There was nothing wrong with the patient's routine clinical tests, including the imaging data. It was simply unrealistic to do all the tests from beginning to end.
"What about bipolar disorder caused by changes in thyroid function?" Su Yun asked.
"In your words, there's still no way to explain the existence of Wang Huanhua." Zheng Ren continued to slide the mouse bit by bit and carefully read the medical record.
Bipolar disorder was only a possibility, and Zheng Ren thought that the possibility of it was not high.
"Boss, why are you looking at the medical record so carefully?" Su Yun asked.
"The medical record was written by Zhong Min. She's more detailed," Zheng Ren said simply.
In the past, when clinicians wrote large medical records by hand, a standard large medical record would take at least an hour.
Now that there was an electronic medical record, there were many options. It was much more convenient than handwritten medical records.
However, it was also because of this that many of the default options would not be carefully read and filled in carefully. After all, time was limited every day. There were too many things to do, and there were not enough clinical manpower. They could just fool around with the unimportant parts.
Zhong Min was a standard internist. Because internists in the past did not perform surgeries, they had to write medical records and look at patients much more than surgeons. Therefore, the medical records were relatively more detailed.
In addition, her personality was still meticulous. Especially after being shocked by the disappearance of the magic pen signature, she was even more serious to the extent of being harsh.
In terms of medical record writing, Zheng Ren believed that he would definitely not be able to catch up to Zhong Min, let alone Chang Yue.
"The light reflex of both eyes is normal, and the conjunctiva is slightly yellow. Is there any meaning to this, boss?" Su Yun asked.
He had already read the test results. The bilirubin and other tests were all normal. Basically, it could rule out jaundice.
Moreover, hepatic encephalopathy could also cause mental symptoms, but the patient's condition was worlds apart from hepatic encephalopathy.
"There's no meaning in just one. There's a 1mm red swelling at the corner of the eye with peeling skin." Zheng Ren then saw the other patient's physical signs described by Zhong Min.
Su Yun did not refute Zheng Ren. Instead, he sat at the side very seriously and looked at Zhong Min's medical record with Zheng Ren.
Lin Yuan was very puzzled. Generally speaking, grass-roots hospitals were faced with the diagnosis and treatment of common diseases. Although she had never been to Sea City, she thought that she should only perform some minor surgeries.
The medical record was described in such detail. It was like a literary master using concise language to describe a passerby. It was completely meaningless!
However, Boss Zheng and Brother Yun looked at the medical records in silence. Lin Yuan had an illusion that he should have missed something.
At this moment, she seemed to feel a solemn atmosphere.
The conjunctiva and sclera were yellow, and the corners of the eyes were red and swollen. What was the problem?
She also began to focus on the medical records. Occasionally, Boss Zheng's hand would pause slightly, but the relevant places were only some very common small problems that were not worth paying attention to.
For example, pale lips, bleeding gums, and so on.
What was written on the medical record … Suddenly, Lin Yuan had a bad premonition.
She had seen Sister Yue's medical records before, and they were even more detailed than the medical records in front of her. It could even be said that she had described everything in detail.
Don't tell me I have to write medical records like this in the future!
She vaguely saw a bleak future ahead of her. She did not want to sit in the office writing medical records every day. She wanted to perform surgeries and become a world-famous surgeon.
Nausea, no vomiting, progressive weight loss, weight loss of 2.3kg in one year.
This description was too detailed. Lin Yuan's head started to hurt.
Lin Yuan even recalled that he had seen the doctor in Sea City write that the patient had oral ulcers, how many ulcers there were, and how they were treated.
The patient suspected that it was a mental illness. What did he mean by writing oral ulcers?! Lin Yuan cursed in his heart.
Were the people under Boss Zheng all perverts? They were so strict even when writing a big medical record.
No, it was not strict. This could already be described as harsh.
Immediately, Lin Yuan saw a line in the summary of the medical record: "Diet change history for three months". She was already speechless to the extreme. If she had to write every medical record like this, she was afraid that she would rather go home in a few days.
"Su Yun, ask Zhong Min what the change in diet means," Zheng Ren suddenly said.
"Yes, it's already very clear. It's probably because Chief Wang has never encountered a similar patient," Su Yun said softly. He picked up his phone and did not look for the phone book. He directly dialed a number.
Clear? What was clear?!
The hair on the back of Lin Yuan's neck suddenly stood up.
How did it become clear? What did he see to confirm Wang Huali's existence?
Small red and swollen eyes? Oral ulcers? Or a change in diet?
In an instant, a sense of powerlessness spontaneously arose in the depths of Lin Yuan's heart. What he was once proud of had collapsed so quickly in front of the two monsters, Boss Zheng and Brother Yun. It was so fast that it was unacceptable.
"Zhong Min, the medical record that Chief Wang sent just now was written by you, right?"
"The medical record of the patient named Han Cuijuan."
"I saw you write a change in diet. What does that mean?"
"Okay, tell Chief Wang that there's already some progress on this side. After I discuss it with the boss, I'll immediately tell you the diagnosis. "
After saying that, Su Yun hung up the phone.
"Zhong Min said that the patient started to have a heavy appetite three months ago. Her food is too salty," Su Yun said.
"Yes, then the diagnosis is very clear. Carbamazepine can't be stopped. Olanzapine 10mg once a day. Vitamin B12 1mg/d intramuscular injection for the first six days, 1mg every week for the next six weeks, and 1mg every month after that. "Zheng Ren directly said the treatment.
"Boss, you're too careless."
"The examination still needs to be done. Do you still need to say that?"
"It's still better to check for vitamin B12 and homocysteine," Su Yun asked.
"Yes, the positive rate of blood vitamin B12 test is not high. We have to check for homocysteine," Zheng Ren said. "Do it now. Tell Chief Wang that we'll wait for the results."
Lin Yuan watched Su Yun make another call speechlessly. In his mind, he recalled the diagnostic criteria for vitamin B12 deficiency.
"Boss Zheng, vitamin B12 deficiency generally manifests as giant cell anemia, glossitis, and neuropsychiatric symptoms," Lin Yuan questioned in a low voice.
"Yes, there are some small details. Not every patient with vitamin B12 deficiency will have glossitis and megaloblastic anemia," Zheng Ren said.
"…"
"For example, glossitis is the most common, but the diagnosis says that the tongue, oral cavity, and digestive tract mucosa are inflamed. If the conditions are met, we can do an endoscopy for the patient. This is the most ideal. "
"Huh?" Lin Yuan was stunned.
"Endoscopy is most likely to show gastric mucosa atrophy, the existence of chronic inflammation, and 50% to 60% of the biopsy epithelium shows intestinal metaplasia."
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
