Chapter 1981: Hidden medical history

A diagnosis that does not exist at all?
Lin Yuan stunned, what is going on?
She just wanted to ask, see Zheng Ren and Su Yun did not explain at all, went straight.
"Hey, Zheng boss!" Lin Yuan shouted in the back.
"Hmm?" Zheng Rentou did not return.
"Why don't you have a diagnosis? Do you not be afraid of being wronged by others when you are in the hospital?" Lin Yuan said anxiously.
"Do you mean to face?" Su Yun's mouth with a sly smile, looking at Lin Yuan.
Uh……
Lin Yuan suddenly sinus tachycardia and turned into atrial fibrillation.
"Zheng boss, I really want to say this?" Yu always asked cautiously.
"Of course." Su Yun said happily: "But always, you know why?"
I always shake my head.
"The patient's heart is calcified. Considering a history that has never been said before, it may be intentional not to say it; it may be too long to forget." Zheng Rendao.
"I think the possibility of not deliberately speaking is great." Su Yundao.
I always listened to stupidity. The diagnosis opinions of Zheng Boss and Yun Geer are so consistent, even the patients have a hidden medical history.
This... is too horrible.
"Why do you say that?" Lin Yuan followed up, very seriously asked.
"How big is the person, how can you still lick your fingers? It is true that you are a kid." Su Yun saw Lin Yuan biting his fingers while pondering the condition and directly spraying.
Yesterday, I endured a day, Su Yun felt that the little beast in his heart was already moving.
"There are a lot of fingernails in the hospital, which is unsanitary." Zheng Ren glanced and smiled.
"Zheng boss, why are you so sure that the patient is hiding the condition?" Lin Yuan is not embarrassed, all her thoughts are used in the patient's condition.
"Because there is no auxiliary examination, it is clear that the patient may have hematuria." Zheng Ren said casually.
"Zheng boss, you said in more detail." Yu always said with a frowning face, "The whole hospital consultation, you can say so, I can't say that."
What he said is the truth. This is what Zheng Ren said. Everyone has to pay attention to it. But if you say the history of the disease, you have to be embarrassed.
"Comprehensive consideration, patients with pericardial stenosis, this can be determined. Although not very heavy, but intermittently induced ventricular diastolic expansion is limited, ventricular diastolic filling is reduced, so that cardiac output is reduced. At the same time, the superior and inferior vena cava reflux Obstructed by the narrowing of the pericardium, increased venous pressure, causing jugular vein engorgement and enlarged liver."
"..." I still didn't understand.
"You mean to explain all the clinical manifestations of patients with constrictive pericarditis monism?" Lin Yuan frowned.
"Hey, what about monism?"
"No?" Lin Yuan asked.
"Of course not, just to scare the patient." Su Yun sighed, and the black hair smugly in front of the forehead.
"Why?" Lin Yuan suddenly did not understand.
"Because the patient has a hidden medical history." Zheng Rendao, "Go, always, go to your duty room to talk about it."
When he grew up, he was really afraid that Zheng Bo and Yun Geer couldn’t tell the truth.
Lin Yuan was full of doubts and returned to the general duty room. Zheng Ren sat down and said: "The general judgment is correct. The patient itself is hiding the medical history, in order to conceal the truth of hematuria."

Why can you do this?
asked in total confusion.
"Why, it is the answer you are looking for, it has nothing to do with the boss." Su Yundao.
"but……"
"Isn't it just said that the patient has a slight pericardial stenosis change, can be diagnosed as constrictive pericarditis, but there will be no serious consequences." Zheng Ren pointed to the chest CT just said.
In the total and Lin Yuan are silently watching the film.
"With changes in the external and internal conditions of the body, such as increased chest and mediastinal pressure, it is equivalent to a constrictive pericarditis."
Zheng Renyi talked, and Yu gradually understood the meaning of Zheng Ren, but Lin Yuan frowned and said nothing.
"Before Lin Yuan also said that the clinical symptoms of constrictive pericarditis have increased venous pressure in the lower extremities, leading to diseases such as edema of both lower extremities. At the same time as the portal pressure increases, the renal vein pressure will also increase, and the rupture of the renal pelvis and venule may be Related to hematuria."
I heard Zheng Ren telling it from the beginning, and I was always excited about the clap, saying: "I will say what is wrong!"
"Well, you and Director Liu said so." Zheng Ren smiled. "There should be no mistakes. The chest pressure is well controlled. This explains why the patient refuses to ask the medical history in detail. But why did he do this? I have to ask for it myself."
"Would the patient strongly disagree with the operation?" asked the general.
"There is no need for surgery, just scare him to scare him, so that you can tell the truth." Su Yundao, "Or scare his son and ask the truth."
I always took a breath and nodded.
"Then we are going down, what progress has you made on this side, feel free to contact." Zheng Ren made a phone call gesture.
"Well!" Yu Zheng sent away the general.
Lin Yuan did not want to understand until the next floor.
"Zheng boss ~ EbookFREE.me~ Why are you sure that the patient is sick?" Lin Yuan asked.
"Do you know why the boss came to the emperor?" Su Yun asked.
"It is because of the Nobel Prize project." Lin Yuan still knows about this matter.
"No, it is because he has a perspective, and he peeks at the little widow in Haicheng and takes it out."
"..."
"Don't make trouble." Zheng Ren quickly stopped Su Yun nonsense. "You just watched the film and other tests. Are there any clear diagnoses?"
Lin Yuan shook his head.
"Yeah, all clinical examinations and signs do not support the symptoms, there must be other factors involved in it." Zheng Rendao: "In the United States, you have not encountered squatting and not yet unemployed, pretending to be sick to comprehensive medical examination, lie Is the insurance situation?"
Lin Yuan was a little embarrassed. She shook her head in a blank voice. "I am only a doctoral student. I have not been an intern to contact patients."
"Boss, you see, I said she is a rookie." Su Yun said.
"It’s all from the rookie.
Zheng Ren went down the stairs. "This is a very common clinical situation. For example, when I was in Haicheng, I went out to the emergency department."

Not when the hospital is in total?

"No, I have a round of things." Zheng Rendao: "The gynaecologist went to dinner. I opened a test for urinary early pregnancy and the result was positive. If the patient does not work, it is necessary to review it again."
"Later?" Lin Yuan asked inexplicably.
The results are all out, does the review make sense? Clinical laboratory errors do exist, but they are extremely rare.
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