Chapter 1766 Missing Small Details (Monthly Ticket 3500 Plus More × 7)

A perfect demonstration classroom, but a failed case study was ushered in.

The stone that was supposed to be in the patient's ureter was not there at all, although all the symptoms pointed to where it was supposed to be.

President Yu was also a little disappointed. In his heart, Boss Zheng was already synonymous with omnipotence.

But Boss Zheng rarely spoke, he just pondered, until finally Su Yun had no choice but to end the case study.

President Yu and Chang Yue returned to the 912 headquarters, Su Yun turned off the machine, sighed, and said, "Boss, what do you think?"

"I'm thinking about all the diseases that may cause renal colic in patients." Zheng Ren was sitting in the seat, and a ray of sunlight happened to shine on his face.

"It's useless." Su Yun said, "I suggest Mr. Yu contact the Department of Rheumatology and Immunology to prepare for a consultation."

"If you really don't understand, you're looking for rheumatism immunity?" Zheng Ren spoke in a low voice. His brain was divided into two parts, and 10% was used for casual chatting. The other 90% quickly searched their memory for cases they had encountered and seen.

"Then what to do?" Su Yun said: "Systemic lupus erythematosus, there may be such symptoms, we have no way to diagnose."

"Have you checked?"

"Mr. Yu will go down when he goes back." Su Yun said, "It's really a big project to do an examination to rule out diseases of the immune system."

"I'll think about it again." Zheng Ren said, "Do you see anything different about him?"

"Huh?" Su Yun glanced at Zheng Ren and asked, "Boss, look and hear, are you using me as an eye?"

Zheng Ren smiled and said nothing.

He has no idea at all, it really can't be done, he will go to see the patient in a while, and use the system diagnosis of Big Pig's Hoof to refer to it.

Without frustration, Zheng Ren didn't think it was necessary to stay away from the big pig's hoof. Facts are facts, they cannot be changed.

Besides, there is a good way to solve the patient's pain, why do you insist on diagnosing it yourself or the big pig's hoof?

I have studied very hard, and I can't make a correct diagnosis. It can only show that I am still a little weak. It's just that the object of comparison is the system, and Zheng Ren doesn't feel ashamed.

After thinking about it, Zheng Ren stretched his waist and said with a smile, "The new VR equipment is really good."

"Various configurations will continue to be sent from all over the world, and Chu Nuangsai's words are counted." Su Yundao, "I hope he will live a long and healthy life."

"What kind of disease do you think the patient has?" Zheng Ren didn't answer, saying Chu Nuangsai, but pulled it back to the patient in front of him.

"I don't know. During my physical examination, he was in great pain and sweating all over his body. It is said that renal colic attacks every 3 minutes and becomes more and more frequent. It is almost a forced position." Su Yundao.

"Do you have a plate belly?"

"The six-pack abs are well maintained, and they are hard to the touch." Su Yundao, "People in their 40s don't have a small belly, which is rare."

"Have you reminded President Yu to pay attention to the investigation of peritonitis?" Although Zheng Ren looked at the abdominal CT and determined that the patient did not have peritonitis, he still said at this time.

He thought while talking. The patient's symptoms were a bit strange, but he seemed to have caught some clues.

"I asked and said that it was like this when they were hospitalized. At first, they were highly suspicious of peritonitis. Later, they did CT, B-ultrasound and other auxiliary examinations to determine that they were in good health." Su Yundao.

Zheng Ren has seen this kind of person with good health, muscles all over the body, and firmness.

He could think of Su Yun's physical examination. The patient curled up on the hospital bed like a shrimp, sweating profusely, his muscles were only tense, and he forced himself into a position.

Renal colic is really painful.

In the Northeast, it usually occurs at three or four in the morning in the Spring and Autumn. Sometimes the emergency department sees three or five patients in a few hours, all with their stomachs covered.

In the doctor's order just now, Zheng Ren saw the application of antispasmodics.

But the effect is not very obvious, after all, there are no stones at all, and it is not a simple ureteral smooth muscle spasm.

Uh... simple ureteral smooth muscle spasm?

"Does the patient feel nausea and vomiting?" Zheng Ren felt that he had found a key point.

"No." Su Yun shook his head and said, "Don't waste your energy, boss, smooth muscle spasm causes colic. When this type of colic occurs, the patient is accompanied by pale complexion, cold sweats, nausea, and vomiting. In severe cases, a weak pulse occurs. Symptoms such as rapid blood pressure drop." Su Yun said, "I deliberately waited for a few minutes. When the renal colic attacked, the patient only had the pain symptoms of pale complexion and cold sweats, and nothing else."

"Strange." Zheng Ren felt that Su Yun didn't say everything, and it didn't fit in with a thought that floated in his mind just now.

what exactly is it?

Zheng Ren hated this feeling.

It was right in front of me, but I couldn't remember anything.

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

"Take a look at the patient." Zheng Ren thought about it for two minutes, but still couldn't grasp the thought, so he could only say with a sigh.

It's clearly in front of you, but you can't catch it.

"I thought you could figure it out." Su Yun looked at Zheng Ren contemptuously, and said, "I thought you wanted to check the sedimentation rate or that the patient was primary renal cancer, and the tumor tissue happened to grow near the nervous system. lead to……"

"No, immune system diseases cause pain, and there are few symptoms of colic. Primary kidney cancer, eroding nerves, although rare, is also possible. I thought of this and did 64-row 3D reconstruction." Zheng Rendao , "It's not the possibilities you said."

"What about abnormal parathyroid gland function? It can also lead to hematuria." Su Yun asked.

"What we need to consider is the two symptoms of hematuria and renal colic, not a single one." Zheng Rendao, "In addition to kidney stones, I really can't think of..."

Saying that, he was stunned.

Seeing Zheng Ren staring blankly at him, Su Yun took a breath and said, "I have flowers on my face?"

Zheng Ren didn't speak, but his eyebrows were slightly wrinkled.

"Stupid?" Su Yun said, "It's just for rheumatism immunization consultation, you don't need to be so strong."

"No, don't talk for now." Zheng Ren said, "I seem to have thought of something."

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

Not too possible.

Soon, Zheng Ren asked, "You just said he played badminton? Is he a national-level athlete?"

"Well, what?" Su Yun smiled and said, "Want to exercise? Or do you want to go for a night run with Xiao Yiren at night?"

"No, I think I know what's wrong with the patient." Zheng Ren said, "Go see the patient and ask President Yu for an MRI."

"What nuclear magnetism?" Su Yun asked curiously.