Chapter 1788: 1726 Rapidly Progressing Poisoning (Alliance Leader Albinism Hacker Extra Update 3)

On Chen Zehui's chest and abdomen skin, large patches of skin-mucosa ecchymoses appeared. On her pale skin, these bruises were strikingly purple-black.

"Suspecting a hematologic disease, draw blood immediately for tests—CBC, coagulation panel, liver and kidney function. Contact ICU; once results are confirmed, prepare to send to critical care." Zheng Ren said in a low voice.

After saying that, Zheng Ren looked at Chen Zehui and asked: "How long has this been going on?"

Chen Zehui strained to lift her head, and in a very odd posture saw the changes on her body, and was also stunned.

She dazedly shook her head, indicating she didn't know.

"Did she hit the table when she fainted?" a female colleague nearby guessed.

"That shouldn't be the case." another said: "I remember she just collapsed onto the table; she shouldn't have hit her abdomen."

"It looks terrifying."

Zheng Ren guessed that these symptoms must have just appeared today; even the patient herself hadn't noticed.

"Do an abdominal CT, hurry." Zheng Ren stood solemnly in the emergency department resuscitation room and gave the order.

Originally the host of this place, Zhou Litao, had become a lackey, running frantically.

On the ECG monitor, blood pressure was measured every five minutes, and the values dropped extremely obviously between readings.

It might be that Chen Zehui's struggle was too intense, emotional fluctuations causing blood pressure to rise, leading to the unknown condition fermenting and worsening, subsequently producing this series of changes.

After arranging for someone to draw up the lab requisition for the patient, Zhou Litao glanced at the blood pressure, without hesitation took out the deep venous puncture kit, put on gloves, and began the deep venous puncture.

In a short time, the patient's blood pressure plummeted; considered hypovolemic shock, but hemorrhagic shock could not yet be diagnosed.

Nevertheless, fluid resuscitation must be carried out regardless of the diagnosis.

With a deep venous puncture line in place, the patient essentially had an extra safeguard.

"What are you considering?" Su Yun leaned in and asked quietly.

Zheng Ren's eyes flickered slightly, then he said: "Hematuria can also be considered due to rectal tumor or appendicitis, but combined with ultrasound and CT examination, it can be preliminarily ruled out."

"Hematuria with colic suggests urinary tract stones; hematuria with flank heaviness and dull pain suggests infection; asymptomatic gross hematuria suggests tumor; hematuria with irritative symptoms suggests urinary tract infection."

"Saying that is equivalent to saying nothing." Su Yun sneered: "Can't you stop speaking to me in the tone you use to explain the condition to a patient? People can't even have a little trust between them?"

"I'm considering poisoning." Zheng Ren said helplessly in a low voice.

"Poisoning?" Su Yun sized up Chen Zehui's attire, somewhat doubtful of Zheng Ren's judgment.

"As for pesticides, even if the white-collar workers in the capital wanted to drink them, they would be hard to obtain."

"If one tried to buy it online like Zhou Chun Yong's son, it would take at least a few days to arrive. The anger in his belly had already dissipated; to then summon the energy to chug pesticide straight up to the heavens would hardly be easy."

"Therefore, among urban white-collar workers, cases of drinking pesticides are rarely seen."

"Other poisonings, however, are also quite rare."

"But Zheng Ren finally stated his suspicion formally; Su Yun did not object and began quickly pondering what might have happened to the patient."

"There are many possible scenarios; faced with this disease of unknown cause, to figure it out clearly one must become the Great Detective Luo."

"Zheng Ren was also troubled; Big Pig Trotter gave the diagnosis—food poisoning. But what exactly the poisoning was, it didn't say."

"After Zhou Litao completed the deep venous puncture, he hung the IV line, first gave the patient fluids, and after collecting the blood sample, sent it to the lab."

"Zheng Lao Ban, CT..." Zhou Litao hesitated a bit.

"Better to do it anyway." Zheng Ren said, "Prepare the defibrillator and other emergency meds; once in the ICU, examinations become harder."

"Zheng Ren's meaning was understood by both Su Yun and Zhou Litao."

"The patient's condition is unclear; once in the ICU, they will likely need mechanical ventilation."

"Now, seize the time to do an abdominal and chest CT; it can point the way for future diagnosis and treatment."

"Then let's go," Zhou Litao said, somewhat troubled; this is a critical emergency, and cardiac arrest could very well occur en route.

"Whether in the CT room or halfway there, if we perform emergency resuscitation using a defibrillator or chest compressions all the way to the ICU…"

"Now is not the time to haggle; there will surely be countless opinions, each with pros and cons. As for how to weigh them… what else is there to weigh?"

"In an emergency, we can only follow the advice of the senior doctor directing the resuscitation."

"When Zheng Lao Ban arrived at the emergency department, Zhou Litao habitually took his opinion as that of a senior doctor and unconditionally carried out all medical orders."

"This is not the intimidation of administrative authority, but the awe-inspiring halo brought by the overwhelming superiority of technical skill."

"They hustled to lift the patient onto the stretcher; Zhou Litao grabbed the first-aid kit, a nurse took the defibrillator, and they sprinted all the way to the CT room."

"Doing this carries considerable risk, but for the patient it is a matter where the benefit outweighs the risk."

"However, other risks must be borne by the doctors."

"This heavy burden weighs on Zhou Litao's shoulders, heavy as a mountain."

"The stretcher raced all the way, the CT began, and Zheng Ren and Su Yun stood in the control room watching the images on the screen."

"There was fluid in the pelvis, a hematoma in the left upper abdomen. Both lungs had a small amount of fluid, source unknown."

"At that moment, the emergency department phone rang, reporting the coagulation panel results: PT and APTT exceeded normal values by 50-fold; a coagulation disorder was definitely present."

"The CBC showed white blood cells still high, and hemoglobin had dropped from 9 g two days ago to 5.5 g."

"Let's go to the ICU; surely something is triggering a coagulation dysfunction causing hypovolemic shock."

"As for whether we can save them, Zheng Ren dare not say."

"This is where Big Pig Trotter is utterly hateful; if it could give a simple, clear treatment plan, I could just lie back and win."

"Even without a treatment plan, just telling what chemical substance caused the poisoning would be enough."

"Sigh…… Zheng Ren let out a breath."

"What are you being all artsy about?" Su Yun asked.

"Artsy nonsense—what kind of poisoning does the patient have? You know?" Zheng Ren's mood was clearly a bit off, his speech a little harsh.

"What are you getting angry about? Just asking a little. Boss, do you think that girl is pretty and feel it's a pity?" Su Yun whispered.

"Cut the nonsense." Zheng Ren wore a stern face.

"Tch~" Su Yun scoffed: "Hypocrite, I'm out!"

"Su Yun, let's follow to the ICU, the patient has been sent in, it's a good chance to learn about the situation from the colleagues and friends of the patient who brought her." Zheng Ren said.

"Mm." Su Yun thought the same.

After the CT, Zhou Litao and the patient's friends lifted her onto a stretcher and rushed straight to the ICU. Zheng Ren printed out the films, didn't even wait for the report, and followed running.