I can see the status bar

Chapter 874 Primary Disease
The status bar generally only gives the name of the disease very cleanly in two cases-or the name of the disease itself is a surgical problem, as long as the eyes are not blind, it can be seen from the examination results.Either the disease itself is not the entire cause of the patient's current symptoms - the real causative factor needs further investigation.

Anyway, judging from past experience, the status bar directly tells you what disease the patient has, which is not necessarily good news.This often means that Sun Lien needs to continue to dig deeper into the primary disease under the premise of checking to clarify the cause of the disease.Compared with exploring the cause of the disease based on the various clues given by the status bar and other inspections, Sun Lien is actually more afraid of "defying all opinions".It is actually a job that requires courage, firm will, and handling skills to stick to one's own views despite the incomprehension and doubts of other colleagues.

"Hello." Although he knew that the patient's condition and diagnosis might be a bit troublesome, Sun Lien still squatted down and let Zhang Xiedi on the hospital bed look at him, and then said, "I am Sun Lien, and you will transfer to the hospital later." Go to my department to continue treatment."

Zhang Xiedi, who was lying on the bed, raised her eyelids to look at Sun Lien, and then asked, "Are you a doctor in the Department of Endocrinology?"

"No." Sun Lien shook his head, "I'm in the emergency department."

"Then transfer." At first I thought it would take some words to convince the other party, but I didn't expect that Zhang Xiedi agreed to the request to transfer without hesitation, "As long as you don't go to endocrinology."

People have talked all about this, and Sun Lien couldn't help the curiosity in his heart, "Why don't you go to the endocrinology department?"

"The last time I was hospitalized in the endocrinology department, my son was gone." Zhang Xiedi sighed, "I'll stay here again, I'm afraid that something might go wrong with the goddaughter I just recognized."

This reason... is very good.Sun Lien sighed in his heart. It seems that if there is a need in the future, he can only ask for a consultation from the endocrinology department, or simply ask Dr. Ma Yongfang from the second group to take a look at the situation. "Then why were you hospitalized in the Department of Endocrinology? Did you feel uncomfortable?"

"I have high blood pressure." I don't know if it's because Sun Li'en looks relatively harmless to humans and animals, or because he does seem to be about the same age as the son who died heroically.The communication between Zhang Xiedi and Sun Lien was relatively smooth, "It was also before...my son insisted that I go to the hospital for treatment. He said that my high blood pressure has been going on for many years, and I should go to the hospital to see if it is necessary to adjust the medication again. .”

This is a medical history that was not recorded in the medical record. Sun Lien took out the notebook and pen that he never left from his pocket and began to record, "How long have you had high blood pressure? What kind of medicine do you take?"

"About... well, it must have been ten years?" Zhang Xiedi thought for a while, and said uncertainly, "The medicine I take has never changed..." She took out a white pill from her pocket. The small medicine bottle was handed over to Sun Lien, "This is the medicine, one tablet a day."

Sun Li'en took the medicine bottle and looked at it. Nifedipine tablets were in 20mg packaging.

"Besides this, have you had any other diseases before?" Although the status column has clearly stated that Zhang Xiedi suffers from syndrome of abnormal secretion of antidiuretic hormone, the medical history should be asked.

"I... I also experienced dizziness a few years ago, and the doctor at the time said I had Meyer syndrome." Zhang Xiedi showed confusion that matched her age, "I have never heard that word before. I took medicine for a period of time before and after, and then I didn’t take any more medicine when my dizziness stopped.”

Ever had Meniere's syndrome?Sun Li'en froze for a moment, and then began to complain in his heart - after asking about this kind of medical history, his colleagues will definitely rely on it again.After all, the characteristic of Meniere's syndrome is recurrent onset. After the onset a few years ago, dizziness appears again, which is simply a natural thing.

And Sun Lien is very sure that, at least for now, the martyr's mother does not suffer from Meniere's disease, but she suffers from syndrome of abnormal secretion of antidiuretic hormone.

"I probably understand the situation." Sun Lien asked a few more questions, and after getting an answer, he thought for a while and said, "I will arrange a ward and a bed for you now, and you can wait here for a while."

"Okay." Zhang Xiedi moved her body, intending to sit up a little bit, but when she moved her body a little, she showed a distressed expression.

Sun Lien quickly stopped the other party's movements, and then carefully let her lie back down again, "If you have anything to do, just tell the nurses here, don't move around by yourself." After receiving an affirmative answer, Sun Lien Only then exited the emergency room.

Zhou Jun was waiting for Sun Lien to come out at the door. The moment he saw Sun Lien, he leaned over, "How is it? Can you turn around?"

"Yes." Sun Li'en nodded, there was no technical difficulty in accepting Zhang Xiedi to the Comprehensive Diagnostic Center.The main reason why he was a little absent-minded was still wondering what was the most likely cause of the syndrome of abnormal secretion of antidiuretic hormone.

Like diabetes, inappropriate antidiuretic hormone syndrome has essentially two etiologies.One is that the secretion of antidiuretic hormone is abnormally increased; the other is that the patient has a problem with his body, and the effect of antidiuretic hormone is abnormally magnified.

It is not difficult to determine which kind of problem it is, but judging the source of the problem does not have any effect on the treatment-unless it is clear what the primary disease that causes the syndrome of abnormal secretion of antidiuretic hormone is, other The best treatment can only be to raise the soup to stop the boiling, and cannot fundamentally solve the problem.

"This patient, we are currently treating her with water intake restriction and sodium chloride supplementation." Perhaps seeing that Sun Lien hesitated, Zhou Jun said suddenly, "But we don't have a clue what the primary disease is. "

"She is so resistant to going to the endocrinology department, I always feel that there is something to say." Sun Li'en can't directly say to Zhou Jun, "I saw from the status bar that she has syndrome of abnormal secretion of antidiuretic hormone", so he can only use one A more "tactful" way to remind Zhou Jun, "The electrolyte level is abnormal, and it will drop even after supplementation. Does this mean that the patient's own endocrine has problems?"

"It's up to you to worry about it." Unexpectedly, Zhou Jun didn't have any intention of continuing the discussion. He spread his hands, and then showed a very... teeth-itching smile, " After you figure out what's wrong with this patient, remember to tell me."

(End of this chapter)