Chapter 1329 Nosy (League Leader Condensation Plus 4)

Liu Xuzhi skillfully took out two medical record clips and handed them to Zheng Ren.

"It's not a patient before the operation. I saw this yesterday. You can check the patient's status later." Zheng Ren smiled slightly, "Look at the medical record of malaria."

"..." Liu Xuzhi was startled.

"Show him, otherwise this guy can't sleep well." Su Yun held the phone in his hand, not playing games, but contacting something. Hearing Zheng Ren's words, he said contemptuously without raising his eyes.

Su Yun knew exactly what his boss was doing.

"Oh." Although Liu Xuzhi didn't know why, he responded.

"Old Liu." Zheng Ren suddenly said, "Does the patient have red maculopapular rash all over his body?"

Uh... Liu Xuzhi's eyes widened, as if he had seen a ghost.

"Zheng... Boss Zheng, how do you know?" Liu Xuzhi stammered.

"He has a see-through eye. He used to peek at the little widow's bath in Haicheng and was almost killed." Su Yun added at the right time.

Zheng Ren glanced at him helplessly and explained: "Malaria, the special medicine is quinine, and it's not expensive. I believe you often use it here."

Liu Xuzhi nodded. Although not a physician, he knew about it.

Few people in the town have malaria. But for pastoralists in the grasslands, malaria is a very common epidemic.

"Old Liu, have you read Quinine's manual?"

Liu Xuzhi nodded, but then shook his head.

Quinine, also known as cinchona, is specially formulated to treat malaria and cannot get into the eyes. Liu Xuzhi knew these basics, but he immediately thought that what Boss Zheng said was definitely not a simple thing, so he shook his head.

"Quinine can induce immune system abnormalities, but it is not very common. Generally speaking, the most common one is the cinchona reaction." Zheng Ren said: "Malaria, other symptoms appear after taking quinine, and it is necessary to upgrade antibiotics. Rare. So I guess it's a complication caused by quinine, so keep thinking about it."

"Nodular panniculitis?" Su Yun continued to play on the phone, and suddenly interrupted.

"Well, considering it's possible, I need to have a B-ultrasound to see it. With a B-ultrasound, it can basically be confirmed." Zheng Ren was a little embarrassed, "Old Liu, talk to the doctor of the gastroenterology department and see if you can let me Do a B-ultrasound."

"Boss, asking for help is worthless." Su Yun said: "You sit here steadily and wait for someone to come and ask you, that would be great."

"They're not Director Luo... Besides, if it was 912, Director Luo wouldn't even be able to diagnose quinine complicated with nodular panniculitis." Zheng Ren smiled and didn't care.

In Zheng Ren's eyes, treating illnesses and saving people is just the kind of thing that should be done, and it has nothing to do with the pretense of being aloof.

Liu Xuzhi's great sweat.

Saying this, I don't even know how to answer it.

Full of confidence? Or... but people have the ability to do this, so I can't accept it.

I stood in the corridor for a while, and when I heard a word of malaria, I judged the possible disease.

By the way, what is panniculitis nodosa?

Liu Xuzhi didn't know what this diagnosis meant.

He scratched his head and said, "I'll ask, it should be fine."

After speaking, Liu Xuzhi turned to leave, Zheng Ren shouted, "Old Liu, help me find the medical records!"

Liu Xuzhi hurriedly found the medical record folder, handed it to Zheng Ren with both hands, and then ran out.

When Liu Xuzhi went out, Su Yun raised his head and said with a smile, "Boss, I think you are very tired, so don't stop wherever you go. This matter has nothing to do with us, just do the surgery and leave. If you do this, will you? Disgusting local doctors don't even know."

"If you see it, you can't pretend you haven't seen it. They don't have a clear diagnosis. It's not a big deal to mention it by the way. If you see it, don't say it, and you will end up delaying the diagnosis and treatment. .

"Sister Lin replied, she will be there soon." Su Yunyang raised his phone.

Zheng Ren focused on reading the medical records and responded casually.

The pasted test sheet is also a legendary thing.

It is said that 15 years ago, when the electronic medical records were not available in Haicheng No. 1 Hospital, the laboratory department sent the report to the clinical department. Then the doctor sticks the test sheets one by one on the white paper and clips them into the medical record.

This side is really retro, Zheng Ren carefully flipped through it one by one. Unexpectedly, it is this age, and there are still handwritten medical records and pasted test sheets.

"Nodular panniculitis? What's that diagnosis?" A voice came from the door.

Zheng Ren looked up and saw a female doctor in her thirties, wearing glasses, hurried in.

"You're the teacher of 912?" She wanted to be more angry, but she looked at Zheng Ren and was a little hesitant when she saw that it was a young man.

She was afraid that she would admit the wrong person, which would be embarrassing.

"Well, I'm the doctor of 912." Zheng Ren was looking through the medical records, and he already had a spectrum in his heart. There is no big difference from what I judged myself, as long as I do a B-ultrasound. As for the pathology, it is estimated that it will not wait that long.

"Teacher, is there any basis for your diagnosis?" the doctor of gastroenterology asked.

"Blood routine: WBC19.62×10(9)/L, N% 89%, CRP192.0 mg/L, the diarrhea was relieved after Rochephen anti-infective treatment, but there was still fever, and the limbs were scattered under the skin 1 day before admission. Red induration with tenderness, admitted to the hospital with infectious fever." Zheng Ren looked at what was written in the medical record and said simply: "If there is a medical history and tender red induration, the diagnosis is obvious."

The little doctor at Xilin Town Hospital was dewy.

Zheng Ren was very helpless. He was in the first hospital in Haicheng City, and he said so much, it was enough. The medical level here is really average, but there is no good way.

To expect all doctors to be at the same level as those of 912 is bullshit.

He smiled and made his attitude as gentle as possible, "Nodular panniculitis, also known as idiopathic lobular panniculitis or recurring febrile non-purulent panniculitis.

The disease is characterized by clusters of recurring subcutaneous nodules that are painful and markedly tender, most of which are accompanied by fever, which can be confirmed by second-stage histopathology. "

"Old Liu, can your pathology department make such a diagnosis?" Zheng Ren then looked at Liu Xuzhi and asked.

Liu Xuzhi shook his head blankly.

"I thought it was a severe abdominal infection at first, and the red maculopapular rash was caused by drug allergy. But then I considered it to be different from allergic maculopapular rash, so I rejected this idea." The doctor of gastroenterology also muttered to himself at a loss. .

"Red maculopapular rashes with allergies are not painful."

"Then what shall we do?"

"What medicine do you use?" Zheng Renwen asked.

"Piracillin-tazobactam, the effect is not good, I am going to take vancomycin. This is not the recent antibiotic control, advanced antibiotics cannot be taken out without rationale approval, and I am preparing to apply for it." The doctor of gastroenterology said, " Teacher, what do you think?"