"Hmm?" Su Yun blew a sip of smoke on Mr. Yu's face, "It sounds like something big is happening."

Zheng Ren is also very curious.

"The patient's eldest son is Director Liu's friend and he is now living in the special ward." Mr. Yu said: "So the patient is under my jurisdiction."

This is the rhythm of other professors leading the group. If something happens to Director Miao, he will be replaced with a new director. I guess he will have a private fight.

Director Liu has just come up and his foundation is not solid. If you think about this kind of thing carefully, you can think about it for a day.

However, Zheng Ren was not interested in these things at all. He was concerned about what kind of hematuria would make President Yu worried.

Is hematuria usually caused by stones or tumors.

It is definitely not that simple to make Mr. Yu feel embarrassed. Zheng Ren did not consider some common factors. This matter is probably very complicated, perhaps caused by some rare diseases.

"Tell me about the situation." Su Yun asked.

"The patient has no positive signs. The old man was still taking care of the daily work of a listed company before he was hospitalized."

"Oh? It's quite rich. Listed company, tsk." Su Yun praised.

"If you ask about medical history, please concentrate." Lin Yuan said.

"I'm not attentive? This is part of the past history." Su Yun said contemptuously: "Do you know how many people you have to meet every day when managing a listed company? How much wine should you drink in a month? Do listed companies directly queue up to go public or buy shells to go public?"

“…”

"Don't mess around, listen to Mr. Yu." Zheng Ren felt a little annoyed. Just Su Yun's joke was not enough. Now he has an opponent who is not an opponent, so he talks more.

"The patient complained of hematuria for half a month and was admitted to the hospital. The routine of outpatient urinary examination: occult blood (+++), protein (+++); abdominal ultrasound: large liver, dilated right liver vein, large spleen, and a small amount of abdominal fluid. Urinary tract ultrasound: prostate hyperplasia and stones."

"At that time, considering whether there was nephrotic syndrome or urinary tuberculosis."

"Urgent protein is greater than 3.5g/d; plasma albumin is less than 30g/l, neither of these are the two points." Lin Yuan asked.

"Look at the medical history carefully, don't interrupt." Su Yun said contemptuously.

Zheng Ren felt a little headache.

"Well, there is no, and tuberculosis is also considered negative." President Yu replied carefully. He couldn't figure out the origin of the new long-legged beauty in the medical team.

It is not something that ordinary people can do if they dare to quarrel with Brother Yun.

"Mr. Yu continued, don't worry about them." Zheng Ren pondered.

"Serum tumor markers: normal range; multiple urine cleansing smears look for acid-positive bacillus: negative; chest x-ray: right pleural thickening and calcification; electrocardiogram: sinus rhythm, normal ECG; lower abdomen ct: the entire inferior vena cava and branch expansion, the hepatic vein is branch-local dilation; a small amount of ascites."

"Wait a minute, does the chest x-ray have pleural thickening? Does the patient have a past history?" Zheng Ren stopped Mr. Yu's words.

"No, I asked in detail. I also thought that the chest X-ray was in question, so I did a ct. The chest CT was shown, the pleura was thickened and adhesions were calcified, and the pericardial wall was slightly thickened."

"Look at the movie later." Zheng Ren said.

"What do you doubt?" Su Yun did not quarrel with Lin Yuan, calmed down and asked in thought.

"It's hard to say, hematuria also needs to check whether it is congestive heart failure, but only a small amount of calcification will not lead to heart failure. Moreover, from the general narrative, we can guess that the old man's health is better and there will be no such serious problem as congestive heart failure." Zheng Ren analyzed.

"Well, Boss Zheng is right, the patient is in good health." Mr. Yu said: "Before admission, it is said that he can play table tennis for two hours."

"I'll go..." Su Yun was surprised, "How old is the patient?"

“72.”

It is definitely not congestive heart failure, Zheng Ren concluded.

Heart failure is caused by low ventricular blood pumping or filling function, and the cardiac blood discharge cannot meet the body's metabolism needs, insufficient blood perfusion of tissues and organs, and congestion of pulmonary circulation and or systemic circulation. It is a clinical syndrome in which various heart diseases develop to a severe stage.

Generally, if this happens, the patient is already in the terrible state of illness.

But when I played ping-pong for two hours the day before, I couldn’t take into account congestive heart failure.

"Let's take a look at the movie first." Zheng Ren said.

"I'll look for it." Mr. Yu opened the computer in his duty room and began to look for the patient's films.

Zheng Ren was thinking about the patient's situation in his mind, not a tumor, not a stone, not...what is that?

"Mr. Yu, what do you think?" Su Yun asked.

"I see the old man every day, but when I went to see him yesterday and today, I always felt that he was pretending to be sick." Mr. Yu did not hesitate and directly expressed his truest thoughts.

"Hematuria?" Su Yun and Lin Yuan asked in confusion at the same time.

"It may be hematuria caused by oral medication." Zheng Ren said, "Since Mr. Yu has not considered any disease for the time being, this one should be added."

"As for that?" Lin Yuan asked.

"Have you seen someone who cheated insurance?" Su Yun looked at Lin Yuan with contempt, and saw her confused look. He knew that this was a rookie. He only knew how to analyze the condition and had not evolved to consider human nature.

Mr. Yu turned the film out and gave up the seat.

Zheng Ren was not polite either. He sat on his butt and started rolling the mouse pulley.

Watching the movies one by one frame, thinking little by little, Zheng Ren became more and more confused.

The patient's imaging data is just like Mr. Yu just introduced, and there is not much to see. It is definitely not a tumor, but the liver has a small problem, and the portal pressure is not very high.

It is said that there will be no continuous hematuria.

"Mr. Yu, why do you suspect that the old man is pretending to be sick?" Zheng Ren asked.

"I'm in good health and can't find a reasonable explanation." Mr. Yu said: "Once I went to the rounds and the old man went to the bathroom. I wanted to see how he urinated, so he washed away directly by pressing the water."

"Personal hygiene issues, is there anything good about this?" Lin Yuan asked in confusion: "If you want to see it, just check a routine urine test and you will find out soon."

"Lin Yuan, that's not the case." Zheng Ren said lightly, "What Mr. Yu said makes sense, but Mr. Yu, have you found that the patient has drugs such as aminopyrin, phenytoin sodium, rifampin, phenol red, etc.?"

Mr. Yu shook his head.

"Not right. If it is caused by oral medication, how can there be red blood cells in routine urine?" Lin Yuan asked by seizing a flaw.

"It's enough to just get some blood on your fingertips. It's very simple to measure blood sugar. It's very easy to have red blood cells in your urine." Zheng Ren was still watching the movie, and the light and shadow passed by, so focused.

Lin Yuan was stunned for a moment.

Is it really going to be so complicated? Blood at the fingertips dripped into the urine for routine examination... But if you think about it carefully, it is really possible.
Chapter completed!