1817 is only a differential diagnosis
Dr. Rudy knew exactly how arrogant and rude the people of the Bruch family were.
They are elegant on the surface, but they are extremely dark inside. They are like snakes hiding in the corner, and they will jump out and bite themselves at any time.
Rudy dared not offend the people of the Bruch family, this was a kind of fear from the bottom of his heart.
But why is the cold and moody Christian, who is most of the time, respects this young oriental doctor so much? Dr. Rudy can't understand it.
"It's fine." Zheng Ren casually said, "After Ms. Fandi can move, she will urge the patients to undergo rehabilitation training, which will have to endure a lot of hardship."
"Please rest assured, I will supervise her." Christian smiled, the wound on his face had healed, leaving only a dark spot.
Zheng Ren sighed at the strong self-healing ability of this ethnic group.
Perhaps people with a slightly worse self-healing ability will die long ago.
"Doctor Zheng, I heard from Womer that you have your own diagnosis? I am so lucky for Lord Roche," said Christian.
"Well, there is a diagnosis." Zheng Ren said casually, "Mr. Kerry, are all people in the family who want to know Mr. Roche's condition?"
Christian smiled, "Six branches will arrive within a few minutes. We will listen carefully to your consultation on Lord Roche. I think Lord Roche will get better soon."
Su Yun sighed in his heart.
This time, Su Yun felt a little nervous. The boss seemed to be under strong pressure in China, which was very compact spring, and after coming out, he seemed to have become a different person.
Alas, the huge pressure always needs to be released.
But is that really good? Whether at Mayo Clinic or Johns Hopkins Hospital, it doesn't matter if the boss goes crazy. It's amazing that it's embarrassing, it's no big deal.
But here is...the risk is very high, and it can even be said to be huge.
Su Yun was very nervous.
In a few minutes, it passed in the blink of an eye.
Several people with pale faces, more or less dark spots on their faces, necks, and hands came to this room.
Christian introduced everyone to Zheng Ren.
This huge and ancient family has complex internal relationships like an equally ancient circuit board.
Zheng Ren didn't have the time to listen, as long as he was sure that he had arrived.
When Womer saw Christian standing beside Zheng Ren, he didn't say anything, but came to the front and said, "The medical expert who consulted today is from China. He is the youngest tenured professor in the history of Massachusetts General Hospital."
Sparse applause sounded.
Wommel bent over gracefully, raised his hand, and made a gesture of asking for help.
Zheng Ren came to the front of the stage, and there was a corresponding device on the other side. After clicking on it, the image immediately appeared on the LED large screen.
Finding the picture he needed, Zheng Ren said in London-based English, "Ladies and gentlemen, I'm glad to stand here to analyze Mr. Roche's condition."
There is a quiet area below.
"I just thought about it. Chronic variability Cron's disease is just a joke with Mr. Wommel," said Zheng Ren. "Now I'll start talking about my point of view."
There was a little noise, but it wasn't very loud.
"The first thing that appears in front of everyone is the gastroenteroscope image." Zheng Ren clicked on the image information on the computer and said loudly, "Maybe I thought the same as everyone's thoughts at first. Mr. Roche's illness was just too old, but in the end, his body's organs failed."
"But when I saw this image, I suddenly changed my mind."
Womer was a little surprised. There was nothing special about gastroenteroscopes, they were just chronic atrophic gastritis and enteritis.
The doctors began to whisper.
"The gastric mucosal epithelium and gland atrophy, the number of the gastric mucosa is reduced, the gastric mucosa becomes thinner, the base layer of the mucosa is thickened, or accompanied by pyloric and intestinal metaplasia, or chronic digestive system diseases characterized by atypical hyperplasia. It is often manifested as dull pain in the upper abdomen, fullness, belching, loss of appetite, or loss of weight, anemia, etc., without specificity." Zheng Ren said, "A very standard manifestation of chronic atrophic gastritis."
Su Yun felt that the boss seemed to have changed. What nonsense is he talking about here?
Just take a look at the patient and give an ordinary diagnosis, and the task is over.
And Zheng Ren is taking the mission to an unpredictable abyss.
"We are doctors. A appearance can only provide some kind of diagnostic support. We also need differential diagnosis." Zheng Ren said. "Because this is not a public teaching class, I won't let everyone speak. Let me talk about my differential diagnosis."
"The diagnosis that needs to be identified the most is" Zheng Ren stretched out his voice, looked around, and finally his eyes fell on Womer's pale face.
"lead poisoning!"
Zheng Ren's diagnosis was like a stone thrown into a calm pond, causing an uproar!
In Bruch Castle, it is said that Roche Bruch is lead poisoning...
Is this a death sentence?
Su Yun's face turned pale in an instant, just like Christian standing beside him.
Womer looked at Zheng Ren coldly, without a trace of expression on his face.
"This is just a differential diagnosis, not a diagnosis." Zheng Ren knocked on the table, "It's just a medical discussion, please keep quiet!"
"The digestive tract mucosa has the ability to secrete lead. During the lead secretion process, lead directly affects the gastric mucosa, destroying the ability of gastric mucosa to regenerate, causing inflammatory changes in the gastric mucosa.
Studies have shown that the detection rate of gastric mucosal pathological damage in patients with chronic lead poisoning is 967, and atrophic gastritis and atrophic gastritis can occur with over-formation. Patients with chronic medium and severe lead poisoning are initially diagnosed with superficial gastritis, and after three years, 91 turns to atrophic gastritis."
"Some people say that this is a guess." Zheng Ren clicked on the next video and continued, "Let's look at the kidney's ta images."
"We can see degenerative changes in the renal tubules of patients. Regarding this, it can be considered a chronic change in the elderly, but it can still be considered a manifestation of lead poisoning!
In addition, the patient can see progressive interstitial fibrosis of the bilateral kidneys, which begins to be around the renal tubules and gradually expands outward, and tubular atrophy and cell proliferation coexist at the same time."
"Lead can affect the mitochondria function of renal tubular epithelial cells, inhibit the activities of na+, k+-atp enzymes, etc., and cause tubular dysfunction and even damage.
Acute poisoning mainly affects the proximal concave tubules, which can cause cell membrane damage, cell swelling, mitochondrial swelling, rupture and reduction of particles in the matrix. A type of inclusion body often appears in the nucleus of glomerular cells, which is a complex of lead and protein.
But Mr. Roche did not have similar changes, so the differential diagnosis mainly involves chronic lead poisoning."
The audience was in an uproar.
Womer looked at Zheng Ren coldly, and Zheng Ren also turned his attention to him.
With four eyes together, Zheng Ren showed a honest and honest smile, gentle but not aggressive.
Chapter completed!