Chapter 133 Unexpected Visitor
While looking through the medical records, Yu Zhiming quickly thought about and deduced various possibilities in his mind.
The old man's rapidly developing bloody stools and lower limb edema made Yu Zhiming's first thought of kidney damage.
It is easy to understand why kidney damage causes bloody stools.
As for edema, if the kidney function is not good, the body's metabolic rate will slow down, which is not conducive to the excretion of excess water from the body.
The excess water in the body makes people look bloated.
So what causes kidney damage?
Yu Zhiming's eyes fell on a list of medications, which included both anti-allergic and antipruritic ointments and oral medications.
There are six types of oral medications, which mainly have anti-allergic, anti-inflammatory and antibiotic effects.
Perhaps the patient took too many anti-allergic or antibiotic drugs while treating pityriasis rosea?
Many people have the problem of taking medicine indiscriminately.
Perhaps this old man took too many medicines, which not only caused kidney damage, but also disrupted his body functions, weakened his immune system, and caused a series of subsequent physical symptoms?
The more Yu Zhiming thought about it, the more he felt that the most likely possibility was that drug poisoning had caused damage to his internal organs, which in turn triggered a series of problems.
But, will things be so simple?
This is a test given to him by Teacher Qi. He has to make at least two or three turns...
Yu Zhiming glanced at Teacher Qi and found that he was concentrating on reading the documents on the desk and was not paying any attention to him.
The old man’s illness shouldn’t be that simple!
Thinking of this, Yu Zhiming, who had already reviewed the medical information again, started reading it again from the beginning.
He seemed to remember a philosopher saying that when things are complicated and you can't find a way to deal with them, you should look to the source.
Once you know why the problem initially arose, the path to solving it will naturally become clear.
The source of the elderly's complicated situation...
Dizziness and high blood pressure?
Or pityriasis rosea?
Yu Zhiming analyzed it and ruled out high blood pressure and dizziness.
The elderly man had been treated for pityriasis rosea for over a month, which was most likely to have caused the problem.
Yu Zhiming searched and rummaged through his memory, trying hard to recall the knowledge he had about pityriasis rosea.
It is a common self-limited inflammatory skin disease.
Typical skin lesions are rose-colored macules and papules covered with bran-like scales.
It often occurs on the trunk and limbs near the trunk end and usually resolves on its own within four to eight weeks.
The cause of the disease is unknown, but it may be related to viral infection, allergies, and certain drugs.
Immune dysfunction may also be related to it.
However, in Yu Zhiming's memory, skin diseases such as pityriasis rosea will not cause damage to internal organs such as the kidneys.
So, is there a possibility of misdiagnosis?
Canadian doctors are also human beings, and misdiagnosis is inevitable.
Assuming a misdiagnosis, then the rash all over the body, which has external manifestations similar to pityriasis rosea, can cause damage to internal organs?
Thinking of this, a bright light suddenly flashed through Yu Zhiming's mind like a shooting star.
A word popped up.
Henoch-Schönlein purpura!
It is a vascular allergic disease.
It is an allergic reaction of the body to certain allergens, which leads to increased capillary fragility and permeability.
This can cause inflammation of the small blood vessels in the skin, joints, gastrointestinal tract, and kidneys, as well as bleeding.
All patients will develop varying degrees of purpura in the early stages of Henoch-Schönlein purpura, most of which are located on the limbs and buttocks, and appear externally as purple-red papules.
Yu Zhiming quickly reviewed the knowledge about Henoch-Schönlein purpura in his mind, which almost matched the old man's current physical symptoms.
For example, bloody stools, swelling of the lower limbs and hands, joint pain, stomach bloating, etc.
Apparently, the old man was misdiagnosed in Canada and his Henoch-Schonlein purpura was diagnosed as pityriasis rosea.
The treatment is inappropriate and the allergens in the body have not been effectively eliminated, causing the physical symptoms to become more severe.
Yu Zhiming looked at Qi Yue with confidence.
"Teacher, it's Henoch-Schönlein purpura!"
Qi Yue raised his head and said calmly, "The diagnosis was correct, but it took nearly half an hour. It's okay."
Yu Zhiming looked ashamed and said, "Teacher, I will continue to work hard and meet your requirements as soon as possible."
Qi Yue nodded slightly and waved his hand, indicating that Yu Zhiming could leave.
When Yu Zhiming left the director's office and gently closed the door, a voice came into his ears.
"Damn, the pressure is so great..."
At 6:20 in the evening, Yu Zhiming completed the physical examinations for 120 people today.
In addition to the examinee's inherent physical problems, his new achievements are as follows:
There are 7 patients with cardiovascular diseases of varying severity.
There were 16 patients with other organ problems of varying severity.
Suspected cancer patients: 0 people.
At seven o'clock in the evening, Yu Zhiming returned to his residence in Zijinyuan Community and found that dinner was ready.
During the meal, Yu Xiangwan suggested that tomorrow would be Fu Xiaoxue's new recruits' military training parade, and she would go to watch.
Gu Qingning said he wanted to go too.
She also said that she was exhausted after following Fu Xiaobo for the past two days, and she would take the opportunity to have a good rest tomorrow.
Yu Zhiming seriously despised the girl's lazy behavior of working for three days and resting for two days.
Seeing that the two were about to quarrel again, Yu Xiangwan interrupted, "Old Five, Xiaoxue's military parade ended this morning. They will rest this afternoon and tomorrow to prepare for the official start of their university studies next Monday."
"Xiaoxue asked me to remind you of the feast you promised?"
Yu Zhiming said casually, "Then let's set it for tomorrow night."
"That Shandong restaurant?"
"Can!"
Yu Xiangwan suggested, "Why don't you invite Aunt Xiaoxue's daughter Zeng Yan over as well?"
"My aunt gave us such a valuable gift. We can't just ignore her daughter forever, right?"
Yu Zhiming hummed and said, "Sister, you can decide and arrange these things, I'll just be responsible for paying!"
Yu Xiangwan smiled and responded, then said, "Old Five, regarding cars, I've chosen one model each from Mercedes-Benz, BMW, Audi, Volvo, and Cadillac."
"I also brought a few copies of relevant information, including car model introductions, down payment prices, installment payments, and fees."
"After dinner, take a look."
Yu Zhiming said with a smile, "Sister, why do you always choose big brands?"
Yu Xiangwan raised an eyebrow and said, "Of course. With your current status as a doctor, you can't drive a million-dollar luxury car, so the brand of this car has to be more prestigious and impressive."
She added with a smile, "When the salespeople heard I was a doctor from Huashan Hospital, they gave me the best discount without even asking me to haggle."
"Old Five, if I reveal your name again, maybe I can get another discount."
"You are a celebrity now."
Yu Zhiming laughed and said, "Sister, that may not be the case."
"Maybe in the minds of those beautiful salespeople, I'm just a pervert who molests others..."
After dinner, Yu Zhiming looked through and compared a pile of car information brought back by his fourth sister. He was somewhat surprised to hear Gu Qingning chattering on the phone with his eldest sister.
Nearly half an hour later, Yu Zhiming finished reading the car information and Gu Qingning ended the call.
Yu Zhiming asked doubtfully, "Gu Qingning, you and my eldest sister are not familiar with each other, do you have so much to say?"
Gu Qingning glanced at him sideways and snorted, "Precisely because we're not familiar with each other, we have more topics to talk about."
"Didn't you hear that what we talked about most were the topics of big sister, baby brother, and baby son?"
After a pause, Gu Qingning said smugly, "Big Sister did say that the sweet potato strips, peanuts, walnuts, and other food she sent over this time include my portion!"
Yu Zhiming snorted softly and ignored the girl.
He came to the kitchen door and said to Yu Xiangwan, who was still busy in the kitchen, "I think these cars are all pretty good."
"Sister, the day after tomorrow, Sunday, let's go for a test drive..."
After nine o'clock in the evening, the small home where the Yu siblings lived welcomed an unexpected visitor.
Gu Qingran and Hua Sifan!
Please support me by monthly tickets, recommendation tickets, etc.!
(End of this chapter)
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