1980 Non-existent diagnosis (monthly ticket 60000120)
"Little brat, don't talk too much." Su Yun said, "You don't know much."
"Then what diagnosis did you have?" Lin Yuan ignored Su Yun's provocation and asked directly.
"Not yet, aren't you watching?"
While talking, the two of them slid their mouse and looked at the video data as Zheng Ren slides.
After reading the whole article, Zheng Ren had no particularly good ideas.
He hesitated for a moment, adjusted the film to his chest, and watched carefully with his chin on his face.
"Boss, do you suspect constrictive pericarditis?" Su Yun asked.
"There is some narrowing. I guess if you do echocardiac energy to find problems. But pericarditis is no longer mentioned. There is no armor-like hardening change here." Zheng Ren said with his fingers pointing at the computer screen.
Constrictive pericarditis refers to the condition in which the heart is surrounded by dense and thick fibrosis or depleted pericardial, which limits the filling of the ventricular diastolic period and causes a series of circulatory disorders.
"Constrictive pericarditis mainly involves symptoms such as shortness of breath, palpitations, chest tightness, abdominal distension, and lower limb edema. There are indeed some signs in imaging, but the patient has no similar complaints and will not consider it." Lin Yuan said on the side.
Mr. Yu sighed a little. He thought slowly that he could still think of various symptoms of constrictive pericarditis, but he was definitely not as quick as the girl next to Boss Zheng.
She seemed to say it without thinking at all, and perhaps she had already ruled out this diagnosis in her heart.
The basics are simply too solid.
"That's not necessarily." Su Yun was stunned when he watched the movie. He was not quarreling with Lin Yuan, but talking to Zheng Ren.
"Well, there is a problem here, go and see the patient!" Zheng Renhuo stood up.
"Boss Zheng, what are you thinking about?" Mr. Yu asked hurriedly.
"There is nothing to consider, go and see the patient." Zheng Ren said.
Mr. Yu was also a little surprised.
In his heart, Boss Zheng is already synonymous with everything. After watching the movie, shouldn’t Boss Zheng explain his condition clearly in just one, two, three, four, and five?
However, Boss Zheng said that he would go see the patient, so he would go and take a look.
Turn off the computer, Mr. Yu took Zheng Ren and his party to the special ward.
"How is the son of Taoist Wang?" Zheng Ren remembered this when he came to the special ward.
"It's already cured." Su Yun said, "After the surgery, it was a bit painful after the operation, but it was not as regular as once every few minutes."
Zheng Ren nodded. Since it was okay, he didn't have to go see it.
What happened later was discussed by Master Yan and Taoist Wang, and it had nothing to do with him.
When he arrived at a ward, Mr. Yu knocked on the door and went in.
An old man in his seventies stood at the window and was looking into the distance.
Seeing Mr. Yu come in, he smiled and said, "Mr. Yu, you have come to see me, thank you for your hard work."
"It should be, Mr. Chang." Mr. Yu said politely.
"These are..." the patient looked at Zheng Ren in the lead and asked with a smile.
Zheng Ren didn't listen to how Mr. Yu introduced himself, and looked at the patient's system panel in a daze.
The system panel is slightly red, but most of the diagnoses are geriatric diseases, and there is no disease related to hematuria at all.
He did not doubt the big pig's hoof, and his first thought was Mr. Yu's judgment - the old man was pretending to be sick.
At the same time, the movie of the chest ct appeared clearly in front of me. Zheng Ren had his own guesses about the causes and consequences.
"Hello, Boss Zheng." The patient stretched out his hand and said with a smile.
Zheng Ren was still stunned, his brain was running at high speed. Even if he was pretending to be sick, the test form was real, and he could be pretended to be vivid. This is the ability!
Seeing that Zheng Ren was not talking, Su Yun knew that he was distracted again and kicked Zheng Ren's calf with his toes behind him.
"Hello." Zheng Ren also reacted quickly and reached out to hold the patient's hand.
"Sit down." The patient said with a smile, "I'm old and sick. I'm sorry to ask you to come and see me."
"It's okay." Zheng Ren walked behind the patient, came to the small living room outside, sat down and started chatting.
After saying a few gossips, Zheng Ren couldn't wait to ask: "Old man, is your hematuria the first time you have it, or have you ever had it before?"
"It's been there before." The patient said with a smile: "If you get angry, you will get angry. Isn't this old age? The time you get sick is getting longer and longer."
“How long does it take to get better?”
"It usually takes three or two days to get better. This time, including the time I was at home, it will take about half a month. Boss Zheng, right? I'm fine, please worry." The patient seemed unwilling to talk about the condition. He started to vaguely chase people.
"Old man, I just ask casually." Zheng Ren sat very steadily, without any intention of moving. "Have you ever been panicked and short of breath recently?"
"No, I have a good heart. When I was young, I worked hard for my career and didn't pay much attention. I had some stomach problems. But after fifty, I had a small foundation, so I started to pay attention to maintenance. The last time I checked the coronary CT was a month ago, and there was no blockage."
Zheng Ren glanced at the patient thoughtfully.
"Things are all small things, please worry about them."
"Old man, don't be busy for now. I have a few more questions." Zheng Ren said with a smile.
The old man frowned.
Seeing this, the nanny immediately came over and bowed gently and said, "Mr. Chang is tired, please leave first, everyone."
Zheng Ren was not unhappy at all. He stood up and said with a smile: "Old sir, then I will say goodbye first, you have a good rest."
The patient stood up and sent Zheng Ren and others out.
Walking out of the special needs ward, Su Yun smiled, "It's so obvious that he pretends to be sick. Mr. Yu, his eyesight has increased."
Mr. Yu scratched his head and sighed, "I've guessed that why the patient pretends to be sick and how he pretends to be sick, I have no idea about these."
Zheng Ren knew that he came to see if the patient was pretending to be sick and confirmed his guess.
The speculation about pretending to be sick involves very complicated things, and without conclusive evidence, it is absolutely impossible to say it out loud.
"Tell Director Liu, ask for consultations in the whole hospital." Zheng Ren said immediately.
"Ah?" Mr. Yu was stunned for a moment.
Lin Yuan was also stunned. She was still considering the patient's condition. Only Su Yun said with a smile: "Remember to find your heart and ask a professor who is willing to undergo surgery to consult."
“…”
Mr. Yu was speechless.
"Well, the consultation opinion was diagnosed as intermittent constrictive pericarditis, and surgical treatment was recommended." Zheng Ren said affirmatively.
"Intermittent constrictive pericarditis?" Lin Yuan asked in surprise.
"Yes." Zheng Ren nodded.
"Boss Zheng, is there such a diagnosis?" Lin Yuan thought about it and couldn't figure it out.
Chapter completed!