Liu Xuzhi skillfully took out two medical record clips and handed them to Zheng Ren with both hands.
"It's not a preoperative patient. I saw this yesterday. I'll just go and see the patient's condition later." Zheng Ren smiled slightly. "Take a look at the malaria medical record."
"…" Liu Xuzhi was stunned.
"Show it to him. Otherwise, this guy won't be able to sleep well." Su Yun held his phone in his hand. He was not playing games but was contacting something. When he heard Zheng Ren's words, he did not even raise his eyes as he spoke disdainfully.
Su Yun knew his boss's character very well.
"Oh." Although Liu Xuzhi did not know why, he still responded.
"Old Liu," Zheng Ren suddenly said, "does the patient have red spots and papules all over his body?"
Uh … Liu Xuzhi's eyes widened as if he had seen a ghost.
"Boss … Boss Zheng, how did you know?" Liu Xuzhi stammered.
"He has X-ray vision. He used to peek at the young widow bathing in Sea City and was almost beaten to death," Su Yun added at the right time.
Zheng Ren looked at him helplessly and explained, "The specific medicine for malaria is quinine. It's not expensive. I believe you guys often use it here."
Liu Xuzhi nodded. Although he was not an internal medicine doctor, he knew about this.
Very few people in the town got malaria. However, malaria was a very common epidemic among the herdsmen of the grassland.
"Old Liu, have you read the instructions for quinine?"
Liu Xuzhi nodded but then shook his head.
Quinine, also known as cinchona cream, was specially used to treat malaria. It could not be put into the eyes. Liu Xuzhi knew this basic knowledge, but he immediately thought that what Boss Zheng was talking about was definitely not simple, so he shook his head.
"Quinine can induce abnormalities in the immune system, but it's not very common. Generally speaking, the most common is the cinchona reaction, "Zheng Ren said. "Malaria has other symptoms after using quinine. It needs to be upgraded with antibiotics. It's very rare in itself. So, I guess it's a complication caused by quinine. Let's continue thinking. "
"Nodular panniculitis?" Su Yun continued to play with his phone and suddenly interrupted.
"Yes, considering it's possible, we need to do an ultrasound. With an ultrasound, we can basically confirm it. " Zheng Ren was a little embarrassed. "Old Liu, can you talk to the doctor in the gastroenterology department and see if he can let me do an ultrasound?"
"Boss, begging people is worthless." Su Yun said, "How good would it be for you to sit here steadily and wait for people to come and beg you."
"They're not Chief Luo … Besides, if it was the 912, Chief Luo wouldn't have been unable to diagnose quinine complicated with nodular panniculitis." Zheng Ren smiled and did not care.
In Zheng Ren's eyes, treating patients and saving people was something that he should do. It had nothing to do with acting high and mighty.
Liu Xuzhi broke out in a sweat.
He didn't even know how to respond to that.
Full of confidence? Or … But the other party had the ability to do so. He couldn't help but be impressed.
He had stood in the corridor for a while and heard her say the word 'malaria', and he had determined that it was a possible disease.
What is nodular panniculitis?
Liu Xuzhi did not know what this diagnosis meant.
He scratched his head and said, "I'll go ask. It should be fine."
After saying that, Liu Xuzhi turned around and was about to leave. Zheng Ren shouted, "Old Liu, help me look for the medical record!"
Liu Xuzhi hurriedly found the medical record clip and handed it to Zheng Ren with both hands. Then, he ran out.
After Liu Xuzhi walked out, Su Yun raised his head and smiled. "Boss, I think you're very tired. You don't stop wherever you go. This matter has nothing to do with us. We can just do the surgery and leave. We don't even know if the local doctors will hate you if you do this. "
"I saw it. I can't just pretend that I didn't see it, right? They didn't have a clear diagnosis, so I just mentioned it in passing. It's not a big deal. If I saw it and didn't say it, I would feel bad if I delayed the diagnosis and treatment, right? "Zheng Ren was also very helpless.
"Sister Lin replied. She'll be here soon." Su Yun waved his phone.
Zheng Ren focused on the medical record and casually replied.
The test results that were pasted on the wall were also legendary items.
It was said that 15 years ago, when Sea City General Hospital did not have electronic medical records, the laboratory department sent reports to the clinical department. Then, the doctor would paste the test report on the white paper one by one and clip it into the medical record.
This side was really retro. Zheng Ren carefully flipped through it one by one. He did not expect that in this era, there would still be handwritten medical records and pasted test reports.
"Nodular panniculitis? What kind of diagnosis is that? "A person's voice came from the door.
Zheng Ren raised his head and saw a female doctor in her thirties. She wore glasses and walked in in a hurry.
"You're the old … chief of the 912?" She wanted to be more angry, but when she looked at Zheng Ren and saw that it was a young man, she hesitated.
She was afraid that she would recognize the wrong person. That would be awkward.
"Yes, I'm a doctor from the 912." Zheng Ren was flipping through the medical record. He already had a plan in his heart. It was not much different from his judgment. He just needed to do an ultrasound. As for the pathology, he probably could not wait that long.
"Teacher, do you have any basis for your diagnosis?" the doctor from the gastroenterology department asked.
"Blood routine: WBC? 19.62 × 10 (9)/L, N%? 89%，CRP? 192.0
Mg/L, after giving Rocephin anti-infection treatment, the diarrhea was relieved, but there was still a fever.
The next day, there were red sclerosis scattered under the skin in the limbs, accompanied by tenderness. He was admitted to the hospital with infectious fever. " Zheng Ren looked at what was written in the medical record and said simply, "There is a medical history and a tender red sclerosis. The diagnosis is very obvious."
The junior doctor of Xilin Town Hospital was dejected.
Zheng Ren was very helpless. If it was in Sea City General Hospital, saying so much was enough. The medical level here was really relatively average, but there was no good way.
It would be nonsense to expect all the doctors to be at the same level as the doctors from the 912.
He smiled and tried to be as gentle as possible. "Nodular panniculitis, also known as idiopathic lobular panniculitis or recurrent febrile non-suppurative panniculitis.
The characteristic of this disease is the repeated occurrence of subcutaneous nodules in batches. The nodules have pain and significant tenderness. Most of the attacks are accompanied by fever. Combined with the second-stage histopathology, the diagnosis can be confirmed. "
"Old Liu, can the pathology department here make this kind of diagnosis?" Zheng Ren then looked at Liu Xuzhi and asked.
Liu Xuzhi shook his head in confusion.
"At first, I thought it was a serious abdominal infection. The red maculopapular rash was caused by an allergic reaction to drugs. However, after considering the difference between it and allergic maculopapular rash, I rejected this idea, "the doctor from the gastroenterology department also muttered to himself in confusion.
"The red maculopapular rash associated with allergies will not feel pain."
"Then what should we do?"
"What medicine should we use?" Zheng Ren asked gently.
"Guacillin and tazobactam are not effective. I'm preparing vancomycin. This is the recent control of antibiotics. The advanced antibiotics can't be taken out without the principle approval. I'm preparing to apply for it, "the doctor from the gastroenterology department said." Teacher, what do you think? "
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