Chapter 2074 The More the Rule, the More Serious (Part 2)

"By the way, urinary tract irritation and bladder contracture are the most common in tuberculosis patients, and there are also low-grade fever and ascites. How do you judge urinary tuberculosis?" Su Yun asked.

"Yeah." Zheng Ren nodded, "Based on what you said, everyone should judge that it's not urinary tuberculosis."

"Relevant examinations have been done, and it is not urinary tuberculosis." Su Yundao, "The patient has multi-system involvement, and it is necessary to consider whether he has an autoimmune disease, but only a low titer of ANA is positive, a small amount of urine protein, and a slight decrease in complement. Lots of evidence."

"What about the kidney biopsy?" Zheng Ren asked with a frown.

"It is said that the patient's family members refused. A medical history of nausea and vomiting, resulting in teratoma, they are already inconceivable. As for the kidney, they probably can't understand it." Su Yun smiled wryly.

"and after?"

"In the last consultation with the whole hospital, the multidisciplinary ward round considered that although it did not meet the diagnostic criteria for systemic lupus erythematosus, Gu believed that the patient was a young woman with multi-system involvement and was still inclined to systemic lupus erythematosus. He... insisted." After Su Yun finished speaking, he sighed slightly.

The ability to overcome all opinions and explain his own diagnosis, this kind of person is capable, Zheng Ren approves.

The people Su Yun made friends with at the general level of hospitalization, not to mention their character, were all good. In the foreseeable future, everyone will become professors and lead groups one by one. This Professor Gu is one of them.

"However, after the patient finished taking the medicine, he developed palpitations on the first day, with a heart rate of 120 beats per minute, and the third heart sound gallop could be heard at the apex of the heart."

Gallop rhythm is a kind of extra heart sound in the diastolic period. It is combined with the first heart sound and the second heart sound to form a rhythm similar to that of a galloping horse, so it is called galloping rhythm.

When the heart muscle is severely damaged, gallop rhythm occurs.

When Zheng Ren heard Su Yun say this in a heavy tone, his mood also dropped.

Excess doses or even normal doses of cyclophosphamide may damage the myocardium or kidneys. If gallop occurs after taking the drug, it is cyclophosphamide's fault.

Facts have proved that Professor Gu's insistence is wrong.

This is the shortcoming of diagnostic treatment, or uncontrollability, especially the side effects that often occur when rheumatology and immunology departments perform diagnostic treatment.

Zheng Ren had undergone several diagnostic treatments, all of which were successful in the end.

It wasn't because the diagnosis and treatment were reasonable, but because there was a big pig's hoof, Zheng Ren relied on the system panel to reverse the calculation, and gained a bit of confidence.

However, the diagnostic treatment used by Professor Gu not only did not make a clear diagnosis, but also caused severe drug reactions, which led to myocardial damage.

When Su Yun said this, the situation has become clear.

The patient had abdominal pain and diarrhea for unknown reasons, so he came to 912 for treatment, thinking that it might be caused by teratoma.

But after the surgery, it was found that the disease was not cured, but worse. In the consultation of the whole hospital, everyone was at a loss. After using the treatment plan of the Rheumatology and Immunology Department, the heart failure had already begun...

This is a typical case of getting worse.

While talking, the two came to the gynecology department. The patient is still being treated in the gynecology department, but if the correct diagnosis and treatment method cannot be found, the patient may go to the ICU soon.

"Professor Gu is very courageous." Zheng Ren finally said affirmatively.

"Boldness is one aspect, mainly due to high level." Su Yundao, "Why don't I say that I must have a friend in the rheumatology and immunology department in the hospital. I used to ask him to solve the problem of my rheumatology and immune system. "

"Why haven't I heard you mention it?" Zheng Ren felt that the name was unfamiliar to him.

"Isn't it because you are here? There is a patient, and I know the diagnosis after thinking about it, so I haven't looked for him. I didn't expect that something happened to this guy today."

After passing the doctor's office, I saw the door was tightly closed, and knew that this was a consultation in the whole hospital.

Zheng Ren said, "Do you know which ward the patient is in?"

Su Yun looked at Zheng Ren with a surprised, idiot-like look.

Where did I ask wrong?

Zheng Ren had been thinking about the patient's condition. If systemic lupus erythematosus was a wrong diagnosis, what could it be?

In fact, Zheng Ren himself also considered systemic lupus erythematosus.

Su Yun sighed, "Boss, isn't your mouth under your nose, do you dare to ask?"

"..."

"Hold on."

Su Yun breathed a sigh of relief, his black hair was fluttering on his forehead, and he despised Zheng Ren together.

He went straight to the nurse's station, and then Zheng Ren vaguely heard a few laughs.

This stuff is really flirtatious.

Zheng Ren said with emotion in his heart, it seems that it is a very good choice to go to strange places in the future, whether it is taking Su Yun or Chang Yue with him.

At least you don't have to ask for directions.

Soon, Su Yun came back, "The innermost high room, but the temper of the patient's family members is not very good, it is now in the brewing period, and it is almost about to explode. Do you... want to go in together?"

Su Yun said that the gestation period and the outbreak period are the accumulation of emotions when the patient is hospitalized and cannot be cured for a long time.

In other words, the emotions of the patient's family members are about to collapse.

This is now, if the Dahuangya gang were active a few years ago, their "high-quality customers" would have been targeted long ago.

If you push hard on the group of doctors who understand the weaknesses of the hospital and the weaknesses of human nature, maybe you don't need to push hard. Gently tease, this is a fire that started a prairie fire.

When the two came to the door of the ward, Su Yun knocked on the door, then opened the door and went in.

Zheng Ren followed behind him. Anyway, this guy is good-looking. If he is a female patient, he is probably a female escort.

As long as it is a woman, there is nothing wrong with throwing Su Yun in front.

After entering the ward, Zheng Ren didn't listen to how Su Yun communicated with the patient's family, but seized the time to observe the patient's system panel.

The patient was young, pale and thin, with sunken cheeks.

The system panel is red, and there are many and detailed diagnoses.

Zheng Ren quickly checked all the diagnoses, and threw the unimportant ones aside. He was looking for the most important diagnosis that caused the patient's illness to protract.

Soon, Zheng Ren saw what he wanted to see.

Systemic lupus erythematosus!

Professor Gu's diagnosis is correct!

But the question came immediately, why did the correct diagnosis and standard medication finally lead to myocardial damage and type I respiratory failure?

This is a bit unbelievable.

Zheng Ren looked at the system panel, frowning in thought.

He only knew the details of the patient's condition, but Zheng Ren checked, simulated, and reconstructed them one by one according to the diagnosis on the system panel.

Soon, he had further thoughts about the patient's condition.

This is not the first time that Zheng Ren reversed the patient's condition based on the diagnosis of Big Pig's Trotter, but it was a more complicated one.

Thinking of the end, Zheng Ren was a little thankful and emotional.

That Professor Gu is indeed a young talent. Even though he is a few years older than Su Yun, he can stick to his own opinion and diagnose the patient's disease as systemic lupus erythematosus. He is really not an ordinary person.