"Doctor Xiaoji, what do you think?" Deputy Director Zou simply stopped guessing the riddle and asked directly.

"The first time I saw the patient, she had been drinking water and then went to the bathroom during the medical history. She had just gone to the bathroom again, and I thought there should be a connection between the two. ”

"Is there a link to suspected high blood pressure? It is also urinary tract infection caused by urinary frequency and urgency. Lin Jiu asked.

As soon as the words came out, Lin Jiu realized that something was wrong.

He himself knows his personality very well, and although the purpose of chatting with Ji Xiang is a bit complicated, it definitely does not include the option of offending Ji Xiang.

But!

When faced with Ji Xiang's "unreliable" statement, Lin Jiu couldn't help but want to be sarcastic.

This is very different from the image of harmlessness to humans and animals in ordinary times.

How could I look at Ji Xiang unpleasantly?

Lin Jiu felt a pang in his heart, and immediately concentrated on suppressing all his superfluous thoughts.

Masters can't be offended, Lin Jiu never thought that Lao Tzu was the best in the world, otherwise he wouldn't have stayed after the show.

"I don't think the patient's face looks healthy."

Complexion, high blood pressure, two unrelated words connected together were full of slots, and Lin Jiu was ready to move.

He forcibly endured it and did not complain.

But Lin Jiuze's heart once again doubted his judgment.

Is Ji Xiang super diagnostic, or is he just a weak chicken, and every time he makes a diagnosis by luck?

However, what is now certain is that Ji Xiang's surgery was top-notch.

Lin Jiu was dizzy by this strange young man, and he couldn't figure out Ji Xiang's routine at all.

Deputy Director Zou was also noncommittal, and when the patient came back, Deputy Director Zou said, "Have you measured your blood pressure recently?" ”

"No, my blood pressure has always been normal, and I can't remember the amount." The patient replied.

Deputy Director Zou beckoned the nurse to bring a mercury sphygmomanometer, but did not let the patient use the electronic sphygmomanometer at the nurse's station, he personally measured the patient.

Lin Jiu rushed to stand behind Deputy Director Zou, aiming at the mercury column in the mercury sphygmomanometer.

Although the stethoscope was not on his ear, the fluctuation of the mercury column was telling.

Deputy Director Zou pinched the ball, the pressure increased, and the cuff made a creaking sound.

The mercury column rose and slowly fell, and Lin Jiuze's eyes narrowed, looking at it meticulously.

As soon as it drops below 200 mm Hg, the mercury column fluctuates.

Lin Jiu's heart tightened.

Could it be that Ji Xiang "guessed" correctly again?!

No, the patient is young, and she herself says she has no history of high blood pressure.

Teachers generally have 1-2 physical examinations a year, and hypertension should not be missed.

At this moment, Lin Jiuze even began to wonder if his eyes were a little flowery, and he had misseen the fluctuation of the mercury column.

As the mercury column drops below 190 mm Hg, the fluctuations become more pronounced.

"Huh?" Deputy Director Zou was softly puzzled.

Soon, Lin Jiu determined that the patient's high pressure was at least about 185 mm Hg and the low pressure was 130 mm Hg.

This already falls under the category of malignant hypertension.

A young patient, with no past medical history, and the initial diagnosis is blood in the stool, how can blood pressure be so high?! Add to that the frequent urination that the patient just said......

These symptoms, signs, and examinations caused Lin Jiu to fall into a strange whirlpool from which he could not extricate himself.

These symptoms are scattered and not connected at all.

"Blood pressure is so high." Deputy Director Zou frowned and said, "You haven't felt it all along?" When was the last time your blood pressure was taken. ”

"No, I don't have a history of high blood pressure, and I don't have a family history." The patient was a little confused, "The last time...... I don't remember. ”

"What about the medical exam?"

"I said that my blood pressure was normal, and the medical examiner wrote a random number and fooled it over."

"Is it the wrong amount?" One asked.

Deputy Director Zou measured it again, and the measured blood pressure was about the same as last time.

Measured again with electronic blood pressure, the high pressure also fluctuated around 190 mm Hg.

High blood pressure, from oliguria to polyuria, Lin Jiuze's brain CPU has been spinning rapidly, and the converted heat is almost smoking above his head.

He quickly wrote in his notebook, and when he finished writing, he glanced up at the patient.

Finally, a rare diagnosis appears in a notebook – hyperaldosteronism.

Lin Jiu glanced up, and the anxiety and confusion in his eyes finally turned into calm.

It's it!

However, hyperaldosteronism is an increase in aldosterone secretion due to tumors or hyperplasia of the spherical zone of the adrenal cortex, and the patient has a CT of the abdomen and no tumor or hyperplasia of the adrenal glands is seen.

But......

Lin Jiu looked at the pure water in the patient's hand.

Everything is so weird.

"Please check the potassium in the blood to see if there is a problem with the potassium ion." Ji Xiang said.

"Oh? Dr. Koji, what do you suspect. Deputy Director Zou asked.

"I smell licorice on the patient." Ji Xiang said something that seemed unrelated to the diagnosis.

Licorice flavor?

Deputy Director Zou was stunned, and Zhao Zhe was also stunned, what does this mean.

"Do you usually cough?"

The patient and the patient's family looked at Ji Xiang in surprise, and before they could answer, Xie Kai said disdainfully, "Is there anything to do with coughing and blood in the stool, Zhao Zhe, you work with this kind of person?" ”

"Old Xie!" Zhao Zhe shouted in a low voice.

"Why, am I not right?" Xie Kai said with a disdainful face, "I didn't ask such a question when I asked about my medical history." ”

"It seems to have something to do with it, do you usually cough? What medicine to take to suppress cough? Ji Xiang ignored Xie Kai, but looked at the patient with a gentle smile on his face.

"When I was a child, my lungs were not good, I always had a cough, and the doctor said I had chronic bronchitis. I have a heavy cough in winter, so I'm not going to Hainan on winter vacation. The patient said.

She said a little verbose, but Ji Xiang was not in a hurry, but smiled at the patient and waited for her to continue.

"I have only taken compound licorice tablets since I was a child, and the effect is very good, and I don't cough after eating."

No wonder the patient did not cough during the examination, it turned out that she had been taking medicine.

"It's hard to open compound licorice tablets now." Ji Xiang began to chat with the patient.

"Yes, when I was in school, I could buy it outside the pharmacy, but now I need a doctor's prescription, and I can't buy it at the pharmacy, so I have to go to the hospital." The patient was a little distressed, "I always count and eat." ”

"What do you usually eat besides compound licorice tablets?"

"No, it's a three-part poison, I only eat this one." The patient replied in the affirmative.

"Oh, I'm not talking about medicine. It's a ......" Ji Xiang hesitated slightly, "Snacks." ”

Several doctors looked at each other quizzically.

It is normal to ask about the medical history and ask what medicine the patient has taken, but Ji Xiang actually began to ask what snacks to eat.

Especially Lin Jiuze, he had never seen compound licorice tablets at Massachusetts General Hospital, so he didn't know what Ji Xiang was doing at all.