"It's definitely not. Do you know what chat is?" Su Yun looked at Zheng Ren with contempt.

"Boss Zheng, what kind of disease do you think does it look like?" Dr. Liang asked hurriedly.

"I have no judgment just by listening to your symptoms." Zheng Ren said, "You bring the old lady to me and take a look at it and do a simple physical examination."

"Yes." Dr. Liang nodded.

Traditional Chinese medicine talks about looking, listening, asking and touching, while Western medicine talks about looking, touching, listening, all of which are the most basic.

Su Yun looked through the test form again and saw that Dr. Liang had already done a comprehensive examination for his mother, and there was nothing to say.

Except for the small problems with electrocardiogram, everything is normal, including electroencephalogram, and spike waves are not obvious, so it is impossible to diagnose any mental illness, let alone epilepsy seizures or something.

Dr. Liang left the inspection report, greeted him, and hurried to pick up the old man. After he left, Su Yun asked, "Boss, are there really no guesses?"

"The only abnormality is the electrocardiogram." Zheng Ren took out the electrocardiogram, looked at it again, and said: "The PR and QT intervals extend, the q wave widens, the st segment decreases, and the t wave widens. What will you think of these changes?"

"Not only these, there are a few waveforms, and you can see that the voltage of the p-wave and q wave group is reduced. Looking at the waveform, you must suspect that it is hypomagnesemia. The standard is like a panda who wants to eat bamboo." Su Yun said, picking up the ion test report, "But you see, blood magnesium is normal."

"Panda are carnivorous animals..." Lin Yuan whispered.

"I don't know yet?" Su Yun glared at her and said, "How do you explain this?"

I was already talking to Zheng Ren about the following words.

"Serum magnesium is normal, but it is still impossible to determine that there is no shortage of magnesium ions. Because serum magnesium is greatly affected by changes in pH, protein and other factors, a simple ion detection cannot explain any problem." Zheng Ren said.

Su Yun shrugged, "Your statement is a bit a bit hard to put together."

"Besides looking at the eyes, some hypokalemia can also show existing symptoms."

"Can you die without nonsense?" Su Yun said, "Diagnosing hypokalemia and identifying u waves is the key. The general rule is that as hypokalemia gradually worsens, the t wave gradually decreases, the u wave increases, and the leads of the u wave increase. The u wave is equal to or higher than the t wave in the same lead, which is a hump-like, and the t-u fusion cannot be distinguished and the st segment moves downward."

Zheng Ren did not argue with Su Yun, because he had too little information. The debate in front of him was a situation where no one could convince anyone.

Soon, Dr. Liang brought his mother over. Zheng Ren saw the medium-red system panel and the diagnosis was very clear.

"Auntie, do you feel anything wrong?" Zheng Ren smiled and began to ask about his medical history.

Although there was a diagnosis given by the big pig's hoof, Zheng Ren still asked from the beginning, and everything was detailed, so that Lin Yuan felt a little verbose.

The positive history of the patient himself described was paroxysmal foot spasm, nothing else.

After Zheng Ren finished asking, he said to Dr. Liang: "Liangzi, take your aunt to do a magnesium load test."

Dr. Liang was stunned for a moment and asked, "Boss Zheng, are you considering hypomagnesemia?"

"Well, the cramps in the wrist and foot, the changes in the electrocardiogram, and the continuous subtle tremors in your mother's eyes during the conversation, the reflexes were slightly hyperactive during physical examination, and neuromuscular tremors. These are all considered hypomagnesemia. Although serum ion testing is normal, this disease cannot be ruled out."

"Okay." Dr. Liang took his old lady to do an examination.

"Boss, it looks quite like it now." After checking the body, Su Yun did not object. He pondered, "But how did it come about?"

Zheng Ren is also thinking about this issue.

Lin Yuan did not keep up with the thinking rhythm of Boss Zheng and Su Yun. In her opinion, it was magical enough to have only a slightly abnormal electrocardiogram plus physical examination. When asked about the medical history, it was amazing.

As for how it came about... I should figure out how to diagnose it first.

"First, the consideration is that the digestive tract is too much lost." Su Yun held his cell phone in his hand, chatting with people while using it, and said with all his heart, "Because magnesium is absorbed in the small intestine and part of the colon, severe diarrhea, fat diarrhea, malabsorption, intestinal fistula, and most small intestinal resection can all lead to hypomagnesemia."

"Well, I just asked, I haven't had surgery. Normal people should not have magnesium ion absorption disorders, and this can be ruled out." Zheng Ren sat on the chair, narrowing his eyes, and was also thinking about Dr. Liang's mother's condition.

"Secondly, the kidneys are lost too much. Chronic pyelonephritis, tubular acidosis, acute renal failure, polyuria period, or long-term use of loop diuretics, thiazides and permeable diuretics, etc. causes renal loss of magnesium and cause hypomagnesemia."

"I just asked, but I didn't." Zheng Ren said, "It's a kidney problem if I don't consider it."

"I have basically considered the loss, and the next step is the possibility of insufficient supplementation and insufficient intake." Su Yun said, "I think this is the most important thing."

"But I just asked, and Dr. Liang didn't find any problems with his family's diet. A while ago, I read a report saying that vegans are prone to hypomagnesemia. The old lady shouldn't eat meat."

“Where is drinking water?”

"There are no problems in general." Zheng Ren shook his head, "Tractical elements are minerals with a weight of 0.01% in the human body, mainly including iron, zinc, copper, manganese, selenium, iodine, fluorine, cobalt and magnesium. These elements are not synthesized by the human body and must be obtained from food."

"The human body can only absorb trace elements in the organic state, and can hardly absorb trace elements in the inorganic state. Most trace elements in water are inorganic states and have very little content."

"It has nothing to do with drinking water. People usually obtain trace elements from plants and animals."

"Boss, have you read this book? "Healthy Water" written by Dr. Martin Fox in the United States." Su Yun drew the topic further.

Zheng Ren shook his head.

"The book says that the standard for healthy water is to have a certain amount of hardness (the ideal value is about 170mg/l) and a certain amount of solubility total solid..."

"If you don't talk about this, how did hypomagnesemia come about? This disease is rare." Zheng Ren pulled the topic back and continued to ask.

"I must have a medical history but haven't asked clearly. Boss, your clinical level is very poor. Xiaolinzi, send you to ask, you have to ask clearly." Su Yun said with a smile.

Lin Yuan was very tactful and did not move or speak much.

The medical history that Boss Zheng asked about just now is already complete, and I don’t know what to add.
Chapter completed!