1956 A big circle (monthly ticket 55500111)
"Director Luo told the boss just now." Su Yun said contemptuously.
Lin Yuan seemed to have not heard Su Yun's words, raised his head and swung his ponytail, "Eosinophilic gastroenteritis is a disease of unknown cause, characterized by diffuse or localized eosinophil infiltration of the gastrointestinal tract, often accompanied by eosinophilia in the surrounding blood."
"You didn't ask you to endorse your medical history, and you didn't even ask where did you get the confidence to say that there are any or not." Su Yun said contemptuously.
"The patient's symptoms are very typical." Lin Yuan was full of confidence.
Director Luo smiled and said, "I also suspected that it was eosinophilic enteritis at the beginning, but to find a large number of eosinophils, I have to wait for the gastroenteroscope test results."
"I'll do it!" Lin Yuan volunteered again.
"Don't panic, I'll ask the patient's medical history." Zheng Ren sat on the chair next to Director Luo and said calmly.
He was thinking about countless similar cases and diagnoses in his mind.
But now I can only think of these things as a kind of training. It is almost meaningless before asking for medical history.
Soon, Director Luo called the patient's family in.
This is a farmer in his fifties, with a confused and cautious look on his face.
When he walked into Director Luo's office, he stood carefully in a corner, not daring to touch anything around him.
He was afraid that Director Luo would dislike him.
When I came to 912, I was able to be admitted to the hospital, and I had already burned high incense, so don’t mention anything else.
"You are the patient's lover." Zheng Ren asked with a smile.
"Yeah." He nodded honestly, not daring to say another word.
"Don't be so restrained." Zheng Ren stood up and put the chair next to the patient's family, "You sit down and say."
Uh... the patient's family was a little hesitant, and he looked around and looked at the expressions of everyone in the room.
He did not see disgust or contempt, and finally, under Director Luo's consolation, he carefully sat on a corner of the chair.
Zheng Ren was afraid that he would sit on the ground.
However, he did not advise the patient's family anymore. He was too polite, which was also a kind of pressure for the patient's family.
"How long has your lover had diarrhea?" Zheng Ren asked directly.
"It's been four or five years, and it's not good either."
"Where have you seen it? Have you taken any medicine?"
"We have seen all the hospitals on our side. We have taken intestinal worm clearance, pyridonic acid and so on, and there are many medicines that I don't know."
"What about after taking the medicine? Is it effective?" Zheng Ren continued to ask.
“Sometimes there, sometimes there isn’t.”
"how are things?"
"It's getting worse recently. People with diarrhea can't get up. In the past, it was okay to go to the field to work, but it's just diarrhea, who won't get up?" The patient's family said sadly: "But it became worse and worse two or three months ago."
Zheng Ren was stunned for a moment, he was a little confused. Progressive diarrhea is rare.
"What do you like to eat?" Director Luo asked.
Before, I had been in the outpatient clinic, and it was impossible to ask about my medical history in such detail.
Director Luo only relied on his many years of clinical experience to judge that the patient might have problems. After reading the test form, he asked a few questions and then went to the hospital for further examination.
This is a difficult and complicated disease to some extent, and you need to further inquire about the medical history before making a judgment.
"Stewed pork vermicelli." The patient's family said honestly.
Tapeworms? No, there are very few tapeworms, and they rarely induce diarrhea. This probability is even rarer than the pork tapeworms parasitize in the brain and induce neurological diseases.
Zheng Ren and Director Luo asked in detail from family history to past history to personal history.
Half an hour later, Director Luo and Zheng Ren stopped asking.
I have asked everything I can, no problem.
The patient is a very ordinary female patient in the countryside. She usually does farm work and plays mahjong in winter during the slack farming period.
I have had severe diarrhea recently, and it happened after playing mahjong. Playing mahjong and diarrhea are completely inseparable from it.
"Boss Zheng, do you have any ideas?" Director Luo asked.
Zheng Ren shook his head and said, "Go and see the patient."
This is the last trump card, and I can't say that I can only rely on the system panel of the big pig's hoof to make diagnosis.
If you can't understand it yourself, it's your own business and you can't delay the diagnosis and treatment of the patient.
As for Director Luo's preliminary diagnosis, Zheng Ren only had some doubts, but did not think that the possibility of eosinophilic enteritis was very high.
"Yes." Director Luo said: "The patient is not in good condition now. I took a look at it when I was in the outpatient clinic and probably had ion disorders and mild breathing difficulties."
"Is the colonoscopy back?" Zheng Ren suddenly asked.
"We should be back, take a look at the image and then go see the patient." Director Luo was about to move, and Su Yun quickly picked up the mouse and began to look for the patient's image information.
Generally speaking, there will be two to three typical image pictures on the gastroenteroscope report sheet. However, Director Luo said hello, so the whole intestine image uploaded.
Su Yun clicked the image, and everyone was watching the computer as if they were watching a movie.
Five minutes later, the mirroring process ends.
"It's not eosinophilic enteritis." Zheng Ren said, "I didn't see any granuloma."
Lin Yuan also sighed, it was really not.
I was sure it was eosinophilic enteritis in my heart, but once it was denied, she felt a little uncomfortable.
The patient's lover sat carefully on the chair. Seeing that the diagnosis was denied, he sighed and said, "Doctor, can it be cured?"
"Um?"
"If it doesn't work, we'll go back." He said in frustration: "I want to eat something and drink something. The couple haven't sat together for a long time and have never had this strange disease."
Zheng Ren was a little sad.
Go and take a look and see what the big pig's hooves say.
"How much can I drink?" Su Yun asked.
"You can drink one pound in summer and half a pound in winter." Speaking of drinking, the man's face gradually became a little shiny.
"Hmm?" Zheng Ren felt something was wrong and immediately asked, "Why is it so much worse?"
"There are food in summer! The snails caught in the field are fried with spicy food, and they are ready to drink!" the man said dejectedly.
Asking for medical history is the most annoying thing.
Patients will not say everything the doctor needs at once.
But this is easy to understand. No one knows what is related to diseases in life.
If they all say it, they can’t finish it in three days and three nights.
Zheng Ren's eyes suddenly lit up when he heard the patient's family say this!
"Would you usually eat snails?"
"Well, that thing is everywhere. The snails fried by my wife are so delicious. We can eat a small pot for a night of wine."
Director Luo also discovered the problem!
Chapter completed!