Chapter 1955 A Big Circle (Monthly Ticket 55500 Plus More × 111)
"Director Luo told the boss just now." Su Yun said contemptuously.
Lin Yuan, however, seemed not to have heard Su Yun's words, raised his head and swung his ponytail, "Eosinophilic gastroenteritis is a disease of unknown cause, characterized by diffuse or localized gastroenteritis in the gastrointestinal tract. Eosinophilic infiltration, often accompanied by eosinophilia in peripheral blood."
"I didn't ask you to endorse, and I didn't ask about your medical history. How can you have the confidence to say that there is something there?" Su Yun said contemptuously.
"The patient's symptoms are typical." Lin Yuan was full of confidence.
Director Luo smiled and said: "I also suspected eosinophilic enteritis at first, but to find a large number of eosinophils, we still have to wait for the results of the gastrointestinal endoscopy."
"I'll do it!" Lin Yuan volunteered again.
"Don't panic, I'll ask the patient's medical history." Zheng Ren sat on the chair next to Director Luo, and said very flatly.
Countless similar cases, diagnoses ran through his mind.
It's just that thinking about these things now can only be regarded as a kind of training. It's almost meaningless without taking a medical history.
Soon, Director Luo called the patient's family members in.
This is a farmer in his fifties with a dazed and cautious expression.
When he walked into Director Luo's office, he stood cautiously in a corner, not daring to touch anything around him.
He was afraid that Director Luo would dislike him.
When I came to 912 and was able to live in the upper hospital, I had already burned high incense, so don't mention other things.
"Are you the patient's lover?" Zheng Ren asked with a smile.
"Yeah." He nodded honestly, not daring to say a word.
"Don't be so restrained." Zheng Ren stood up and put the chair next to the patient's family. "Sit down and talk."
Uh... The family member of the patient was a little hesitant. He looked around to see the expressions of everyone in the room.
He didn't see disgust or contempt, and finally, under Director Luo's persuasion, he carefully sat on a corner of the chair.
Zheng Ren was afraid that he would sit down on the ground.
However, he didn't persuade the patient's family anymore. He was too polite, and it was also a kind of pressure for the patient's family.
"How long has your lover had diarrhea?" Zheng Ren asked directly.
"It's been four or five years, and it's still not good."
"Where have you been, have you taken any medicine?"
"We have seen it in the hospital over there. We have taken Changchongqing, pipemidic acid, etc., and there are many other medicines that I don't know about."
"What about after taking the medicine? Does it work?" Zheng Ren continued to ask.
"Sometimes yes, sometimes no."
"how are things?"
"It's getting heavier and heavier recently, and people with diarrhea can't get out of bed. In the past, it was fine to work in the field, but diarrhea, who doesn't have diarrhea." The patient's family said sadly: "But two or three months ago It's getting heavier."
Zheng Ren was taken aback for a moment, he was a little puzzled. Progressive diarrhea? This is rare.
"What do you usually like to eat?" Director Luo asked.
In the outpatient clinic before, countless patients were lined up outside, and it was impossible to ask for such detailed medical history.
Director Luo only judged based on years of rich clinical experience that the patient might have a problem. After reading the test sheet and asking a few simple questions, he was admitted to the hospital for further examination.
To some extent, this is an intractable disease, and it is necessary to further inquire about the medical history in detail before making a judgment.
"Pork stewed vermicelli noodles." The patient's family said honestly.
tapeworm? No, tapeworms rarely, very rarely cause diarrhea. This probability is even rarer than that of Taenia solium parasitizing in the brain and inducing neurological diseases.
Zheng Ren and Director Luo asked about everything from family history to past history to personal history.
Half an hour later, Director Luo and Zheng Ren stopped asking.
Asked everything that could be asked, no questions asked.
The patient is a very ordinary female patient in the countryside. She usually does farm work, and Maodong plays mahjong during the off-season.
Recently, I have severe diarrhea, which happened after playing a game of mahjong. Playing mahjong and diarrhea are completely irrelevant.
"Boss Zheng, do you have any ideas?" Director Luo asked.
Zheng Ren shook his head and said, "Let's go see the eye patient."
This is the last hole card, and it can't be said that the diagnosis can only be made by relying on the system panel of the big pig's hoof.
If I don't understand it, it's my own business, and I can't delay the patient's diagnosis and treatment.
As for Director Luo's initial diagnosis, Zheng Ren was only skeptical, but he didn't think eosinophilic enteritis was very likely.
"Well." Director Luo said: "The patient's condition is not very good now. I took a look at it when I was in the outpatient clinic. It is estimated that there is an ion disorder, accompanied by slight dyspnea."
"Has the colonoscopy come back?" Zheng Ren asked suddenly.
"Should be back, take a look at the images, and then go to see the patient." Just as Director Luo was about to move, Su Yun quickly picked up the mouse and began to search for the patient's image data.
Under normal circumstances, there will be two to three typical images on the gastrointestinal endoscopy report. But this patient, Director Luo, had said hello, so the image of the whole intestine was uploaded.
Su Yun clicked on the video, and everyone gathered around the computer to watch intently as if watching a movie.
After five minutes, the mirroring process ends.
"It's not eosinophilic enteritis." Zheng Ren said, "I didn't see any granuloma."
Lin Yuan also sighed, really not.
At first, she was sure that it must be eosinophilic enteritis, but once she was denied, she felt empty and a little uncomfortable.
The patient's lover carefully sat on the chair. Seeing that the diagnosis was denied, he sighed and said, "Doctor, can it still be cured?"
"Um?"
"If it doesn't work, we'll go back." He said dejectedly, "I want to eat whatever I want, and I want to drink whatever I want. The two of us haven't sat down and drank together for a long time, since we got this monster It hasn't happened since the illness."
Zheng Ren was a little sad.
Let's take a look and see what the big pig's trotter has to say.
"How much can you drink?" Su Yun asked.
"I can drink one catty in summer, and half a catty in winter." Speaking of drinking, the man's face gradually became brighter.
"Huh?" Zheng Ren felt that there was something wrong, and immediately asked, "Why is there such a difference?"
"There are dishes to go with wine in summer! The snails caught in the ground, fried with spicy peppers, can be eaten with wine!" The man said dejectedly.
Asking about medical history is the most annoying thing.
Patients don't say everything a doctor needs at once.
But it's also easy to understand. There are countless trivial things in life, and no one knows what is related to the disease.
If you talk about it all, you won't be able to finish it for three days and three nights.
Zheng Ren's eyes lit up when he heard the patient's family say this!
"Do you usually like to eat snails?"
"Well, those things are everywhere. My wife's stir-fried snails are delicious. We can eat a small bowl of wine after a night of drinking."
Director Luo also discovered the problem!
Parasite, the answer is from the beginning, after a circle of tossing, it returned to the original point.