Big Doctor Live Room

Chapter 1141 Hypokalemia

"What? You don't think the guy in the hospital had ALS symptoms? What's the reason?!"

Sure enough, during the meeting together at night, Hojo Yangling was the first to jump out to object, and also put on a aggressive look, as if Chen Qun had said something wrong, and she was about to jump up and beat Chen Qun to the ground. .

"Your hospital gave the diagnosis first, and I understand your position and point of view, so please explain the reason first, and I will explain mine next!"

Chen Qun ignored the angry performance of the young lady, because the diagnostic panel in the corner of his eye gave the various physiological indexes of the young lady, and there were not many differences and fluctuations in normal times, so the physiological data showed that her brain waves were not excited. There is no adrenal hormone secreted inside the body, which causes the heartbeat and blood pressure to increase.

In a word, this young lady is just bluffing and deliberately finding fault.

Of course, Yang Ling Hojo knew that her posture would not be able to scare the psychiatrist, so she immediately threw the two checklists in front of Chen Qun.

"This is the result of today's laboratory examination. The spinal fluid is negative and there is no abnormality, so it is in line with the judgment of our Sanjing General Hospital. The probability is ALS!"

"Wait, a negative test usually means no disease, why can we make an inference of disease?"

"I knew you were going to talk nonsense, Xiaoxiu, pull up the video and see what else he has to say!"

Xiang Chuanxiu immediately set up the tablet in his hand, pressed it lightly, and a picture of Fujikawa Snow Mountain extracting spinal fluid appeared in everyone's field of vision.

"Look at the patient's arms and back. Do you see that in the two enlarged pictures, the patient has fasciculations! This is a typical feature of ASL!"

Chen Qun looked at the eloquent Miss Hojo, directly folded his arms, put on a defensive posture, and then raised his hand, asking Zhao Xue to give his own evidence.

"Please look at the patient's performance after this intense exercise. There is no knee jerk reflex. Or it is the tendon reflex in your mouth. If it is ALS, then there will be a tendon reflex. And the most interesting point is that before the patient exercises , he had a tendon reflex, but it didn't appear after exercise, I think, this is completely inconsistent with the judgment of ALS symptoms!"

Beijo Yangling was about to refute, and the alarm immediately sounded on the tablet in the hands of everyone, and at the same time, the mobile phone in the pocket also rang.

Chen Qun picked up the phone and took a glance at it, then rushed out immediately, leaving only one sentence.

"Mr. Fujikawa has arrhythmia and ventricular fibrillation, go to the ward!"

Cardiac arrest is considered a major event in other hospitals, but in Xiangyun Hospital, when they ran to the ward area on the eighth floor, the doctors and nurses on duty had already solved the problem, and the patient's condition stabilized and fell into a deep sleep.All kinds of conventional monitoring equipment are also turned on, and they have entered the state of intensive care.

Chen Qun walked over to look at the patient, and then glanced at the patient's electrocardiogram, showing an expression of sudden realization, and turned his head to express to Hojo Yangling who followed him.

"Look here, the T wave is lowered, the U wave is increased, and at first glance, the QT interval seems to be prolonged. What do you think this symptom indicates?"

While Miss Hojo was thinking hard, an electronic speaker sounded.

"The little broomstick knows that this is low-priced blood calcium!"

Dongfang Wenxin didn't expect such a thing to happen. Looking at Hojo Yangling's expression of resentment, her heart seemed sweeter than eating honey, and she just turned off the multifunctional robot responsible for sweeping the floor and delivering medicine with a wave of her hand.

"If you want to talk more, no one will think you are dumb if you don't talk!"

Chen Qun folded his hands on his chest in a leisurely manner, and directly gave the correct conclusion to Yang Ling Hojo.

"Mr. Fujikawa is not suffering from ALS, but hypokalemia, so it is certain that he will not die within three to five years. But if a professional athlete suffers from hypokalemia, it is either his team's team doctor. Both the doctor and the nutritionist are negligent, or it is caused by other reasons. Ms. Hojo, what do you think is the possibility that the team doctor and the nutritionist are all dereliction of duty in your country's national team?"

Hojo Yangling immediately grasped the sarcasm in Chen Qun's mouth, and immediately fought back mercilessly.

"What do you mean, can you say it directly!"

Chen Qun would not be fooled, and he explained in a wrong way.

"The so-called hypokalemia will cause vomiting, diarrhea, general weakness, muscle weakness, paralysis and other symptoms. If it is severe, it will also lead to heart failure and arrhythmia, and may even be fatal. And early symptoms and amyotrophic lateral cord The sclerosis is similar, and it is easy to be misdiagnosed!"

Hojo Yangling directly knocked on the head of the bed and gave a rebuttal.

"Why didn't the blood test find it out? If our hospital made a mistake in the blood test, then you also made a mistake in the blood test here?"

Chen Qun frowned, showing an ignorant attitude.

"This is also strange to me. I don't know much about your hospital, but we know the situation here. Blood tests are performed within 10 minutes. But our hospital has a lot of patients, so tests generally have to be queued and grouped. There is a delay of at least six or seven minutes for the robot to complete the test. But we can do the blood test again and answer your questions."

Chen Qun gave an explanation, but it made Hojo Yangling more and more dissatisfied.

"Do you think there is something wrong with the blood test in our hospital?"

"Please don't be impatient, we can solve this problem right away. Zhou Lin, ask the Laboratory Department to send two blood test machines over immediately. We will draw blood and check immediately. Perhaps this is also a mistake of VIP patients in your hospital. The mistake was because it was so considerate, the blood test has to go through three steps: blood drawing, blood delivery and inspection. Now we speed up the time and know the result."

Beijo Yangling stared straight at Chen Qun, gritted her teeth and squeezed out a sentence.

"Don't think that I don't know that blood samples with low potassium will return to normal values ​​after a period of time. If you use this reason to accuse our hospital, you are simply trying to incriminate us!"

Dongfang Wenxin immediately gave the angry eldest lady two thumbs up, indicating that she used the idiom correctly.Miss Dongfang knew that Chen Qun had definitely grasped someone's leverage and was sure of victory, so she deliberately provoked the miss to play monkey tricks to make herself happy. Of course, this would fan the flames and make this damn girl Hojo Rei angry to death!
Chen Qun made a pause gesture, signaling Hojo Orei and Kagawa Hideo to take the blood test by themselves.

"We'll do another blood test, three draws, one right away, another three minutes later, another six minutes. We'll be able to figure out what's wrong. Ten minutes or so, I think, You can wait."

In less than 5 minutes, the results of the first blood test appeared, and it was indeed potassium deficiency; but the most amazing thing was that the second and third results were all normal.

At this time, even if 1 people don't believe it, Hojo Yangling can only admit defeat.But he knew in his heart that Chen Qun must have caught something this time. The crux of the problem was not the peculiarity of the blood sample. After all, individual physiques were different, resulting in different potassium recovery results.

The crux of the problem is why Fujikawa Snow Mountain lacks potassium!

(End of this chapter)