Chapter 2149: then translation of chapter title

By the way, urinary tract irritation symptoms and bladder spasms are most common in tuberculosis patients, plus low fever and ascites—how did you diagnose urinary tract tuberculosis? Su Yun asked.

Hmm. Zheng Ren nodded, "Based on what you said, everyone should have judged it wasn't urinary tract tuberculosis, right?"

We did the relevant tests, and it's not urinary tract tuberculosis. Su Yun said, "The patient has multi-system involvement, so we need to consider an autoimmune disease, but only low-titer ANA positive, slight urine protein, mildly decreased complement, and no further evidence."

What about a renal biopsy? Zheng Ren asked, frowning.

Apparently the patient's family refused; with a history of nausea and vomiting, they managed to get a teratoma, which they already found unbelievable. As for the kidneys, I guess they couldn't comprehend it. Su Yun gave a bitter smile.

Then what happened?

At the last hospital-wide consultation, although the multi-disciplinary rounds didn't meet the diagnostic criteria for systemic lupus erythematosus, Old Gu still thought the patient was a young woman with multi-system involvement and leaned toward SLE. He… persisted. Su Yun finished, letting out a slight sigh.

Being able to go against the majority opinion and explain one's diagnosis shows ability; Zheng Ren acknowledged that.

The inpatient chiefs Su Yun has befriended—leaving aside character, their skills are solid. One can foresee that they will all become professors leading teams; this Professor Gu is one of them.

But after the patient finished the medication, on the first day they developed palpitations, heart rate 120 beats per minute, and a gallop rhythm could be heard at the apex.

A gallop rhythm is an extra heart sound during diastole; combined with the first and second heart sounds, the resulting rhythm resembles a horse's gallop, hence the name gallop rhythm.

When the myocardium is severely damaged, a gallop rhythm appears.

When Zheng Ren heard Su Yun say this in a heavy tone, his mood also sank.

An overdose of cyclophosphamide can damage the myocardium or kidneys; if a gallop rhythm appears after medication, it's due to cyclophosphamide.

The facts prove that Professor Gu's persistence was wrong.

This is the drawback of diagnostic therapy, or rather its uncontrollability—especially when rheumatology and immunology departments perform diagnostic therapy, such side effects often occur.

Zheng Ren has performed diagnostic therapy several times before, and each time it succeeded.

It wasn't because diagnostic therapy was reasonable, but because Big Pig Trotter was there; Zheng Ren relied on the System Panel to reverse-engineer, giving him some confidence.

As for the diagnostic therapy used by Professor Gu, it not only failed to give a clear diagnosis but actually triggered a severe drug reaction, causing myocardial injury.

By the time Su Yun said this, the situation was already clear.

The patient presented with unexplained abdominal pain and diarrhea, coming to the hospital on 9/12, and it was considered possibly due to a teratoma.

But after the surgery, they found the condition hadn't improved—it had gotten worse. In the hospital-wide consultation, everyone was at a loss; after using the rheumatology and immunology treatment plan, heart failure had already begun...

This is a typical case of the more you treat, the worse it gets.

While speaking, the two arrived at the OB/GYN department. The patient is still hospitalized there for treatment, but if the correct diagnosis and treatment aren't found, they'll likely end up in the ICU soon.

Professor Gu has quite the gall. Zheng Ren finally affirmed.

Having gall is one thing, mainly it's high ability. Su Yun said, "Otherwise I'd say you definitely need a rheumatology and immunology friend in the hospital; whenever I had a disease suspected of involving the rheumatologic/immunologic system, I'd go to him to sort it out."

How come I've never heard you mention him? Zheng Ren felt the name was unfamiliar to him.

It's not like you're not around. With any patient, I can figure out the diagnosis just by thinking, so I never bothered to see him. I never expected that today, this guy would run into trouble himself.

Passing the doctors' office, seeing the door tightly shut, I knew it was the hospital-wide consultation in progress.

Zheng Ren said, "Do you know which ward the patient is in?"

Su Yun looked at Zheng Ren with an astonished, as-if-looking-at-an-idiot gaze.

Where did I ask wrong?

Zheng Ren kept pondering the patient's condition; if systemic lupus erythematosus were a misdiagnosis, what could the diagnosis be?

Actually, Zheng Ren himself was also considering systemic lupus erythematosus.

Su Yun sighed, "Boss, isn't there a mouth under your nose? Dare you ask a question?"

……

Just a moment.

Su Yun blew a breath, his black hair fluttering above his forehead, while looking down on Zheng Ren.

He went straight to the nurse's station, and afterward Zheng Ren faintly heard a few laughs.

This guy really knows how to flirt.

Zheng Ren felt in his heart that, going forward, when going to unfamiliar places, whether bringing Su Yun or Chang Yue, it seemed like a pretty good choice.

At least you don't have to ask for directions yourself.

Soon Su Yun returned, "The VIP room at the far end, but the patient's family has a bad temper; they're currently in a brewing phase, almost about to explode—do you… want to go in together?"

The brewing and erupting phases Su Yun mentioned refer to an accumulation of emotions during a prolonged hospitalization with no improvement.

In other words, the patient's family's emotions are about to break down.

This is now; if a few years ago, when Dahungya and his gang were active, such 'high-quality customers' would have been targeted long ago.

For those medical troublemakers who understand the hospital's weaknesses and human frailties, giving them a strong push—or perhaps even just a light tease—would be enough; this is a prairie fire.

The two arrived at the ward door; Su Yun knocked, then pushed the door open.

Zheng Ren followed behind him; regardless, this guy is good-looking, and with a female patient, he's likely a female attendant.

As long as it's a woman, tossing Su Yun to the front is always fine.

Upon entering the ward, Zheng Ren didn't listen to how Su Yun was communicating with the patient's family; instead, he hurriedly observed the patient's System Panel.

The patient is very young, with a pale complexion, extremely thin, cheeks sunken.

The System Panel glowed red, filled with numerous, minute diagnoses.

Zheng Ren quickly scanned all diagnoses, tossing aside the unimportant ones, seeking the key diagnosis responsible for the patient's prolonged illness.

Soon, Zheng Ren saw what he wanted to see.

Systemic Lupus Erythematosus!

Professor Gu's diagnosis was correct!

But then the problem arose: why did the correct diagnosis and standard medication ultimately cause myocardial injury and type I respiratory failure in the patient?

This is somewhat unbelievable.

Zheng Ren stared at the System Panel, frowning in thought.

He only knew a fragment of the patient's condition, but Zheng Ren, based on the System Panel's diagnosis, examined, simulated, and reconstructed each point one by one.

Soon, he had further thoughts on the patient's condition.

This was not the first time Zheng Ren had inferred the patient's condition from Big Pig Trotter's diagnosis, but it was a relatively complex case.

In the end, Zheng Ren felt a sense of relief and emotion.

That Professor Gu is indeed a talented youngster; even though he is a few years older than Su Yun, being able to Persistence his own view diagnose the patient's disease as Systemic Lupus Erythematosus is truly not ordinary.