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1957 Misunderstood (monthly ticket 56000112)

"I'll go and see the patient." Zheng Ren said.

"Let's go together. I just took a quick look at the patient in the outpatient clinic. I had to go to the hospital for dozens of days in the morning, so I didn't look at it in detail." Director Luo followed Zheng Ren out of the office.

The patient's family followed carefully, and he didn't understand why the doctor would look like a big enemy when he talked about eating snails.

"Have you eaten snails in the United States?" Su Yun walked at the end and asked Lin Yuan with no seriousness at all.

"No, there are occasionally Chinese restaurants selling that side, but I rarely have time to go out." Lin Yuan replied casually.

"Eat French snails." Su Yuntu was exhausted.

"..." Lin Yuan already knew what this guy was going to say.

"Hey, if you have diarrhea, you have to risk getting infected with trichinidella." Su Yun said with a smile: "It is recommended that you go to the physical examination center to check, at least draw blood. If eosinophils increase, there may be related diseases. Of course, this is just a suggestion, free."

"Impossible!" Lin Yuan was nervous, but he still replied firmly: "I don't eat raw food."

"Tsk tsk, are all doctors from Harvard teaching at this level?"

"you……"

"The larvae sacs of the trichinid caterpillars are highly resistant and can withstand low temperatures. The larvae in the sacs in the pork need to be stored for 20 days before they die at -15c, and can survive in rotten meat for 2 to 3 months. Methods such as drying, marinating, roasting and shaving often cannot kill the larvae, but they can often be killed at 70c." Su Yunyouran said.

Lin Yuan really didn't want to pay attention to this guy, so she speeded up and followed Boss Zheng.

But Su Yun's words were like a curse, circling in his mind.

Do you need to do a check? Lin Yuan hesitated a little. But he doesn’t go for a checkup. What if he is really infected with trichinidella?

I had diarrhea during the operation... When I thought of this possibility, Lin Yuan shivered.

When he arrived at the ward, Zheng Ren began to check the patient's body. The system panel was blood red. The most serious disease was not trichinidia, but concurrent - loffler endocarditis.

Loffler endocarditis, also known as eosinophilic endocarditis, is caused by eosinophilia in the body, a stress change in the body.

No wonder the patient's family said that the patient has not been able to get up in bed in the past two or three months.

When I first heard this medical history, I would definitely think it was electrolyte disorder caused by diarrhea. However, Zheng Ren was a little depressed after seeing the patient's system panel.

In addition to loffler endocarditis, the patient also has secondary thrombosis in the left ventricle.

Zheng Ren felt a little regretful. Although he did not delay anything, he now had a very bad tendency.

After meeting patients, I always want to use my own strength to make the correct diagnosis.

It takes time to constantly ask about medical history and check for various abnormal situations.

Although the diagnosis did not cause the patient's condition to worsen after the analysis, Zheng Ren still kept this matter in mind and was ready to reflect on it after finishing his work.

"You need an echocardiac." Zheng Ren put down his stethoscope and said with certainty.

Director Luo asked a nurse to ask the doctor for instructions and called the ultrasound department. After he came back, he asked in surprise: "loffler endocarditis?"

"It's not just this." Zheng Ren didn't say it in detail. After all, if he said too much in front of the patient, what if he scared the patient out of his mind?

Director Luo frowned.

He considered eosinophils and loffler endocarditis. However, a more serious disease, heart complications, which is more difficult.

Zheng Ren had another physical examination, and the ultrasound machine was soon pushed.

Sitting at the head of the bed, Zheng Ren began to have echocardiac movements on the patient.

"How is Boss Zheng's echocardiac level?" Lin Yuan asked Su Yun in a low voice.

"It seems that you have a high level of echocardiac." The answer she got on Su Yun's side was always sarcastic tone.

"Can you say it well?" Lin Yuan felt a little disgusted with the person beside him.

This is because he is indeed very good-looking. If he had changed someone, Lin Yuan would have been too lazy to pay attention to it.

"Well, the boss said this." Su Yun said, "Just look good, I'll probably have to undergo surgery later."

"Surgery?" Lin Yuan was stunned.

It's just diarrhea. Even if you have loffler endocarditis, it won't be a surgery.

"Loffler endocarditis, thrombosis. Life is hard, Lao Liu is leaving, Fuguier is still doing Nobel Prize information, so I can only follow." Su Yun was ready.

Lin Yuan tried hard to recall loffler endocarditis, a rheumatism-immune disease, which requires a high level of diagnosis even if it is just a diagnosis.

I said that I just had surgery? Why are I so confident!

"It's okay, if you don't want to go, I can go." Lin Yuan whispered.

"It's indeed what American doctors do, interventional angiography is just a routine."

Lin Yuan was about to show off, but Zheng Ren suddenly said.

"A substantial strong echo attachment can be seen in the apical part of the left ventricle, irregular morphology, and suspected thrombosis. Loffler endocarditis is considered; the ventricular wall of the apical part of the left ventricle is thickened, local echo enhancement, and weakened interventricular septal pulsation; mild reduction in left ventricular systolic function, moderate mitral valve and tricuspid valve regurgitation."

The echocardiac doctor hurriedly recorded.

Director Luo frowned and saw Zheng Ren doing echoes. The image analysis was really terrible.

Director Luo is not very good at imaging examinations of echocardiac. He can see it simply, but if he is serious, he will be vague.

After all, it's not his junior college.

As for Boss Zheng... that's incomparable, Director Luo knew it.

After the inspection, Zheng Ren asked, "When was the last time I ate and drank water?"

The patient's lover hesitated and said: "I just ate a little."

Zheng Ren didn't say anything, stood up and walked out.

"Boss Zheng, what are you going to do?" Director Luo asked after Zheng Ren.

"I took a closer look at the interventional thrombosis. It was not granuloma caused by eosinophilia, but left ventricular thrombosis, which induced left heart failure." Zheng Ren whispered: "Director Luo, please prepare for the patient to transfer to the department."

Director Luo sighed.

I was a patient with endocarditis and thrombosis.

I was confused in the outpatient clinic...

There is nothing I can do about this. I have complained about diarrhea for five years, but I don’t have the ability of Boss Zheng… It’s wrong!

Thinking of this, Director Luo suddenly woke up.

Why have I used to determine Boss Zheng's level to such a high level!

This is not a good habit.

"Is the operation difficult?" Director Luo asked.

"Fortunately, the thrombectomy surgery is good, just be careful not to have complications." Zheng Ren said: "If the circulatory internal medicine department finds it difficult, you can ask them to call me."
Chapter completed!
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