Chapter 1956 Mistakes (Monthly Ticket 56000 Plus More × 112)

"I'll take a look at the patient," Zheng Ren said.

"Let's go together. I just took a brief look at the patients in the outpatient clinic. There were dozens of numbers in the morning, and I didn't look at them in detail when they were admitted to the hospital." Director Luo followed Zheng Ren out of the office.

The patient's family members followed carefully. He didn't understand why the doctor looked like an enemy when it came to eating snails.

"Have you ever eaten snails in America?" Su Yun walked last, asking Lin Yuan without any seriousness.

"No, there are occasional Chinese restaurants over there, but I rarely have time to go out." Lin Yuan replied casually.

"Eat French snails." Su Yuntu looked at him poorly.

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

"Here, you have diarrhea, and you still risk being infected with trichinella." Su Yun said with a smile: "I suggest you go to the medical examination center for a checkup, and at least get a blood test. If the eosinophils increase, there may be related Disease. Of course, this is just a suggestion, free of charge."

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

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

"you……"

"The cysts of Trichinella spiralis larvae have strong resistance and can withstand low temperatures. The larvae in the cysts in pork need to be stored at -15°C for 20 days before they die, and they can survive in carrion for 2 to 3 months. Drying, pickling, Methods such as roasting and rinsing with silkworms often cannot kill the larvae, but they can be killed at 70°C." Su Yun said leisurely.

Lin Yuan really didn't want to talk to this guy, so she quickened her pace and followed Boss Zheng.

It's just that Su Yun's words lingered in his mind like a curse.

Need to do an inspection? Lin Yuan hesitated. Don't go for an inspection, what if you are really infected with Trichinella spiralis?

Diarrhea during the operation... Thinking of this possibility, Lin Yuan shuddered.

Coming to the ward, Zheng Ren began to examine the patient. The system panel is blood red, and the most serious disease is not Trichinella spiralis, but concurrent—Loffler endocarditis.

Loffler endocarditis, also known as eosinophilic endocarditis, is a stressful change in the body due to the increase in eosinophils in the body.

No wonder the family members of the patient said that the patient has been unable to get out of bed in the past two or three months.

When I heard this medical history at the beginning, I would definitely think that it was an electrolyte disorder caused by diarrhea. But when Zheng Ren saw the patient's system panel, he felt a little depressed.

In addition to Loffler endocarditis, the patient had secondary left ventricular thrombus.

Zheng Ren felt a little regretful in his heart. Although he said that he didn't delay anything, he now had a very bad tendency.

After meeting a patient, I always want to make a correct diagnosis on my own.

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

Although the analysis and diagnosis just now will not lead to the aggravation of the condition of the patient in front of him, Zheng Ren still keeps this matter in his heart and is ready to reflect on it after he finishes his work.

"I want an echocardiogram." Zheng Ren put down his stethoscope and said with certainty.

Director Luo called a nurse to find a doctor to give a doctor's order and called the ultrasound department. When he came back, he asked in surprise, "Loffler's endocarditis?"

"It's not just this." Zheng Ren didn't go into too much detail. After all, in front of the patient, if he talked too much, what would happen if the patient was frightened into something bad.

Director Luo frowned.

Eosinophilia complicated by Loffler's endocarditis, which he has considered. But for more serious diseases, heart complications occur, which is more difficult.

Zheng Ren did other physical examinations, and soon the ultrasound machine was pushed over.

Sitting on the head of the bed, Zheng Ren began to give the patient an echocardiogram.

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

"It sounds like you have a very high level of echocardiography." She always got a sarcastic answer from Su Yun.

"Can you speak well?" Lin Yuan loathed this person beside him a little.

This is because he is indeed good-looking. If it were someone else, Lin Yuan would have been too lazy to talk to him.

"Well, the boss said that." Su Yundao, "Just take a good look at it. I think I will have an operation later."

"Surgery?" Lin Yuan was dumbfounded.

It's just diarrhea. Even if you have Loffler's endocarditis, you won't need surgery.

"Loffler's endocarditis, complicated with thrombosis. Life is hard, Lao Liu has to leave, and Fu Guier is still working on the Nobel Prize materials, so I can only follow." Su Yun is ready.

Lin Yuan tried his best to recall Loffler's endocarditis, this kind of rheumatic and immune disease, even if it is just a diagnosis, it must be of a high standard.

When you say surgery, do you have surgery? Why such great confidence!

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

"It is indeed the practice of American doctors. Interventional radiography is just a routine."

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

"There is a substantial strong echo attachment at the apex of the left ventricle, with irregular shape and suspicious thrombus, considering Loffler's endocarditis; the wall of the apex of the left ventricle is thickened, the local echo is enhanced, and the pulsation of the interventricular septum is weakened; the systolic function of the left ventricle is mild Reduced, moderate mitral and tricuspid regurgitation."

The echocardiography doctor hastily recorded.

Director Luo frowned, watching Zheng Ren doing an echocardiogram. It is really scary to analyze the images one by one.

Director Luo is not very good at imaging examination of echocardiography. It can be seen simply, but when it is serious, he becomes confused.

It's not his specialty after all.

As for Boss Zheng...there's no comparison, Director Luo knows it well.

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

The patient's lover said hesitantly, "I just ate something."

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

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

"Interventional thrombectomy, I took a closer look, it's not granuloma complicated by eosinophilia, but left ventricular thrombus, induced left ventricular failure." Zheng Ren said in a low voice, "Director Luo, prepare to transfer the patient to another department." .”

Director Luo sighed.

I have received a patient with endocarditis complicated by thrombosis.

Lost my eyes in the outpatient clinic...

There's nothing I can do about it, complaining of diarrhea for five years, but I'm not as capable as Boss Zheng... No!

Thinking of this, Director Luo woke up suddenly.

How come I have habitually judged Boss Zheng's level to such a high level!

This is not a good habit.

"Is the operation difficult?" Director Luo asked.

"Fortunately, just be careful not to have any complications during the thrombectomy." Zheng Ren said, "If the circulatory department finds it difficult, you can ask them to call me."

"..." Director Luo was speechless.