"Boss, are you sure?" Su Yun asked.
Forget about the others, even Su Yun was confused.
"I should be more certain." Zheng Ren smiled and said, "Lead poisoning affects the digestive system, hematopoietic system, immune system, and many other systems. The most common clinical symptom is the digestive system.
The patient's clinical symptoms were paroxysmal abdominal cramps centered around the navel, accompanied by belching, constipation, and weakened bowel sounds.
It was easy to misdiagnose diseases of the digestive system in clinical diagnosis.
Complete abdominal CT in admission
The results reported that acute inflammation of abdominal organs, organ torsion or rupture, peritonitis, vascular obstruction in abdominal cavity, and abdominal wall diseases were excluded.
So I think lead poisoning is a very reasonable hypothesis. Moreover, you just saw the changes in the patient's kidney imaging. Combined with the changes in blood routine anemia, the diagnosis of lead poisoning should not be a big problem. "
"The deduction is a little forced, but it's reasonable. But why are you so sure? Who gave you the confidence? "Su Yun was still a little surprised.
However, after thinking about it again, he did not have full confidence to overturn Zheng Ren's conclusion.
"I have a wealth of clinical experience," Zheng Ren said seriously.
"Tsk." Su Yun was especially disdainful of this guy's pretentious words.
"Lead poisoning caused by hair dyeing is rarely reported at home and abroad, so it's easy to be misdiagnosed clinically. According to the literature, the misdiagnosis rate of colic caused by lead poisoning as surgical acute abdomen is as high as 43%. "
Although the misdiagnosis rate had reached an accurate figure of 43%, Su Yun did not think it was true.
The more accurate it was, the more it seemed like a lie.
"You'll know if it's right or wrong after the examination," Zheng Ren said. "You can go back first. This is all I can do for my diagnosis."
The patient's family was stunned for a moment before they realized that Chief Zheng was chasing them away.
"Oh," he said dejectedly.
In the eyes of the middle-aged man, this was just a perfunctory act.
Lead poisoning? It was all nonsense. Intestinal obstruction? Don't talk nonsense if you don't understand.
The old doctor from the First Affiliated Hospital of Provincial Capital Medical University was more reliable. Should he ask him again? The patient on this side just now had also given the banner to him, not to Chief Zheng.
The middle-aged man secretly glanced at Liu Zewei from the corner of his eyes.
At that moment, the old doctor's halo had already crushed the charm value given to Zheng Ren by the System.
There were some things, especially prejudices, that even the System could not overcome.
However, the middle-aged man saw an unforgettable scene.
Liu Zewei made a phone call to arrange for the test. Then, he walked in front of Zheng Ren, bent his waist slightly, and said respectfully, "Boss Zheng, I've already contacted the patient about the test. The patient's family can send blood samples over at any time. But don't take too long, preferably within four hours. "
"Can you do it right away?" Zheng Ren asked.
"Since it's your diagnosis, the examination will be done immediately," said Wang Yao. Liu Zewei smiled apologetically, trying his best to ease the awkwardness of the patient's family asking him to take photos. "Don't worry, the results will definitely come out within two hours after the blood sample is sent over. He's the chief's father. I was the one who performed the surgery. You'll have to look for me when I get back. "
The middle-aged man was stunned.
He saw a careful fawning on Liu Zewei's face. It could even be said to be flattery.
It couldn't be any more obvious. There was no way to conceal it at all.
"Okay, um … Li Liangfen's family?" Zheng Ren asked.
"Oh, oh," the middle-aged man immediately responded.
"You can do it yourself or find someone to do it. Hurry up." Zheng Ren said, "The results will come out in two hours after you go. Ask Chief Sun to let me know when the time comes."
"Oh, oh." The middle-aged man was almost speechless. He didn't know what to say, so he just nodded.
Zheng Ren was very happy. It was the first time he had encountered lead poisoning caused by a low-quality hair dye. It was a pity that he could not perform the surgery. He could not use the completion rate of the surgery to prove whether his judgment was right or not.
His heart was intertwined with excitement.
This was considered a difficult and complicated disease. He did not need to rely on the System to determine it. If the diagnosis was correct, it meant that his diagnosis level had made great progress.
"Sure," Su Yun said with a smile after pondering Zheng Ren's deduction process.
"It's a normal deduction. After thinking about it, I feel that it's more and more similar," Zheng Ren said. "It's easier to do it the other way around."
"I've heard of an old man with a similar condition," Wang Yao said. Su Yun looked at the patient's radiographic films and said with emotion, "He liked massages and had to go for oil every day."
"Essential oil?"
"Yes, he continuously pushed for a long time. Later, he was admitted to the hospital because of kidney failure," Su Yun said. "I didn't see it with my own eyes. It's said that the final diagnosis was lead poisoning."
"With similar cases, the diagnosis will be more certain." Zheng Ren's attention was still on the patient in front of him. He had never deviated from it.
"Kidney failure is easy to diagnose. Intestinal obstruction is caused by lead poisoning. It's too easy to miss the diagnosis," Su Yun said.
"Okay, then that's it." Zheng Ren waved his hand happily. He took the radiographic films off the radiographic film viewer and placed them in the corresponding radiographic film bag.
The test results were also arranged in chronological order and were organized in an orderly manner.
The middle-aged man came back after the call. Seeing that everything was organized, he could not help but thank him. Then, he asked Liu Zewei for his contact information.
"Are you going back to send the blood sample, or is someone else in the family going?" Zheng Ren asked.
"I'm going home," the middle-aged man said. "I'm so anxious. As soon as I heard that there might be a clear diagnosis, I went straight to Chief Sun. I think … they should have set off by now. "
"That's good. The earlier we go, the earlier we get the test results, the earlier we can treat the symptoms," Zheng Ren said.
"Chief Zheng, if you're sure, can you treat him directly now?" the middle-aged man asked carefully.
"It'll be a few hours." Zheng Ren patted his shoulder and smiled. "If not, it'll be a big problem if the wrong medicine is used."
"Okay, okay." The middle-aged man nodded repeatedly, a little embarrassed.
"Go find a place to sleep. Don't drive back," Zheng Ren said. "Wait for a few hours. When you wake up, the results will be out. If the diagnosis is wrong, I'll take you to the chief of the 912's gastrointestinal surgery department to take a look. "
The middle-aged man bowed repeatedly, thanking Zheng Ren for his thoughtfulness. If that was the case, he would not have made a wasted trip.
However, this Chief Zheng made it sound very easy. Would the chief of the 912 pay attention to a junior doctor like him?
After he left, Zheng Ren still recalled the previous diagnosis process and felt a little proud in his heart.
Suddenly, before he could show off, he saw Su Yun's face turn ashen. His hand holding the phone trembled slightly.
"Su Yun, what's wrong?" Zheng Ren asked.
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