Chapter 293 The diagnosis of ultra -high difficulty cases, Du Leng who picks peaches

Author: Jiangbianyu Weng

Chapter 293 The diagnosis of ultra -high difficulty cases, Du Leng who picks peaches

"Okay, I rush over right away."

Zhou Can answered very simply. When Director Zhang hung up the phone, he moved his phone from his ears.

Turn with the elders or the teacher, the leader, and wait for the other party to hang up first. It is the most basic politeness.

Some newcomers in the workplace are used to being habitual, and when they talk to the leadership, they are ‘incurable”, rush to hang up, or grab the leaders to talk. These are all taboos.

If these details do not pay attention, it is easy to watch other colleagues who entered the company.

But he is still in place.

Personal accidents and work ability, business level is equally important.

Dr. Pang next to him looked at Zhou Can hung up the phone and secretly relieved. She just heard it clearly. Director Zhang Bihua relied heavily on Zhou Can. When talking, Zhou Can completely dialogues.

She was particularly afraid that Zhou Can told her.

Fortunately, Zhou Chan has the generosity of men, and acting is bright.

I didn't pack her again.

"Dr. Pang, please take care of your two nurse here for a while. I went to the clinic hall and should be able to come back soon. In case there is any emergencies, you must call me as soon as possible."

After Zhou Can told the three, they left quickly.

Dr. Pang watched Zhou Can's back, but felt that there was a cool back.

Then I found that Director Zhang just talked to Zhou Can, and even scared her out of cold sweat.

When Zhou Chan rushed to the clinic hall, she found that the female patients who drank more, diapers, urine, or urine, and obstacles were sitting at the table of Director Zhang Bihua for diagnosis. Her situation looked much better than yesterday. She was much better than yesterday.

Yesterday, I seemed to be foolish, holding my body, sickness.

After a day of hospitalization, she now looks like two people. The consciousness is much more clear, and her eyes have a little look.

"Dr. Zhou, wait for you to come over to help the clinic!"

A deputy chief physician of a obstetrics and gynecology department greeted Zhou Can with a smile.

"Ah ... me? I am a small regulation, you raised me too much! Director Luo did not put gold on my face, just put a golden barrel on my head."

Zhou Chan naturally won't be stupid.

This Director Luo hadn't even looked at him even his eyes before, but now he suddenly became so enthusiastic, and the two words "snobbish".

"Dr. Zhou has a multi -department rotating work experience. This case may really give a point constructive diagnostic opinion!" Zhang Bihua took the words.

"After the patient was treated with measures and intravenous infusion of insulin, the current blood sugar and sodium sodium have decreased a lot, and her consciousness is much more clear. However, she still has poor appetite, poor mental state, poor sleep. At the same time

Symptoms such as urine still exist. "

When Zhang Bihua said this, Zhou Can knew what it meant.

Don't look at the patient's condition after treatment, but it is a momentary strategy.

At present, only the patient's diabetes.

Zhou Chan's eyes looked at the patient.

"Do you have normal bowel movements now?"

"Once once a day."

Patients have been able to communicate directly with Zhou Can.

This makes Zhou Can feel very happy.

"Have you checked the patient's menstruation and marriage history?" Zhou Can turned his head and asked Director Zhang.

"Just now, taking advantage of her consciousness, she has already asked. The first tide of 14 years has been asked. The menstrual cycle is about 50 days each.

Director Zhang probably introduced the patient's condition.

The menstrual cycle of normal women is between 28 days and 35 days. The patient's menstrual cycle is up to 50 days, which is obviously abnormal.

However, from another perspective, the menstrual cycle may not be a bad thing once every 50 days.

Because women's ovulation is about 400-500 times in life. In fact, the total number of ovulation of most women is only about 400 times.

28 days and a menstrual cycle means to discharge the eggs in the body in a shorter time.

At this time, women will stop menstruation, and menopause will come.

Some women have discontinued menstruation in their forties, and menopause has arrived. This is not a good thing.

Because according to scientific research, the later the menopause of women's menopause, the slower aging, and the body's immunity can always be kept at a high level.

This patient only came to menstruation once in 50 days, almost twice the time for ordinary women.

It also means that her menopause age is later than ordinary women, and menopause is later.

"What about her basic signs?"

"The body temperature is 37.7 degrees, the heart rate is 83 times/min, the breathing is 24 times/minute, the blood pressure is 116/75mmHg." Yang Yan replied.

She is responsible for each physical examination for patients.

It is equivalent to playing with Director Zhang.

The body temperature is in a low fever, blood pressure and heart rate are basically normal.

Zhou Chan went around the patient to check her neck.

"It has been checked, the pharynx has a slight redness and swelling, the tonsils are obviously enlarged, and the thyroid gland is normal. There is no obvious edema in both lower limbs.

Yang Yan's work is quite detailed.

Zhou Can laughed at her with her thumbs.

"It is indeed a master of a master, and the physical examination of the squad leader is really great!" In a word, he exaggerated Director Zhang and Yang Yan.

There was a touch of smile on the face of the two.

Few women don't like to be exaggerated.

"Have you tested urine for patients?"

"Well, this is the latest urine test report." Yang Yan took the initiative to hand the routine of the urine to Zhou Can.

After receiving, Zhou Can took it to see and checked the patient's other biochemical examination information.

"Positive urine ketone, blood gas prompt metabolic acid poisoning, then she should be keto acid poisoning!"

After watching Zhou Can, he made a conclusion.

"The result of this diagnosis has just given Director Zhang and experts."

Yang Yan replied.

"What we have to consider now is why the patient has a conscious obstacle or even a coma after stopping the Chinese medicine?" Director Zhang pointed out to Zhou Can that the problem to solve.

Experts just discussed, there should be some conclusions.

It is just that there may be some differences in opinions.

"From the patient's symptoms and check data analysis, I think her illness should be treated separately. Causes a conscious disorder, and even the cause of coma is not necessarily related to taking Chinese medicine.

Zhou Can found that during the diagnosis, her mind was extraordinarily clear and her thoughts were clear.

"High infiltration and coma often appear on old patients, but she is only in her thirties, and she is very young. I personally think that the high seepage may not be big."

The little snobbish Director Luo did not agree with Zhou Can's diagnosis.

"There is no absolute situation in the world. The patient's condition is more special. My diagnostic thinking is like this. The patient has been taking Mian Ning before. Only when she stopped the medicine, the diaper and orgas were aggravated, and the body was dehydrated.

The hypoglycemic drugs were also stopped, and the traditional Chinese medicine was changed. This caused the blood glucose level to rise, dehydration will inevitably increase, and eventually lead to hypertonic coma. Keto acid poisoning is also caused by discontinuous hypoglycemic drugs. "

Zhou Can analyzed the patient's pathological mechanism and the pharmacological mechanism in it.

[Pathological diagnosis experience +1, pharmacological dialectical experience +1. You successfully diagnosed a case of difficult cases, pathology, pharmacological experience value each rewarded 100.]

The experience values ​​have already arrived, indicating that Zhou Can's diagnosis is completely correct.

The diagnosis of this disease is not difficult. It is not difficult.

Mainly there are many diseases, and the condition is complicated, just like a bundle of messy numbness. If you want to correctly diagnose the pathology, you must first follow them.

Zhou Can separates the amenorrhea, drinking more, conscious disorder and other diseases to diagnose and treat, and the difficulty of diagnosis has reduced a lot.

And it can not be disturbed by other pathological mechanisms.

"Speak well! I think the patient's high osmodility and coma diagnosis opinion is completely correct." Director Zhang after listening to Zhou Chan's analysis, he firmly supported his diagnostic conclusion.

"Well, even if the patient's conscious obstacle is high osmodility and coma, what about her urine?"

Director Luo compromised.

After being forced to agree with Zhou Can's diagnosis, she threw another new question.
To be continued...