Chapter 1754 Fraudulent Hypoglycemia? (Leader Avera Adds 3)

Zheng Ren ignored Luan Yingjie and directly took the film in his hand.

The thin one is the upper gastrointestinal angiography.

This kind of examination was called barium penetration of the upper gastrointestinal tract many years ago. Because the barium preparation was unpleasant and viscous, the examination effect was not very good. Later, liquid meglumine was used as the contrast agent.

The effect...that's all, there are not many diseases that can be determined. But at some point, this check is still useful.

For example, at present, Su Yun believes that achalasia can be initially diagnosed if the "bird's beak sign" is seen in the cardiac segment of the upper gastrointestinal angiography.

Zheng Ren pulled out the thin film and looked at the light.

Very smooth esophagus, no beak sign at all. The overall esophagus does not have achalasia, and there are no conditions such as diverticula that may cause coma after eating.

Both Zheng Ren and Su Yun were silent.

What is this disease? Dizziness after eating, and the disease is still progressing, and now it has become coma after eating.

Went to the hospital for a checkup and found nothing.

Weird.

Could it be a mental illness? Is it more serious hysteria?

Zheng Ren didn't want to make such a diagnosis. The diagnosis of any mental illness should be done with caution, just like the diagnosis of a tumor.

Su Yun took out the PETCT films and quickly looked at them one by one.

Without the tumor, the old man of the Luan family is in good health... a mess.

Seeing that Zheng Ren and Su Yun were watching the movie, Luan Yingjie didn't speak for a while, and smiled bitterly in her heart. Maybe they don't know what the disease is, which is no wonder, after all, they are too young.

Young, means steady hand, means fast reaction speed, means good eyesight.

These are not sufficient and necessary conditions for a surgeon.

But being young also means seeing fewer patients and less experience. Experience takes time to grind.

Some geniuses, such as Su Yun... Forget it. Boss Zheng, who was rumored to be divine in Pengcheng, was nothing more than that.

But what about the old man? Luan Yingjie suddenly began to feel miserable.

"Boss, what do you think?" Su Yun asked Zheng Ren when Luan Yingjie was thinking wildly.

"Eating, dizziness, may be a transient problem of insulin secretion. However, abdominal CT did not reveal any problems, and PETCT did not reveal insulinoma." Zheng Rendao, "But it cannot be ruled out for the time being."

"Islet β-cell tumor or β-cell hyperplasia causes excessive insulin secretion, which in turn causes hypoglycemia, which is a bit like dizziness." Su Yundao, "As the disease progresses, it becomes more and more serious, and now there is a coma. "

"It's just a guess." Zheng Rendao said, "Insulinomas often have typical Whipple triad manifestations, namely: hypoglycemia symptoms, coma, and neuropsychiatric symptoms, which are easy to attack on an empty stomach or after labor."

"It only meets 1-2 points. It's a bit reluctant to say that it is an insulinoma, and it doesn't show on the image. Have you reconstructed it? I reconstructed it again, but I didn't see it." Su Yun seemed to be muttering to himself, watching the film and whispering arrive.

Zheng Ren suddenly stopped and looked at Luan Yingjie.

With a simple and honest expression and sharp eyes, Luan Yingjie was stunned for a moment, then immediately smiled and said, "Boss Zheng, what are your orders?"

"Do you have insulin at home?" Zheng Ren suddenly asked.

"Insulin?" Luan Yingjie was stunned.

"Fraudulent hypoglycemia?" Su Yun asked, "but is it necessary?"

"The elderly want their children to go home with them. What can't they do? Sometimes the elderly with paranoid personality disorder are likely to do such things." Zheng Rendao.

"Boss Zheng, this..." Luan Yingjie was a little dissatisfied.

"Old Luan, don't tell me." Su Yun smiled and said, "Two days ago... Song Ying, do you know him?"

"Xiao Song, of course I know him. He has a big business and is much better than me." Luan Yingjie didn't know why he was talking about Song Ying.

"Song Ying's brother, the one named Chu Huainan has a problem, so he has to ask the boss for surgery."

Luan Yingjie's heart moved, Chu Huainan and Song Ying, these are the people who can't climb up. Could it be that this is true for Boss Zheng?

But his guesses sounded unreliable.

Although I really don't want to, but a mental illness is better than guessing like this. What fraudulent hypoglycemia, sounds particularly unreliable...

"When I went to see the patient, there was an old man next to the special needs ward. He was unpleasant, and he said something about his son. Later, the words were sorted out by someone with a heart. After checking it, the problem was really found."

"..." Luan Yingjie was surprised, there is still such a pitiful father?

What Su Yun said was simple, what, what, there are countless guesses in the four words. It is normal for people who do business to walk in the gray area.

But they are generally pitted by business partners, and some are pitted by juniors. It's really rare to be pitted by your own father.

"Oh? And this? What happened later?" Zheng Ren asked.

"Later, the old man was discharged from the hospital, and it is estimated that he is down and out now." Su Yun said: "These things are not clear. It is said that a lot of big people are involved. After all, fraudulent hypoglycemia may exist, Lao Luan, you Say something."

"Uh...insulin, I haven't seen it before." Luan Yingjie quickly recalled, denied it immediately, and then said, "I'll ask the nanny and look over the house."

This attitude is very correct, and Zheng Ren is quite satisfied.

Fraudulent hypoglycemia, insulinoma, these are only possible, but the possibility is not high, Zheng Ren himself could not convince himself.

But in such a strange case, it is always right to give it a try.

On the table, seeing that the two of them were watching the movie attentively, Linger smiled and said, "Boss Zheng is not free to eat."

"Director Lin, that's how they are." Chang Yue said, "Most of the time, they eat to see a doctor."

"It's the same as in the emergency department." Lao He was a little emotional.

What they were talking about, Zheng Ren didn't notice at all. At this time, he was quickly searching for the cases, diagnoses, and differential diagnoses in his memory according to the patient's condition.

The first impression is that this syncope is closely related to gastrointestinal disorders, including hiatal hernia, esophageal stricture, achalasia, and esophageal cancer.

However, the imaging data negates all the above possibilities, and it is no longer necessary to think about it.

Then there's the matter of the heart.

Atrioventricular block is the most common electrophysiological problem, followed by sinus node dysfunction, including sinus bradycardia, sinus arrest, and asystole.

However, the patient's electrocardiogram, echocardiography, and coronary CT denied these diagnoses.

As Su Yun complained just now, he is 72 years old, and he did not even have a small amount of tricuspid regurgitation on echocardiography. This old man's health is really good.

But where is the problem?