Chapter 1978 Suspicion of Pretending to Be Sick (Weapon Line 01 Plus 4)

"Huh?" Su Yun blew a puff of smoke on Mr. Yu's face very rudely, "It sounds like something serious is going on."

Zheng Ren was also very curious.

"The patient's eldest son is a friend of Director Liu, and he is currently living in the special needs ward." Mr. Yu said, "So the patient is under my care."

This is the rhythm of worrying about other professors leading the group. Director Miao has an accident and a new director is replaced. It is estimated that there will be some fighting in private.

Director Liu has just come up, and his foundation is not solid. If you think about this kind of thing carefully, you can think about it for a day.

But Zheng Ren wasn't interested in these things at all, what he cared about was what kind of hematuria would make Yu worry.

Hematuria is usually caused by inflammation, stones or tumors.

It's definitely not that simple to make Yu always difficult. As for some common factors, Zheng Ren didn't consider them either. This matter is estimated to be very complicated, perhaps caused by some rare diseases.

"Tell me about the situation." Su Yun asked from the side.

"The patient had no positive signs, and the old man was still managing the daily work of a listed company before he was hospitalized."

"Oh? Quite rich. A listed company, tsk tsk." Su Yun praised.

"As for the medical history, please concentrate." Lin Yuan said.

"Why am I not paying attention? This is part of the past." Su Yun said contemptuously: "Do you know how many people you have to meet every day to manage a listed company? How much alcohol do you drink in a month? Listed companies are directly queuing up for listing. Or buy a shell and go public?"

"..."

"Don't make trouble, listen to Mr. Yu." Zheng Ren felt a little annoyed, just Su Yun's nagging was not enough, now that he had an opponent who was not an opponent, he talked even more.

"The patient complained of hematuria for half a month and was admitted to the hospital. Outpatient urine routine examination: occult blood (+++), protein (+++); abdominal ultrasound: large liver, dilated right hepatic vein, splenomegaly, a small amount of peritoneal effusion. Urinary system Ultrasound: Prostatic hyperplasia and stones."

"At that time, I considered whether I had nephrotic syndrome or urinary tuberculosis."

"Urinary protein is greater than 3.5g/d; plasma albumin is less than 30g/L, neither of these two points." Lin Yuan asked.

"Listen to the medical history carefully, don't interrupt." Su Yun said contemptuously.

Zheng Ren felt a little headache.

"Well, none of them, tuberculosis is also considered negative." Mr. Yu replied cautiously, he didn't know the origin of the new long-legged beauty in the medical team.

Dare to quarrel with Brother Yun, this is not something ordinary people can do.

"Boss Yu went on to say, leave them alone." Zheng Ren pondered.

"Serum tumor markers: normal range; acid-fast bacilli found in multiple clean urine smears: negative; chest X-ray film: right pleural thickening and calcification; electrocardiogram: sinus rhythm, normal electrocardiogram; lower abdomen CT: lower cavity The whole vein and its branches are dilated, and the hepatic vein is dilated locally; a small amount of ascites."

"Wait a minute, does the chest X-ray show pleural thickening? Does the patient have any past history?" Zheng Ren stopped Mr. Yu from talking.

"No, I asked in detail. I also felt that there was something wrong with the chest X-ray, so I did a CT scan for the patient. On the chest CT scan, the pleura was thickened, adherent and calcified, and the pericardial wall was slightly thickened."

"Watch the movie later," Zheng Ren said.

"What do you suspect?" Su Yun calmed down and asked without arguing with Lin Yuan.

"It's hard to say, hematuria needs to be checked for congestive heart failure, but there is only a small amount of calcification, which will not cause heart failure. And from the general description, it can be guessed that the old man is in good health and will not have congestive heart failure. Such a serious problem." Zheng Ren analyzed.

"Well, Boss Zheng is right. The patient is in good health." Mr. Yu said, "Before admission, it is said that he could still play table tennis for two hours."

"I'll go..." Su Yun was surprised, "How old is the patient?"

"72."

It must not be congestive heart failure, Zheng Ren concluded.

Heart failure is due to poor ventricular pumping or filling function, cardiac output cannot meet the body's metabolic needs, tissue and organ blood perfusion is insufficient, and pulmonary circulation and systemic circulation congestion occur at the same time. disease.

Generally, when this happens, the patient has reached the terminal stage of the disease.

But playing table tennis for two hours the day before, congestive heart failure couldn't be considered.

"Let's take a look at the film first," Zheng Ren said.

"I'm here to look for it." Mr. Yu turned on the computer in his duty room and began to look for the patient's film.

Zheng Ren pondered the patient's condition in his mind, it wasn't a tumor, it wasn't a stone, it wasn't... what the hell was it?

"Mr. Yu, what do you think?" Su Yun asked.

"I see the old man every day, but when I went to see him yesterday and today, I always felt that he was pretending to be sick." Mr. Yu expressed his truest thoughts without hesitation.

"Hematuria?" Su Yun and Lin Yuan asked suspiciously at the same time.

"It's possible that hematuria was caused by oral medication." Zheng Ren said, "Since Mr. Yu doesn't have any illnesses to consider for the time being, I'll add this as well."

"As for what?" Lin Yuan asked.

"Haven't you ever seen a fraudster?" Su Yun looked at Lin Yuan contemptuously. Seeing her bewildered face, he knew that she was a rookie who only knew how to analyze from the perspective of illness, and hadn't evolved to the point of considering human nature.

Mr. Yu called out the film and gave way to his seat.

Zheng Ren was also polite, sat on it, and started to scroll the mouse wheel.

Watching the movie frame by frame, pondering bit by bit, Zheng Ren became more and more confused.

The imaging data of the patient are just like what Mr. Yu just introduced, there is not much to look at. It is definitely not a tumor, but there is a little problem with the liver, and the portal pressure is not very high.

It is said that there will be no continuous hematuria.

"Mr. Yu, why do you suspect that the old man is pretending to be sick?" Zheng Ren asked.

"His health is so good that there is no reasonable explanation for the hematuria." Mr. Yu said: "Once I went to the ward rounds, the old man went to the bathroom, and I wanted to check the urination situation. Flushed away."

"Personal hygiene, what's so interesting about this?" Lin Yuan asked suspiciously: "If you want to see it, just check a urine routine and you'll know."

"Lin Yuan, that's not the case." Zheng Ren said lightly, "What Mr. Yu said is still reasonable, but Mr. Yu, you found that the patient had drugs such as aminopyrine, phenytoin, rifampicin, and phenol red. Is it?"

Mr. Yu shook his head.

"That's not right. If it's caused by oral medication, why would there be red blood cells in the urine routine?" Lin Yuan asked, grabbing a loophole.

"It's enough to get some blood from your fingertips, the kind that measures blood sugar. It's very easy to get red blood cells in your urine." Zheng Ren was still watching the film, with light and shadow passing by, so focused.

Lin Yuan was taken aback.

Is it really that complicated? There was blood dripping from the fingertips in the urine of the urine routine examination... But thinking about it, it is really possible.

Except for severe cases in the ICU, the urine is kept by the patients themselves. If you want to play tricks, there are a lot of opportunities.