Chapter 797： Eye of the storm
"Is it ill?" Wang Dong's mother was stunned.
Really sick? Still what... the disease that was not remembered.
No, Wang Dong is hurting every day, and the whole body is not comfortable. But I didn't see anything about him. I didn't even have a fever. I should eat and drink.
Impossible!
impossible……
"Boss, Fabry disease is the kind of disease caused by the congenital deficiency of α-galactosidase A in patients?" Su Yun listened to Zheng Ren and realized what he was. He carefully looked at Xiao Wangdong’s ear. The keratinoma is thinking hard.
This kind of disease is very rare. If it is not Su Yunbo’s strong knowledge, what books and magazines will look at it, few people will know.
However, Su Yun read the book, which was for the sake of the robbery on the wine table, and did not expect that one day he would encounter such a patient.
"Well, there are vascular keratomas on the ears. This is a mid-term performance. I guess if you look at the body, you can see the vertebral opacity of the eye." Zheng Ren looked at Wang Dong's mother and patiently asked: " I look at Wang Dong’s eyes, can I?”
Seeing Zheng Ren's face is serious, although some of his face has been yellowed and bruised, looking funny, but Wang Dong's mother still believes him.
Just look at the eyes, brighten the day, and singularly, what are you afraid of?
She nodded and pressed her hands on Wang Dong's shoulders, and she was able to hold the child in her arms at any time.
Zheng Ren smiled and said: "Little brother, don't be nervous, I will flip your eyelids."
Su Yun is also curious. He recalls that the typical feature of Fabry disease is turbidity of the eye's vortex.
A glance at it will make a diagnosis of 80%.
Come in, see Zheng Ren reach out, gently turn up Wang Dong's eyelids, only one moment, then let go.
I haven't waited for Wang Dong to respond, and I haven't waited for Wang Dong's mother to think about it. The checkup is over.
Of course, if you have a detailed examination, you should also check the patient's lower abdomen, thighs, etc. There, there will be red or purple-black vascular keratomas. However, vascular keratomas appear on the ears, and these places become a lot less important.
"It’s like a wind eye." Su Yun looked really, and he felt a sigh.
The vertigo of the eye is turbid, and if it is observed carefully, it will be found in the cornea of the patient like the eye of the storm.
This is a typical feature and is not the same as normal corneal disease.
“Is there something?” Wang Dong’s mother asked half-heartedly.
"It should be Fabre disease. Su Yun, is there a pen and paper?" Zheng Ren asked.
Su Yun opened his arms and motioned that he had nothing in his body.
"Zheng Zong, I brought it here." Chang Yue took out a small note book from the bag and handed it to Zheng Ren.
Zheng Ren thought about it and wrote it on the note book - diagnosis: Fabre disease. It is recommended to check the alpha-galactosidase assay. If there is a positive return, take an enzyme replacement therapy.
After writing a line, Zheng Ren wrote the interventional section at the bottom, Zheng Ren's words, tore the paper off and handed it to Wang Dong's mother.
"Diagnosis, what should I do for the examination, and the treatment I have written. This is how you collect it, go to the emergency department... or go to the rheumatology and immunology department." Zheng Ren smiled and turned away.
Hand over the note book and pen to Changyue, and a few people left.
The Xie Yi people looked at Zheng Ren’s eyes with a little bit of light. In her opinion, Zheng Renzhen at this time was very handsome.
"Boss, you are diagnosed because of the vascular keratinoma on the child's ear?" Su Yun still did not understand, asked.
"Fable disease, often misdiagnosed as rheumatism, arthritis, growth pain or psychogenic pain in the early stage, is even considered to be a patient's illness. I heard the words of Wang Dong's mother that it has been ill many times, both I didn’t find out the problem.” Zheng Ren said as he walked, “So I want to go where possible.”
"The vascular keratoma on the ear is a typical feature, but it does not give a diagnosis. Finally, the cornea is not seen. Is this certain?"
Zheng Ren did not feel anything, casually said.
"Then you said so sure." Su Yun is still confused.
"I am not sure, Wang Dong's mother can't let it see." Zheng Ren said casually.
"..." Su Yun is speechless. "What if the diagnosis is wrong?"
"Looking at the cornea, the mistake is wrong, would you care? Wrong, I am an ordinary passerby. Right, I am the doctor of 912." Zheng Ren looked at Su Yun, a serious.
"Oh..." This is the first time that Su Yun heard from Zheng Ren’s mouth.
Usually, Zheng Ren is honest and honest, and he has never seen him so slick.
However, Su Yun turned to think about it. In the immediate situation, the background was the crowd of emergency pediatric troubles. It was a mess, and Zheng Ren really had no good idea.
If you change to yourself, things may be simpler.
Do you have such a handsome trafficker? Growing up like this, screaming and screaming, how much do you earn more than a trafficker?
Well, this is a world of looking faces. The boss is doing this, and it is also an ordinary person who has no way to be forced.
With such a thought, Su Yun was relieved.
"I remember, Fabre disease is a trihexosyl ceramide that cannot be metabolized, thus accumulating in lysosomes, leading to various clinical symptoms. X chromosome inheritance, men are more serious than women." Su Yun thought for a long time Finally, I found a trace of Fabre disease in my memory, "Boss, is the treatment of this disease good?"
"I don't know, I haven't seen it." Zheng Ren said: "Looking at the magazine, giving enzyme replacement therapy, the cost of treatment should not be very expensive."
"That's too bad, such a small child." Chang Yue sympathy.
"You understand it as diabetes. It's good to inject insulin every day. It doesn't affect anything. It's better than diabetics. At the very least, you don't have to control your diet." Zheng Ren changed his point of view.
One said that without controlling the diet, the Xie Yi nodded again and again.
In her opinion, if you can't eat a lot of things, then the world is really miserable.
Turning around the corner of the emergency room, I can't see the crowd in the emergency pediatrics, and suddenly feel back to the normal world, much quieter.
"In 912, this group of people is really big enough." Su Yun spit.
"It's normal. When you were absent a few days ago, the family members of the patients directly touched the inpatient department, saying that there is no empty bed here, why not let the hospital stay." Chang Yue said, "The nurse told him that it was given The bed reserved for the soldiers."
"And then the patient's family began to make trouble?"
"It's not too noisy. Anyway, I said a lot." Chang Yue said: "I don't bother to listen, just leave."
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Genius website address:. Mobile version reading URL:
Really sick? Still what... the disease that was not remembered.
No, Wang Dong is hurting every day, and the whole body is not comfortable. But I didn't see anything about him. I didn't even have a fever. I should eat and drink.
Impossible!
impossible……
"Boss, Fabry disease is the kind of disease caused by the congenital deficiency of α-galactosidase A in patients?" Su Yun listened to Zheng Ren and realized what he was. He carefully looked at Xiao Wangdong’s ear. The keratinoma is thinking hard.
This kind of disease is very rare. If it is not Su Yunbo’s strong knowledge, what books and magazines will look at it, few people will know.
However, Su Yun read the book, which was for the sake of the robbery on the wine table, and did not expect that one day he would encounter such a patient.
"Well, there are vascular keratomas on the ears. This is a mid-term performance. I guess if you look at the body, you can see the vertebral opacity of the eye." Zheng Ren looked at Wang Dong's mother and patiently asked: " I look at Wang Dong’s eyes, can I?”
Seeing Zheng Ren's face is serious, although some of his face has been yellowed and bruised, looking funny, but Wang Dong's mother still believes him.
Just look at the eyes, brighten the day, and singularly, what are you afraid of?
She nodded and pressed her hands on Wang Dong's shoulders, and she was able to hold the child in her arms at any time.
Zheng Ren smiled and said: "Little brother, don't be nervous, I will flip your eyelids."
Su Yun is also curious. He recalls that the typical feature of Fabry disease is turbidity of the eye's vortex.
A glance at it will make a diagnosis of 80%.
Come in, see Zheng Ren reach out, gently turn up Wang Dong's eyelids, only one moment, then let go.
I haven't waited for Wang Dong to respond, and I haven't waited for Wang Dong's mother to think about it. The checkup is over.
Of course, if you have a detailed examination, you should also check the patient's lower abdomen, thighs, etc. There, there will be red or purple-black vascular keratomas. However, vascular keratomas appear on the ears, and these places become a lot less important.
"It’s like a wind eye." Su Yun looked really, and he felt a sigh.
The vertigo of the eye is turbid, and if it is observed carefully, it will be found in the cornea of the patient like the eye of the storm.
This is a typical feature and is not the same as normal corneal disease.
“Is there something?” Wang Dong’s mother asked half-heartedly.
"It should be Fabre disease. Su Yun, is there a pen and paper?" Zheng Ren asked.
Su Yun opened his arms and motioned that he had nothing in his body.
"Zheng Zong, I brought it here." Chang Yue took out a small note book from the bag and handed it to Zheng Ren.
Zheng Ren thought about it and wrote it on the note book - diagnosis: Fabre disease. It is recommended to check the alpha-galactosidase assay. If there is a positive return, take an enzyme replacement therapy.
After writing a line, Zheng Ren wrote the interventional section at the bottom, Zheng Ren's words, tore the paper off and handed it to Wang Dong's mother.
"Diagnosis, what should I do for the examination, and the treatment I have written. This is how you collect it, go to the emergency department... or go to the rheumatology and immunology department." Zheng Ren smiled and turned away.
Hand over the note book and pen to Changyue, and a few people left.
The Xie Yi people looked at Zheng Ren’s eyes with a little bit of light. In her opinion, Zheng Renzhen at this time was very handsome.
"Boss, you are diagnosed because of the vascular keratinoma on the child's ear?" Su Yun still did not understand, asked.
"Fable disease, often misdiagnosed as rheumatism, arthritis, growth pain or psychogenic pain in the early stage, is even considered to be a patient's illness. I heard the words of Wang Dong's mother that it has been ill many times, both I didn’t find out the problem.” Zheng Ren said as he walked, “So I want to go where possible.”
"The vascular keratoma on the ear is a typical feature, but it does not give a diagnosis. Finally, the cornea is not seen. Is this certain?"
Zheng Ren did not feel anything, casually said.
"Then you said so sure." Su Yun is still confused.
"I am not sure, Wang Dong's mother can't let it see." Zheng Ren said casually.
"..." Su Yun is speechless. "What if the diagnosis is wrong?"
"Looking at the cornea, the mistake is wrong, would you care? Wrong, I am an ordinary passerby. Right, I am the doctor of 912." Zheng Ren looked at Su Yun, a serious.
"Oh..." This is the first time that Su Yun heard from Zheng Ren’s mouth.
Usually, Zheng Ren is honest and honest, and he has never seen him so slick.
However, Su Yun turned to think about it. In the immediate situation, the background was the crowd of emergency pediatric troubles. It was a mess, and Zheng Ren really had no good idea.
If you change to yourself, things may be simpler.
Do you have such a handsome trafficker? Growing up like this, screaming and screaming, how much do you earn more than a trafficker?
Well, this is a world of looking faces. The boss is doing this, and it is also an ordinary person who has no way to be forced.
With such a thought, Su Yun was relieved.
"I remember, Fabre disease is a trihexosyl ceramide that cannot be metabolized, thus accumulating in lysosomes, leading to various clinical symptoms. X chromosome inheritance, men are more serious than women." Su Yun thought for a long time Finally, I found a trace of Fabre disease in my memory, "Boss, is the treatment of this disease good?"
"I don't know, I haven't seen it." Zheng Ren said: "Looking at the magazine, giving enzyme replacement therapy, the cost of treatment should not be very expensive."
"That's too bad, such a small child." Chang Yue sympathy.
"You understand it as diabetes. It's good to inject insulin every day. It doesn't affect anything. It's better than diabetics. At the very least, you don't have to control your diet." Zheng Ren changed his point of view.
One said that without controlling the diet, the Xie Yi nodded again and again.
In her opinion, if you can't eat a lot of things, then the world is really miserable.
Turning around the corner of the emergency room, I can't see the crowd in the emergency pediatrics, and suddenly feel back to the normal world, much quieter.
"In 912, this group of people is really big enough." Su Yun spit.
"It's normal. When you were absent a few days ago, the family members of the patients directly touched the inpatient department, saying that there is no empty bed here, why not let the hospital stay." Chang Yue said, "The nurse told him that it was given The bed reserved for the soldiers."
"And then the patient's family began to make trouble?"
"It's not too noisy. Anyway, I said a lot." Chang Yue said: "I don't bother to listen, just leave."
Https://
Genius website address:. Mobile version reading URL:
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