Zheng Ren ignored Luan Yingjie and took the movie in his hand directly.

The thin one is a film of upper digestive tract contrast.

This kind of examination was called barium permeability in the upper digestive tract many years ago. Because barium is difficult to drink and is viscous, the examination is not very effective. Later, liquid pan-shading gluamine was used as the contrast agent.

The effect...it's just that, not many diseases can be determined. But at some point, this kind of examination is still effective.

For example, now, Su Yun believes that achalasia can be diagnosed with a preliminary diagnosis if upper gastrointestinal tract angiography sees "bird beak sign" in the cardia segment.

Zheng Ren pulled out the thin film and looked at the light.

The esophagus is very smooth and there is no image of the bird's beak sign at all. The overall esophagus does not have achalasia, nor does it have diverticula, etc., which may lead to coma after eating.

Zheng Ren and Su Yun were both silent.

What disease is this? I feel dizzy when I eat, and the disease is still progressing. Now I become a coma when I eat.

I went to the hospital for examination and couldn't find anything.

It's really strange.

Is it really a mental illness? That is, a relatively serious hysteria?

Zheng Ren doesn't want to diagnose this way. He must be very cautious in the diagnosis of any mental illness, just like the diagnosis of a tumor.

Su Yun took out Petct's films and looked them out one by one.

Without tumors, the old man Luan family is in good health... It's a mess.

When Luan Yingjie saw Zheng Ren and Su Yun watching the movie, he didn't speak for a long time and smiled bitterly. Maybe they didn't know what the disease was, so it was no wonder, after all, they were too young.

Young means steady hands, fast reaction speed, and good eyesight.

These are all non-sufficient and necessary conditions for a surgeon.

But being young also means that there are few patients who have seen it and not have rich experience. Experience needs to be cultivated with time.

Some geniuses, such as Su Yun... forget what to think about this. Boss Zheng, who was rumored to be magical in Pengcheng, is nothing more than that.

But what should I do if my old man is going to be sent to a mental hospital for treatment, Luan Yingjie suddenly became worried.

"Boss, what do you think?" Su Yun asked Zheng Ren when Luan Yingjie was thinking about it.

"Eating, dizziness may be a transient insulin secretion problem. However, no problems were seen in the abdomen, and no insulinoma were seen in Petct," said Zheng Ren, "but it cannot be ruled out for the time being."

"Peoplegia islet β-cell tumor or β-cell hyperplasia causes excessive insulin secretion, which leads to hypoglycemia, which is a bit like dizziness." Su Yun said, "As the disease progresses, it becomes more and more serious, and now there is a coma."

"It's just a guess," Zheng Ren said. "Insulinoma often has typical whipple triad symptoms, namely: symptoms of hypoglycemia, coma and mental and neurological symptoms, and is prone to attack on an empty stomach or after work."

"It only meets 1-2 points. It's a bit difficult to say that it's insulinoma, and the image is not displayed. Have you reconstructed it? I reconstructed it, but I didn't see it." Su Yun murmured as if he was muttering to himself, and said in a low voice as if he was watching the film.

Zheng Ren suddenly turned a blind eye and looked at Luan Yingjie.

With a honest expression and sharp eyes, Luan Yingjie was stunned for a moment, and immediately smiled and said, "Boss Zheng, what are your instructions?"

"Do you have insulin at home?" Zheng Ren suddenly asked.

"Insulin?" Luan Yingjie was stunned.

"Fraudulent hypoglycemia?" Su Yun asked, "Is it necessary?"

"The elderly want their children to go home to accompany them, so what can't be done? Sometimes the elderly with paranoid personality disorder are likely to do such things." Zheng Ren said.

"Boss Zheng, this..." Luan Yingjie was a little dissatisfied.

"Old Luan, don't tell me." Su Yun smiled and said, "Two days ago... Song Ying, do you know each other?"

"Xiao Song, of course I know him. He is doing big business and is much better than me." Luan Yingjie didn't know why he talked about Song Ying.

"The brother of Song Ying, the one named Chu Huainan has a problem, so he must ask the boss for surgery."

Luan Yingjie's heart moved, Chu Huainan and Song Ying, these are people whom he cannot reach. Could it be that this is real for Boss Zheng?

But his guess sounds unreliable.

Although I don’t want to, a mental illness is better than guessing so much. What fraudulent hypoglycemia sounds particularly unreliable...

"I went to see the patient. There was an old man next to the special ward. He said that he was unpleasant, saying his son or something. Later, someone was interested in tidying up his words. After checking, the problem was found."

"..." Luan Yingjie was surprised. Is there such a father who cheated on his son?

Su Yun said it simply, something, there are countless guesses in the four words. It is normal for people who do business to wander in the gray area.

But it is usually cheated by business partners, and some are cheated by mistresses. It is rare to be cheated by their own father.

"Oh? There's something else? What happened later?" Zheng Ren asked.

"The old man was discharged from the hospital later. I guess he is in a poor state now." Su Yun said: "These things are hard to explain. It is said that many big people are involved. Speaking of which, fraudulent hypoglycemia may exist. Lao Luan, you say something."

"Uh... insulin, I haven't seen it before." Luan Yingjie quickly recalled it, denied it immediately, and then said: "I'll ask the nanny and turn it around."

This attitude is very positive, and Zheng Ren is quite satisfied.

Fraudulent hypoglycemia and insulinoma are just possible, but the possibility is not high, and Zheng Ren himself cannot convince himself.

But when you encounter such a strange case, it is absolutely right to give it a try.

On the table, Lin Ge saw the two of them watching the movies attentively, and smiled and said, "Boss Zheng is not idle for dinner."

"Director Lin, they are just like that." Chang Yue said: "Many times they eat and treat the doctor."

"How can I say it the same as the emergency department?" Lao He sighed a little emotion.

Zheng Ren didn't notice anything they were saying. At this time, he was quickly searching for the cases in his memory, diagnoses, and differential diagnosis according to the patient's condition.

The first feeling is that this fainting is closely related to gastrointestinal diseases, including hiatal hernia, esophageal stenosis, achalasia and esophageal cancer.

However, imaging data denies all the above possibilities and no longer needs to think about it.

Then there is the heart problem.

Atrioventricular block is the most common electrophysiological problem, followed by sinoatrial dysfunction, including sinus bradycardia, sinus arrest and cardiac arrest.

However, the patient's electrocardiogram, echocardiography, and coronary ct negated these diagnoses.

Like Su Yun just complained, he is 72 years old, and his echocardiac heartbeat doesn’t even have a small amount of tricuspid valve reflux. The old man’s health is really good.
Chapter completed!