Chapter 694
Baidu Treatment (Part 2)
Ji Xiang yelled as if he had discovered a treasure.
Meng Qingfei ran back quickly and said while running, "Wait for me!"
This is what the patient said. I think it should not be a very serious patient, so Meng Qingfei wanted to see if his urine discolored immediately.
When he arrived at the duty room, Meng Qingfei saw the urine cup on the table slowly changing color.
Just as the urine of a porphyria patient turns red, the color of the apple juice that comes out of the juicer in front of him is gradually changing.
It seemed as if a drop of black ink was dripping from the urine, and the black ball was rippling and gradually melting. I watched the whole cup of urine turn black.
Meng Qingfei glanced at him and immediately took out his cell phone.
Ji Xiang was speechless about this.
Baidu's medical treatment was originally a sarcasm, but unexpectedly, Teacher Meng Qingfei and Teacher Meng were happy.
Shouldn’t we directly tell the patient’s problem at this time to be able to have a good reputation?
"Teacher Meng..." Ji Xiang said softly.
"Wait a minute, I'll check it out! The urine is black, what kind of disease is it?" Meng Qingfei said.
"The urinary tumor should not be available, but it needs to be checked carefully. It's so unreliable. Xiaoji, you were the first to be trained in urology. Now you have undergone kidney cancer surgery. Have you ever seen black urine?" Meng Qingfei held it.
The phone started to perform differential diagnosis.
Ji Xiang was so funny that he hadn't known about Meng Qingfei and Teacher Meng, he would have thought he was here to make fun of him.
"No, I guess it's dark red hematuria, and it's described as black." Ji Xiang said helplessly.
"Yes, so this one is excluded." Meng Qingfei said to himself.
"Eating red-hearted dragon fruit, food containing anthocyanin, will make your urine red and black, causing changes in color components in the urine. It can generally be alleviated by reducing the amount of consumption." Meng Qingfei continued to hold his mobile phone with his mobile phone
Make a differential diagnosis.
"It doesn't seem to be true. Patients have eaten dragon fruit for three years? That's so much love. Besides, eating dragon fruit defecation is red, and black urine is rarely seen. This one is doubtful."
Ji Xiang looked at Meng Qingfei holding his cell phone for differential diagnosis and found it very interesting.
"Oral drugs such as buckthorn, senna, artificial beef yellow, metronidazole, sorbitol, methylene blue, etc. These drugs contain specific substances, which reflect the tissues and organs in the human body, making the urine appear black."
"No, Xiaoji, have you ever heard of cases where eating senna leaves causes the urine to turn black?" Meng Qingfei raised his chin and pondered.
"No." Ji Xiang reminded, "Teacher Meng, there are still patients outside."
Meng Qingfei slapped his thighs, reluctantly put his phone into Baifu's pocket, wiped his hands behind his butt, and turned to see the patient.
Ji Xiang recalled Teacher Meng’s differential diagnosis on Baidu and felt inexplicably complicated.
But it seems that Teacher Meng has found a breakthrough. Ji Xiang recalled and found that the focus of the problem is not on the Internet for differential diagnosis, but on Meng Qingfei's discovery of the problem from the patient's underwear turning black, and then he observed that his urine turned black.
Generally, it will wash away after urination. No one can see problems with urine. If it is not hospitalized, catheterization is left and the urine remains in the urine bag for several hours, it will not be discovered at all.
It seems that the whole step is not difficult, but Ji Xiang knows that there is a gap here, and Meng Qingfei goes directly over it.
Without the pre-order steps, even if the Internet library is broken, you may not be able to find the answer.
Ji Xiang quietly thought about Meng Qingfei's diagnosis process. Compared to the performance of the NPC system, Meng Qingfei is more like a living person with flesh and blood and a living doctor.
After more than ten minutes, Meng Qingfei walked in happily.
"Xiao Ji! The first time I learned that buckthorn skin is actually a weight loss product!"
"Well……"
Ji Xiang saw Meng Qingfei flipping his phone and searching for information about Buckthorn.
"Buckthorn skin and senna are both drugs that cause diarrhea, and they may also cause urine to turn black. I have never heard of it, but if you encounter similar problems in young women in the future, you must think of Buckthorn skin.
superior."
Ji Xiang didn't know how to evaluate Meng Qingfei's wild thinking.
"Along with metronidazole. I just asked, the patient has no history of oral metronidazole."
"Teacher Meng, I have never heard of metronidazole causing urine to discolor."
"I didn't find it either. The information on the Internet is always true and false. If you can't find it, put it there first. Generally speaking, taking metronidazole will cause the color of the urine to darken, but it turns black, which is a bit too much
"Meng Qingfei said.
"There is another point - rare diseases such as hereditary methhemoglobinemia, and patients usually experience blackening of urine due to methhemoglobinuria."
Meng Qingfei said a very confusing word and then began to recite it.
Ji Xiang wanted to cover his face awkwardly.
But Meng Qingfei didn't think there was anything wrong. He recited a long passage of medical-related topics and started logging in to various professional websites to find relevant information.
Finally he looked like a professional doctor, Ji Xiang thought to himself.
Because of the constant disturbance of patients, Meng Qingfei took nearly an hour to screen out two case reports.
Blackdiabetic arthritis!
A rare diagnosis that is difficult to pronounce has surfaced.
Meng Qingfei happily took his phone in front of Ji Xiang, "Look at Xiaoji!"
His finger pointed at a passage, and Ji Xiang looked carefully.
[A large amount of urinary black acid is deposited in the tissue in the middle and late stages, and it can be seen that the skin is widely pigmented, especially the auricle, sclera, nose, cheeks, etc., brown or blue-black due to pigmentation, and osteoarthritis may occur in the end stage.]
It took more than five hours from seeing the patient's doubts until finding the basis.
In the dead of night, the closed loop of logic is finally completed.
Although Meng Qingfei used a lot of online searches, Ji Xiang had a different understanding of his behavior.
"Teacher Meng, it seems that it is really dark diabetic arthritis, exactly the same as what we see."
"The patient needs to undergo joint replacement. There is a precedent. Are you following Deng Chaohong in orthopedics now?"
"yes."
"Then I will talk to the patient's family tonight. If they agree to the operation, I will ask the patient to come to you tomorrow. You can take Deng Chaohong to take a look."
"Okay." Ji Xiang just simply answered Meng Qingfei's words. Meng Qingfei's black white clothes seemed to be emitting light.
Meng Qingfei seemed very happy. He reached out to take out a cigarette from Ji Xiang's pocket and lit one happily.
"Xiao Ji, I found that your habit of bringing cigarettes is really good. I don't want to smoke too much, so I don't bring it myself. It's simple and worry-free to touch the cigarette from your pocket, and I'm a little embarrassed, so I smoke less."
Ji Xiang looked at Meng Qingfei with a happy look on his face. Anyway, Ji Xiang didn't see that he was embarrassed.
"Teacher Meng, do you often see a doctor like this?"
Meng Qingfei looked up at Ji Xiang and smiled slightly, "Masters fight, picking flowers hurts people. Don't stick to one move or another, just be able to watch out for it."
Chapter completed!