Big Doctor Live Room

Chapter 1191 Primary Iron Excess
"You Doctor Yun, you still don't admit it. You only know the general idea and don't know the specifics, so you make so many jokes. The reason why you say beriberi is just an description. It's not beriberi in the heart, but more bacteria. Heart problems from sexual infections."

Chen Qun took the opportunity to correct the eldest lady's mistakes, so as not to embarrass her.

Dongfang Wenxin didn't mind at all, and expressed it directly and confidently.

"I'm not a doctor, I just need to know a little bit of this knowledge when writing programs. If you are not convinced, why don't you come and complete the computer input verification for me?"

When Chen Qun saw that his fiancée was going all out to drag him to a part-time job, of course he refused to do so, and was about to rise up and resist.

Gu Ning directly interrupted the quarrel between the two and brought the topic back on track.

"Xiao Chen, you know that for many atypical heart diseases, many examinations are not only laborious but also very dangerous, so Lao He does not have so many conditions to complete each specific examination, and coupled with his backward knowledge, he is far inferior to You young people, you can only do a few relatively common situations to rule out. Of course, you’d better double check, lest there be any omissions, which will be taken for granted by you and me.”

Of course, Chen Qun would not reveal that his diagnosis function had a cheating function. As long as he broke the system and did not go wrong, he would be able to get the answer at a glance.But it is natural to say things in accordance with the objective laws of reality.

"I understand this, and I will find out soon after the past. If judged according to this situation, the two diseases of mitochondrial disease and primary iron deficiency are probably more likely."

Gu Ning patted his thigh heavily, expressing excitedly.

"Why didn't I think of the disease primary iron overload?"

At this time, the eldest lady had already searched for this disease with her ultra-luxury multifunctional mobile phone, and whispered it beside her, not only to deepen her impression, but also to give an explanation to Lao He whose eyes were darkened.

"Primary iron excess is a disease caused by excessive metabolism of trace elements, because the human body cannot control the amount of iron ingested into the body, so that too much iron is stored in substantial cells such as the liver, heart and joints, causing cell damage and Organ dysfunction."

Chen Qun did not pay attention to his girlfriend's kind explanation, but looked at Gu Ning.

"Do you have any evidence?"

"The patient's serum ferritin level has been increasing in the past few days, and the value has reached 473, which is more than double the normal value of 220. The only thing that cannot be determined now is whether the ferritin level has increased now, or in the past. some."

"Isn't that simple? Let the big database check and compare and there will be results!"

The eldest lady immediately called out the results of the hospital, and then said happily.

"I see that there is nothing here. The last time the data was around 280, it didn't exceed the standard too high, so it was ignored. The continued improvement after this operation shows that the condition has worsened!"

The eldest lady casually gave a small analysis.

Chen Qun looked at the proud look of the young lady, and poured a ladle of cold water on it.

"Hearing what you said, I'm sure it's not primary iron overload. You can see for yourself that the test result before the operation three weeks (20 days) was 280, and now it has almost doubled. A year ago, when the patient underwent surgery in Lujiang for the first time, the iron element should not have exceeded the standard. That is to say, the iron element exceeding the standard is a special manifestation recently, and it is very likely that metabolic disorders have occurred, leading to aggravation of the condition."

"I'm just presenting the data, the diagnosis is your business, you don't need to target me all day long!"

The eldest lady put on an angry look and pinched Chen Qun twice to relieve her anger.

At this time, Lao He had no choice but to turn a blind eye, secretly sighing in his heart how good it is to be young!My heart also began to agree with Chen Qun's point of view. After all, if the iron element exceeds the standard, it is impossible to perform surgery in any hospital.

Half an hour later, Chen Qun came to the inpatient building of the First Cardiovascular Department of the General Hospital. As soon as he entered the intensive care unit, he saw a resident doctor administering intravenous injections to the patient's left upper arm. On the patient's arm, a large There are more than a dozen red spots, large and small, like pimples bitten by mosquitoes, or blisters from long-term hospitalized patients.

As soon as Chen Qun's eyes looked, an answer appeared in his eyelids and heart at the same time—herpes!
Three connected question marks appeared on the diagnosis panel immediately following the corner of the eye, indicating that the patient had other diseases that had not been diagnosed.

"Stop the intravenous injection first, Brother Gu, have you seen the herpes on the patient? I suspect it is cardiomyopathy caused by herpes virus type 6. No, the viral herpes is only one of the symptoms, not the main reason. Xiaoxin, today What's the temperature inside?"

"He's not a robot, how do you know?"

While being arrogant, the eldest lady glanced at her phone and gave the correct answer.

"Today's outdoor temperature is 45 degrees Celsius, and it is expected to reach a maximum of 47 degrees. As for the indoor temperature here, there is no air conditioner here. It is probably the same as the outside hall, reaching about 27 degrees Celsius!"

"You immediately reach out and touch the patient's body!"

"What is this for?! If I get herpes on my back, you will be responsible!"

"You can wear gloves, but it's not that you are not allowed to wear protection."

The eldest lady took the posture of a professional nurse, immediately found a surgical glove and put it on her hand, reached out to the female patient's armpit and abdomen and chest, and carefully inspected it, paying attention to whether there were blisters on her hands.In less than a minute, the eldest lady stretched out her hand and shook her head.

"I didn't find vesicular herpes on my body, at least the condition is not very serious!"

Chen Qun directly held her arm with his hand, lowered his head, looked at her palm seriously, then stretched out his hand to wipe the palm of the eldest lady twice, raised his head at last, and looked at Gu Ning.

"Brother Gu, did you notice that we all sweated a little when we came here, but for the patient lying on the hospital bed, there was no sweat on his body. I asked Xiaoxin to go to the position where the patient leaned against the bed to visit, and there was nothing wrong with it." Fever. Either the patient has a cold constitution and long-term physical weakness; or it is the situation I predicted. A myocardial biopsy needs to be done immediately!"

Gu Ning was taken aback for a moment before murmuring.

"Is that impossible?"

Chen Qun said with certainty.

"Don't you know after half an hour? The probability of this kind of situation is very rare, but it has happened before, which shows that it is possible."

In the end, Lao He couldn't bear it anymore and asked directly.

"What symptoms are you talking about?"

Gu Ning gave the answer with a puzzled look.

"If I think the same as Xiao Chen, it's Fabry's disease!"

Lao He immediately turned his gaze to Dongfang Wenxin. This time, the eldest lady will not spoil him. She just ignored his pleading eyes, picked up the disinfectant on the wall, and went to the bathroom to disinfect and wash her hands.

(End of this chapter)