Shi Lian glanced at the trash can... It was so miserable. Wang Fan was trying to get feces for constipation patients.

Of course, it is impossible for Xu Qiu to do something like rummaging through the trash can. Shi Lian consciously put on gloves and found the toilet paper to wipe the nose bleeding.

Xu Qiu's eyes swept away, and his expression suddenly condensed.

The color is wrong!

Moreover, it is obvious that these blood did not coagulate!

Shi Lian carefully packed up the tissues and asked, "Teacher, do you want to send them for further inspection?"

While speaking, she was also observing.

Seeing Xu Qiu's expression becoming solemn, she also took a little more attention.

Xu Qiu said: "Did you see it?"

Shi Lian's face changed slightly: "This doesn't look like nosebleeds!"

Epiphany, commonly known as nosebleed.

Xu Qiu asked again: "What do you look like?"

"From the color, it's more like... menstrual blood?"

As soon as this guess came out, Shi Lian felt a little ridiculous.

But the blood she had seen with her own eyes, epistaxis, wound bleeding, surgical blood loss, etc. were significantly different from the blood stains on paper towels. The only similarity, common one, is menstrual blood.

"Send it to the laboratory to check if there is any other substance in the blood." Xu Qiu arranged.

If there are platelets in normal blood, they can coagulate and will generally coagulate quickly after they flow out.

Like nosebleeds, blood clumps will condense after a period of time.

But menstrual blood is different. Its components contain anticoagulant substances that can antagonize the blood clotting mechanism. Even though it has been a long time, it is still dark red.

The blood stains on the tissue are dim in color, which is one of them.

More importantly, it shows no sign of solidification!

...

Soon after, the biochemical laboratory gave the results.

In the sample blood, in addition to the plasma, red blood cells, white blood cells, etc. that should be found in normal blood, two things that do not belong to blood components are also found, one is hyaluronic acid and the other is the remaining endometrial tissue.

The former is a normal substance in human skin tissue.

As for the latter - this is consistent with the manifestation of menstrual blood, but it is also very unusual.

Logically speaking, menstrual blood removes normal blood cells and endometrial tissue. Since its excretion requires passing through the cervix, birth canal, etc., secretions from the birth canal and cervix will inevitably be found, and epithelial cells in the birth canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal canal

However.

It is said to be nosebleed, but it has endometrial tissue.

It is said to be menstrual blood, but lacks the iconic cervical secretions, etc.

Xu Qiu's expression suddenly became relaxed.

Solved the case...

Who would have thought that the problem that has troubled him for so many days was such a simple thing?

"Go, check the rounds."

"Teacher, is there any result?" Shi Lian couldn't help but get excited.

"There are speculations."

"I have to tell the others and let them see!"

Soon, the group of doctors received the news, and many doctors rushed over to join in the fun.

The ward was surrounded and was blocked.

Xu Qiu operated the ultrasound machine beside the bed and checked Lu Ruping's uterine cavity.

At the same time, he asked: "Do you have any plans to prepare for pregnancy in the near future?"

Lu Ruping smiled self-deprecatingly: "If you don't give birth, you will definitely not give birth."

She admitted that Xiang Kai was a ray of light in her life.

However, it was only after giving birth to Xiang Kai that Lu Ruping completely saw her husband's family clearly.

Although her parents-in-law and husband were urging her to have a second child, and promised that they would help take care of her second child. If she gave birth to a girl, she would reward her with one million yuan alone.

But can they still believe their words?

She said all the good things before pregnancy, but when she was really born, she would not be able to make the decision. Her husband and family obviously did not have the credibility worthy of Lu Ruping's trust.

"Preparing for pregnancy?"

"Is this disease related to pregnancy, or is it an endocrine disease?"

The doctors around were speculating.

However, Xu Qiu did not give everyone a chance to guess, and his next sentence revealed the final answer:

"If I expected it to be good, your endometriosis has relapsed."

Endometriosis?

Everyone nodded tacitly... It was just a common gynecological disease, so I mentioned this as I was curing it.

Lu Ruping didn't think much about it, she said casually: "Doctor, I will treat it as much as you say, and I will listen to you if you need surgery."

"Well, if you cure this, you should be discharged from the hospital."

"Then please ask Dr. Xu... Wait, be discharged from the hospital?!" Lu Ruping was stunned.

Her blindness has not improved at all. Endometriosis is an old problem that has not recurred for many years, and the examination is basically negative. What is the relationship between curing endometriosis and blindness?

The doctor who arrived did not react for a while.

But Shi Lian suddenly had his eyes lit up.

Combined with Lu Ruping's previous experience of cesarean section and the substances detected from nasal bleeding samples, he immediately understood Xu Qiu's purpose!

"Yes, the problem lies in endometriosis!" Her face turned red with excitement.

After following Xu Qiu's diagnostic ideas, Shi Lian felt an indescribable excitement... It turns out that this is the logical chain of top doctors to analyze diseases?

Links are connected, and a little clue is enough to lead to the final truth!

After carefully savoring the whole process, Shi Lian even felt intoxicated, as if he was watching a suspense film that solved the case, which made people obsessed.

"What does it mean? Shi Lian, please tell me!" The doctor next to him laughed and asked immediately.

Shi Lian glanced at Xu Qiu, and saw that the latter did not object, so he suppressed his excitement and spoke:

"This is what the teacher often says, a rare manifestation of common diseases!

"It's just this time, this rare manifestation is extremely rare, and there may be very few papers in the academic community. At least I'm not sure if there have been cases around the world, but based on the teacher's words, I guess it should be like this.

"The most common gynecological disease that causes patients to be blind is either other, or endometriosis.

"As we all know, endometriosis is other parts of the endometrium that grows outside the uterine cavity and the myometrium. Common ones are pelvic organs and wall peritoneum, such as ovarian ectopic, uterosacral ligament ectopic, etc. There are very few people who appear in the rectum that is separated by a membrane.

“However, theoretically, endometriosis can appear anywhere in the body.

"For example, the nasal cavity, subcutaneous cavity, intestine, and even the brain. I guess the patient's nasal bleeding is probably not epistaxis, but menstrual blood after endometriosis!

"This explains why it is obviously menstrual blood, but there is no birth canal or cervical secretion. Because the passage it flows out is the patient's nasal cavity, and it does not pass through the cervix and other structures, so naturally there is only an ectopic endometrium!"

Everyone was a little stunned when they heard this.

They looked at Xu Qiu in unison, hoping to get verification.

Xu Qiu nodded indeed and said, "It should be endometriosis."

The crowd suddenly burst into a scream.

But soon someone said: "So, blindness is also endometriosis?"

"No, according to Shi Lian, if the eyes also have an endometrium, it should be bleeding from the eyes..."
Chapter completed!