2194 Hypoglycemia with tumor
After seeing the patient, Zheng Ren was stunned for a moment.
The patient's system panel is even redder than I thought. All the conditions I considered before were wrong. Patient diagnosis is a very common disease that rarely causes hypoglycemia.
"Boss Zheng, this is my client, named Du Liang." Lawyer Ge introduced.
"Well, let's come to the rescue room first." Zheng Ren took Du Liang to the rescue room and began routine consultations.
Du Liang looks about 50 years old and is in a depressed state, but his words and conversation are all good, which is normal.
His emotions are normal, his memory, calculation ability is normal, his directional ability is complete, and his self-aware ability is normal. These are all fine.
"Have you had any discomfort recently?" Zheng Ren asked.
"It's uncomfortable..." Du Liang hesitated for a moment, shook his head, but nodded the next second, "Doctor, I often lose my mind. When I wake up, I find that what happened for a while ago was blank, and I can't remember what happened at all."
"And after waking up, my back hurts, and sometimes my whole body hurts, especially my face."
Su Yun almost laughed.
How can it not hurt? Just slap yourself in the mouth like that. It will be a ghost if you don’t hurt.
"Are there any other discomforts? Is there any weight..." Before Zheng Ren finished asking, Du Liang's hand began to tremble, as if it was uncontrollable, and then slapped it on his face.
Zheng Renzhen wanted to cut his carotid sinus with one hand, but the case of the deceased just now made him hesitate.
"Is this a disease? Mr. Zhou, take blood sugar at your fingertips." Su Yun said.
"What's your name?" Zheng Ren asked.
"I...I don't know...Who am I?" Du Liang said vaguely, "I am Erlang Shen and came down to earth, and I remember it!"
“…”
This is considered to be speechless. Zheng Ren shook his head, watched the patient start to sweat, and immediately said: "After measuring blood sugar, give 50ml and 50% glucose intravenous injection."
Zhou Litao started to get busy.
The blood sugar was very low, 1.6m l/l. Less than 3 minutes after intravenous injection of high sugar, the patient gradually recovered.
Lawyer Ge has seen this situation, but he is not very surprised.
Compared with the patient, he is more concerned about how Boss Zheng considers it. He brought the person to 912 by himself, and even if there is sufficient evidence, he has to have a lot of concern.
"I think about it, Mr. Zhou, come with me." Zheng Ren said.
"good."
Several people walked out of the emergency room, and Zhou Litao told a nurse to look at the patient and not have anything else to do.
"Boss, check your abdomen. I suspect there is something wrong with the pancreas." Su Yun said directly.
This is the organ that Zheng Ren had previously considered that there was the greatest possible problem, but the diagnosis of the system panel was another matter.
"Check pancreatic b-ultrasound and t." Zheng Ren then said, "Check another lung t."
Zhou Litao waited for Boss Zheng to continue to issue a medical order, but the medical order was over.
"Boss Zheng, nothing else?"
"Well, just check these three things." Zheng Ren said.
If you are admitted to the hospital for examination, plain films or T-s are routine items. Others think that Boss Zheng is just improving the relevant examinations and doesn't care much about it.
When he issued a form and sent the patient to the examination, Zheng Ren sat in Zhou Litao's duty room and waited for Dr. Liang from Room T to upload the film.
After more than 20 minutes, the pancreas was uploaded.
Overall, there is no special problem. The pancreatic capsule is intact and nothing has grown. Hypoglycemia caused by tumors is more common in islet cell tumors, but the patient's pancreatic t denies this.
Soon, my lungs came back.
A 2x3.5m space-occupying image of the lower right lung is so dazzling. The grunge glass-like space-occupying indicates the fact that it is a malignant tumor.
Zheng Ren sighed. The big pig's hooves were still as reliable as ever. Although they were rare, once the lungs were checked, a definite diagnosis could be made immediately.
"Uh... is it accompanied by tumors and hypoglycemia?!" Lin Yuan said in surprise first.
"Well, diagnose lung cancer with tumor-related hypoglycemia. Lin Yuan asked Lawyer Ge to come over." Zheng Ren said while carefully looking at the patient's lungs.
"Okay." Lin Yuan ran out quickly, afraid that when she was away, Boss Zheng said something and gave her a mistake.
Lawyer Ge trotted over.
"Lawyer Ge, considering the patient is lung cancer." Zheng Ren said directly without looking back.
"Lung cancer?!" Lawyer Ge was stunned for a moment.
"Well." Zheng Ren said, "The hypoglycemia that caused patients to talk nonsense and abnormal behavior was considered to be accompanied by tumor hypoglycemia. This is an appearance and does not matter."
"..." Lawyer Ge was confused.
I just want to win a lawsuit, and hypoglycemia is enough to win. Why did I get another complication with tumors and hypoglycemia?
The client is really sick, and it is also lung cancer? However, how does lung cancer induce hypoglycemia?
Lung cancer and hypoglycemia, these two words cannot be linked in Lawyer Ge’s mind.
Not to mention Lawyer Ge, even Zhou Litao felt very unfamiliar.
"Boss Zheng, please tell me in detail." Lawyer Ge rubbed his hands and said.
"Hyperglycemia with tumors is usually the clinical manifestation of the primary disease first or the hypoglycemia is present after the primary disease is diagnosed; it is extremely rare to have hypoglycemia clinically and then lung cancer is discovered."
"Uh...but hypoglycemia..." Lawyer Ge still didn't understand.
"Hyperglycemia is not an independent disease, but a syndrome of hypoglycemia caused by multiple causes.
The causes of hypoglycemia include: malnutritional hypoglycemia; hepatogenic hypoglycemia; renal hypoglycemia; hypoglycemia caused by autoimmune diseases; reactive hypoglycemia; hypoglycemia caused by endocrine diseases; hypoglycemia caused by non-islet cell tumors, etc. "Zheng Ren's series of thoughts and various professional terms confused Lawyer Ge.
"Other extrapancreatic tumors are relatively rare with hypoglycemia. Other types of tumors related to hypoglycemia include mesenchymal tumors, accounting for 64%, of which 50% occur in the abdominal cavity, and hepatocellular tumors account for 21%. This patient is even rarer, which is lung cancer." Zheng Ren said.
"Why does this happen..." Lawyer Ge still didn't understand.
"Lin Yuan, tell Lawyer Ge why." Su Yun glanced at Lin Yuan and instructed him.
"First, consider that the patient's symptoms are related to the tumor secretion of insulin-like factor 2, and igf-2 binds and activates the corresponding receptor, thereby increasing the uptake of glucose by peripheral tissues, reducing liver glycogen output, leading to a decrease in glucose in the blood and showing hypoglycemia."
Su Yun looked at Lin Yuan’s look like a little like the boss, and he was so scholarly.
Chapter completed!