A diagnosis that doesn't exist?
Lin Yuan was stunned. What was going on?
Just as she was about to ask, she saw Zheng Ren and Su Yun leave without any explanation.
"Hey, Boss Zheng!" Lin Yuan shouted from behind.
"Huh?" Zheng Ren did not turn around.
"Why would you say that when there's no diagnosis? Aren't you afraid of being pointed out by others during the hospital consultation? "Lin Yuan said anxiously.
"You mean to slap my face?" Su Yun's lips curled into a disdainful smile as he looked at Lin Yuan with an evil charm.
Uh …
Lin Yuan's sinus tachycardia suddenly turned into atrial fibrillation.
"Boss Zheng, do I really have to say that?" Chairman Yu asked carefully.
"Of course." Su Yun chuckled and said, "But President Yu, do you know why?"
Mr. Yu shook his head.
"The patient's heart has calcification. Considering that he has a medical history that he didn't mention in the past, he might have deliberately not mentioned it. It could also be that he forgot about it after so long," Zheng Ren said.
"I think it's very likely that he didn't say anything on purpose." Su Yun said.
President Yu was dumbfounded. Boss Zheng and Brother Yun's diagnosis was so consistent. They were even so sure that the patient had a hidden medical history.
This … was simply too terrifying.
"Why do you say that?" Lin Yuan caught up from behind and asked seriously.
"How old are you? Why are you still biting your fingers? It's not wrong to say that you're a brat. "Su Yun saw that Lin Yuan was biting his finger while pondering over his condition, so he immediately scolded him.
After enduring for a whole day yesterday, Su Yun felt that the little beast in the depths of his heart was ready to make a move.
"Don't bite your fingernails in the hospital. It's unhygienic," Zheng Ren said with a smile.
"Boss Zheng, why are you so sure that the patient is hiding his condition?" Lin Yuan was not embarrassed. She focused all her attention on the patient's condition.
"Because there were no auxiliary tests, it clearly pointed to the possibility of hematuria," Zheng Ren said casually.
"Boss Zheng, please give me more details." Chief Yu said with a frown, "It's a full-hospital consultation. You can say that, but I can't say that."
What he said was the truth. Since Zheng Ren had said it, everyone had to take it seriously. However, if President Yu were to reveal his medical history, he would be scolded.
"All in all, the patient has pericardial stenosis. This can be confirmed. Although it was not very severe, the intermittent induced ventricular dilatation was limited, ventricular filling was reduced, and cardiac output decreased. At the same time, the upper and lower vena cava return is also blocked due to the narrowing of the pericardial stenosis.
"…" Chief Yu still did not understand.
"Are you saying that the monistic theory of constrictive pericarditis can explain all the patient's clinical symptoms?" Lin Yuan frowned.
"Yi, is not."
"Isn't that so?" Lin Yuan asked.
"Of course not. It's just to scare the patients." Su Yun blew a breath, and the black hair on his forehead fluttered proudly.
"Yi" Yi "Yi" on on.
"Because the patient has a hidden medical history," Zheng Ren said. "Let's go, Chief Yu. Let's go to your duty room and explain in detail."
"Yu" Chief Yu "Ren" Yun, "he to", Zheng. "Yi". "He" "" to to "'t", he Yun "was" Su. "
Lin Yuan followed Chief Yu back to the duty room full of doubts. Zheng Ren sat down and said, "Chief Yu's judgment is correct. The patient is hiding his medical history to hide the truth about the hematuria."
"But why?" Chief Yu asked in confusion.
"Why? That's the answer you're looking for. It has nothing to do with the boss," Su Yun said.
"But …"
"Didn't I just say that the patient has a slight change in the pericardial stenosis? It can be diagnosed as constrictive pericarditis, but there won't be any serious consequences," Zheng Ren said, pointing at the chest CT scan.
Chief Yu and Lin Yuan looked at the scan silently.
"With the changes in the external and internal conditions of the body, such as the increase in the chest cavity and mediastinum pressure, it's equivalent to the sudden aggravation of constrictive pericarditis," Zheng Ren said.
Zheng Ren spoke with confidence and composure. Chairman Yu gradually understood what Zheng Ren meant, but Lin Yuan frowned and did not say a word.
"Lin Yuan said it before. The clinical symptoms of constrictive pericarditis are increased venous pressure in the lower limbs, resulting in edema of both lower limbs. At the same time as the portal vein pressure increases, the renal vein pressure will also increase. Rupture of the renal pelvic venules and bleeding may be related to hematuria. "
Hearing Zheng Ren's explanation from the beginning, Chief Yu clapped his hands excitedly and said, "I knew it!"
"Well, you and Chief Liu can say that." Zheng Ren smiled. "There shouldn't be any mistakes. The pressure in the chest cavity is very easy to control, which also explains why the patient refused to ask for a detailed medical history. However, you have to ask yourself why he did that. "
"What if the patient insists on not agreeing to the surgery?" Chief Yu asked.
"There was no need for surgery. I just wanted to scare him so that you could ask for the truth," Su Yun said. "Or scare his son and ask for the truth."
Chief Yu heaved a sigh of relief and nodded.
"Then we'll go down. If there's any progress on your side, keep in touch," Zheng Ren said, making a phone call.
"Okay!" Chief Yu sent Zheng Ren off happily.
Lin Yuan still did not understand when he went downstairs.
"Boss Zheng, why are you so sure that the patient is pretending to be sick?" Lin Yuan asked.
"Do you know why the boss came to the Imperial Capital?" Su Yun asked.
"It's because of the Nobel Prize project." Lin Yuan still knew about this matter.
"No, it's because he has X-ray vision. He peeked at the young widow bathing in Sea City and was kicked out."
"…"
"Stop fooling around." Zheng Ren quickly stopped Su Yun from spouting nonsense. "You've also seen the radiographic films and other tests just now. Is there any clear diagnosis?"
Lin Yuan shook her head.
"That's right. All the clinical tests and signs do not support the symptoms, so there must be other factors involved," Zheng Ren said. "When you were in the United States, have you ever encountered a situation where someone pretended to be sick for a comprehensive physical examination before they lost their job to cheat insurance?"
Lin Yuan was a little embarrassed. She shook her head blankly. "I'm just a doctoral student. I haven't been in contact with patients yet as an intern."
"Boss, look, I told you that she's a rookie," Su Yun said disdainfully.
"They're all rookies." Zheng Ren walked down the stairs. "This is very common in clinical practice. For example, when I was in Sea City, I left the emergency department."
"When you weren't the chief resident?"
"No, it was when I was in the department," Zheng Ren said. "The gynecologist went to eat. I wrote a urine test for early pregnancy, and the result was positive. The patient quit and had to be re-examined. "
"What happened after that?" Lin Yuan asked in confusion.
The results were already out. Was there any point in re-examining? Clinical test errors did exist, but they were extremely rare.
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