Chapter 22 Simple Cough and Gout Medicine? Look for death!

Faced with Furman's search, Du Wei responded quite calmly:

"If you suspect that I am late and leave early, I suggest that you can go and pull my attendance."

Furman snorted coldly again, stopped talking, and walked past Dewey into the conference room.

Cameron tugged at Du Wei's sleeve and whispered:

"He was taught a lesson by House yesterday because of the mistake of the operation, and he is angry, so he doesn't need to be like him."

Du Wei smiled and said to Cameron that it didn't matter.

Then he walked into the conference room.

Furman's attitude is only a minor issue, and the patient's condition is what he needs to focus on the most.

I saw that House, who had entered the conference room first, had already pulled out a whiteboard and quickly wrote something on it with a marker.

Du Wei glanced at it, and it was written on the current symptoms of the patient who had been admitted to the emergency room.

"Cough, abdominal pain, rash, nausea, fever, kidney failure, low blood pressure."

When he had finished writing, House turned to the people seated in the conference room and asked:

"What do you guys think about this?"

Cameron glanced at the frowning crowd and spoke first:

"Could it be allergies? Allergies can explain the symptoms of abdominal pain, rash, nausea, fever. ”

With Cameron taking the lead, Chase followed suit with his opinion:

"Yersinia infection?"

His statement was immediately refuted by Furman:

"No, that would cause a cough or a rash.

I think it may be arthritis, nerve damage complicated by vasculitis. ”

Furman's words were met with Cameron's objections.

"No, it doesn't cause blood pressure problems. Parasites, perhaps?

Diseases caused by parasites can also cause more than four of the above symptoms. ”

Seeing Cameron refute himself, Furman also refuted Cameron's views.

"No, it can't ......"

"Stop!"

Before Furman could finish speaking, he was interrupted by Hausen, who impatiently threw a thick book in front of Furman and opened it:

"Furman, if you want to list all the diseases that you don't qualify, I suggest you go alphabetically."

Furman took a deep breath and suppressed his frustration with House.

Then he closed the open book in front of him and looked at Du Wei, who was speechless:

"Since you think our diagnosis is wrong, why don't you ask the intern Du Wei who you think you think about?"

Listening to Furman's sour words, Cameron couldn't help but say:

"Furman, he's just an intern, you don't have to target him all the time, do you?"

"Huh, intern? Interns can eat dry rice here?

Since I'm here for an internship, I should always contribute something, because I can't increase my internship experience just by listening and not doing. ”

Chase on the side heard the implicit meaning of Furman's words, which was nothing more than wanting Du Wei to make a diagnosis, and then be reprimanded by House.

"Okay, okay, don't embarrass him, it's hard for us to think of a disease that contains these seven characteristics at the same time, and he can't think of it."

"Really? He doesn't say how do you know he can't figure it out? Chase, you're not going to be the roundworm in his heart, are you? ”

Chase shook his head at Furman's cynicism and stopped talking.

Now Furman is like a mad dog, biting anyone he catches.

And Du Wei, who was stared at by Furman's gloomy eyes, said unhurriedly:

"Speaking of which, I really know what kind of phenomenon can cause this to happen."

As soon as these words came out, even House looked at Du Wei.

The purpose of the existence of the diagnostics department is to brainstorm and eliminate the impossible options one by one through the suggestions of many people, so as to find the right disease in it.

That's why House lets everyone express their opinions, to see if they can find out what the right symptoms are.

But until now, he hadn't come up with any related symptoms.

As a result, Du Wei said he knew? That's outrageous!

Although House often said unreliable things, he was actually extremely confident.

It's hard for him to judge the truth, and Du Wei doesn't have the ability to judge it!

So he narrowed his eyes and asked:

"You know?"

"I know that of the seven symptoms, cough has to be taken out separately.

The other six symptoms are all related to one thing, colchicine! ”

Hearing the words colchicine, Furman immediately burst out laughing and interrupted Du Wei's words.

"Please, boy, the medicine with the most colchicine is used to treat gout!

Does he have uric acid crystals in his joints?

Does he have pain, swelling, redness, and stiffness in his limbs?

Why can't I see any of them? If you want to make it up, you have to be more reliable......"

Furman's voice grew lower and lower, as he saw that House was really thoughtful.

This means that Du Wei is really not talking nonsense, there is really a possibility of colchicine effect!

Seeing that Furman was no longer silent, Du Wei continued to follow the train of thought just now:

"Yes, the patient did not have gout, but it is possible that he took gout medicine by mistake.

Cough was his first symptom, and it was likely that he went to the doctor because of it.

Later, it may be that the pharmacist at the pharmacy gave the wrong medication, or it could be that the doctor's prescription is wrong.

Anyway, the probability of error is about the same for both.

Eventually, his cough was not cured, but instead was incorrectly dosed with colchicine, which hindered mitosis and stopped cell division.

As a result, cells in the body are constantly dying and not being able to renew, which leads to various symptoms.

These include, but are not limited to, abdominal pain, rash, nausea, fever, kidney failure, and low blood pressure.

Familiar? These are the six major symptoms that appear on the whiteboard.

This should be followed by bone marrow problems, followed by neuropathy, tingling in fingers, toes, hair loss, and finally death.

All we have to do is give him a FAB fragment (an antigen-binding fragment on the immunoglobulin that neutralizes colchicine) and a few tablets of Tylenol (antipyretic and analgesic) to save his life. ”

After listening to Du Wei's analysis, the conference room fell silent.

All of you here are studying medicine, and they all understand that what Du Wei said is indeed very reasonable.

As for the way to verify whether Du Wei is right or wrong, it is very simple, just bring the cough medicine he is taking to the patient for a laboratory test.

So after a brief moment of surprise, House suppressed the shock in his heart and commanded:

"Then Du Wei, the task of asking the patient for the cough medicine is left to you."

Du Wei nodded and left the conference room.

After Du Wei left, Chase spoke approvingly:

"You know what? What a genius he is!

It's like having a supercomputer in your head, quickly retrieving the right options. ”

Cameron chuckled:

"This intern is really good, the best intern I've ever met."

"Ha, it's also the most handsome one."

Chase teased.

Cameron gave Chase a blank look and didn't speak.

Only Furman had been gloomy and didn't know what he was thinking.

House knocked on the table:

"Ladies and gentlemen, let's keep your opinion open until we see a sample of cough medicine.

Even the closest to the truth of the diagnosis needs to be supported by empirical evidence. ”