Chapter 1981

A diagnosis that doesn't exist at all?

Lin Yuan was stunned. What's going on?

She just wanted to ask. Seeing that Zheng Renhe and Su Yun didn't explain at all, she left directly.

"Hello, boss Zheng!" Lin Yuan shouted from behind.

"Huh?" Zheng rentou didn't return.

"Why do you say that without a diagnosis? Aren't you afraid of being pointed out by others when the whole hospital consults?" Lin Yuan said anxiously.

"You mean slapping the face?" Su Yun looked at Lin Yuan with a disdainful smile.

Uh

Lin Yuan suddenly had sinus tachycardia and turned into atrial fibrillation.

"Boss Zheng, do I really want to say that?" Mr. Yu asked cautiously.

"Of course." Su Yun said with a smile, "but president Yu, do you know why?"

Yu always shook his head.

"The patient's heart has calcification. Considering that he has a history he hasn't said before, he may not say it on purpose, or he may have forgotten it for too long." Zheng Rendao.

"I think it's possible not to say it on purpose." Su yundao.

President Yu was silly. Boss Zheng and Brother Yun's diagnostic opinions were so consistent that they were even so sure that the patient had a hidden medical history.

This... Is terrible.

"Why do you say that?" Lin Yuan followed up and asked seriously.

"How old are you? Why are you still gnawing your fingers? It's right to say you're a little boy." Seeing Lin Yuan biting between his fingers, Su Yun pondered his condition and directly started spraying.

After enduring it all day yesterday, Su Yun felt that the little beast in his heart was ready to move.

"It's unsanitary to chew less fingernails in the hospital." Zheng Ren took a look and said with a smile.

"Boss Zheng, why are you so sure that the patient is hiding his condition?" Lin Yuan was not embarrassed. All her thoughts were on the patient's condition.

"Because there is no auxiliary examination, it clearly points to the possibility that the patient may have hematuria." Zheng Ren said casually.

"Boss Zheng, what you said should be more detailed." President Yu said with a sad face, "the whole hospital consultation, you can say that, but I can't say that."

What he said is the truth. Zheng Ren said this. We should pay attention to it. But if Mr. Yu introduces the medical history, he will have to be scolded.

"Considering comprehensively, the patient has pericardial stenosis, which can be determined. Although it is not very heavy, it intermittently induces limited ventricular diastolic expansion, reduced ventricular diastolic filling, and reduced cardiac output. At the same time, the reflux of superior and inferior vena cava is also blocked due to pericardial narrowing, resulting in increased venous pressure, resulting in jugular vein dilation and liver enlargement."

"...." Mr. Yu still didn't understand.

"You mean explaining all the clinical manifestations of patients with constrictive pericarditis monism?" Lin Yuan frowned.

"Hey, what about monism?"

"Isn't it?" Lin Yuan asked.

"Of course not, just to scare the patient." Su Yun blew his breath and his black hair floated proudly in front of his forehead.

"Why?" Lin Yuan suddenly did not understand.

"Because the patient has a hidden history." Zheng Ren said, "let's go, Mr. Yu. Let's go to your duty room and talk about it in detail."

Chief Yu let out a sigh. He was really afraid that boss Zheng and Brother Yun didn't speak clearly, so let's forget it.

Lin Yuan followed back to Yu Zong's duty room full of doubts. Zheng Ren sat down and said, "Yu Zong's judgment is right. The patient is hiding the history in order to hide the truth of hematuria."

"But why did you do that?" General Yu asked in confusion.

"Why? It's the answer you're looking for. It has nothing to do with the boss." Su yundao.

"But..."

"Didn't you just say that the patient has slight pericardial stenosis, which can be diagnosed as constrictive pericarditis, but there will be no serious consequences." Zheng Ren said with his chest CT just now.

Yu Zong and Lin Yuan watched the film silently.

"With the change of the external and internal conditions of the body, such as the increase of chest and mediastinal pressure, it is equivalent to the sudden aggravation of constrictive pericarditis."

Zheng Ren talked freely. President Yu gradually understood Zheng Ren's meaning, but Lin Yuan frowned and didn't say a word.

"Lin Yuan also said before that the clinical symptoms of constrictive pericarditis include increased venous pressure of lower limbs, leading to edema of both lower limbs. While the portal pressure increases, the renal venous pressure will also increase. The rupture and bleeding of renal pelvic venules may be related to hematuria."

Hearing Zheng Ren's story from the beginning, president Yu clapped his hands excitedly and said, "I'll say what's wrong!"

"Well, you and director Liu say so." Zheng Ren smiled, "there should be no mistake. The chest pressure is well controlled, mainly because the patient's heart has slight changes. As soon as the chest pressure is high, there will be signs of severe constrictive pericarditis. This also explains why the patient refused to ask the medical history in detail, but why he did it at the end, it's up to you to ask."

"What if the patient resolutely disagrees with the operation?" Mr. Yu asked.

"There was no need for surgery, just scare him so that you can ask the truth." Su Yun said, "or frighten his son and ask the truth."

Chief Yu took a breath and nodded.

"Then we'll go down. If you have any progress, please contact us at any time." Zheng Ren made a phone gesture and said.

"Good!" President Yu happily sent Zheng Ren away.

Lin Yuan didn't understand until he went downstairs.

"Boss Zheng, why are you so sure that the patient pretended to be ill?" Lin Yuan asked.

"Do you know why the boss came to the imperial capital?" Su Yun asked.

"Because of the Nobel Prize project." Lin Yuan still knows this.

"No, because he had perspective eyes, peeped at the little widow's bath in Haicheng and was driven out."

“……”

"Don't make trouble." Zheng Ren quickly stopped Su Yun's nonsense, "you've seen the film and other laboratory tests just now. Is there any definite diagnosis?"

Lin Yuan shook his head.

"Yes, all clinical examinations and signs do not support symptoms. There must be other factors involved." Zheng Ren said, "when you were in the United States, didn't you encounter the situation of pretending to be ill to have a comprehensive physical examination and cheat insurance before you lost your job?"

Lin Yuan was a little embarrassed. She shook her head blankly. "I'm just a doctoral student. I work with the boss. I haven't been an intern to contact patients. Doctor's certificate..."

"Boss, look, I'll say she's a rookie." Su Yun said contemptuously.

"It's all from rookies." Zheng Ren went down the stairs. "It's very common in clinic. For example, when I was in Haicheng, I went out of the emergency department."

"Not the total time of hospitalization?"

"No, it happened when I took turns." Zheng Ren said: "one day, a female patient with abdominal pain came. I opened relevant tests, including a test sheet for early pregnancy, and the results were positive. If the patient quit, I had to recheck."

"And then?" Lin Yuan asked puzzled.

The results are all out. Is the review meaningful? Clinical laboratory errors do exist, but they are extremely rare.