Feng Xuhui was startled by Su Yun's words.

Isn’t the diagnosis clear? Although it is not a doctor, Feng Xuhui knew about the adrenal crisis. The disease is very serious and urgent, which is certain. However, the medical level of the Affiliated Hospital of Medical University is high, which cannot be denied. People should be without any danger.

But Brother Yun said it was a big deal!

"It seems reasonable to diagnose, renal venous thrombosis leads to adrenal crisis, and even hematoma caused by bleeding. This is a coincidence. Just like a little boy with metastatic lower right abdominal pain, there is nothing to think about at all."

Feng Xuhui looked at Su Yun blankly, talking about the patient's medical history, symptoms, objective examination, final diagnosis, all of this, etc., he couldn't even insert a word.

"It's good if this kind of thing is fine. Once something happens, it's a big deal."

“What about it?”

"For example, renal venous thrombosis can be said to be caused by oral contraceptive drugs. We have also done this kind of patient, the student from the Medical University, who fell down." Su Yun said with a gesture.

While explaining his condition to Feng Xuhui, Su Yun was sorting out his thoughts.

Feng Xuhui has an impression of this operation. Boss Zheng took out a 12cm large blood clot, and he still remembers it vividly.

"But it was a coincidence. I felt uneasy when I looked at it." Su Yun smiled.

Brother Yun’er’s judgment is too idealistic. Feng Xuhui was a little unbelievable, but he still felt that adrenal crisis alone was enough.

"The patient has repeatedly orthostatic fainting for 7 days and has hyponatremia. The adrenal crisis is diagnosed with clear diagnosis, and hypotension is the main cause of syncope." Su Yun nagged casually, "Well, hyponatremia is what you said, and it is not very obvious. This diagnosis does not count for the time being."

"Adrenal cortical insufficiency leads to adrenal crisis. Common causes of primary adrenal insufficiency include adrenal tuberculosis, fungal infections, solid tumors and autoimmune diseases, etc.."

"I guess the Affiliated Hospital of Medical University will also check one by one."

Su Yun was nagging here, so he stopped talking. It was meaningless to continue talking, just wasting saliva.

All, wait until you see the limited test results before you can talk about it.

Zheng Ren and Professor's surgery were not very fast. Because the professor was about to leave, Zheng Ren was particularly serious and every step in question had to be corrected repeatedly.

After the operation was completed, Zheng Ren walked out of the operating room, and various information on Lin Yuan also came.

Su Yun pulled Lin Yuan into the group, and the moment he entered the group, Chu Yanran's avatar flashed.

A series of welcome words made Lin Yuan feel that this time he asked his old man to do business, which was absolutely worth the money.

Only by joining the group can you be considered your own person.

She seized the time to upload the information, then watched Gu Xiaoran pick up the patient and brushed her hands and had a surgery.

"There are no major problems with blood tests." Su Yun and Zheng Ren said.

"Cotisol is 0.74 μg/dl, actth 356 pg/ml, normal thyroid function; lateral raas show plasma renin activity of 3.29 ng/(ml·h), aldosterone <59 pg/ml; ternary raas show pra 6.37 ng/(ml·h), ald 78.1 pg/ml."

He said that he had a problem, and Zheng Ren just nodded, looking like he was thinking.

In addition, the results of abdominal enhancement CT were the same as those judged by Zheng Ren and Su Yun. The adrenal glands on both sides were diffusely swelling and enlarged, with the sizes on the left and right sides being 3.2 cmx3.4 cm and 2.5 cmx4.9 cm respectively, with clear boundaries and uneven density.

The ct value is 36~65hu, and there is no clear enhancement in the enhancement scan, and there is a high possibility of adrenal hematoma.

The left renal vein is dilated, and irregular low-density foci can be seen in the lumen, with a length of about 2.3 cm; a low-density plaque can also be seen in the right renal vein, with a length of about 0.8 cm, and a high possibility of thrombosis.

"Boss, have you seen the problem?" Su Yun asked after seeing Zheng Ren not speaking.

"There are said in the case that the patient has pigmentation." Zheng Ren said.

The physical examination at the Affiliated Hospital of Medical University was very detailed, describing the supraster fossa, armpits, waist and abdomen, ear and palm lines, skin pigmentation on the dorsal side of the index finger, and pigmentation on the lip and oral mucosa.

Herpes can be seen on the left nose wing. The skin pigmentation of the double mandibular skin can be seen on papules and some surface ruptures.

These are not described by Feng Xuhui.

"I saw it, no consideration of tuberculosis, adrenal fungal infection..."

"I don't think about it." Zheng Ren said affirmatively.

"Adrenal tumors have also been ruled out, and that is possible that they are autoimmune system diseases." Su Yun smiled, "We should look for Dabai."

"No need, the condition... I think about it again." Zheng Ren said.

"What can be ruled out is eliminated, I guess it is antiphospholipid syndrome."

"Well, secondary." Zheng Ren added.

"Are you thinking about treatment?"

Zheng Ren thought for a while and began to discuss with Su Yun.

This time it was a very professional conversation, and Feng Xuhui couldn't keep up from the beginning.

In the conversation between Zheng Ren and Su Yun, every noun has to be thought about for a long time. Before he could figure out the content of the first sentence, Mr. Zheng and Brother Yun had already said the tenth sentence.

Forget it, Feng Xuhui gave up on his own thinking about this matter with his brain, and in the end, he just needs Mr. Zheng and Brother Yun to give an answer.

It was quite interesting just to watch the two discuss the condition.

Mr. Zheng is still the one in Haicheng. He is honest and honest. He speaks sternly, like an old professor in the evening, citing scriptures and classics. Brother Yun has not changed much. If he doesn't say a few words to Mr. Zheng, he will feel uncomfortable all over.

The two of them were quarreling and talked for nearly half an hour. Xie Yiren was used to it and didn't listen to what they were saying at all. They kept staring at the operation inside.

After one operation, the two were still arguing. They were scheming according to the existing test results and they were speculating that the test was possible, but had not yet been returned.

This is a non-human operation. Feng Xuhui was a little confused. Is this the right thing to do?

After the operation was over, General Zheng explained the operation to Fuguier through the interval. Brother Yun found a pen and paper and began to write something.

Faced with Su Yun's coquettish operation, Feng Xuhui had no idea what he was doing.

In this way, time passed quickly while Zheng Ren and Su Yun argued about their condition and the surgery.

After the last operation, Su Yun held a stack of paper and said with a smile: "That's it, the diagnosis is secondary antiphospholipid syndrome."

"Um."

"Secondary antiphospholipid syndrome, systemic lupus erythematosus is likely, bilateral adrenal venous thrombosis and adrenal hematoma; primary adrenal cortex insufficiency; adrenal crisis."

Su Yun said and wrote, her black hair was floating on her forehead, as if she was very proud.

After Su Yun finished writing, Zheng Ren took it over and took a look, and added a smile at the end.

"Boss, everyone says it's useless for you to do this."
Chapter completed!