"Mr. Zhou, the patient is given rheumatism and immunity." Zheng Ren said.

"Why didn't I see the ring-shaped cartilage...it seemed to dissolve?" Zhou Litao asked in surprise.

"As a rare disease, the cause and pathogenesis of recurrent polychondritis is still unclear. It has been reported that it is an autoimmune disease, and it also has a certain genetic tendency. The specific pathogenesis is still under further research."

Zheng Ren explained, "The symptoms of this disease in the lungs are mainly seen when the disease is accompanied by inflammation of tracheal cartilage. Pathological examination shows the dissolution of tracheal cartilage, swelling of tracheal mucosa and granulation hyperplasia, and the tracheal lumen can become narrow and blocked."

"But..." Zhou Litao paused for a moment. He still had questions, but questioned how to say Boss Zheng's words, so he swallowed them directly.

"Oh, I guess it's slowly dissolving, and the body gradually gets used to it. When encountering an unexpected event, a large amount of hormones is secreted, and the trachea itself will spasm. Today it happened to catch up, so it exploded directly." Zheng Ren said, "This explanation is a bit coincidental, so he insisted on taking a look with a fiber support mirror."

Zhou Litao felt that it was logical, so he nodded immediately, "Boss Zheng, what else should I check after being admitted to the hospital?"

"Just be admitted to the hospital. Our hospital has strong rheumatism and immunity. Just write the diagnosis on the hospitalization form clearly. Don't write it incorrectly for recurrent polychondritis. By the way, this disease diagnosis ICD code is included."

"Yes, I know, Boss Zheng." Zhou Litao smiled and immediately went to issue the hospitalization form.

Su Yun hesitated for a moment, but still did not stay. Instead, he went to the operating room with Zheng Ren to change clothes.

I seemed... wrong again. Zheng Ren started self-examination on the road, and there seemed to be no auscultation just now. Jiu suggested that Zhou Litao have a bronchoscopy. This is not rigorous, and when I was in the branch today, I was in an emergency, so I bought a blade in the system space for emergency treatment.

Don’t be seen by Su Yun, Zheng Ren is a little anxious.

"Boss, what do you think this is all!" Su Yun complained on the road, his mood obviously was a little wrong.

"Oh, you can know without auscultation." Zheng Ren said.

What the two said was obviously different. Su Yun frowned and asked, "What are you having hysteria?"

"Ah? Didn't you say that I had diagnosed it without auscultation?" Zheng Ren was also stunned for a moment.

But he immediately realized that he was thinking about not auscultation just now, so he made a judgment based on the diagnosis of the big pig's hooves. Su Yun was talking about Qiao Liyan's lover making an appointment with someone, and he actually made a mess of messy things about his own girl.

"Don't be depressed, it's okay." Zheng Ren smiled, "This kind of thing is a matter of probability. I happened to encounter it, and no one can do anything about it."

"I see that Sister Qiao doesn't speak, so I'm a little worried." Su Yun sighed and said, "She doesn't say a word except for you asking about the condition of the disease. If she's fine, it's okay, and this silence will be a big deal."

"Oh, what's the solution?" Zheng Ren sighed.

But this kind of thing is obviously not something you can or should solve, so you can only sigh.

"Boss, what did you mean just now?" Su Yun knew that he could only sigh at most, so he changed the subject directly.

"If there is a problem with the annular cartilage of the trachea, coughing, asthma, sound tearing and dyspnea will usually occur, and it will be misdiagnosed as chronic bronchitis." Zheng Ren said, "It can also be combined with pneumonia, repeated respiratory infections and wheezing. The characteristics of severe coughing under its induced induced are sudden, deeper metal-like dry cough or swelling cough, which is often mistaken for asthma."

"I heard the patient's asthma sounds, and the first feeling was that there was something wrong with the ring cartilage, so..."

"I'll go!" Su Yun quit this time.

As the rising star of the imperial capital's cardiothoracic surgery, it doesn't matter if he loses to Zheng Ren in other fields. After all, it's all a "side job". But in terms of mind, he is determined not to give in.

Deeper metallic sound dry cough or escaping cough... can be judged, and it is also used as a basis for diagnosis?

After a long time in the chest, Su Yun subconsciously judges whether there is phlegm when he hears a person coughing, the location of the phlegm is in the upper or lower respiratory tract, and even the lightness or severe bronchospasm, etc., etc.

But what Zheng Ren said was so hurtful of self-esteem.

"Uh..." Zheng Ren also realized this and immediately explained, "It's mainly because I've met a patient with recurrent polychondritis, so I've got an impression."

"How can you, a doctor from Haicheng, encounter so many rare diseases?" Su Yun didn't believe it and questioned directly, "This disease is 100% diagnosed and treated according to bronchitis and asthma. Tell me, who was the diagnosis at that time?"

"..." Zheng Ren was speechless. He could do it with all kinds of refusal, but it was too boring to do it. It would be better to just lie down without saying a word.

"Also, why are you carrying a blade with you?" Su Yun asked.

"It feels like you, I always touch the blade in my pocket with my hands to feel the texture and toughness of the metal. I think it will be helpful for the surgery." Zheng Ren was serious and completely forgot about the sterile packaging. "Anyway, I'm fine, and I'm idle with my hands, so it's better to use it to feel it."

Su Yun still had countless questions, and at this time Zheng Ren's cell phone rang.

[They said they should write a love song soon...]

Zheng Ren took out his cell phone and yang it, indicating that he had a phone number. He looked at it and called it by Yiren, and a sweet smile immediately appeared on his face.

"Boss, you are so skillful in licking your dog." Su Yun immediately squirted.

Zheng Ren smiled slightly and didn't care about Su Yun's provocation.

"Yiren, what's wrong?"

"oh?"

"oh."

"oh!"

"I'll be here soon."

Three, three different tones, the contemptuous smile on Su Yun's face was even heavier.

Seeing Zheng Ren hung up the phone, he immediately asked, "What's wrong?"

"A classmate from Yiren has some trouble and ask me for advice." Zheng Ren said.

"What can nurses have trouble? Isn't it enough to follow the doctor's advice? If something happens, they belong to the doctor. Did you get a mistake in the wrong way? I'll go, is it because of the wrong blood transfusion?"

The two things Su Yun said are occasional mistakes that nurses make. It is a little bit more common to mistakes, and similar incidents occur several times a year. The second thing is too serious. Su Yun also secretly warned Zheng Ren not to agree to something he shouldn't agree.

"I know, Yiren is waiting for me underground. Will you go and take a look?"

"Go and have a look, there is not even a patient."

"It's okay for Shi Huairu to have a tutoring child?" Zheng Ren asked.
Chapter completed!