The hospital's computer is connected to the entire hospital, and the clinicians who are receiving treatment can see the imaging report completed by the patient on the computer as soon as possible. After just finishing Liu Xue's affairs, Qi Jing had not had time to take a look at the computer. Now that he heard Ji Qing say this, he quickly turned to Liu Zhanjun's imaging examination menu.

The old man had obvious liquid flat films on his abdomen, which was indeed an intestinal obstruction, but there was a big problem with the head CT. This overturned Qi Jing's previous judgment and was not consistent with the clinical characteristics of porphyria.

"The ventricle is enlarged, the cerebral sulcus is narrowed, and there is edema..." Qi Jing took a rough look at the CT film and found no other lesions, "Encephalitis?"

Ji Qing nodded: "It looks very similar, and the people in the CT room also feel like encephalitis."

"But the body temperature is not high." Qi Jing murmured, then turned to the laboratory examination column.

Laboratory examinations are not as intuitive as imaging examinations and require time, so the report is not fast. However, the routine examination of emergency blood is different from other examinations and is very fast. From the start of blood drawing, as long as there are not many people queuing up in front, the results can be obtained in just a few minutes.

Some of the time required to report to the patient is limited by the speed of printing.

The computer in the emergency room did not have this problem, and Qi Jing immediately got the data he wanted: "It's just a common anemia, and other white blood cells, granulocytes, and lymphocytes are normal... not like infection."

Ji Qing shook his head as he looked at each other and waited for me to report, and his mind was a little confused.

At this time, the two of them looked at the glass bottle containing Liu Zhanjun's urine. Although the sunlight for an hour was not enough to completely convert the porphyrin compound into a red porphyrin compound, it should be a little darker in color.

But in fact, the color of the urine bottle has not changed.

In the next half hour, Liu Zhanjun's inspection reports were continuously transmitted to the computer.

First of all, liver function is abnormal, not only a few important enzymes, including bilirubin, which are all red. Although the increase in the value is not large, it is a foregone conclusion that the liver function is damaged. However, the content of porphyria in urine is not high, but the protoporphyrin in red blood cells is high.

If this were not for trusting the professionalism of the laboratory department of his hospital, Qi Jing would have suspected that there were three examination reports divided into different patients.

Porphyria can affect the amount of important liver enzymes, but it is completely incompatible with bilirubin, so from the perspective of liver function, Liu Zhanjun is just an ordinary liver injury.

However, the protoporphyrin in the patient's red blood cells is high and the value is not low, which means that the porphyrin is accumulating. However, this accumulation does not increase the uropyretic gene, which means that the porphyrin accumulation is not serious.

The first impression these reports gave Qi Jing was two sentences: it was encephalitis, not encephalitis, and it was porphyria, not porphyria.

Generally, patients with difficulty in diagnosis will experience symptoms that are inconsistent with the examination results, but Liu Zhanjun not only has the separation of symptom examinations, but also the examinations are contradictory.

Ji Qing looked at the chaotic report results and could only extract some key points that he could see immediately: "Qi Jing, elevated hemoplatin and low urinary pyretic origin, is it a manifestation of anemia?"

"You mean iron deficiency anemia?" Qi Jing asked.

“Yes, this happens with iron deficiency anemia.”

Qi Jing shook his head and looked back and forth at the patient who went to the hospital and thought: "I have considered it, but the patient has orthocellular anemia, which can only be seen in early iron deficiency anemia. But his orthocellular anemia has existed for several years, which is very abnormal."

"It's so messy!" Ji Qing scratched his hair, his thoughts were lost in the pile of reports.

"What's so messy?"

At this time, Wang Ting walked in from outside the door and saw two students looking at the computer screen, their eyebrows furrowed together, and asked, "Why, are you here to trouble the patient?"

"yes."

Ji Qing completely retelled Liu Zhanjun's situation. After hearing this, Wang Ting felt that his mind had been pounded into a paste: "What a mess? Porphyria is rare in China. It's still so late. The possibility is too low. I don't think it's like it."

"Teacher Wang, are you going to check cerebrospinal fluid next?" Ji Qing asked.

"It's time to rule out encephalitis." Wang Ting looked at the CT film, "I have a little cerebral edema, so I first apply some mannitol to dehydrate."

Just as they were discussing, Qi Jing started to play with a text message on his mobile phone. Liu Xue on the other side had already gotten off the bus and entered Qingyun Community. Hu Dongsheng followed Qi Jing's intentions to Liu Xue's residence without realizing it.

Since it is an old residential building with six floors, there is no elevator. Liu Xue could only climb upstairs step by step and enter the house.

Hu Dongsheng stayed at the gate and didn't dare to go in.

Although the last time I went to Beijing, I solved it well, but the first time I entered the police station, I had a big impact on him. A strange man followed the pregnant woman upstairs and finally stopped in the corridor and waited foolishly. Anyone with a discerning eye could see that there was a problem. Besides, he was still a bald man, so he naturally had to lose his impression points, so he was not a good person at first glance.

Hu Dongsheng's reasons are very good.

If it was another pregnant woman, Qi Jing was still calm, but Liu Xue was in good health. If she really wanted to send the medical record back, she should have gone downstairs now.

"Qi Jing, what are you looking at?" Wang Ting glanced at him at this time and asked, "Stop looking at it for now, tell me what I think."

"Ah? Oh, thought..." Qi Jing raised his head, turned off his phone, and said with a smile, "I originally wanted to see if the laboratory test results are in compliance with porphyria. If it is met, do a biopsy of the skin disease to see if there are any specific changes in porphyria skin lesions."

Speaking of this, he couldn't help but sigh: "But the data on hematuria porphyrin is reversed now, so there is nothing to check. Let's treat it first."

Wang Ting was a little surprised: "I didn't expect you to be so conservative today."

"It's better to wait until the old man's medical record is obtained before guessing." Qi Jing shook the phone in his hand, "After Liu Zhanjun's previous medical record is sent, we will analyze the previous past history carefully. Now, the right treatment is enough."

"Do you think these symptoms are syndromes from the same chronic disease?"

"It's very likely." Qi Jing said, "Every symptom has been treated, but every symptom is developing progressively, indicating that the overall condition is gradually aggravating."

After hearing this, Ji Qing immediately opened the medical record book on the desktop. Although he had only retained two years of medical history, he could still see the development trajectory.

The rash is aggravating, from ordinary sporadic solar dermatitis to some skin lesions. The symptoms of the digestive tract are also aggravating, from the original abdominal pain to the current intestinal obstruction. Anemia seems to have been maintained, but it can be seen from a series of measures to correct anemia without any results, that anemia is also aggravating.

The condition seemed to be developing, and there were many clues in front of him, but all three of them could only watch and could not grasp the original thread at all.

At this time, Qi Jing's cell phone ringed, and Hu Dongsheng was the one who called. He didn't think much about it, and quickly answered the phone and asked, "Hey, have you got the thing?"

"Doctor Qi, you don't have to do this."

What came from the earpiece was not Hu Dongsheng but Liu Xue's voice. The voice was very light and there was a clear gasp, "I can definitely send the medical record to the hospital."

"If your body allows you, you should go downstairs ten minutes ago and meet him downstairs." Qi Jing took her stance and asked, "Do you feel uncomfortable now?"

Liu Xue shook her head: "It's just a little tired, nothing else."

"So rest at home with peace of mind." Qi Jing smiled, "Let him do the physical work of sending medical records for him."

Because of her own health, Liu Xue's stubborn temper finally softened and handed over the two medical records to Hu Dongsheng. After giving the items, she didn't forget to make a joke: "Fortunately, your colleague brought his work permit, otherwise he would call the police if he saw him."

Qi Jing smiled awkwardly: "I'll call you when we have an answer."

"All right."

With the sound of closing the door, Hu Dongsheng hurried down the stairs. The call between him and Qi Jing did not end: "Brother Qi, should I just flip through the medical record and report to you now, or should I just take it back and read it slowly?"

"No rush for this."

Since the things are in hand, the priority of the medical record has dropped a lot: "Did you just entered her house?"

"Just standing at the door, she didn't let me in." Hu Dongsheng knew that Qi Jing had a backup plan when he heard this. He quickly stopped going downstairs and stopped halfway, "Brother Qi, do you mean?"

"Do you think there is anything different in her family from others?"

"Different?" Hu Dongsheng frowned, "What I can see is the living room, just a very ordinary living room, and there is no difference between the tables and chairs."

"Don't always use your eyes." Qi Jing reminded, "It's not something you can see when you put your ears and noses."

"Ears...and nose..."

Hu Dongsheng reacted slightly: "Oh, when she opened the door, she heard a dog barking, and the sound was quite loud. But the dog didn't rush out, so it should have been locked in the cage in the inner room. If you want to talk about the smell, there is indeed a faint smell of Chinese medicine in the room."

"Traditional Chinese medicine?" Qi Jing skipped the dog directly and focused his focus on the word "Traditional Chinese medicine". "See if he has prescribed Chinese medicine in his medical record?"

"traditional Chinese medicine......"

Hu Dongsheng sweated a few times and quickly read the medical record he got from beginning to end: "Brother Qi, I have removed some Chinese patent medicines, but I didn't find any Chinese medicine. But once when he went to see a skin disease, a doctor specifically mentioned Chinese medicine."

"Then what? What did you write specifically?" Qi Jing had a judgment in his mind, and waited for Hu Dongsheng to say the Chinese medicine to verify this judgment.

"I didn't write anything specific, so I just asked him to find a Chinese medicine doctor to prescribe traditional Chinese medicine for conditioning."

"There is no medical record for traditional Chinese medicine in the medical record?" Qi Jing asked.

"No."

Qi Jing has an answer in his mind, but there is no specific medication in the medical record. Now if you want evidence to prove your answer, you can only ask Hu Dongsheng to go back again to see what medications the other party is stocking up at home.

"You go knock on her door again."

"Going?"

"Yes, go and have a look again, and you must see what Chinese medicine they have stored at home."

Hu Dongsheng knew Qi Jing's intention and did not dare to neglect it. He quickly ran back three steps and two steps.

"Dongdongdongdongdong~"

"Dongdongdongdongdong~ Liu Xue is me, Dr. Hu, open the door!"

"Dongdongdongdongdong~"

After knocking on the door several times in a row, Liu Xue ran to open the door: "Why are you back?"

"There is another thing I want to trouble you." Hu Dongsheng felt a little embarrassed and turned his phone into the external mode. "Senior Qi said that your grandfather's illness may be related to your Chinese medicine, so I want to go in and take a look."

"What a joke!" Liu Xue held her stomach and said, "Why should my home let you in?"

"No need to enter the door, just take out the Chinese medicine." At this time, Qi Jing said from the phone, "I want to check if it is a symptom of poisoning caused by excessive Chinese medicine."

"Poisoned? No."

Liu Xue couldn't believe her ears and explained: "I took all the Chinese medicine at home, and it was left behind when I was conditioning my body before. My grandfather never moved it."

"You?" Qi Jing frowned and asked quickly, "What medicine is it?"

"Astragalus, Cuscuta, hawthorn, wolfberry and so on, are these poisonous? I have been drinking intermittently for half a year, and it is really poisonous..." Liu Xue said halfway, and suddenly her stomach tightened, "Oh, hiss~ Why does my stomach suddenly hurt?"

A woman who is about to die for a woman who is about to die for a sudden stomachache and may have contractions. Contractions mean that the child has matured and is ready to come out of the uterus.

"Is it hurt a lot?" Qi Jing quickly focused on Liu Xue.
To be continued...