"I'll go take a look at the patient," Zheng Ren said.
"Let's go together. I only took a brief look at the patient in the outpatient department. There were dozens of numbers in the morning, so I didn't look at them in detail. "Chief Luo followed Zheng Ren out of the office.
The patient's family followed carefully. He did not understand why the doctor looked like he was facing a formidable enemy when it came to eating snails.
"Have you ever eaten snails in the United States?" Su Yun walked at the back and asked Lin Yuan without any seriousness.
"No, there are occasionally Chinese restaurants that sell them there, but I rarely have time to go out," Lin Yuan answered casually.
"Eat French snails." Su Yun revealed his true intentions.
"…" Lin Yuan already knew what this guy was going to say.
"Well, diarrhea and the risk of being infected with trichinella," Su Yun said with a smile. "I suggest you go to the physical examination center for a checkup. At the very least, you can take a blood test. If the eosinophils are high, there may be related diseases. Of course, this is just a suggestion. It's free. "
"Impossible!" Lin Yuan was nervous but still answered firmly, "I don't eat raw food."
"Tsk tsk, are all the doctors from Harvard at this level?"
"You …"
"The larval cysts of the trichinella spiralis have strong resistance and can withstand low temperatures. The larvae in the cysts of pork need to be stored at -15 ℃ for 20 days before dying. They can also survive in rotten meat for two to three months. Methods such as drying, pickling, roasting, and steaming often can't kill the larvae, but they can be killed at 70 ℃, "Su Yun said leisurely.
Lin Yuan really did not want to pay attention to this guy. She quickened her steps and followed behind Chief Zheng.
However, Su Yun's words were like a curse, hovering in her mind.
Should she do a checkup? Lin Yuan was a little hesitant. If she did not go for a checkup, what if she was really infected with trichinella?
Diarrhea during the surgery … Lin Yuan shuddered at the thought of this possibility.
When they arrived at the ward, Zheng Ren began to examine the patient. The System panel was blood-red. The most serious disease was not trichinella, but the complication — Loffler endocarditis.
Loffler endocarditis was also known as eosinophilic endocarditis. It was a stressful change in the body due to the increase of eosinophils in the body.
No wonder the patient's family said that the patient had not been able to get out of bed for the past two to three months.
When he first heard this medical history, he would definitely think that it was an electrolyte disorder caused by diarrhea. However, when he saw the patient's System panel, he felt a little depressed.
In addition to Loffler's endocarditis, the patient also had secondary thrombosis in the left ventricle.
Zheng Ren felt a little regretful. Although it did not delay anything, he had a very bad feeling now.
After encountering a patient, he always wanted to rely on his own strength to make the correct diagnosis.
Asking about the patient's medical history and checking for any abnormalities would take time.
Although the analysis and diagnosis just now would not worsen the patient's condition, he still kept it in mind and planned to reflect on it after he was done with his work.
"I need an echocardiogram," Zheng Ren said with certainty as he put down the stethoscope.
Chief Luo called a nurse to find a doctor to give medical advice and call the Ultrasound Department. When he came back, he asked in surprise, "Loffler endocarditis?"
"Not just that." Zheng Ren did not go into too much detail. After all, he was in front of the patient. What if he scared the patient out of his wits?
Chief Luo frowned.
Loffler endocarditis caused by increased eosinophilia was something he had to consider. However, more serious diseases such as heart complications would be more troublesome.
Zheng Ren did other physical examinations. Soon, the ultrasound machine was pushed over.
Sitting at the head of the bed, Zheng Ren began to perform an echocardiogram on the patient.
"Boss Zheng, how's your echocardiogram level?" Lin Yuan asked Su Yun in a low voice.
"You make it sound like your echocardiogram level is very high." She always got a sarcastic answer from Su Yun.
"Can't you just say it nicely?" Lin Yuan hated the person beside him a little.
This was because he was indeed good-looking. If it were anyone else, Lin Yuan would have ignored him a long time ago.
"Yes, the boss said that before," Su Yun said. "Just watch carefully. I think we'll have to undergo surgery later."
"Surgery?" Lin Yuan was speechless.
It was just diarrhea. Even if there was Loffler endocarditis, there was no need for surgery, right?
"Loffler endocarditis, complicated by thrombosis. Old Liu is leaving, and Lil Fugui is still working on the Nobel Prize information. I can only follow him. "Su Yun was already prepared.
Lin Yuan tried his best to recall Loffler endocarditis. This kind of rheumatoid immune disease required a very high standard of diagnosis.
Surgery just because he said so? How could he be so confident!
"It's okay. If you don't want to do it, I can do it," Lin Yuan said in a low voice.
"It's indeed the practice of American doctors. Interventional radiography is just a routine."
Lin Yuan was about to show off when Zheng Ren suddenly said, "There is a substantial strong echo attachment at the apex of the left ventricle.
It has an irregular shape and is suspected to be a thrombosis. It is considered Loffler endocarditis. The wall of the left ventricle apex is thickened, the local echo is enhanced, and the ventricular septal pulse is weakened. The left ventricular systolic function is slightly reduced, and the mitral and tricuspid valves are moderately regurgitated. "
The echocardiogram doctor hurriedly recorded.
Chief Luo frowned as he watched Zheng Ren do the echocardiogram. It was really scary to analyze the images one by one.
Chief Luo was not very good at echocardiogram imaging. It was simple to look at, but when it came to it, he was very vague.
After all, it was not his specialty.
As for Boss Zheng … he could not be compared. Chief Luo knew in his heart.
After the examination, Zheng Ren asked, "When was the last time you ate and drank water?"
The patient's wife said hesitantly, "I just ate something."
Zheng Ren did not say anything. He stood up and walked out.
"Boss Zheng, what are you going to do?" Chief Luo followed behind Zheng Ren and asked.
"Interventional thrombectomy. I took a closer look. It's not granuloma caused by eosinophilia. It's just a left ventricular thrombosis that caused left heart failure," Zheng Ren said in a low voice. "Chief Luo, prepare to transfer the patient to another department."
Chief Luo sighed.
He had taken in a patient with endocarditis and thrombosis.
He had made a mistake in the outpatient department …
There was nothing he could do about it. He had been complaining about diarrhea for five years. He did not have Boss Zheng's ability … No!
Thinking of this, Chief Luo suddenly woke up.
How could he have habitually judged Boss Zheng's level to such a high level!
This was not a good habit.
"Is the surgery difficult?" Chief Luo asked.
"It's not bad. It's a thrombectomy. Just be careful not to have any complications," Zheng Ren said. "If the Department of Circulation thinks it's difficult, you can ask them to call me."
Chief Luo was speechless.
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