Hello, I am the Chief Resident Physician of the Emergency Department, my name is Zheng Ren. Zheng Ren smiled, first introduced himself, and then said, "Have you been feeling unwell lately?"

The man kept looking at Zheng Ren and Su Yun, and seeing that both of them were very young, he was not very willing to communicate with them in his heart.

"My lover is very uncomfortable, and I can't see what's wrong with me many times, and every time it's just checking, checking. The man grumbled quietly.

The reason why he whispered was not because he was afraid of offending Zheng Ren, but because of a kind of disdain from the bottom of his heart.

Jung In didn't care about his complaints, and carefully observed the female patient.

He was dressed plainly, without rings, necklaces, or metal jewelry.

Could it be that like Cui Heming's mother, there is also a problem with her teeth?

There is this possibility!

Zheng Ren smiled slightly and said, "How long has it been since your lover was so uncomfortable?"

"Three years!" the man spoke in a very bad tone, hard, and resentful.

"Have you been fine before this, have you ever had a dental prosthesis?" asked Zheng Ren again.

"Yes, yes, how many times have you asked! Little doctor, we are already preparing to go to the imperial capital, don't bother me, okay? It's still inscribed, and the bullshit doesn't understand. "Men are particularly irritable.

Zheng Ren has no choice now, and the patient's family is particularly bad...... In fact, I can't complain about the patient's family, after all, I have seen the disease so many times, but I haven't found the cause of the disease.

Who will be happy if it is replaced?

But this is a matter of blame for the doctor, metal allergy is a rare ...... No, it's a very rare disease. Common metal allergies are caused by local ulceration and other diseases.

If it were so simple, I am afraid that it would have been diagnosed long ago.

The patient's condition is manifested as periodic discomfort, which cannot be solved if there is no rich clinical experience or large pig's trotters. (Note 1)

Su Yun snorted coldly when he saw that the patient's family members had a bad attitude.

Although Zheng Ren knew that this product rarely sprayed patients, he was still afraid that he would not rest well, so he would get up angry and quarrel with the patient's family.

He gently bumped Su Yun on the shoulder, then smiled and said, "So, what tests have your lover done, can you show me?"

Reach out and don't hit the smiley person.

Zheng Ren has an excellent attitude, it can be said that he can't fight back and scold.

Although the patient's family was unhappy, they still hesitated, picked up a bag of tablets, and handed it to Zheng Ren.

Zheng Ren first took out the various test sheets inside and looked at them. One by one, I watched it very seriously.

The laboratory tests are comprehensive, covering almost all common clinical blood tests, and the results are normal.

From the point of view of laboratory tests, the patient is considered a healthy person.

Other investigations...... Zheng Ren glanced at it, found a sunny place, took out the film and began to read it.

CT, X-ray, all kinds of films are readily available.

"These films were filmed in your hospital a few months ago when my lover said that his leg hurts. The patient's family pointed to an X-ray of the knee joint that Zheng Ren was looking at and began to complain, "Countless examinations have been done, and each examination says that it is fine." ”

"What were the symptoms at that time that required an X-ray of the knee joint?" asked Zheng Ren, who looked very casual.

"It's muscle and joint pain. The patient's family unwittingly answered Zheng Ren's question.

"Did you do an MRI of your knee?"

"I can't do it, I said, why are you so annoying. Will you see a doctor?

No, Zheng Ren heard a hint of abnormality in the words of the patient's family. Those ugly words, Zheng Ren pretended not to hear, and after filtering out the invalid information, what was left was the information that Zheng Ren needed.

In general, this pain, which does not rule out tendon injury or meniscus injury, should be done with an MRI rather than a plain x-ray.

And the patient's family said that they couldn't do it?

Have you ever had surgery done with metal inside?

Zheng Ren's eyes suddenly brightened!

"Has your wife ever had surgery to fix a fracture?" Zheng Ren then asked, "or surgery to place a metal fixation in the body." ”

"No, you just broke a bone. "Families are becoming more and more impatient.

It's strange that the sudden enlightenment just now disappeared and turned into darkness again.

The big pig's trotters are so annoying, Zheng Ren slandered in his heart, and only said that he was allergic to metal, but he made it clear where the allergy was!

Zheng Ren put the X-ray of both knee joints in, and at this time, Su Yun finally couldn't help it, and said: "What's so strange, you can't do an MRI, isn't it just a contraceptive ring......"

This passage passed through Jung In's mind like a bolt of lightning, and the darkness was torn apart!

Jung In immediately began to search for it in the film bag.

"How do you speak!" the patient's family member spoke loudly.

And Su Yun looked disdainful, blew a breath, and the black hair on his forehead fluttered.

Zheng Ren ignored the contradiction between the two, and hurried to find the film he needed - chest and abdomen penetration.

Sure enough, just like Su Yun said, a contraceptive ring could be seen in the patient's pelvis.

Moreover, on the radiotropic and abdominal films, no metal images were found. Combined with Zheng Ren's observations, he has determined with a high probability where the patient's illness comes from.

"Don't make noise. Zheng Ren said in a deep voice, "I know what the problem is. ”

Su Yunleng paused for a moment, he knew, No, did he want to directly say that he suggested that the patient go to a mental hospital to see an anxiety disorder or ......

Looking around, Su Yun wanted to find Fan Tianshui's figure.

It's the rhythm of the fight.

Although Su Yun is agile, it is necessary to fight with more people and bully less.

If you don't need someone like Fan Tianshui, isn't that stupid.

Zheng Ren saw that the patient's lover was full of anger and did not sell it, so he immediately said: "Your lover is a very rare metal allergy, which comes from this metal contraceptive ring. You just have to go to the gynecologist and take off the contraceptive ring, and you'll be fine. ”

After saying it in one breath, the patient's family was stunned. But then he took a sip and scolded: "Diagnosis of bullshit! There are many people wearing rings, why haven't you seen anything wrong with them?"

"There are a lot of good people on the road, why didn't you see them come to the hospital?" Su Yun immediately sprayed.

What is the ...... That's right.

The patient's family was stunned.

"That's right. Zheng Ren hurriedly stood between the two, made his tone as gentle as possible, and said, "Take off the ring, it won't take any trouble." If you don't believe me, that's fine, and I don't have much to say. But give it a try, it's always right. ”

The patient's family hesitated.

"Give it a try, it's always right. If you go to the imperial capital, whether it is Xiehe or 301, or the Affiliated Hospital of Peking University or something, an expert number is three or five thousand. Don't talk about spending money, the key is that your lover is not in good health, and if you toss some other diseases, it will be bad. ”

These words are reasonable, and the minds of the patient's family are active.

……

……

Note 1: No problem was found in similar cases, and the patient was later diagnosed at Xiehe. It really requires a lot of clinical experience and knowledge!

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