"By the way, urinary tract irritation symptoms and bladder contracture are the most common in tuberculosis patients. There are also low fever and ascites. How did you determine it was urinary tuberculosis?" Su Yun asked.
"Yes." Zheng Ren nodded. "From what you said, everyone should have determined that it was not urinary tuberculosis."
"We did the relevant tests. It was not urinary tuberculosis," Su Yun said. "The patient has multiple systems involved. We need to consider whether there is autoimmune disease, but there is only a low positive titer of ANA, a small amount of urine protein, and a slight decrease in complement. Other than that, there is no more evidence."
"What about kidney biopsy?" Zheng Ren asked with a frown.
"It is said that the patient's family refused. A history of nausea and vomiting was enough for them to get a teratoma. As for the kidney, I don't think they can understand it. "Su Yun smiled bitterly.
"What happened after that?"
"During the last hospital consultation, multi-department ward rounds considered that although it did not meet the diagnostic criteria for systemic lupus erythematosus, Old Gu believed that the patient was a young woman with multiple systems involved and was still inclined to systemic lupus erythematosus. He … insisted. "After Su Yun finished speaking, he sighed slightly.
To be able to stand up to the crowd and explain his diagnosis, this kind of person was capable. Zheng Ren recognized that.
Su Yun befriended people at the chief resident level. Not to mention their character, their standards were good. In the foreseeable future, one by one, they would become professors and lead groups. Professor Gu was one of them.
"However, after the patient took the medicine, she had palpitations on the first day. Her heart rate was 120 beats per minute, and the third heart sound could be heard at the apex of the heart.
The galloping rhythm was one of the additional heart sounds during diastole. When combined with the first and second heart sounds, the rhythm was similar to that of a galloping horse, so it was called the galloping rhythm.
When the heart muscle was severely damaged, galloping rhythm would appear.
When Zheng Ren heard Su Yun's heavy tone about this matter, his mood also became gloomy.
Excessive doses of cyclophosphamide could damage the heart muscle or kidneys. If galloping rhythm appeared after taking the medicine, it would be a matter of cyclophosphamide.
Facts proved that Professor Gu's insistence was wrong.
This was the shortcoming of diagnostic treatment, or rather, uncontrollable, especially when diagnostic treatment was carried out in the rheumatology and immunology department.
Zheng Ren had done diagnostic treatment several times and had been successful in the end.
It was not because the diagnostic treatment was reasonable, but because of the System's presence. Zheng Ren relied on the System's panel to perform a reverse deduction and had some confidence.
The diagnostic treatment used by Professor Gu not only failed to provide a clear diagnosis, but it also resulted in a serious drug reaction that led to myocardial damage.
At this point, the situation was clear.
The patient had abdominal pain and diarrhea for unknown reasons. He came to the 912 for treatment and considered that it might be caused by a teratoma.
But after the surgery, he found that the disease did not get better. Instead, it got worse. During the consultation of the entire hospital, no one could do anything. After using the treatment plan from the Department of Rheumatology and Immunology, the patient's heart started to fail …
This was a classic case of the more one treated, the worse the disease would become.
As they spoke, the two arrived at the gynecology department. The patient was still hospitalized in the gynecology department, but if the correct diagnosis and treatment method could not be found, the patient would soon be sent to the ICU.
"Professor Gu is quite bold," Zheng Ren said with certainty.
"Courage is one thing, but the main thing is that he's skilled." Su Yun said, "Why don't I say that I must have a friend in the Rheumatology and Immunology Department in the hospital? If I have any illness that I suspect is related to the Rheumatology and Immunology Department, I will look for him to solve it."
"Why haven't I heard you mention it before?" Zheng Ren felt that the name was very unfamiliar to him.
"Isn't that because you're here? If there's any patient, you'll know what diagnosis to make, so I've never looked for him. I didn't expect that something would happen to this guy today. "
When he passed by the doctor's office and saw that the door was tightly closed, he knew that it was a consultation with the whole hospital.
Zheng Ren said, "Do you know which ward the patient is in?"
Su Yun looked at Zheng Ren in surprise as if he was looking at an idiot.
Did he ask something wrong?
Zheng Ren had been thinking about the patient's situation. If systemic lupus erythematosus was a wrong diagnosis, then what kind of diagnosis could it be?
In fact, Zheng Ren was also thinking about systemic lupus erythematosus.
Su Yun sighed. "Boss, isn't there a mouth under your nose? Do you dare to ask?"
"…"
"Wait a moment."
Su Yun blew at his forehead. The black hair on his forehead fluttered as he looked down on Zheng Ren.
He went straight to the nurses' station. Then, Zheng Ren vaguely heard a few laughter.
This guy was really good at flirting.
Zheng Ren sighed in his heart. In the future, whether it was Su Yun or Chang Yue, it seemed to be a very good choice when he went to unfamiliar places.
At least he did not have to ask for directions himself.
Soon, Su Yun returned. "The innermost ward, but the patient's family members have a bad temper. They're in the brewing period and are about to explode. Do you … want to go in together?"
The brewing period and the explosive period that Su Yun mentioned were the accumulation of emotions that could not be cured after a long time in the patient's hospital.
In other words, the patient's family members were about to collapse.
This was now. If it was a few years ago when Big Yellow Teeth and the others were active, 'high-quality clients' like them would have been targeted long ago.
For the group of medical troublemakers who understood the weaknesses of hospitals and human nature, they might not even need to use much strength. A gentle provocation would cause a prairie fire.
The two of them came to the door of the ward. Su Yun knocked on the door and then pushed it in.
Zheng Ren followed behind him. In any case, this guy was good-looking. As a female patient, he was probably a female escort.
As long as it was a woman, there was nothing wrong with throwing Su Yun in front.
After entering the ward, Zheng Ren did not listen to how Su Yun communicated with the patient's family. Instead, he seized the time to observe the patient's System panel.
The patient was very young. His face was pale, and his whole body was very thin. His cheeks were sunken.
The System panel was red. There were many diagnoses and they were very detailed.
Zheng Ren quickly looked at all the diagnoses and threw the unimportant diagnoses aside. He was looking for the most important diagnosis that caused the patient's condition to prolong.
Soon, Zheng Ren saw what he wanted to see.
Systemic lupus erythematosus!
Professor Gu's diagnosis was correct!
However, the problem immediately arose. Why did the correct diagnosis and standard medication lead to the patient's myocardial damage and type I respiratory failure in the end?
This was a little unbelievable.
Zheng Ren looked at the System panel and frowned as he pondered.
He only knew a little about the patient's condition, but Zheng Ren investigated, simulated, and reconstructed it according to the diagnosis on the System panel.
Soon, he had a further idea of the patient's condition.
This was not the first time Zheng Ren had deduced the patient's condition based on the System's diagnosis, but it was a more complicated one.
When Zheng Ren thought about it, he felt a little lucky and emotional.
Professor Gu was indeed a young talent. Even though he was a few years older than Su Yun, he was able to insist on his own opinion and diagnose the patient's disease as systemic lupus erythematosus. He was really not an ordinary person.
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