When Chen Cang returned to the ward, the patient stopped sucking. It seemed that the convulsion was paroxysmal.

Meng Xi took the medical record handed in Chen Cang and opened the test form and the image result report.

Then he bent down and said to the patient: "I'll do a checkup for you. You lie flat and straighten your hips and knees."

Meng Xi held the upper part of his ankle in his left hand, took a pen in his exit pocket, and quickly and gently scratched the outer side of his blunt-pointed sole from behind to forward to the base of his little finger, and then turned to the side of his big toe.

The patient was seen dorsiflexing his toes and the other four toes were separated in a fan shape.

Chen Cang was stunned. Babinski's disease was positive?!

Meng Xi's mouth raised slightly. Although it had not been confirmed yet, she had already thoughts in her mind.

The patient seemed a little nervous: "Doctor...what is wrong with me? Why did my hands and feet start to twitch when they are done well?"

Meng Xi comforted her and said, "It's okay, don't worry, I'll wait for Dr. Ge to bring the test form."

Meng Xi can actually draw a conclusion now, but to be on the safe side, she still has to wait for the test form to come out.

A group of graduate students walked into the ward wearing white clothes, holding laptops, and looking cowards, wanting to see what heart disease can cause convulsions?

After coming in, they stood in a row next to the wall and gave up the aisles on both sides of the bed. After all, they knew that if the patient had any problems, they would not be able to help themselves. The C-sided sides of the bed and the aisles were prepared for the boss.

They just watch the big guy show quietly on the side!

Soon, Ge Huai trotted in with a long list of test sheets, and before he could even tear it apart.

"Director Meng, look, this is a test form."

Meng Xi took the test form, flipped it over again, and relaxed, and it was true.

Meng Xi asked Ge Huai: "What medicine have you used these two days?"

Ge Huai was slightly stunned: "The main thing we use now is digitalis preparations and diuretics to prevent heart failure."

After hearing this, Meng Xi frowned and turned around and asked, "How do you consider the treatment plan after the patient is admitted to the ward?"

The room was accompanied by Meng Xi's question, and the atmosphere suddenly became serious!

Ge Huai was speechless when asked by Meng Xi: "The patient's electrocardiogram showed that the st-delay was prolonged, the T wave was low and flat, and the echocardiogram could clearly see the ventricular cavity enlargement, the ventricular septal thickened, the pulse decreased, and the mitral valve was incomplete, and the pericardial effusion was obvious. So I was considering heart treatment. After all, the test results had not yet come out."

Before Ge Huai could explain, Meng Xi said directly: "Now the result is out, you can see, what is your consideration?"

Ge Huai's face turned red, and he had already seen clearly on the way to come. How could he not understand: "This should be low calcium, combined with magnesium in the bottom, which caused the excitatory contraction of myocardial fibers in the Europa League, and low calcium affects the electrophysiological characteristics of cardiac myocardial cells, and induced arrhythmia."

"Patients with chronic hypocalcemia should be the main cause of limb sensation abnormalities, muscle spasms, and even hand and foot twitches."

The graduate students around him suddenly realized.

I see!

Meng Xi did not make any comments and turned to Chen Cang: "How much should blood calcium be normal? What's the specific use?"

Chen Cang was stunned, you forced me to show off again...

My physiological and biochemical index master Mr. Fang Yonglin, this is my only perfect skill!

Chen Cang blurted out without any pause: "Normal adult blood calcium is 2. Blood calcium has important functions in the human body. First, it is an important component of human bones and teeth. Secondly, it is to maintain normal functions of nerves, muscles, and myocardium, and finally participate in blood clotting."

Meng Xi immediately looked sideways, looking at Chen Cang with a calm face, a little surprised.

The graduate students around him looked incredible. Did this boss rehearse in advance?

It must be!

From today's handover, you have been pretending three times.

It's only three things... Is it a bit too much for you to do this?

You seem to be stupid like our graduate students...

You have definitely memorized the information, or you have rehearsed in advance, today's cliff is an acting.

The students were in tears. Is it not our feelings if you show off like this?

How much can you remember in normal blood calcium? We are still on the back of blood, are you starting to back-ion?

Memorizing indicators is one of the essential basic qualities for clinical medical students, and you should know some common test papers well in the emergency department.

Meng Xi handed the test form to Chen Cang: "Then look at what information can be obtained through the test form."

Chen Cang took the test form and read it casually, and immediately frowned slightly!

This may not be a simple heart disease.

Chen Cang looked up slightly: "Teacher Meng, this may be a parasitol heart disease!"

When Meng Xi heard this sentence, she couldn't help but pause.

The group of students around him looked at each other and exchanged their eyes quickly!

"What is this?"

"Don't look at me, how can I know this thing?"

"I know the parathyroid glands, and I know the heart disease, why do I don't recognize it when I get together?"

"What are you looking at? I can do it just by looking at me?"

After watching for a long time, everyone reached a final consensus!

This guy has to pretend to be a big comparison!

It's a bigger circle than the first three!

Are several of our graduate students really going to be hit by a small undergraduate student's dimensional upgrade???

Thinking of this, everyone felt lonely and cold in the sand...

When Ge Huai heard what Chen Cang said, he suddenly recalled this term!

An extremely rare disease!

First hesitated for a while, then quickly took the test form, looked carefully, pondered for a moment, and recalled all the patient's symptoms. The more I looked, the more I became clearer, and the more I looked, the more I became frightened!

Finally, I suddenly realized it!

yes!

Why didn't I expect it?

This kid is so awesome!

Chen Cang was a little stunned. He found that no one paid attention to him. Chen Cang thought he was missing the audience?

Shouldn't you have some doubts?

I am so pretentious, I have to give me a slap in the face.

After waiting for a few seconds, Chen Cang couldn't help feeling a little disappointed when he found that no one was talking.

This time I pretended to be 5 points... failed!

However, Chen Cang still thinks that he should finish his sentence: "The patient may suffer from idiopathic hypoparathyroidism. This disease is rare, but it is mostly sporadic and related to immunity. Through the experimental indicators, it can be clearly seen that although the proportion of lymphocytes in the patient is normal, this proportion is very similar to that of patients with idiopathic parathyroid lymphocytes."

"The patient's blood calcium is only 1.9, the blood phosphorus has increased to 1.59, and the serum immunoactive parathyroid hormone is basically not measured."

"The patient's pth reduction can affect myocardial contraction. As Teacher Ge said, hypocalcification and hypomagnesium affect the contraction of myocardial fibers, so I guess it is parathoracic heart disease."

"When the calcium is low, sodium ions are excreted less, and water and sodium retention can increase the load on the heart, and the patient's new functions are incomplete, so... in this way, there is no problem with Teacher Ge's treatment."

"But if you are supplemented with some calcium supplements, such as oral vitamin D3, or rogae calcitriol gel pills, the effect may be better, and even heart failure may be relieved!"

After Chen Cang finished these words in one breath, he couldn't help but sigh. It would be meaningless if he didn't have a slap in the face...

Chen Cang just finished speaking!

The applause came from outside the door.

"Okay! OK! OK!"

Xia Gaofeng walked in from outside with excitement, with joy and joy in his eyes. He is really an amazing talent, and he is really a sweat-blooded BMW that can be picked in a million!

To be honest, Xia Gaofeng hasn't met such a spiritual and capable student in a long time.

This is not an exaggeration at all.

First of all, he has strong hands-on ability and good suture skills. Now, the analysis of diseases, especially physiological and biochemical test indicators, can be said to be extremely detailed.

These abilities, combined analysis, can fully see a person's clinical thinking and surgical talent!

Thinking of this, Xia Gaofeng looked at Chen Cang with satisfaction: "Good! The analysis made sense!"

When he reached Xia Gaofeng's realm, many diseases were clearly visible and too many of them were seen. The rare disease of hypoparathyroidism was not very rare for him.

But it may indeed be very rare for Ge Huai.

What are the fears of disease?

Just afraid of comprehensiveness!

Once a group of diseases are piled up together, it is difficult to prepare to identify the patient's real disease.

However, Chen Cang was able to analyze cardiac hypoparathyroidism in cardiac surgery test sheets.

It's really rare!

Why……
Chapter completed!