The next day night shift.

Originally, according to Vice Dean Lin's words, Ruan Bin actually didn't need to go to the night shift, with his current identity and achievements, he should cherish his body, continue to study KE element, and improve this thing.

Whether he comes to work or not, the leaders in the courtyard have no requirements for him.

In fact, Ruan Bin knew that his KE element should not need to be improved logically, and it was all done according to the information, and there were no problems.

"Hehe, Ruan Bin, do you still insist on coming to the night shift?" Liu Junchi was very surprised to see Ruan Bin coming to work.

"What, I'm here to help, Director Liu, aren't you happy?" Ruan Bin quipped.

"There, there, we didn't have you in the emergency department some time ago, but it's bitter!" Liu Junchi shook his head with a smile.

Ruan Bin is a well-known 'surgical robot'!

Hurry up and be ruthless!

One person for five people!

On the days without Ruan Bin, these chief surgeons are all busy with their feet!

"I went to work. ”

"Go, go, go. ”

Not long after they sat down, a middle-aged couple walked in with a child who looked to be less than ten years old.

"Doctor, help me see my son, he said he had a headache and vomited after a few bites of dinner. The middle-aged man said to Ruan Bin.

"Headache and vomiting?" After hearing this, Ruan Bin stretched out his hand and touched the child's forehead, there was no fever. In general, there is a high chance of headache and vomiting due to fever.

But the child's body temperature is normal!

"Did you eat something bad?" Ruan Bin took out a stethoscope and listened to the child's stomach, and found that the stomach response was quite normal.

"No, no, I've been eating at home for the past few days, and I haven't eaten any snacks, and the things I eat are relatively normal, mainly pork, chicken, and vegetables. The woman hurriedly said.

"When did you start having a headache and vomiting? Have you tried it before?" Ruan Bin couldn't tell for a moment what was causing the child.

It seems that there is still a need for a general diagnosis method, or you need to check the CT scan of the child to see what the situation is.

Just when Ruan Bin was about to use general medicine on the child, he suddenly found that the child had a few café au lait spots on his arm.

"What is this?" asked Ruan Bin.

"Well, maybe it's a birthmark, I don't know when I started having it. The woman explained.

"My son started having a headache this afternoon, at first I thought it was because he stayed up late last night to play games, and when he vomited, I realized that the problem was a bit serious, but I found out that it was not a cold. My son also had a few headaches a month ago, but he didn't vomit. My brother is still a doctor in a town hospital, and he didn't see anything, but he measured his blood pressure and said it was very high!"

"At that time, my son was playing games all night, thinking that was the reason, but he didn't care because he couldn't see anything wrong. My brother told us to go to a big hospital for a check-up! But my son hasn't been doing well lately, so we didn't take the child for a check-up. The man explained.

The two of them work in the magic capital, and the children are on vacation, so they bring them over to play for a while.

"High blood pressure?" Ruan Bin was slightly surprised after hearing this, he had high blood pressure at the age of 8?

Frequent all-nighters?

Tut-tut, this pair of parents is really enough to indulge their children!

To be honest, high blood pressure at the age of 8 still sounds too scary.

"I'll take his blood pressure!"

Ruan Bin asked the nurse to take his blood pressure.

Soon, Nurse Xiaoli was shocked and said, "Oh my God, the blood pressure has reached 190/160mmHg!"

Such high blood pressure is very rare in children. Even adults with such high blood pressure have already met the criteria for severe hypertension.

At this time, Ruan Bin knew that the situation was not so simple.

Not an ordinary disease!

"General Diagnostics!"

Soon, the results came in.

Patient: Zheng Xiaojie

Age: 8 years old

Medical records: left renal artery occlusion, obvious atrophy of the left kidney, abnormal gene mutation (NF1 gene).

After reading the above diagnosis, Ruan Bin was amazed in his heart, there was indeed a problem, and it was a big problem!

Complete occlusive changes in the renal artery, resulting in malignant hypertension, are extremely rare and have not been reported in domestic and foreign literature!

The NF1 gene mutation is a specific change of neurofibromatosis type I, which is an autosomal dominant inherited disease, and the disease has obvious genetic characteristics in the family, mostly manifested as café au lait spots, hypertension, renal artery stenosis, axillary freckles, learning disabilities, short stature, etc. In this case, the renal artery was completely occlusive, resulting in malignant hypertension.

"Genetic diseases?" Ruan Bin's heart was a little heavy. Genetic diseases are also a huge problem facing human beings at present.

There is no way to prevent it!

There are many genetic diseases that cannot be cured!

Genetics is a super puzzle!

"Doctor, what's wrong with my son?" the middle-aged couple became anxious. When they looked at the doctor's face, they felt a little solemn.

"Let's do a check-up first, well, let's do a CT angiography and DSA angiography test first!" Ruan Bin said as he opened a list of tests.

Soon, the middle-aged couple took the child for a check-up.

Soon, the results of the examination came out, and Liu Junchi was alarmed.

Because the child was so young that the left renal artery was occluded, Ruan Bin also called someone from the urology department to come for consultation, he looked at the situation, the child just had a headache and vomited, Ruan Bin actually checked out the left renal artery occlusion, no need for consultation and discussion, I have to say that Ruan Bin's diagnostic ability is really strong!

If he encounters this situation, he also needs to ask people from pediatrics, radiology, ultrasonography, and urology to discuss it before he should know what tests to use!

"Ruan Bin, what do you think caused the child's left renal artery occlusion?" asked Liu Junchi.

"I suspect it may be a genetic disease! Look at the spots on his arm, I think it looks a bit like a genetic disease!" Ruan Bin began.

"Genetic genetic disease?" Liu Junchi was startled after hearing this.

"Yes, I suspect that it is a genetic disease of the NF1 gene, because this disease also has similar spots, but also has symptoms such as high blood pressure, renal artery stenosis, axillary freckles, learning disabilities, short stature, etc. Ruan Bin explained.

"Oh my God! Your clinical diagnosis is really the first in the hospital, and you have never missed. At this time, Liu Junchi also felt that it was very likely to be this disease.

The couple next to them were shocked when they heard this.

"Doctor, my son, is this genetically genetically inherited?"