Chapter 1980 Hidden Medical History (Monthly Ticket 60500 Plus More × 121)

A diagnosis that doesn't exist?

Lin Yuan was taken aback for a moment, what's going on?

She was about to ask, but Zheng Ren and Su Yun left without explaining anything.

"Hey, Boss Zheng!" Lin Yuan shouted from behind.

"Huh?" Zheng Ren didn't turn his head.

"Why do you say that if you don't have a diagnosis? Are you not afraid of being pointed out by others during the consultation of the whole hospital?" Lin Yuan said anxiously.

"You mean slap in the face?" With a contemptuous smile on the corner of Su Yun's mouth, he looked at Lin Yuan evilly.

Well……

Lin Yuan suddenly developed sinus tachycardia, which turned into atrial fibrillation.

"Boss Zheng, do I really want to say that?" President Yu asked cautiously.

"Of course." Su Yun said with a smile: "But Mr. Yu, do you know why?"

Mr. Yu shook his head.

"The patient's heart has calcification. Considering that he had a medical history that he didn't mention in the past, it may be intentional; or it may have been forgotten for too long." Zheng Ren said.

"I think there is a high possibility of deliberately not speaking." Su Yun said.

Mr. Yu was dumbfounded. Boss Zheng and Brother Yun agreed so much in their diagnosis, even saying that the patient had hidden medical history.

This...is too scary.

"Why do you say that?" Lin Yuan followed up and asked seriously.

"How old are you, why are you still gnawing on your fingers? It's right to say you're a brat." Seeing Lin Yuan biting his fingers while thinking about his condition, Su Yun sprayed directly.

After suffering all day yesterday, Su Yun felt that the little beast in his heart was about to move.

"It's not hygienic to chew your fingernails less in the hospital." Zheng Ren glanced at them and said with a smile.

"Boss Zheng, why are you so sure that the patient is concealing his condition?" Lin Yuan was not embarrassed, and she put all her thoughts on the patient's condition.

"Because there is no auxiliary examination, it is clearly pointed out that the patient may have hematuria." Zheng Ren said casually.

"Boss Zheng, please be more specific." Mr. Yu said with a sad face, "The whole hospital is a consultation, you can say that, but I can't."

What he said was the truth. Zheng Ren said this, and everyone should pay attention to it. But if Mr. Yu, who introduced the medical history, said it, he would be scolded.

"Comprehensively, the patient has pericardial stenosis, which can be confirmed. Although it is not very severe, it can intermittently induce ventricular diastolic expansion restriction, ventricular diastolic filling decreases, and cardiac output decreases. At the same time, the inferior vena cava return is also Obstructed by constriction of the pericardium, there is an increase in venous pressure, which causes the jugular vein to distend and the liver to enlarge."

"..." Mr. Yu still didn't understand.

"You mean to explain all the clinical manifestations of the patient with the monism of constrictive pericarditis?" Lin Yuan frowned.

"Hey, what about monism?"

"Isn't it?" Lin Yuan asked.

"Of course not, it's just to scare the patients." Su Yun breathed out, his black hair fluttering triumphantly on his forehead.

"Why?" Lin Yuan suddenly couldn't understand.

"Because the patient has a hidden medical history." Zheng Ren said, "Let's go, Mr. Yu, I'd better go to your duty room and explain in detail."

Mr. Yu let out a sigh of relief, he was really afraid that Boss Zheng and Brother Yun were unclear, so he just let it go.

Filled with doubts, Lin Yuan followed Mr. Yu back to his duty room. Zheng Ren sat down and said, "Mr. Yu's judgment is correct. The patient is hiding his medical history in order to conceal the truth about the hematuria."

"But why do you do that?" Mr. Yu asked in confusion.

"Why, it's the answer you're looking for, and it has nothing to do with the boss." Su Yun said.

"But……"

"Didn't you just say that the patient has mild pericardial stenosis changes, which can be diagnosed as constrictive pericarditis, but there will be no serious consequences." Zheng Ren pointed to the chest CT just now.

Mr. Yu and Lin Yuan watched the film silently.

"With changes in the external and internal conditions of the body, such as increased pressure in the chest cavity and mediastinum, it is equivalent to a sudden increase in constrictive pericarditis."

Zheng Ren talked eloquently, Mr. Yu gradually understood what Zheng Ren meant, but Lin Yuan frowned and didn't say a word.

"Lin Yuan also said before that the clinical symptoms of constrictive pericarditis include increased venous pressure of the lower extremities, leading to diseases such as edema of the lower extremities. When the portal vein pressure increases, the renal vein pressure will also increase, and renal venules may rupture and bleed. Related to hematuria."

Hearing Zheng Ren narrate it from the beginning, Mr. Yu clapped his hands excitedly, and said, "I'll just say what's wrong!"

"Well, tell Director Liu that way." Zheng Ren smiled, "There should be nothing wrong. Chest pressure is well controlled. The main reason is that the patient's heart has a slight change. Once the chest pressure is high, severe constriction will appear. This also explains why the patient refuses to ask for a detailed medical history, but why he did it is up to you to ask yourself.”

"What if the patient firmly disagrees with the operation?" Mr. Yu asked.

"I didn't need surgery at all, I just wanted to scare him so that you could tell the truth." Su Yun said, "Or scare his son and ask the truth."

President Yu heaved a sigh of relief and nodded.

"Then we're going down. If there's any progress on your side, please contact me at any time." Zheng Ren said with a phone call gesture.

"Okay!" President Yu cheerfully sent Zheng Ren away.

When he went downstairs, Lin Yuan still hadn't figured it out.

"Boss Zheng, why are you so sure that the patient is pretending to be sick?" Lin Yuan asked.

"Do you know why the boss came to the capital?" Su Yun asked back.

"It's because of the Nobel Prize project." Lin Yuan still knew about it.

"No, he was kicked out because he had clairvoyance and peeked at the little widow taking a bath in Haicheng."

"..."

"Don't make trouble." Zheng Ren quickly stopped Su Yun's nonsense, "You have also seen the film and other laboratory tests just now. Is there any definite diagnosis?"

Lin Yuan shook his head.

"That's right, all the clinical examinations and physical signs do not support the symptoms, so there must be other factors involved." Zheng Ren said: "When you were in the United States, you never encountered anyone who pretended to be sick to get a comprehensive physical examination while you were still unemployed. What about the insurance?"

Lin Yuan was a little embarrassed, and she shook her head blankly, "I'm just a doctoral student, working with BOSS, and I haven't been an intern to contact patients yet. Doctor's certificate..."

"Boss, just look at me and say she is a rookie." Su Yun said contemptuously.

"They're all rookies." Zheng Ren walked down the stairs. "This is very common in clinical practice. For example, when I was in Haicheng, I went to the emergency department."

"Isn't it when you're hospitalized?"

"No, it happened during my rotation." Zheng Ren said, "One day a female patient came in with abdominal pain. I ordered related tests, including a urine test for early pregnancy, and the result was positive. to re-examine."

"What happened later?" Lin Yuan asked in confusion.

The results are out, is it meaningful to review? Clinical laboratory errors do exist, but are extremely rare.