1818 Lead poisoning!
"Please be quiet." Zheng Ren knocked on the table again, "We cannot identify the patient's congenital porphyria and lead poisoning at the above two points. So, let's take a look at the next one."
"Long-term contact with lead can lead to increased blood pressure, toxic myocarditis and myocardial damage, etc. Lead can increase oxygen free radicals in the body and produce lipid peroxidation damage, including cardiomyocyte membranes and myocardial microsomal membranes.
It can also affect the cation transport enzymes of the myocardial microsome membrane, causing the a2 ions in the aorta and other blood vessel cells to overload, and the a2 accumulation in the cardiomyocytes, causing abnormal membrane ion transport and leading to cardiomyocyte dysfunction."
"I don't know the patient's family history, and there are no relevant literature reports on what the heart function will become when a patient with congenital porphyria is at a certain age. However, the changes in the patient's heart function have nothing to do with congenital porphyria, and it looks very similar to lead poisoning."
This is what Zheng Ren wants to do.
Lead poisoning is related to porphyrin metabolism. It can lead to anemia, and its mechanism of occurrence is closely related to hemoglobin synthesis disorders and hemolysis.
Acute lead poisoning is easy to distinguish, but the differential diagnosis between chronic lead poisoning and porphyria is not very difficult.
Only laboratory examinations can clearly distinguish the differences between the two.
The patient did not undergo a laboratory test for lead poisoning, and Zheng Ren just wanted to lay a thorn inside the Bruch family.
right!
Just a thorn.
It may be useless, but it may also cause mutual suspicion among members of the family.
Anyway, there is no cost, and all he consumes is his "reputation" in the Bruch family. Faced with the previous threats, intimidation, arrogance and arrogance of Womer, Zheng Ren does not feel that he has any reputation in the Bruch family.
This is Zheng Ren's counterattack.
In order to counterattack this time, Zheng Ren even drank a bottle of energy potion without hesitation.
At this time, his mind was particularly clear, his thinking was almost flat, and he thought of countless things in an instant.
From the stomach to the kidneys, to the heart, brain, and nervous system, Zheng Ren carefully analyzed every suspicious point.
The most professional term, the most meticulous analysis, and the most in-depth differential diagnosis.
Gradually, all the doctors in the field were silent.
How did the condition that seemed natural before change decisively and fundamentally under the judgment of this young doctor?
At first I thought it was ridiculous, but after listening to it for ten minutes, no one spoke except Dr. Rudy who was still anxious to return to London.
Su Yun stared at Zheng Ren with wide eyes.
Did this guy think so from the beginning?
Zheng Ren was so confident that the slight hesitation at the beginning also disappeared, and all that was left was confidence.
When talking, every sentence pointed out in public and secretly about lead poisoning, and it was by no means congenital porphyria and the strangely documented disease that at least ten people present.
Although Zheng Ren is talking nonsense, everything is said to be decent in the face of his powerful theoretical knowledge.
...
In the huge bedroom, Lao Luo lies half on the bed.
He stared at the image on the projection screen.
It is so clear that every expression and action of Zheng Ren in the screen projection is so firm and inciting.
The charm value given by the big pig's hooves to Zheng Ren is maximized at this moment.
incite……
From the initial disdain, to the later doubts, to the moment, the defense in Lao Luoche's heart has been broken.
Although his reaction was much slower than before, he was still agile compared to ordinary people.
"He was the young man who made an exception to become a tenured professor at Massachusetts General Hospital some time ago?" asked Old Roche.
The young man beside him replied respectfully: "Yes, sir."
"Dr. Olson is for him to meet the king three times?" Old Roche murmured, "What this young man said is very inflammatory, and I almost believed it."
"..." The young man next to Lao Luo was silent.
It seems that nothing has to do with him. Just take good care of Lao Luoche, and this is the only thing he has to do.
"Let's go and see him." Old Roche said.
"Your body..."
"It's okay." Old Roche smiled, "I still have the strength to sit in a wheelchair."
The young man was silent and prepared a wheelchair, laying a layer of soft fur cushions on it, and then cutting Lao Luo with a black dress with a cap, then carrying him to the wheelchair.
"Sendy, what do you think of this young man?" asked Old Roche.
"Young, but very professional. But I don't know why he is targeting lead poisoning. Your food has been strictly scrutinized and there is no possibility of lead poisoning at all." Sendy pushed Old Roche and said lightly.
"Guess if my appearance will scare this young man?"
"Sir, it's OK." Sendy smiled, "Your majestic figure is enough to crush everything. No one can tell a lie under your pressure."
Old Luoche smiled, and he tried to block the black cap tighter. His hands were trembling like deformed animal claws, and it was difficult to do a simple move.
"Sir, I'll help you." Sendi stopped immediately.
"No." Old Roche smiled gently. The scars and blisters on his face were twisted. Instead of making him kind, his smile became more ferocious and terrifying.
"Sir, you don't have to see that little doctor." Sendi said: "He may know that he won the Nobel Prize this year and is taking revenge in a crazy way."
"He is a smart young man, and every word he says is just doing differential diagnosis. But this thorn remains in his heart, and the struggle and friction within the family will become more and more intense." Old Luoche said slowly: "It seems that he just came to the castle, and he doesn't know what kind of person I am, so he should teach him a lesson."
"I'll go."
"I am still alive, which is very important. Not only should this young doctor know, but all the guys who are ready to move know." Old Roche finally completely covered his face with a black cap to prevent a trace of sunlight from shining in.
Under the dark shadow, his eyes emitted a strange light.
Sendi no longer dissuaded him, but quietly pushed Lao Luo to the elevator and came to the room where Zheng Ren was analyzing his condition.
The doctors whispered to each other, and even Rudy was silent at this moment.
He didn't believe it was lead poisoning, but he couldn't refute every word Zheng Ren, who was standing on the stage and doing differential diagnosis like a speech.
Chapter completed!