Chapter 517 New clues, misconceptions in disease diagnosis!

Because the patient was in critical condition, Xu Qiu arranged blood purification for Wei Ding after the rescue.

Now it seems that his speculation was correct——

With the help of the extracorporeal purification device, the patient's liver function recovered quickly.

If it was just like this, Xu Qiu wouldn't think there was anything strange.

However, the rate of decline of Wei Ding's alanine aminotransferase is extremely alarming. If you draw a line chart, then in the first few hours, it soared from the normal value of tens to thousands, and then, in less than half an hour, it soared. During the rescue, the speed fell back to 61...

This straight up and down change frightened Xu Qiu.

The other party's sudden life crisis was nothing more than that, and how he recovered now was only a matter of a blink of an eye.

"So quickly, the medicine or poison must have entered the blood." Xu Qiu speculated.

Being able to quickly reverse functional indicators through blood purification means that the causative factors are in the blood.

Xu Qiu thought about it.

The most common one that is easily available to ordinary people is acetaminophen.

Acetaminophen is the main ingredient in ubiquitous drugs such as Gankang, ibuprofen, and Ganmaoling.

After some patients were infected with a virus, they took an overdose of medicine after taking it once but it didn't work; or they took several medicines with the same main ingredients, such as ibuprofen and Ganmaolin, at the same time. The viral infection was not a problem, but instead they gave themselves acute liver disease. exhaustion.

There are also many people who are admitted to the hospital for this reason.

Moreover, acetaminophen causes liver cell damage, which is perfectly consistent with Wei Ding's current state.

"No." Xu Qiu shook his head.

If it is acetaminophen injury, it will never get better within a few hours.

He looked at the patient's chest CT film again.

The heart shadow increases.

Liver density decreases.

However, there is no obvious dilation of bile ducts in the intrahepatic and intrahepatic bile ducts. Combined with the abnormality of the patient's transaminase, it can be inferred that there is hepatocellular damage.

"An enlarged heart shadow is usually a sign of chronic anemia."

"Liver damage...must be acute?"

Xu Qiu seemed to have thought of something.

He went through Wei Ding's situation again, and his first impression when he saw the patient appeared in front of him.

In addition to pathological manifestations such as muscle weakness and chills, Wei Ding is a short and fat man with a face full of acne scars. His lips are very thin, and his eyes look dull and lackluster because he stays indoors for a long time in front of the computer. He is evasive when looking at people, and his overall temperament is very poor.

Now re-examining it, Xu Qiu finally discovered some new clues by linking various disease manifestations, unexplained rapid deterioration of the condition, and incredible rapid recovery.

Although the patient's skin did not have the common lesions of lupus erythematosus, it was abnormally dry.

Moreover, there are purple lines in many places on the body.

This kind of thing may occur in people who become obese quickly in a short period of time, in pregnant women, and in endocrine diseases such as Cushing's syndrome, etc., which may also have such symptoms...

"The patient's obesity should not increase rapidly in a short period of time, and the purple lines should have little to do with fiber breakage."

"In other words, he may have endocrine problems?"

This thought made Xu Qiu stunned.

He removed immune system examinations from the plethora of reports.

This came out just a few hours ago.

Karyotype 1 titer was positive.

Anti-nRNP antibodies were positive.

In addition, anti-SSA antibodies, anti-Ro-52 antibodies, etc. were all positive, and various indicators pointed to lupus brain.

"Lupus erythematosus itself is an endocrine disease, but it is not caused by endocrine disorders..."

"The patient's lupus brain attack is rapid and the indicators are all red. Is it because the acute attack of lupus leads to imbalance of hormones and antibodies in the body? Or... there is an endocrine problem first, which triggers the acute lupus brain attack?!"

Xu Qiu's eyes flickered a few times.

With in-depth exploration, the ideas become clearer, but there are more and more doubts.

To find out the answer, we still have to return to clinical practice.

"Is the patient awake?" Xu Qiu asked.

Yang Meng said: "He was in good condition when the rescue was completed, but his consciousness was a little dazed just now. But his consciousness should still be clear!"

The meaning behind the words can be answered.

"It's enough to be able to answer the questions. Let's go to the ward."

Xu Qiu put on her white coat and walked in a hurry.

…

In the intensive care unit.

Wei's mother sat silently next to her, peeling off a piece of orange, carefully picking out the white tangerine veins, and then stuffed it into Wei Ding's mouth like a treasure.

The latter didn't say a word. He had just woken up shortly. He only felt dizzy, his whole body had no strength, and the muscles in his limbs were extremely swollen and painful.

"Son, just rest in peace and recuperate. No matter how much it costs, we will treat you." Mother Wei's voice was a little submissive.

Wei Ding said nothing.

Mother Wei smiled nervously. She looked at her husband's face as a habit, and then secretly glanced at her son. Seeing that neither of them paid attention to her, she quietly raised her hand to her mouth, not wanting to waste the peeling. Down the tangerine network.

But at this moment, Wei's mother caught a glimpse of her son frowning from the corner of her eye.

She looked over hurriedly, only to see her son showing a disgusted expression and said, "Is it okay to throw it away? You also eat the garbage?"

Mother Wei lowered her head in embarrassment: "How can it be garbage? Tangerine is sweet and good for the body..."

Before she could finish speaking, Wei Ding interrupted rudely: "It's so sweet. Even if I give you pig food, you think it's sweet. Throw it away quickly. It's embarrassing!"

Father Wei was so angry that his chest hurt. He glared at them, but the beeping sound from the ECG monitor not far away quickly calmed him down.

Swish.

Father Wei grabbed the orange peel from his wife's hand and stuffed it into his mouth, as if he was scolding his son in this way.

"You eat this too? You are so stingy. You two are eating this thing with relish. Fortunately, I am your son. At most, I can say a few words of disdain. If I were anyone else, I would never have anything to do with you. You are poor to the core!" Wei Ding scolded mercilessly.

"Sorry, I won't eat it anymore..." Mother Wei stood between the father and son, looking terrified.

Father Wei reached out to hit his son, but when he saw his wife's determined face, he stopped immediately and sighed, "You've spoiled him!"

Wei Ding sarcastically said, "You won't eat in the future? With your character, you will eat behind my back in the future. A dog can't change its eating habits. I am willing to control you, your son. When you really get to the city, don't bring your country habits with you!"

"Hey, okay, okay, don't worry, I will definitely not embarrass you again." Mother Wei turned to face her son, and the firmness on her face suddenly turned into embarrassment and flattery.

Dongdongdong——

There was a knock on the door, and Mother Wei looked at the door in panic and found that Xu Qiu, Yang Yuen and the nurse were already standing at the door.

Except for Xu Qiu, who was expressionless as always, the other two were furious and couldn't stand this ungrateful person.