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Chapter 42 Diagnosis, rare diseases

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Pathological fracture.

Bleeding.

Blood routine also has increased leukocytes and decreased platelets.

Renal function abnormality, ct also shows that both kidneys are shrinking.

And, the most critical thing is... a sudden fainting!

At this moment, a rare disease suddenly appeared in Xu Qiu's mind.

He immediately rushed to the ward and asked the old lady: "Auntie, has the patient's vision decreased these days."

The old lady squatted in the corner, lost in her heart, and said to herself: "Blessed by Bodhisattva, Bodhisattva blessed by Bodhisattva..."

Xu Qiu could only ask again.

The other party nodded a little bit: "My son said several times that he couldn't see clearly and needed to wear glasses. I felt that he was retribution at that time... How could a person in his forties suddenly have myopia?"

Xu Qiu slapped his thigh and felt enlightenment suddenly.

Vision loss and even blindness are also a kind of neurological symptoms!

At the beginning, he and other doctors only checked the nerves of the limbs and facials, but ignored this!

Xu Qiu quickly returned to the office and gave the patient two new examinations.

"Serum biochemical examination"

"Bone Marrow Biopsy"

afternoon.

When He Hai checked the patient, he noticed several examinations from Xu Qiukai and called.

"Your tests... are suspected to be blood diseases?" He Hai wondered.

Xu Qiu said: "Yes."

He Hai carefully read the medical record again.

Faint, lung infection, vision loss, platelet abnormalities, kidney damage, and…redefined pathological fractures.

These symptoms are disordered and are divided into damage to multiple systems.

but……

If we have to use a system to explain it, blood diseases can really make sense!

He Hai quickly searched in his mind.

Suddenly, his inspiration flashed, and a patient he had managed appeared in his mind, blurting out: "Do you suspect it is multiple myeloma?!"

This is a malignant disease in which clonal plasma cells proliferate abnormally.

Plasma cells exist in the blood, and their function is to produce antibodies and resist the invasion of foreign bacteria.

Patients with multiple myeloma will lose their normal resistance and are prone to repeated infections, causing damage to multiple systems throughout the body.

and,

Plasma cells are more distributed in the bone marrow.

When proliferation worsens, it secretes many abnormal factors to infect bone metabolism!

The nickname is "a disease that can eat bones".

"If it is multiple myeloma, it will be retribution..." He Hai exhaled a long breath.

He has only seen one case of this rare disease in his more than 30 years of career.

Almost nothing can be cured.

Only chemotherapy can maintain life and ensure quality of life.

Soon after, the inspection results were delivered.

Biochemical test: serum abnormal globulin increases and hemagglutinin protein is positive.

Electrophoresis also showed abnormally high and pointed m peaks.

This is a common manifestation of multiple myeloma.

Another biopsy was completely confirmed to be plasmacytoma!

He Hai said with lingering fear: "It turns out to be a blood disease..."

It’s not Xu Qiu, he would never have thought of this!

Director Jiang also received the news, and after seeing the diagnosis, he was even more amazed.

He sighed: "I feel that the experience of us old guys can't keep up with it, and the younger generation is so terrifying!"

Since the diagnosis is clear, there is nothing to do with ICU for the time being.

Director Jiang returned to icu.

Unexpectedly, that night, another emergency call came from the emergency department!
Chapter completed!
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