Chapter 2152: If you are wrong, you must tell me.

"Li Lao, what happened?"
"No, the patrol is about to begin." Li Lao looked at the words on A4 paper and whispered.
"Well, there is still a minute."
The internal medicine tour is very strict, and the time must start, there is no lateness.
When you close the door, no one can enter. If you missed it, then wait for you to go back to the director and point your nose for 4 hours.
Soon, the round of the clinic began, and Dr. Wang from the Department of Endocrinology began to introduce the condition.
Li Lao listened to the brief introduction and looked at the words on A4 paper. The person writing should have an understanding of the patient's condition and is very detailed.
Listed the test items for the problematic test list, and the pre-hospital medical history reported by Dr. Wang is almost no difference.
A little bit interesting, Li Lao feels that the family of this patient is quite up. The doctor who consulted is estimated to be an experienced doctor. The omission of the omission in the line should be omitted.
Just a pre-hospital condition analysis, Li Laoxin raised a feeling of cherishing the talent.
This is a talent. It would be a shame if you have spent the rest of your life in a small hospital and put your talents into mediocrity.
And look at it first, if his final diagnosis can be close, you may wish to ask the doctor's thoughts.
If you are a good young talent, you can give him a chance.
Li Laoxin thought, turned to the second page.
[The CT before admission suggests that the bilateral adrenal glands have a solid place. I think the level of the Affiliated Hospital should not be so low. I really took the patient to the urology and prepared for surgery. 】
This child.
Li Lao helped the supporting mirror. After seeing this sentence, he was not angry, but revealed a smile.
CT saw it, it really looks like a solid placeholder. If a doctor in a small hospital may consider a malignant tumor. But after she finished reading, she considered a hematoma. The subsequent 64-row CT enhancements confirmed this.
This kid's talent is still there. It's not that simple to watch a movie. It’s just a bit sharper, or less polished.
[I estimate that the enhancement has been done, and there is no blood supply. The diagnosis is a hematoma. If you already have a clear judgment, you can ignore this passage. 】
If you want to use it, you should first use it. Li Laoxin thought of it leisurely, this child still doesn't know how many high-ranking people are under the sun, thinking that his own ability is great.
If you are a student, you may have to train him for a period of time, and then ruin your body's arrogance first.
Thinking of this, Li Laowei smiled. I am not the kind of person, and the sound is very strong, but it is hard to scare people.
However, there are many ways to get rid of the temper, and it is not necessary to train people.
[Combined with skin pigmentation, decreased cortisol, elevated ACTH, decreased aldosterone, elevated renin levels, decreased androgen levels, and a clear diagnosis of primary adrenal insufficiency. 】
Well, this sentence is correct.
[Are you already done a differential diagnosis? If you haven't done it, don't do it. It's a disease of the immune system. Now look for my rheumatoid immunity to come to the clinic. 】
Oh, it turned out to be the doctor of the rheumatology and immunology department.
Generally, doctors with high levels of rheumatology and immunology are responsible for handling all kinds of incurable diseases. It is inevitable that there is a arrogance in the heart and that no one else will see a doctor.
Rheumatoid immune disease? I think so too, and first look at what he says.
However, Li Lao did not worry, but stopped his eyes here and listened carefully to the consultations of other departments.
Differential diagnosis of adrenal tuberculosis, fungal infections, solid tumors, etc., has a plate and eyes, and Li Lao is still very satisfied with the doctors he has trained.
It is well-founded and well-organized, just like answering a mathematical problem.
Finally, Dr. Wang gave a comment and suggested that the rheumatology and immunology department consult.
"Easy thrombosis is a type of disease that is prone to thromboembolism due to genetic defects such as anticoagulant proteins, fibrinolytic proteins, or risk factors for acquired thrombosis." Director of the Department of Rheumatology and Immunology sits in position and turns The medical record began to speak.
"Acquired easy thrombosis is also called acquired hypercoagulable state, including antiphospholipid syndrome, pregnancy or oral contraceptives, perioperative and traumatic obesity, neoplastic disease, diabetes, paroxysmal nocturnal hemoglobinuria and nephropathy Syndrome, etc., antiphospholipid syndrome is the most common."
"Combined with the patient's medical history, the first consideration of antiphospholipid syndrome in the clinic."
Well, as I thought about it, Li’s A4 paper in his hand turned to the next page, ready to see if the rheumatologist at the outer hospital made a correct diagnosis.
[APS, it is estimated that the technical strength of the Medical University Affiliated Hospital will not be able to think of it here. Although patients have a history of oral contraceptives and have multiple history of abortion, this is only a cause of aggravation of APS. 】
The little guy is very interesting, and Li’s interest is getting stronger.
Next, some test tests were displayed on A4 paper, some of which he knew, and some that he did not come out when he wrote this material.
The results of the inspections that did not come out were analyzed in accordance with the problem and the problem.
[Now, are you sure of a primary APS or a secondary APS? 】
Li Lao was interested in watching this passage, and the director of the Department of Rheumatology and Immunology began to talk about this after analyzing the inspection report.
[It’s secondary, don’t bother with it. 】
Too arrogant, although the analysis is well-founded, Li Lao still gave a judgment to the person who wrote this information.
[According to the 2006 Sydney APS classification criteria, the time is very long, and the patient can't stand that long. 】
Li Lao looked at the words written on the paper and listened to the words of the director of the rheumatology department.
"The patient has thrombocytopenia ~ EbookFREE.me ~ splenic vein, renal vein, bilateral adrenal venous thrombosis, lupus anticoagulant factor test positive, anticardiolipin antibody > 120RU / ml."
The guesswork on the paper is basically correct. The lupus anticoagulant test has not been rewarded when he obtained the information. Can it be guessed by guess? Li Lao has some doubts, but he feels that this child is a bit unstable.
[Is it very doubtful how I guessed it right? 】
Whether it is positive or negative, there must always be an objective basis. The word on one page was gone, and Li Laoshun turned to the next page.
It’s really unbearable to be broken here!
[In fact, I am not sure, but the boss said that according to the image data to judge, can indicate that it is a secondary APS. For this reason, we quarreled for 5 minutes and I couldn’t convince him. If your final test results prove that the boss's statement is wrong, be sure to tell me that I have thrown the test results on his face. 】
Uh……
Li Lao stunned.