Yu Zhiming looked through the medical information, and at the same time quickly thought about and deduced various possibilities in his mind.

The rapid development of blood in the stool of the elderly, as well as the edema of the lower limbs, Yu Zhiming's first thought was kidney damage.

Kidney damage, causing blood in the stool is well understood.

As for edema, if the kidney function is not good, then the speed of the body's metabolism will decrease, which is not conducive to the discharge of excess water from the body.

And this excess water present in the body will make people look puffy.

What causes kidney damage?

Yu Zhiming's eyes fell on a list of medications, which included both external ointment for anti-allergy and anti-itching, as well as internal medicines.

There are six kinds of drugs for internal use, and their effects are mainly anti-allergic, anti-inflammatory and antibiotic.

Perhaps, the patient took too many anti-allergy or antibiotic drugs while treating pityriasis rosea?

Many people have the problem of taking medicine indiscriminately.

Perhaps this old man just took too much medicine, which not only caused kidney damage, but also disrupted the body's functions, weakened the immune system, and caused a series of later physical symptoms?

The more Yu Zhiming thought about it, the more he felt that drug poisoning caused damage to the internal organs and caused a series of problems was the most likely.

Just, will things be that simple?

This is a test given to him by Mr. Qi, why do you have to turn two or three corners......

Yu Zhiming glanced at Teacher Qi and found that he was burying his head in the information on the desk, not paying attention to himself at all.

The condition of the elderly should not be so simple!

Thinking of this, Yu Zhiming, who had already read the information on his condition again, looked at it again.

He seemed to remember a philosopher who said that when things are so complicated that you can't find a way to deal with them, you look to the source.

Once you know what started in the first place, the context of solving the problem will naturally become clear.

The source of the complex situation of the elderly......

Dizziness and high blood pressure?

Or pityriasis rosea?

Yu Zhiming analyzed it and ruled out high blood pressure and dizziness.

The elderly have been treated for pityriasis rosea for more than a month, and it is most likely to cause problems.

Yu Zhiming searched and rummaged through his memories, trying to recall the knowledge about pityriasis rosea.

It is a common, self-limiting inflammatory skin disease.

Typical skin lesions are characterized by a rosé macules, maculopapular rash covered with pityriasis scales.

It tends to occur on the trunk and limbs near the trunk and usually resolves spontaneously in four to eight weeks.

Its cause is unknown, and it may be related to viral infections, allergies, and certain medications.

Immune dysfunction may also be associated with it.

However, in Yu Zhiming's memory, pityriasis rosea, a skin disease, will not cause damage to the kidneys and other viscera.

So, is there a possibility of misdiagnosis?

Canadian doctors are also human, and misdiagnosis is inevitable.

Assuming misdiagnosis, the rash of the whole body, which is similar in appearance to pityriasis rosea, can cause damage to the internal organs?

Thinking of this step, a bright light suddenly crossed Yu Zhiming's mind like a meteor.

A word popped up.

Henoch-Schonlein purpura!

It is a vascular allergic disease.

It is the body's allergic reaction to certain sensitizing substances, resulting in increased capillary fragility and permeability.

This causes inflammation of the skin, joints, gastrointestinal tract and small blood vessels in the kidneys, as well as bleeding.

In the early stage of the attack of Henoch-Schonlein purpura, all patients will have different degrees of purpura, mostly located on the limbs and buttocks, and the appearance of purplish-red papules on the outside.

Yu Zhiming quickly went through the knowledge of Henoch-Schonlein purpura in his mind, which almost fitted the old man's current physical symptoms.

For example, blood in the stool, edema of the lower limbs and hands, joint pain, stomach bloating, etc.

Apparently, the old man was misdiagnosed in Canada, and Henoch-Schonlein purpura was diagnosed with pityriasis rosea.

The treatment is not correct, and the allergic substances in the body have not been effectively removed, resulting in more and more severe physical symptoms.

Yu Zhiming looked at Qi Yue with confidence.

"Teacher, it's Henoch-Schonlein purpura!"

Qi Yue raised his head and said with a faint expression: "The diagnosis is correct, but the time took nearly half an hour, so-so." ”

Yu Zhiming looked ashamed and said, "Teacher, I will continue to work hard to meet your requirements as soon as possible." ”

Qi Yue nodded lightly, waved his hand again, and signaled that Yu Zhiming could leave.

When Yu Zhiming left the director's office and gently closed the door of the office, a voice came into his ear drum.

"Oh yes, it's so stressful......"

At 6:20 in the evening, Yu Zhiming completed the physical examination of 120 people today.

In addition to the physical problems inherent in the medical examiner, his new results are as follows:

Patients with cardiohematopathy of varying severity, 7 people.

16 patients with other visceral problems and severe viscera.

Suspected cancer patients, 0 people.

At seven o'clock in the evening, Yu Zhiming returned to his residence in Zijinyuan Community and found that dinner was ready.

During the meal, Yu Xiangwan proposed that tomorrow was Fu Xiaoxue's recruit military training parade, and she would go to visit.

Gu Lime said she was going too.

She also said that she was tired like a dead dog with Fu Xiaobo in the past two days, and she would take the opportunity to take a good rest tomorrow.

Yu Zhiming seriously despised this girl's lazy behavior of fishing for three days and drying nets for two days.

Seeing that the two were about to quarrel again, Yu Xiangwan interrupted: "Old Five, Xiaoxue's military parade will end in the morning. In the afternoon and tomorrow, they will rest for the official start of their university study life next Monday. ”

"Xiaoxue asked me to remind you, the big meal you promised?"

Yu Zhiming said casually: "Then it's set for tomorrow night." ”

"That Lu restaurant?"

"Yes!"

Yu Xiangwan proposed again: "Aunt Xiaoxue's daughter, Zeng Yan, please come over too, right?" ”

"My sister-in-law has given us such a valuable gift, we can't ignore her daughter all the time, can we?"

Yu Zhiming snorted and said, "Sister, you can decide and arrange these things, and I will only be responsible for paying for them!" ”

Yu Xiangwan responded with a smile, and said: "Old Five, about cars, Mercedes-Benz, BMW, Audi, Volvo and Cadillac, I each chose a model. ”

"I also brought a few copies of the model introduction, down payment price, installment payment, expenses and other related materials."

"After eating, you can take a look."

Yu Zhiming sighed and said with a smile: "Sister, why are all the big brands you choose." ”

Yu Xiangwan raised her eyebrows and said, "Of course, with your current status as a doctor, if you can't drive a million-dollar luxury car, the brand of this car will have to be tougher." ”

She said with a leap of words: "When those salesmen heard that it was the doctor from Huashan Hospital who bought the car, they didn't need me to bargain for the price, and they directly took out the biggest discount." ”

"Old Five, if I blow out your name again, maybe I can get another discount."

"You're a celebrity now."

Yu Zhiming smiled and said, "Sister, this may not be. ”

"Maybe in the hearts of those beautiful salesmen, I'm just a womanizer who molested her......"

After dinner, Yu Zhiming looked through and compared a bunch of car information brought back by the fourth sister, and was a little surprised to hear Gu Lime chattering with the eldest sister on the phone.

Nearly half an hour later, Yu Zhiming finished reading the car information, and Gu Lime also ended the call.

Yu Zhiming asked suspiciously: "Gu Qinglime, you and my eldest sister are not familiar with each other, do you have so much to say?" ”

Gu Qingling glanced at him and snorted, "It's because I'm not familiar with it that there are more topics to talk about." ”

"You didn't hear it, what we talked about the most was the topic of eldest sister, baby brother, baby son?"

After a pause, Gu Qinglime said with a smug face: "The eldest sister said that I have a share of the sweet potato strips, peanuts, walnuts and other foods I sent this time!" ”

Yu Zhiming cut lightly and ignored this girl.

He came to the kitchen door and said to Yu Xiangwan, who was still busy in the kitchen: "I feel okay with these cars." ”

"Sister, the day after tomorrow on Sunday, let's go for a test drive......"

After nine o'clock in the evening, the small home where the Yu family sisters and brothers lived ushered in unexpected visitors.

Gu Qingran and Hua Sifan!

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