Chapter 1816 It's Just a Differential Diagnosis

Dr. Rudy knew how arrogant and disrespectful the Bruch family was.

They are elegant on the surface, but extremely dark inside. Like a snake hiding in a corner, it would jump out and bite him at some point.

Rudy didn't dare to offend the people of the Bruch family, this was a fear from the bottom of his heart.

But why Christian, who was indifferent and moody most of the time, would respect this young oriental doctor so much, Dr. Rudy couldn't figure it out.

"It's fine when it's done." Zheng Ren casually said, "After Ms. Fandi can exercise, it will take a lot of hardship to urge the patient to do rehabilitation training."

"Please rest assured, I will supervise her." Christian smiled, the wound on his face had healed, leaving only a dark spot.

Zheng Ren was impressed by the strong self-healing ability of this ethnic group.

Perhaps people with a little less self-healing ability would have died long ago.

"Doctor Zheng, I heard from Vormel that you have your own diagnosis? I feel really lucky for Lord Roche." Christian said.

"Well, we have a diagnosis." Zheng Ren said casually, "Mr. Kerry, in the family... have all the people who want to know about Mr. Roche's condition come?"

Christian smiled, "The six branches will arrive within a few minutes. We will listen carefully to your opinion about Lord Roche. I think Lord Roche will recover soon."

Su Yun sighed inwardly.

This time, Su Yun felt a little uneasy. The boss looks like a spring that was pressed tightly by strong pressure in China, but he seems to be a different person after he comes out.

Alas, great pressure always needs to be released.

But is it really good? Whether it's at the Mayo Clinic or Johns Hopkins, it doesn't matter if the boss is crazy. To be great is to be ashamed, no big deal.

But here is... the risk is very high, it can even be said to be huge.

Su Yun was very worried.

A few minutes passed in the blink of an eye.

Several people with pale faces and more or less dark spots on their faces, necks, and hands came into this room.

Christian introduced everyone to Zheng Ren.

In this huge and ancient family, the internal relationship is as intricate as an equally ancient circuit board.

Zheng Ren wasn't in the mood to listen, as long as he was sure everyone was here.

Seeing Christian standing beside Zheng Ren, Wormer didn't say anything, but came to the front and said, "The medical expert who consulted today is from Huaxia, and he is the youngest tenured professor in the history of Massachusetts General Hospital. "

There were sparse applause.

Wormer bowed gracefully, raised his hand, and made a gesture of invitation.

Zheng Ren came to the front of the stage, and there was corresponding equipment on that side. After clicking on it, the image appeared on the large LED screen.

After finding the pictures he needed, Zheng Ren said in English with a Cockney accent: "Ladies and gentlemen, I am very glad to stand here and analyze Mr. Luo Qie's condition."

It was quiet down below.

"I just thought about it. Chronic Variant Crohn's disease was just a joke with Mr. Vermeer." Zheng Ren said, "Now I will start to express my point of view."

There was some noise, but not loud.

"The first thing that appeared in front of everyone was the image of the gastrointestinal endoscope." Zheng Ren clicked on the video data in the computer, and said loudly: "Perhaps I thought the same as everyone at first, Mr. Luo Qie's illness is just old, In the end, all the organs in the body fail.”

"But when I saw this image, I suddenly changed my mind."

Wormer was a little surprised. The gastrointestinal endoscopy was nothing special, it was just chronic atrophic gastritis and enteritis.

The doctors began to whisper to each other.

"Gastric mucosal epithelium and glands atrophy, reduced in number, gastric mucosal thinning, mucosal base layer thickening, or accompanied by pyloric glandular metaplasia and intestinal glandular metaplasia, or a chronic digestive system disease characterized by atypical hyperplasia. Often manifested Dull pain in the upper abdomen, fullness, belching, loss of appetite, or weight loss, anemia, etc., non-specific." Zheng Rendao, "It's a standard manifestation of chronic atrophic gastritis."

Su Yun felt that the boss seemed to be a different person. What nonsense is he talking about here?

Just take one look at the patient and give a mediocre diagnosis, and the mission is over.

And Zheng Ren is making the mission go into an unpredictable abyss.

"We are doctors, and an appearance can only provide support for a certain diagnosis. We also need a differential diagnosis." Zheng Ren said: "Since this is not a public teaching class, I will not let everyone speak. Let me tell you about my experience." differential diagnosis."

"The most differential diagnosis is—" Zheng Ren elongated his voice, looked around, and finally his gaze fell on Wormer's pale face.

"lead poisoning!"

Zheng Ren's diagnosis was like throwing a stone into a calm pond, causing an uproar!

In Castle Bruch it is said that Roche Bruch is lead poisoned...

Is this death?

Su Yun's face turned pale instantly, just like Christian standing beside him.

Wormer looked at Zheng Ren indifferently, without any expression on his face.

"This is just a differential diagnosis, not a diagnosis." Zheng Ren knocked on the table, "It's just a medical discussion, please keep quiet!"

"The digestive tract mucosa has the ability to secrete lead. During the lead secretion process, lead directly acts on the gastric mucosa, destroying the regeneration ability of the gastric mucosa and causing inflammatory changes in the gastric mucosa.

Studies have shown that the detection rate of gastric mucosal pathological damage in patients with chronic lead poisoning is as high as 96.7%, and atrophic gastritis and atrophic gastritis with overgrowth may occur. Patients with chronic moderate and severe lead poisoning were initially diagnosed as superficial gastritis, and 91% of them turned into atrophic gastritis three years later. "

"Some people say that this is speculation." Zheng Ren clicked on the next film and continued, "Let's look at the CTA images of the kidneys."

"We can see that the patient's renal tubules have degenerative changes. Regarding this, it can be considered as a chronic change in the elderly, but it can still be considered as a manifestation of lead poisoning!

In addition, on the CTA of the patient, progressive interstitial fibrosis of bilateral kidneys can be seen, starting around the renal tubules and gradually expanding outwards, with renal tubular atrophy and cell proliferation coexisting. "

"Lead can affect the mitochondrial function of renal tubular epithelial cells, inhibit the activity of Na+, K+-ATPase, etc., and cause renal tubular dysfunction or even damage.

Acute poisoning mainly affects the proximal convoluted tubule, and cell membrane damage, cell swelling, mitochondrial swelling, rupture, and reduction of granules in the matrix may occur. An inclusion body often appears in the glomerular nucleus, which is a complex of lead and protein.

But there were no similar changes in Mr. Roche, so the differential diagnosis mainly involved chronic lead poisoning. "

The audience was in an uproar.

Wormer looked at Zheng Ren coldly, and Zheng Ren also cast his eyes on him.

Eyes met, Zheng Ren showed a simple and honest smile, gentle but not aggressive.

"Differential diagnosis, just differential diagnosis."