Chapter 1399 What Syndrome
"This situation is rare. Generally, patients are only instructed to supplement potassium when a large number of diuretics are used." The doctor on duty said confidently: "The possibility of losing potassium ions through stool and urine is the greatest."
"Then what?" Zheng Ren looked at the test sheet intently, habitually perfunctory.
"Insulin, catecholamines, and metabolic alkalosis are the most common predisposing factors for hypokalemia. Our examination has ruled out these possibilities."
The doctor on duty feels that he is very professional. As for what catecholamines are, and what are their effects and side effects... I learned it when I was in school, and now I have given it back to the teacher.
It is not useful in normal times, and it is normal to forget it for a long time. As soon as I checked the information and found it here, Boss Zheng came.
The doctor on duty looked at Zheng Ren proudly, how is it, my buddy is skilled in business, so he was dumbfounded.
Look at the luck of the buddy, and directly call the people of 912 stupid. That's all, go back and play for three years.
But it seems that he is also a master student of 912. He goes to other hospitals to pretend to be a wolf with big tails. He really does not know the depth.
"Boss Zheng, Boss Zheng!" A hurried and flattering cry came from the door.
"Senior Wang..." The doctor on duty immediately greeted him, but before he could finish speaking, he was pushed aside.
"You are..." Zheng Ren raised his head and glanced, with a mosaic face, he didn't know him, and Su Yun didn't give any hints.
"I'm Wang Wei of the medical department. Director Lin called me. Look, you came to guide the work, and you didn't say anything in advance. We have nothing to prepare here." Wang Wei quickly explained.
The doctor on duty has his eyes straight.
Even the head doctor of 912, at this age, has just started working. It's too embarrassing for Section Chief Wang to be servile like this.
As for what? Just a Ph.D. or a master's degree.
Besides, he didn't give any diagnosis after watching it for a long time, obviously he didn't know anything.
This kind of intractable disease, a young doctor who just graduated, even a shit doctor, is impossible.
How many years have I been working, and I have to read books.
What a shame... The doctor on duty felt so embarrassed and a little disdainful.
"You're too kind." Zheng Ren smiled, "I just found out that a friend was hospitalized here, so I rushed over to take a look."
"Is the patient seriously ill?" Section Chief Wang changed his face and asked the doctor on duty.
"..." The doctor on duty was very helpless, but in the face of the arrogance of the medical department, he had already knelt down, and his thighs hurt.
"It is very serious. The key is unexplained hypokalemia, syncope, and the patient's condition is very bad."
"Boss, there is acute renal failure, how do you think about it?" Su Yun asked suddenly.
"The possibility of insufficient body fluids is relatively high." Zheng Ren said.
The doctor on duty recalled that the patient's blood urea nitrogen and creatinine values were high, and the fluid intake in the past two days was also above 2000ml.
The key is that the patient can still eat before coming.
Not enough fluids? Bullshit!
Section Chief Wang stood beside Zheng Ren. Although he was a little embarrassed, he kept a smile on his face, as if he didn't realize the fact that Boss Zheng had not stood since he came in.
10 minutes passed.
These 10 minutes long made the doctor on duty feel that a day and a night had passed, and it was time for him to get off the night shift.
After Zheng Ren read the last test sheet, he took his hand away from the mouse, leaned back slightly, and narrowed his eyes.
"Boss, the possibility of insulinoma has also been ruled out. Why do I feel like an intestinal disease?" Su Yun said suspiciously.
Hey!
A trace of contempt appeared in the hearts of the doctor on duty and Qin Tang at the same time.
on this level?
912 is not so much.
Qin Tang paid attention to the patients' lethargy and delirium, while the doctor on duty paid attention to hypokalemia and acute renal failure.
Either kind of disease seems to have nothing to do with intestinal disease at all.
Because of intestinal problems, there is a brain disease? If you really think this way, then your brain is sick.
Qin Tang left without turning around out of courtesy. But the way he looked at Zheng Ren and Su Yun had changed.
Not reliable at all.
The doctor on duty lowered his head, for fear that he could not bear it, and swept the face of the 912 doctor.
Although he is right, but looking at Chief Wang's flattering appearance, if he does that, he is afraid that he will keep his shoes in the future.
"Is the CT done?" Zheng Ren suddenly raised his head and asked.
The doctor on duty was holding his head down and endured that he wanted to show off, and then saw the thought of these two little doctors in 912 with a confused look, and didn't notice that Zheng Ren was talking to him.
The atmosphere in the office was a little awkward.
"Why don't you say anything?" Section Chief Wang scolded with a dark face.
"..." The doctor on duty noticed this, and asked in a low voice, "What?"
"Have you done CT?" Zheng Ren asked with a smile.
The doctor on duty immediately said, "I don't know either, just ask."
"If it doesn't...let's add a CT of the lower abdomen." Zheng Ren said.
"Boss, what are you thinking about?" Su Yun seemed to have an answer after hearing Zheng Ren say this.
"Mckittrick-Wheelock Syndrome."
"What is that?" The doctor on duty was stunned.
I have never heard of this disease, what syndrome? The doctor of 912 is really so stupid.
"Let's do the inspection first." Zheng Ren said lightly, "It's just suspicion now."
"I think it has a high probability of being diagnosed." Su Yun said.
"Let's talk about the results."
"Boss, the old monitor's family seems to be out of money." Su Yun whispered.
"Mr. Zheng, Brother Yun, I have saved more than 10,000 yuan. Is it enough?" Fan Tianshui said.
He couldn't understand what the disease was, but he believed in Zheng Ren and Su Yun without reservation.
In the past six months, I worked as a security guard in Haicheng, eating in the cafeteria, and earning wages. Usually, I have no place to spend money, but I saved some money.
"Lao Fan, save your money to marry a wife." Su Yun smiled and said, "I'll call Peng Jia?"
"Come on, if you're right, Mckittrick-Wheelock syndrome is rare. Whether it's a diagnosis or treatment, the ratings will be high if it's live."
Zheng Ren's eyes were slightly closed, as if thinking about something.
"Do colonoscopy? Or surgery?"
"Look at the CT, and if it's short, cut the intestines. If the entire colon and rectum is there, it needs to be peeled off a little bit with a colonoscope." Zheng Ren has already made an overall plan.
It can be installed! The doctor on duty grumbled on the side.
Just say any English word, what kind of syndrome comes together to scare people.
This is clearly not knowing anything, just rambling.
912 is this level? What nonsense.
Qin Tang was also very skeptical, but he was still cautious.
Remembering the name of the disease that Zheng Ren said, he went out quietly, made a phone call, and consulted the doctor under Heyang what the disease was. This time, I should be able to see the depth of this Boss Zheng, Qin Tang thought to himself.
Section Chief Wang also acted resolutely, knowing that there might be queues on the patient's side, delaying time.
He called the CT room directly, said the name of the old monitor, and asked that side to do a CT examination of the middle and lower abdomen.