There are several common clinical factors, such as hydrocephalus, intracranial tumors, meningitis, etc., but no classic sunset signs were found in the physical examination, which showed little significance.

In other words, Xu Qiu has not found the real cause of these abnormal changes.

Something is a headache...

Originally, I came to check Yuan Yu's liver damage, but it was connected to the child who also showed liver damage. Now I found that in addition to liver damage, the child also had abnormalities such as bronchitis, craniocerebral enlargement, and developmental delay.

The more you see this disease, the more complicated it is, and the more difficult it is.

Mo Wan's voice was small and said: "At present, the mechanism of bile enterohepatic circulation is not completely clear when it comes to new hereditary liver disease..."

She was the only person present who could understand the various rare hereditary liver diseases mentioned by Xu Qiu before.

Mo Wan continued: "I really have no clue, I can do a whole genome sequencing."

The first generation of whole-genome sequencing is priced at 3 billion US dollars per person; now the second generation of technology is mature, and the third generation of sequencing technology is in Daxia and the country. The price is still three-legged, and the price has been reduced to less than 10,000 yuan.

It is expected to become a routine diagnostic measure for various genetic diseases in the future.

Nowadays, various provinces in Daxia have also developed their work. As long as you don’t have enough money, you can also get results after waiting for three or four days.

Xu Qiu didn't say anything.

Doing whole-genome sequencing is the last resort. If possible, he hopes to detect certain types of diseases in a targeted manner.

On the one hand, it is to save money, and on the other hand, it is to be quick.

"etc."

At this time, Xu Qiu suddenly stopped. He frowned and looked at the child, saying, "Is the distance between the child's eyes a little wide?"

Li Xue looked carefully and her face changed slightly: "It seems that there are some... not very obvious, but judging from the growth and development of the child, the eye distance is indeed a little wider."

Xu Qiu was silent, Yuan Yu, and the symptoms of the two children flashed in front of him one after another.

Finally put together.

Yuan Yu:

Major bleeding after abortion, endometrial dissection;

Jaundice, dark face, swollen legs...

Children:

jaundice;

Edema in both legs;

The craniocerebral enlargement, the zygomatic bones protrude, and the eye distance is widened;

Developmental delay;

Depressed (don't cry or make a fuss)...

...

"The inference of hereditary liver disease should be correct. The liver damage manifestations of mother and son are highly similar." Mo Wan said after analysis.

Xu Qiu came back to his senses and said slowly: "Try dihydrogen thia, nitroprusside and milinon."

"Okay!" Yunmei immediately remembered it.

But everyone had a puzzled expression.

Dihydrogen thiae is a diuretic;

Sodium nitroprusside is a vasodilator.

As for the final milinon, it is a cardiotonic drug similar to digoxin.

The combination of these three means that Xu Qiu’s treatment measures are aimed at heart failure, not liver disease!

Diagnostic treatment, actually chose to relieve heart failure?

Mo Wan was a little incomprehensible. She had spent so much energy to lock in hereditary liver disease before, but the medical advice given by Xu Qiu at the last moment had nothing to do with hereditary liver disease!

Could it be that this is not hereditary liver disease?!

No, right...Mo Wan shook her head crazy.

The symptoms of mother and son are highly similar. In addition, the child's biological parents have not undergone marriage examinations and have not undergone prenatal examinations during pregnancy. It would be too unreasonable not to consider hereditary liver disease.

However, Xu Qiu's prestige in the emergency department has been deeply rooted, and no one will question the decision he made.

After waiting for the rounds to be over, Mo Wan couldn't help asking about this after returning to the office.

Xu Qiu said: "All three common inherited liver diseases are ruled out, so other diseases should be considered."

Mo Wan said unconvincedly: "In addition to the three major categories, there are other rare and rare hereditary liver diseases."

Xu Qiu shook his head.

Unfortunately, when Mo Wan was diagnosed with Ke Ya's disease, he was not in the hospital.

Otherwise, she should still remember what she said - rare clinical manifestations of common diseases occur much more often than common manifestations of rare diseases.

Clinical diagnosis is not about compiling the "World Rare Diseases Collection".

There are some rare diseases that doctors across the country have encountered in their lifetime no more than a palm. How can they be so easy to catch?

As the saying goes, there will be ghosts when you get evil.

When a disease seems strange and has no idea how to start, it is very likely that the clinician has ignored some important information or has entered into an inherent clinical misunderstanding.

For example, now, when you see the symptoms of liver damage between mother and son, it seems that everyone has hereditary liver disease left in their minds.

However, as long as it is liver damage, there are only a few manifestations: jaundice, increased aminotransferase, and lower limb edema. Who can ensure that the mother and son are not liver damage caused by different diseases?

"Is this true..." Mo Wan still disbelief.

Shi Lian stood aside and said nothing.

As a bystander, she sees it the most clearly.

Mo Wan has indeed fallen into the misunderstanding of inertial thinking.

This is also closely related to the gap between her and Xu Qiu.

Mo Wan is a liver and gallbladder doctor. She specializes in the liver and gallbladder system. The only one who is proficient in is liver and gallbladder system diseases.

Therefore, when encountering any patient, the first thing you notice will definitely be the liver and gallbladder system problem. Yuan Yu's previous multiple miscarriages, endometrial dissection, major bleeding, etc., are all for Mo Wan to diagnose liver and gallbladder system diseases.

But Xu Qiu is different.

Teacher Xu has been involved in all fields, and his experience, theory, and clinical skills are extremely solid. He can analyze Yuan Yu from the perspectives of gynecology, obstetrics, hepatobiliary, cardiac surgery, etc. and draw a more comprehensive conclusion.

And this is a diagnosis method that no other doctor can imitate.

Shi Lian took a deep breath... No wonder the diagnostic level of other doctors is still so far away from the teacher. The seemingly simple diagnosis is a gap in the integration of clinical thinking and ability in countless departments!

"Let's wait and see the treatment effect." Xu Qiu didn't explain too much to Mo Wan.

The other party is also a genius, and it is too difficult to convince her, so she can only speak with facts.

...

End the outpatient clinic for one morning.

Good news came from the nursing department: Yuan Yu's condition began to improve. Although her skin was still yellow, the degree of edema in her legs was visible to the naked eye.

Director's Office.

"Has the edema been reduced?!" Mo Wan bounced up directly from the sofa.

Shi Lian had a calm expression on his face.

At the beginning of the year, she was still a young intern who blushed when she said a few words.

After following Xu Qiu for a long time, his courage and temperament have become stronger.

Shi Lian looked like he was not surprised... Teacher Xu took action, but he should be like this. Sister Mo still didn't understand the highest secret of the emergency department "Hold the teacher's thighs tightly".
Chapter completed!