The perfect demonstration classroom had ushered in a failed case study.
The stone that should have appeared in the patient's ureter did not exist at all, even though all the symptoms pointed to where it should have been.
Chief Yu was also a little disappointed. In his heart, Boss Zheng was already synonymous with omnipotence.
However, Boss Zheng rarely spoke. He just pondered until Su Yun helplessly ended the case study.
Chief Yu and Chang Yue returned to the 912 headquarters. Su Yun turned off the machine and sighed. "Boss, what are you thinking about?"
"I'm thinking about all the diseases that might cause the patient to have kidney colic." Zheng Ren sat in his seat, and a ray of sunlight shone on his face.
"It's useless," Su Yun said. "I suggest Chief Yu contact the rheumatology and immunology department to prepare for a consultation."
"You really can't understand it, so you're looking for rheumatology and immunology?" Zheng Ren's voice was not loud. His brain was divided into two parts, and 10% was used to chat casually. The other 90% was quickly searching for the cases that he had encountered and seen in his memory.
"Then what should we do?" Su Yun said, "Systemic lupus erythematosus may have this kind of symptom. We can't diagnose it."
"Have you done the examination?"
"Chief Yu, go back," Su Yun said. "Do the examination and eliminate the immune system disease. It's really a big project."
"Let me think about it again," Zheng Ren said. "Do you think there's anything different about him?"
"Huh?" Su Yun glanced at him and asked, "Boss, are you using me as your eyes? Look, listen, question, and feel the pulse?"
Zheng Ren smiled and did not say anything.
He had no idea at all. If it really did not work, he would go see the patient later and use the System's diagnosis as a reference.
There was no sense of frustration. Zheng Ren did not think that it was necessary to stay away from the System. The truth was the truth. It could not be changed.
Besides, there was a good way to solve the patient's pain. Why should he insist on his own diagnosis or the System's diagnosis?
He had already studied very hard. If he could not make the correct diagnosis, it could only mean that he was still a little weak. However, Zheng Ren did not feel ashamed when he compared himself to the System.
After thinking it through, Zheng Ren stretched his back and smiled. "The new VR equipment is indeed not bad."
"All kinds of configurations will be constantly sent from all over the world. Chunui Anser keeps his word," Su Yun said. "I hope he will be healthy and live a long life."
"What kind of illness do you think the patient has?" Zheng Ren did not continue the conversation. Instead, he brought the topic back to the patient in front of him.
"I don't know. When I examined him, he was in pain and his body was covered in sweat. It was said that kidney colic would strike every three minutes, and it was getting more and more frequent. It's almost a forced position. "Su Yun said.
"Do you have a lamellar abdomen?"
"The six-pack is well maintained. It's hard to the touch," Su Yun said. "It's rare to see a man in his forties without a small belly."
"Have you reminded Mr. Yu to check for peritonitis?" Although Zheng Ren had seen the abdominal CT scan and confirmed that the patient did not have peritonitis, he still spoke without thinking.
As he spoke, he thought about it. The patient's symptoms were a little strange, but he seemed to have found some clues.
"I did. He said that it was like this when he was hospitalized. At first, they highly suspected peritonitis. Later, after doing CT, ultrasound, and other auxiliary examinations, they confirmed that he was in good health, "Su Yun said.
Zheng Ren had seen this kind of person with a strong body, full of muscles, and hard body.
He could imagine the situation during Su Yun's physical examination. The patient was curled up on the hospital bed like a shrimp, sweating all over, his muscles tensed, forcing his position.
The pain in his kidney was excruciating.
In the northeast, it usually occurred at three or four o 'clock in the morning during spring and autumn. Sometimes, the emergency department would receive three to five patients in a few hours, all of them holding their stomachs.
In the medical advice just now, Zheng Ren saw the use of spasmolysis.
However, the effect was not very obvious. After all, there were no stones at all, and it was not a simple ureteral smooth muscle spasm.
Uh … a simple ureteral smooth muscle spasm?
"Did the patient feel nausea and vomiting?" Zheng Ren felt that he had found a key point.
"No." Su Yun shook his head and said, "Don't waste your energy, boss. Smooth muscle spasm causes colic. This kind of colic is accompanied by pale complexion, cold sweat, nausea, vomiting, and in severe cases, symptoms such as a weak and fast pulse and a drop in blood pressure." Su Yun said, "I deliberately waited for a few minutes. When the kidney colic flared up, the patient only had pale complexion and cold sweat. There was no other symptoms."
"Strange." Zheng Ren felt that Su Yun did not finish his sentence. It was not consistent with the idea that had just floated through his mind.
What was it?
Zheng Ren hated this feeling.
It was clearly in front of him, but he could not remember it.
It must be a detail. He looked out the window and began to recall every word and every detail of the consultation, looking for the point that he had forgotten.
Zheng Ren thought for two minutes, but still could not grasp the thread of thought. He could only sigh and say, "Let's go take a look at the patient."
It was clearly in front of him, but he could not grasp it.
"I thought you would understand." Su Yun looked at Zheng Ren with contempt and said, "I thought you were going to check the sedimentation rate or that the patient had primary kidney cancer, and the tumor happened to grow near the nervous system, causing …"
"No, immune system diseases cause pain, rarely colic symptoms. Primary kidney cancer erodes the nerves. Although rare, it is also possible. I thought of this and did a 64-slice 3D reconstruction, "Zheng Ren said." It's not the possibilities you mentioned. "
"What about abnormal parathyroid function? It can also cause hematuria, "Su Yun asked.
"We have to consider both hematuria and renal colic, not just one," Zheng Ren said. "Other than kidney stones, I really can't think of any other …"
As he said that, he was stunned.
Su Yun saw Zheng Ren looking at him in a daze, so he blew and said, "Is there something on my face?"
Zheng Ren did not say anything, but his eyebrows slightly furrowed.
"Are you stupid?" Su Yun said, "It's just a rheumatology consultation. You don't have to be so stubborn."
"No, don't say anything," Zheng Ren said. "I seem to have thought of something."
Su Yun looked at Zheng Ren curiously. This guy could link renal colic with hematuria and rule out kidney stones?
That was unlikely.
Soon, Zheng Ren asked, "You just said he plays badminton? Is he a national athlete? "
"Yes, why?" Su Yun smiled. "Want to exercise? Or do you want to go for a night run with Little Yiren? "
"No, I think I know what the patient's disease is," Zheng Ren said. "Go see the patient and ask Chief Yu to do an MRI."
"What MRI?" Su Yun asked curiously.
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