Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

What he meant was that it was too hasty for Lin Yi to say that it was an allergy without careful observation.

When the young doctor wearing glasses said this, many doctors at the scene also felt that it made sense.

Lupus erythematosus does have this symptom.

Maybe Director Liu is really not allergic!

Just at this time, the doctors and nurses on duty in the emergency department also rushed over.

They ran all the way carrying stretchers and various medical supplies.

In the conference room, everyone also consciously gave way to them.

"We're here."

"Huh? Doctor Lin, are you here too?"

The emergency doctor who took the lead was called Yang Hang, and he looked at Lin Yi and said.

"Ah."

Lin Yi nodded and greeted him.

"Hurry up and save people first!"

Director Chen quickly pointed to Director Liu who was lying on the ground and said.

"it is good!"

Yang Hang immediately stepped forward and squatted beside Director Liu.

After some checks, the nurse put on ECG monitoring.

Blood pressure 98/64mmhg, respiration 29 beats/min, heart rate 115 beats/min, body temperature 37.8°C.

From the perspective of vital signs, there is no major problem.

But it is often the problem that does not see the big problem is the problem!
The young doctor wearing glasses said to Yang Hang:

"Doctor Yang, my preliminary deduction is lupus erythematosus. Director Liu often stays up all night for surgery. His immune system is weakened and he is attacked and infected by the virus. That's why there are so many erythematosus on his body."

Yang Hang observed the red spots on Director Liu's chest and abdomen, nodded, and said:
"It does look a bit like it. While Director Liu's symptoms are still relatively mild, let's send him back to the emergency room for an examination."

"If it is really lupus erythematosus, it can be treated directly with non-steroidal anti-inflammatory drugs plus antimalarial drugs."

"Don't worry, Director Liu will leave it to us."

Just as several medical staff were about to carry Director Liu to a stretcher and take him away.

Lin Yi suddenly stopped and said:
"No, it can't be treated with non-steroidal drugs! Director Liu is not lupus, he is allergic! And he is allergic to contrast media!"

"What? Allergic to contrast medium?"

"Director Liu is allergic to contrast media? How is that possible! The red spots on his body are very similar to lupus."

"Where did Director Liu get the contrast agent? Don't talk nonsense, okay?"

Many doctors at the scene were skeptical of Lin Yi's judgment.

There are also patients who are allergic to contrast media. A small number of patients will experience nausea, vomiting, skin itching and erythema and other allergic reactions after cardiovascular angiography.

That's because most of the contrast agents currently on the market are of two types.

One is ionic contrast agent, such as 60%-76% diatrizoate meglumine.

There is also a non-ionic contrast agent, such as Uvivis, Iohexol, Omnipaque, etc., and a low-osmolar ionic contrast agent.

The first contrast agent, diatrizoate meglumine, requires an iodine allergy test before use.

If the patient is allergic to the first contrast agent, it cannot be used and only the second one can be used.

However, in the second type, a small number of patients will also experience symptoms such as nausea, vomiting, and skin itching.

So it's not impossible for Lin Yi to say that.

However, where did Director Liu get the contrast medium?

Could it be time to go to the imaging department?
A small number of doctors at the scene who chose to believe in Lin Yi couldn't help thinking about where Director Liu lost the contrast agent.

Did you lose it during the examination in the imaging department?
Which contrast agent was injected?What is the dosage?
Yang Hang was taken aback, looked at Lin Yi, hesitant:
"No way, Doctor Lin?"

"No, I think Director Liu is more likely to be allergic. Don't use lupus erythematosus drugs to treat Director Liu."

"In this way, it will not only delay the condition, cause anaphylactic shock, but also easily cause damage to other organs."

"This………"

Yang Hang frowned and couldn't help hesitating.

Because Lin Yi is in the independent clinic of their emergency department, Yang Hang naturally knows his level.

"Forget it, no matter what, let's do the inspection first."

Immediately afterwards.Yang Hang said directly, and then beckoned someone to carry Director Liu away.

But just as they were about to carry Director Liu onto the stretcher, suddenly, a rapid alarm sounded from the ECG monitor!

drop!drop!drop!
The blood pressure is dropping, directly dropped to 83/52mmhg!

Breathing also began to drop!
Just now it was 29 beats/min, now it is 14 beats/min!
And the heart rate, which was above 110 just now, has dropped to 85 immediately!

And it's not enough, it's still falling!

Sudden drop must be abnormal!

"One epinephrine, plus one hydrocortisone, intravenous injection!"

"Director Liu is definitely allergic! Look under his collarbone, there is obviously a needle eye!"

"How could the needle hole come here with normal infusion?!"

"It must be related to the problem of the heart, so the puncture point is placed here, which is the closest to the aortic arch."

"So, Director Liu must have gone to the imaging department for angiography!"

Upon hearing Lin Yi's analysis, everyone around was stunned.

What he said was true, as if he had seen it with his own eyes.

A doctor also took a closer look under Director Liu's collarbone, and found that there really was a needle hole!

"I think it should be allergies, first use epinephrine plus glucocorticoid anti-allergic treatment to avoid shock symptoms."

The doctor couldn't help saying, but the medical staff were still hesitating.

Do you listen to them or not?

What if something goes wrong?
Director Liu's blood pressure and heart rate were still dropping while lying on the ground!

The few people who came with Yang Hang just couldn't get rid of the medicine!

Lin Yi couldn't help but said anxiously:

"Hurry up and save people! Can't you confirm that it's an allergy? You have to wait until you have anaphylactic shock before you can tell it's an allergy?"

At this time, Director Chen on the side suddenly spoke:

"Just do as he said! Treat according to anti-allergy! I'll call the Imaging Department immediately to see if Director Liu has had an examination in the morning! Save people first, it's important to save people!"

Now that Director Chen said everything, they had no choice but to follow suit.

One epinephrine plus one hydrocortisone, intravenous injection.

Expand blood volume and replenish fluids in large quantities.

"Two more adrenaline!"

Immediately afterwards, Lin Yi said again.

"Injections?"

"Yes, injection!"

"Promethazine, diphenhydramine."

"Okay, then a diphenhydramine, intramuscular injection."

Diphenhydramine is an antihistamine that is used to treat severe allergies.

Yang Hang immediately asked the nurse to give intramuscular injection.

At this time, Director Chen came back from the phone call.

He frowned tightly, and looked at Lin Yi strangely when he walked in.

"What about Director Chen? Has the director really done an angiography examination?"

A doctor suddenly asked curiously.

Director Chen suppressed the shock in his heart and said:
"Well, Director Liu did have an angiogram!"

"What's this?!"

"Really?"

"It seems that Doctor Lin is right!"

Suddenly, there was a burst of exclamation in the entire conference room!