheng Ren hung up, he immediately asked, "What happened?"

"One of Yiren's classmates has some trouble. Ask me for advice." Zheng Rendao.

"What trouble can the nurse do? It's not necessary to follow the doctor's advice. It's the doctor's accident. Is there something wrong with it? I'm going. Is there a blood transfusion?

The two things that Su Yun said are the mistakes that nurses make occasionally. It is a little more common to report mistakes, and similar incidents occur several times a year. The second thing was too serious. Su Yun also secretly warned Zheng Ren not to promise something that should not be promised.

"I know, Yiren are waiting for me underground. Would you like to take a look?"

"Go and see, I don't even have a patient."

"Shi Huairu is all right? No need to tutor the child?" Zheng Ren asked.

"..." Su Yun made a black line.