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639 Malignant hypertension and snacks

"Doctor Xiaoji, what did you think?" Deputy Director Zou simply stopped guessing the riddle and asked directly.

"When I first saw the patient, she kept drinking water, and then went to the bathroom while asking about her medical history. She just went to the bathroom again, and I think there should be a connection between the two."

"Is it related to suspected hypertension? Or is it because of frequent urinary tract infection and urgent urination?" Lin Jiuze asked.

As soon as Lin Jiuze said that it was wrong.

He himself is very clear about his personality. Although the purpose of coming to Ji Xiang to chat is a bit complicated, it definitely does not include the option of offending Ji Xiang.

But!

When facing Ji Xiang's statement that he was "unreliable", Lin Jiuze couldn't help but want to sarcastically.

This is very different from the harmless image of people and animals in daily life.

Why did I dislike Ji Xiang?

Lin Jiuze felt a stern and immediately focused on suppressing his extra thoughts.

Experts cannot be offended. Lin Jiuze never thought that I was the best in the world, otherwise he would not have stayed after the show ended.

"I see that the patient's face doesn't seem to be very healthy."

His face, high blood pressure, and the two irrelevant words were connected together and full of complaints, Lin Jiu was ready to move.

He forced himself to endure it without complaining.

But Lin Jiuze once again doubted his judgment.

Is Ji Xiang’s diagnosis ability superb, or is he just a weak person, and he makes a diagnosis based on luck every time?

However, what is now certain is that Ji Xiang's surgery is top-notch.

Lin Jiu was dizzy by this strange-scented boy and couldn't figure out Ji Xiang's routine at all.

Deputy Director Zou didn't agree, and waited for the patient to come back, Deputy Director Zou said, "Have you had blood pressure recently?"

"No, my blood pressure has always been normal, and I can't remember the amount." The patient replied.

Deputy Director Zou called the nurse to bring a mercury blood pressure monitor, but did not ask the patient to use the electronic blood pressure monitor at the nurse station, and he personally measured the patient.

Lin Jiuze stood behind Deputy Director Zou and stared at the mercury pillar in the mercury blood pressure monitor.

Although the stethoscope is not on his ear, the fluctuation energy of the mercury column shows the problem.

Deputy Director Zou pinched the ball, the pressure increased, and the cuff made a creaking sound.

After the mercury column rose, it slowly fell down. Lin Jiuze's eyes narrowed and he looked at it meticulously.

As soon as it dropped below 200 mmHg, the mercury column fluctuated.

Lin Jiuze felt nervous.

Did Ji Xiang "guess" right again?!

It's impossible. The patient is young and she herself said she has no history of hypertension.

Teachers usually have physical examinations 1-2 times a year, and high blood pressure should not be missed.

At this moment, Lin Jiuze even began to doubt whether his eyes were a little blurry and misjudged the fluctuations of the mercury column.

When the mercury column drops below 190 mmHg, the fluctuations become more and more obvious.

"Huh?" Deputy Director Zou whispered to his senses.

Soon, Lin Jiu determined that the patient's high pressure was at least about 185 mmHg and the low pressure was at 130 mmHg.

This already falls into the category of malignant hypertension.

A young patient has no previous history and the preliminary diagnosis is bloody stool. How could he have such high blood pressure?! Add to the frequent urination that the patient just said...

These symptoms, signs and examinations made Lin Jiu fall into a strange vortex and unable to extricate himself.

These symptoms are scattered and cannot be connected at all.

"The blood pressure is so high." Deputy Director Zou frowned and said, "Did you never feel it? When was the last time you took your blood pressure?"

"No, I have no history of hypertension and no family history." The patient was a little confused, "The last time... I don't remember."

“Where is the physical examination?”

"I said my blood pressure was normal, and the doctor just wrote a number and fooled it."

"Is it wrong?" asked one person.

Deputy Director Zou took another measure, and the blood pressure measured was about the same as last time.

I used an electronic blood pressure meter to measure it again, and the high pressure also fluctuated around 190 mmHg.

With hypertension, from oligouria to polyuria, Lin Jiuze's brain CPU has rotated rapidly, and the converted calories are almost smoking on his head.

He quickly wrote in his notebook, and after writing, he looked up at the patient.

Finally, a rare diagnosis appears in the notebook—polygonatism.

Lin Jiuze looked up and the anxiety and confusion in his eyes finally turned into peace.

It's it!

However, aldosterone is caused by tumors or hyperplasia of the adrenal cortex, causing increased aldosterone secretion. The patient has abdominal CT and did not see tumors or hyperplasia of the adrenal glands.

but……

Lin Jiu looked at the pure water in the patient's hand.

Everything is so weird.

"Please check the blood potassium to see if there is any problem with the potassium ions." Ji Xiang said.

"Oh? Doctor Xiaoji, what do you doubt?" Deputy Director Zou asked.

"I smelled licorice on the patient." Ji Xiang said something that seemed to be unrelated to the diagnosis.

Licorice flavor?

Deputy Director Zou was stunned, and Zhao Zhe was also stunned. What does this mean?

"Do you usually cough?"

The patient and the patient's family looked at Ji Xiang in surprise. Before they could answer, Xie Kai said disdainfully, "Is cough related to bloody stools? Zhao Zhe, are you working with such people?"

"I'm grateful!" Zhao Zhe shouted in a low voice.

"What are you doing? I'm wrong?" Xie Kai said with disdain, "I didn't ask that even if I asked about my medical history."

"It seems to be a little bit related. Do you usually cough? What medicine do you take to relieve cough?" Ji Xiang ignored Xie Kai, but looked at the patient with a gentle smile on his face.

"When I was a child, my lungs were not good, and I always coughed. The doctor said I had chronic bronchitis. I coughed severely in winter. Isn't this going to Hainan after winter vacation?" said the patient.

She said something a little long-winded, but Ji Xiang was not in a hurry, but looked at the patient with a smile waiting for her to continue.

"I have only taken compound licorice tablets to relieve cough since I was a child. The effect is very good, and I won't cough after taking it."

No wonder she didn't see the patient coughing during the physical examination. It turned out that she had been taking medicine.

"It's hard to prescribe compound licorice tablets now." Ji Xiang began to talk to the patient about family matters.

"Yes, when I was in school, I could buy it in a pharmacy. Now I need a doctor's prescription. I can't buy it in a pharmacy, so I can only go to the hospital." The patient was a little worried, "I just counted it."

"What else do you eat besides compound licorice slices?"

"No more, it's the medicine that has three parts poisonous. I only take this one." The patient replied with certainty.

"Oh, what I'm talking about is not medicine. It's..." Ji Xiang hesitated slightly, "Snacks."

Several doctors cast doubtful eyes.

It was normal to ask about the medical history and what medicine the patient had taken, but Ji Xiang actually started asking about what snacks he had taken.
Chapter completed!
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