Chapter 1723: Fire sea sign

Under normal circumstances, Su Yun is not reluctant to decide not to go to eat. It’s a big deal to go out and drink, and for him, just have a drink.
"Except for Master Yan, who else?" Zheng Ren thought for a moment, immediately connected several possible characters and asked in a whisper.
"The Anglo-American apprentice in the suit of Chu Nuon, you remember," Su Yun said with a smile: "I have to come over today, I have been waiting for the phone."
"Oh? Is there a technology?"
"Of course, why would you grab your phone?" Su Yundao.
Sure enough, Zheng Ren smiled and didn't speak.
I really look forward to it. If I can get the relevant technology through Chu Nuo, and I don’t talk about quantitative production first, I can try it on my own.
Zheng Ren most wants to get the hand, there are a few techniques, but Su Yun seems to have added countless things, he is not sure whether Chu Nuon can get these things.
However, it is good to have feedback. Zheng Ren’s impression of Chu Nuang is very good.
Did not live up to the risk of "operator, death" to give him surgery.
When Su Yun sees Zheng Ren’s expression, he knows what he thinks in his heart. He said,
You, this person, don’t say it, the body is always very honest.

"Fortunately, the key is that I don't know what to do. How did Master Yan and Chu Nuoan come together?" Zheng Ren asked.
Both directors are awesome.
The name of Yan Jiefu's rotten street and the Chu Nuon match are the words of Nanyang people put together, and the incomparable violation.
"Chu Nuo Sai is still a credit, the disciple of the suit is called William, he is not small." Su Yun laughed.
"Not small?"
"Well, it is said to be the only normal man of an ancient family." Su Yun said with a smile.
Zheng Ren is too lazy to chat with him. In addition to analyzing his condition, Zheng Ren is willing to use his brain. Usually he wants to be a panda, lazy to hang on the tree, and eat and die.
After changing clothes, Zheng Ren and other Xie Yi people came out and called Lao He to take a bus to the Tang and Song restaurants.
Song Ying stood at the door and saw Zheng Ren and his entourage come. He greeted the spring breeze.
"Zheng boss, you are really proud of the recent spring." Song Ying laughed.
"Where is there."
The group walked in, talking and laughing, and enthusiasm.
......
......
Massachusetts General Hospital.
Dr. Mark looked at the mail and made a rather exaggerated gesture, saying: "Jason, is this the level of our new lifelong professor?"
Jason frowned and said: "To check the thyroid B-ultrasound? Why is this?"
"There is no reason to start the disease, and it is said indiscriminately. Do you suspect that the patient is a thyroid crisis?" Dr. Mark said disdainfully: "The thyroid crisis is generally done by Hashimoto..."
Said, he stunned.
CT enhancements for admission, but a lot of iodine!
The symptoms of typical thyroid crisis such as high fever, sweating, tachycardia, irritability, anxiety, convulsions, nausea, vomiting, and diarrhea are similar to those of the patients at hand.
Was it diagnosed wrong from the beginning? !
The disdainful expression on Mark's face solidified into ice. He thought of many possibilities, the most serious and the closest to the truth. The first diagnosis that may have been more than 10 weeks ago was a misdiagnosis!
It is not a cyclical vomiting syndrome at all, but a problem with the thyroid!
Dr. Jason also thought of some, but his understanding of the patient's condition is not as good as Mark's, so he still hesitated.
"No, I have to check the thyroid gland right away!" Mark bounced off the chair, and the bottom of his was like a spring.
The two most prominent manifestations of tachycardia and weight loss suggest hyperthyroidism.
When Mark considers weight loss and tachycardia in the context of agitation, vomiting, and neuropsychiatric signs and symptoms, thyroid dysfunction is one of the most important differential diagnoses.
Damn, why didn’t you think of it?
This is not a big deal. I was hospitalized and I did an enhanced CT for a patient with hyperthyroidism!
A large amount of iodine enters the body, and the function of the thyroid is immediately in chaos...
Mark's sweat has come out, pushing the B-machine to the side of the female patient.
In the transverse, sagittal grayscale and color Doppler ultrasound images of the thyroid, the thyroid sagittal size is at the upper end of the normal range, and Dr. Mark sees a mildly uneven parenchymal echo.
On the color Doppler image, the whole gland is obviously congested, which is a characteristic manifestation of Graves' disease, called "Fire Sea Sign"! ! !
This Doppler flow pattern has a high specificity (88% to 95%) and sensitivity (95%) for Graves' disease, and the peak systolic velocity of patients with Graves' disease is higher than other causes. Thyroiditis patients!
The standard Graves disease, also known as toxic diffuse goiter, is caused by the presence of a stimulant in the blood that excites the thyroid gland, with high metabolism, diffuse goiter and exophthalmos.
The patient's condition is not serious, because the enhancement of CT causes the condition to worsen, so that ICU is now going to be rescued and treated.
Jason also saw the fire sign displayed on the B-machine. He is not the same as Mark. He watched the live broadcast of the operation and saw that the admiration of the surgeon had risen to worship.
"Mark, you stupid guy, see it! His diagnosis is correct!" Jason said behind Dr. Mark.
"It can be found, and now I will treat the thyroid gland." Dr. Mark said quickly.
After treatment with methimazole, ~EbookFREE.me~ Dr. Mark grew a sigh of relief.
As long as the correct cause is found and the correct treatment is performed, the patient will slowly get better after 3-5 days.
Hell cyclical vomiting syndrome is not the diagnosis at all!
After the busy work, Jason shrugged and said: "Mark, I suggest that you should pay enough respect to the tenured professor, see it, your doubts will quickly make your stupidity reveal."
Dr. Mark sighed.
"The higher the degree of initial questioning, the more you will prove your stupidity." Dr. Jason is very happy to see Dr. Mark's current state.
"Jason, can you give me a look at the website where the operation is live?" Dr. Mark did not refute. After he began to recall the entire medical treatment process, he gave a correct diagnosis to the tenured professor in more than an hour. Surprised.
"You should write a warm thank you letter. If it weren't for him, your patient would die soon," Dr. Jason suggested.