The patient's clinical routine clinical examination is nothing, including imaging data. If all the examinations are done from beginning to end, it is not practical at all.

"What about bipolar disorder caused by changes in thyroid function?" Su Yun asked.

"In your words, there is still no way to explain Wang Canlan's existence." Zheng Ren continued to slide the mouse wheel bit by bit and carefully read the major medical records.

Bipolar disorder is only a possibility, and Zheng Ren believes that it is a bipolar disorder is unlikely.

"Boss, what are you doing when you read the major medical records so carefully?" Su Yun asked.

"The medical records were written by Zhong Min, and she is more meticulous." Zheng Ren said simply.

When a clinician writes a major medical record, it took at least 1 hour to write a standard major medical record.

Now that electronic medical records are available, many of them are options, which are much more convenient than handwritten medical records.

But because of this, doctors do not look at the default options carefully and fill in them carefully. After all, there is limited time every day, there are too many things to do, and there is not enough clinical staff, so just fool around the unimportant places.

Zhong Min is a standard internal medicine practitioner. Because in the past, internal medicine practitioners did not take surgery and wrote medical records, they spent a lot more time looking at patients than surgeons, so the medical records should be written in a relatively detailed manner.

In addition, her personality is still so delicate, especially after being scared by the disappearance of the Magic Pen signature once, she was even more serious and harsh.

Just talking about medical records, Zheng Ren thought he would definitely not be able to catch up with Zhong Min, let alone Chang Yue.

"The eyes reflect light normally, and the conjunctiva is slightly yellow. Does this mean this boss?" Su Yun asked.

The test form has been checked, and bilirubin and other tests are normal, and jaundice diseases can be basically ruled out.

Moreover, hepatic cerebral disease may also have mental symptoms, but the patient's situation is thousands of miles away from hepatic cerebral disease.

"It doesn't make sense to be simple. There is a 1mm-sized redness and swelling in the corners of the eyes, accompanied by peeling." Zheng Ren then saw another patient's sign described by Zhong Min.

Su Yun did not argue with Zheng Ren, but sat aside very seriously and read the medical records written by Zhong Min with Zheng Ren.

Lin Yuan was very puzzled. Generally speaking, grassroots hospitals face the diagnosis and treatment of common diseases. Although she has never been to Haicheng, she thought she should only have some minor operations.

The medical record is described so meticulously, it is like a realistic literary master using concise language to describe a passerby. Isn’t it completely meaningless!

But Boss Zheng and Brother Yun were both looking at the medical records silently. Lin Yuan had an illusion that he must have missed something.

At this moment, she seemed to feel a solemn atmosphere.

The conjunctiva and sclera are yellow and there are small redness and swollen eyes. What is the problem?

She also began to follow the medical records with her heart. Occasionally, Boss Zheng's hand would pause slightly, but the relevant areas were just some small problems that were very common and not worthy of attention.

For example, pale lips, bleeding gums, etc.

This medical record is written... Suddenly, Lin Yuan had a very bad premonition.

She has read Sister Yue’s medical records, which are more detailed than the medical records in front of her, and can even be said to be a detailed description.

I won’t have to write the medical record like this in the future!

She vaguely saw that the future was dark. She didn't want to sit in the office every day to write medical records. She wanted to have surgery and became a world-famous surgeon.

Nausea, no vomiting, progressive weight loss, and weight loss by 2.3kg within 1 year.

This description is too detailed, and Lin Yuan's head hurts in pain.

Lin Yuan even recalled that he had seen the doctor in Haicheng write about how the patient had oral ulcers and several ulcer faces.

The patient suspected that it was a mental disease, so what does it mean to write about oral ulcers?! Lin Yuan felt a slander in his heart.

Are all the people under Boss Zheng’s command perverts? They are so strict in writing major medical records.

No, it's not strict, this can be described as strict.

Immediately, Lin Yuan saw the line of words "Diet change medical history for 3 months" in the summary of the medical record. She was speechless about it. If she had to describe each medical record like this, she would probably rather go home in a few days.

"Su Yun, ask Zhong Min what the meaning of dietary change is." Zheng Ren suddenly said.

"Well, it's already very clear. It's probably because Mr. Wang has never encountered a similar patient." Su Yun said softly, picking up his mobile phone, and without looking for the phone number directory, he dialed a mobile phone number directly.

It’s clear? What’s clear!

The hair on Lin Yuan's neck suddenly stood up.

Why did it be clear? What did you see clearly define Wang Canlan’s existence?

Small redness and swollen eyes? Oral ulcers? Or dietary changes.

In an instant, a feeling of powerlessness arose in Lin Yuan's heart. The things he was once proud of collapsed so quickly in front of the two monsters, Boss Zheng and Brother Yun, were almost unacceptable.

"Zhong Min, you wrote the medical records sent by Mr. Wang just now."

"The medical record of the patient's name is Han Cuijuan."

"What does it mean when you wrote a diet change?"

"Okay, you told Mr. Wang that there is already a glimpse of this. When I discuss it with the boss, I will tell you about the diagnosis immediately."

After saying that, Su Yun hung up the phone.

"Zhong Min said that the patient started to have heavy mouths three months ago and the food was too salty." Su Yun said.

"Well, the diagnosis is very clear. Carbamazepine cannot be stopped, olanzapine 10mg is taken orally once a day. Vitamin b12 is intramuscular injected 1 mg/d in the first 6 days, 1 mg injected weekly in the next 6 weeks, and then 1 mg injected monthly injected 1 mg." Zheng Ren said directly about the treatment.

"Boss, it's too rigorous."

"The inspection still needs to be done, so that's more to say?"

"It's better to check vitamin b12 and homocysteine." Su Yun asked.

"Well, the positive rate of blood vitamin b12 test is not high, so homocysteine ​​must be checked." Zheng Ren said, "Let's check now and tell Mr. Wang, let's wait for the results."

Lin Yuan looked at Su Yun speechlessly and called again, recalling the diagnostic criteria for vitamin b12 deficiency in his mind.

"Boss Zheng, vitamin B12 deficiency is generally manifested as giant cell anemia, glossitis and neuropsychiatric symptoms." Lin Yuan whispered.

"Well, 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, and it can be diagnosed as inflammation of the mucosal membranes of the tongue, mouth, and digestive tract. If conditions permit, a gastroscopy can be given to the patient, this is the most ideal."

"Ah?" Lin Yuan was stunned for a moment.
Chapter completed!