Xiong Changlong closed his eyes for a long time, then changed to the other side of the hospital bed, asked Zhao Dongdong to stretch out his left hand, put his thumb up, close his eyes, and use his fingertips to experience the changes in Zhao Dongdong's pulse.

After a long time, he slowly withdrew his hand. Zhou Rujun hurriedly asked, "Dean Xiong, how is Dongdong?"

"There shouldn't be too much of a problem!" Xiong Changlong pointed out with his hand and said, "Let's go, let's go to the consultation room, I'll look at the image data, and then talk about it in detail!"

So everyone got up and followed Xiong Changlong to the consultation room, and Fang Shengxue also gently pulled Ren Jiangchi's sleeve and followed.

After arriving at the consultation room, Xiong Changlong took Zhao Dongdong's X-rays, CT films and B-ultrasound imaging therapy from Niu Dabao, sandwiched them one by one on the viewing light box, put on reading glasses and observed them one by one, and repeatedly compared them while observing.

After observing for nearly twenty minutes, Xiong Changlong took off his reading glasses and sat back down at the conference table.

"Dean Xiong, how is it, have you found out the cause of the disease?" Zhou Rujun asked impatiently.

"Director Zhou, don't worry, let me discuss it with Dean Qian and Director Niu again. Xiong Changlong pressed down lightly with one hand, turned to look at Qian Fangzhao, "Dean Qian, what do you think of Dongdong's condition?"

Qian Fangzhao smiled apologetically and said, "Old Xiong, it's not that you don't know that I am from a cardiology background. I'm a complete layman in orthopedics and traumatology, and the opinion you asked is really blind!"

Zhou Rujun's eyebrows frowned, "Dean Qian, doesn't your hospital have a leader from the Department of Orthopedics and Traumatology?" The implication was to blame the Municipal People's Hospital for sending Qian Fangzhao, the vice president of the Department of Cardiology, over.

Qian Fangzhao hurriedly replied: "Director Zhou, there is only one retired vice president of our hospital who is from the Department of Orthopedics and Traumatology, but he went to Dongdaihe Beach to recuperate a month ago. The rest of the vice presidents are not from orthopedics and traumatology. ”

Zhou Rujun sighed softly, and then there was no intention of pursuing it.

Qian Fangzhao pointed at Niu Dabao with his finger and said, "Director Niu, you are the leader of the orthopedic department of our hospital, so let's talk about it." ”

"Dean Qian, Dean Xiong, as I have said before, the diagnosis is mild septic arthritis. Niu Dabao said with a bitter face, "As for other possibilities, I can't think of them for the time being." ”

"Hehe," Xiong Changlong smiled lightly and said, "Dabao, haven't you thought that Dongdong may be suffering from juvenile idiopathic arthritis?"

"Juvenile idiopathic arthritis? How is it possible?" Niu Dabao categorically rejected Xiong Changlong's opinion, "According to the definition of the expert group of the Pediatric Standing Committee of the International Union of Rheumatology, only unexplained joint pain in childhood can be diagnosed as juvenile idiopathic arthritis. Dongdong has been diagnosed with juvenile idiopathic arthritis for less than two weeks now, so how can he be diagnosed with juvenile idiopathic arthritis?"

"Dabao, this is because you can't eat books, and you don't know how to be flexible!" Xiong Changlong nodded Niu Dabao with his hand, and said solemnly: "If you can be diagnosed with juvenile polyarthritis only according to the length of 6 weeks, then let me ask you, in the 6 weeks before the diagnosis, isn't the child's disease juvenile polyarthritis? If not, what should it be called? And is this disease six weeks old, it will not be called juvenile polyarthritis?"

"Ah...... What is this......" Niu Dabao was questioned by Xiong Changlong, and he didn't know how to answer.

Xiong Changlong shook his head slightly, and then continued: "Therefore, unexplained joint pain that lasts for more than 6 weeks can only be regarded as one of the sufficient conditions for the diagnosis of juvenile polyarthritis, but it is not a necessary condition. ”

"To diagnose whether Dongdong has been replaced by juvenile idiopathic arthritis, it depends on another definition, that is, juvenile idiopathic arthritis is a common connective tissue disease in childhood, mainly chronic joint inflammation, and may be accompanied by systemic injuries!"

Hearing this, Niu Dabao seemed to have an understanding, looked at Xiong Changlong and said, "Dean Xiong, what do you mean?"

"That's right!" Xiong Changlong stood up, returned to the light box to watch the film, first pointed to the MRI image of Zhao Dongdong's shoulder joint, and said: "Let's take a look at this image first, the right MRI shows a small amount of fluid in the right shoulder joint!"

Then he pointed to a piece of Zhao Dongdong's sacroiliac joint MRI+ enhanced imaging data next to him, and said: "The synovium of the bisacroiliac joint is thickened and strengthened, and there is a small amount of fluid in the pelvis, please combine it with clinical practice!"

"Look at this one again!" Xiong Changlong pointed to the abdominal ultrasound image again, and said: "Ultrasound shows intestinal effusion, abdominal lymphadenopathy, it is recommended to combine it with clinical practice!"

Speaking of this, Xiong Changlong excitedly spent a big circle with his hand, including all the three video materials, "What does all this suggest?

"yes, yes, why didn't I think of it!" Niu Dabao pounded his thigh vigorously and said with annoyance.

Zhou Rujun listened to it and his whole body was weak, and he almost didn't fall off the chair, "Dean Xiong, are you saying that my family Dongdong's whole body system has been damaged?"

"Director Zhou, don't worry, don't worry!" Xiong Changlong waved his hand at Zhou Rujun again and again, and explained with a smile: "This is just a possible sign, we found it early, as long as it is dealt with in time, Dongdong will not be harmed in any way, it is exactly the same as a normal person!" You know, according to the opinion of the expert group of the Standing Committee of the International Union of Rheumatology Pediatrics, it will take more than six weeks to make a diagnosis, and then targeted treatment, and we are now just ten days away from the onset of Dongdong, as long as the treatment is carried out immediately, this disease can be nipped in the bud!"

"Dean Xiong, thank you, thank you so much, please hurry up and treat Dongdong!" Zhou Rujun urged repeatedly, and his soft intestines were completely concerned about the child.

"Okay, okay. I'll confirm with Director Niu here, and I'll start treatment immediately. Xiong Changlong nodded, turned his head to look at Niu Dabao, "Dabao, do you have any disagreements with my diagnosis?"

"No, no!" Niu Dabao shook his head again and again, saying that he was convinced by Xiong Changlong, but he raised another question, "Dean Xiong, although the child was diagnosed with juvenile idiopathic arthritis, the treatment of this disease is not only very long, but also very tricky, if you are not careful, there will be complications, do you have any good solutions?"

"Hehe," Xiong Changlong patted his emergency box, his eyes shining, "Juvenile idiopathic arthritis is a difficult problem for Western medicine, but it is not a difficult challenge for Chinese medicine. If I couldn't even cure this disease, I would have been ousted from the position of vice president of Tianyang Medical College, wouldn't I?"

"How is it?" Fang Shengxue, who was sitting at the end of the consultation room, patted Ren Jiangchi's arm excitedly, "Is this old man Dean Xiong handsome?"