1839 Rampant caries
Lingge sat in the ward for more than 10 minutes, and Zheng Ren had nothing else to ask, so he left the money and left.
"Boss, it doesn't seem like there is any serious problem." Su Yun said to Zheng Ren.
Zheng Ren's eyes were staring at the movie, as if there were flowers on it.
Soon, Linger is back.
He looked at Zheng Ren expectantly, but when he saw that Zheng Ren was as deep as water, he felt a little helpless.
I guess Boss Zheng has no new diagnostic opinions.
It's a good thing that there is no new diagnosis, and Linger comforts himself so much.
But he saw Zheng Ren still pondering and did not disturb him. He stood quietly waiting for Zheng Ren to speak.
As time passes by minute by minute, the quietness in the office makes people feel heartbroken.
There was a big man from the medical office, and the doctor on duty in the special ward was accompanying him for a while. He felt that the atmosphere was too depressing, so he found a reason to leave the office.
A few minutes later, Lin Ge looked at Zheng Ren and Su Yun again, not knowing what these two were thinking.
"Director Lin." Zheng Ren suddenly spoke, scaring Lin Ge.
"ah……"
"Do you see what changes have happened to Director Mao?" Zheng Ren asked.
This sentence was a bit vague, and Lin Ge didn't know how to answer it for a while. But after all, he was a veteran in handling medical disputes. He pondered for a while, wondering what Boss Zheng should think, and then replied: "Maomao is very unstimulated."
"What else?"
"There are small purpura in the limbs. Some have already recovered, while others have not recovered. Only hands and feet can be seen, but no other locations."
"Um."
"Not even more... the hair is messy and the eyes are not bright. The tone when speaking is different from usual." Linge racked his brains to outline the scene of Boss Zheng at that time.
Zheng Ren held his arms and looked at the movies without saying a word.
"I got angry and said my teeth were broken."
"The hands and feet are weak and I can't walk."
"I don't like eating. Eating is like taking medicine. I have to use water to deliver it down."
Linger bit by bit, like squeezing toothpaste, putting together various symptoms of Director Mao.
"Wait." Zheng Ren said: "Are all the teeth broken?"
"..." Su Yun was speechless, and Lin Ge was also speechless.
"What's going on?" Zheng Ren asked.
"Can you pay attention to the big things?" Su Yun said unhappily: "Boss, are you tired and confused just after flying back? On the one hand, you have hemothyroid syndrome, on the other hand, your teeth are broken, and it is amazing is caries..."
As he said that, Su Yun was suddenly stunned, "Rampant dental caries?"
"Yeah!" Zheng Ren nodded suddenly, and the doubt gradually became clear. "Director Lin, can you see Director Mao's dental caries?"
"..." Linger was still stunned.
He didn't know that there was such a diagnosis for rampant dental caries.
"Director Lin, can you see Director Mao's dental caries?" Su Yun asked.
How is it linked to tooth decay?
Linge was stunned for a moment. Although he couldn't understand, he immediately said: "You can see it."
Silence, a few seconds of silence made the atmosphere in the office a little awkward.
Linge remembered that he probably was waiting for his description.
Why are you distracted? Ling Ge immediately focused his mind and recalled, "I didn't see it very clearly. Maomao seemed to be deliberately not opening her mouth when she spoke, but I could see a dental caries on her left side, and only the root of her teeth were left. It was rotten... The real murderer, but there wasn't before."
"There is a tooth on the right side that is already black."
Linger searched every detail, but she could only say this.
No matter how many he had, he couldn't continue to say anything.
It was very difficult to remember every detail at that time. Linger had been working hard in the medical office for many years before he could barely do it. He might not have noticed these things even if he changed his person.
"Rampant dental caries, and you need to use water to feed food, consider Sjogren's syndrome!" Zheng Ren's right hand turned into a fist and smashed it on his left hand.
"Well, this can explain why there is pulmonary hypertension. I'll go... I can get this kind of disease, and Director Mao's luck is really not very good." Su Yun said with a smile.
"Uh...Boss Zheng, Dr. Su, wait a moment." Linge asked in surprise: "Judicatry syndrome? What is that?"
"Jugby's syndrome is a chronic inflammatory autoimmune disease that mainly involves the exocrine glands, also known as autoimmune exocrine gland epithelial cell inflammation or autoimmune exocrine disease." Zheng Ren said.
“…”
"A few patients will have lung changes, dry cough, shortness of breath, and severe cases may have hemoptysis. In addition, patients with pulmonary hypertension will not recover after recovery." Zheng Ren said.
"Well……"
"Rampant dental caries are one of the signs of Sjogren's syndrome. The patient has multiple dental caries that are difficult to control, which are manifested as the teeth gradually become darker, and then the small pieces fall off, and only the remaining roots are left." Zheng Ren's eyes gradually lit up, and he quickly said the basis for diagnosis.
"What if this...is just tooth decay?" Linger asked stammeringly.
"It's easy to say." Su Yun smiled and said, "Director Lin, I'll take a look."
"ah?"
"You can make people laugh or cry. If it is Sjogren's syndrome, the tear glands have no secretions, which means there are no tears when crying." Su Yun said, "I'll know just one look."
After saying that, he turned around and left.
"Doctor Su, don't interfere." Linger immediately chased after him.
Zheng Ren did not stop Su Yun.
It involves a clear diagnosis. Although there is no good clinical treatment for Sjogren's syndrome, it is helpful for further treatment after a clear diagnosis.
In fact, the diagnosis of Sjogren's syndrome has its own criteria, which are divided into oral symptoms, eye symptoms, eye signs, histological examinations, parotid gland damage, autoantibodies changes, etc.
But Director Mao would not let himself check the body, so Su Yun’s method is the simplest and direct.
After Su Yun went out, Zheng Ren thought about it and followed him out.
Linger followed Su Yun in the corridor and persuaded him, but Su Yun smiled and beat him up.
"Director Lin, let him go." Zheng Ren said: "Su Yun, go there on the grounds of visiting Director Mao."
"You still need to teach me?" Su Yun glanced at Zheng Ren and said disdainfully.
Linger was a little waxed.
This is the trouble I have caused. How old is he? Why do you still make Director Mao cry?
"Director Lin, don't go in. It's hard to say, let's take a look outside." Zheng Ren said.
Lin Ge had no choice but to follow Zheng Ren and wanted to say something, but he swallowed it back when he said something.
Zheng Ren was not in a hurry and walked slowly behind him. He didn't joke with Lin Ge, but just thought about the diagnosis problem just now.
For multiple conditions, the symptoms point to Sjogren's syndrome. Take a look outside and refer to the system panel.
Even without a system panel, rampant dental caries can be diagnosed with high probability.
Chapter completed!