Chapter 1818： lead poisoning!
"Please be quiet." Zheng Ren knocked on the table again. "The above two points, we can not identify patients with congenital porphyria and lead poisoning. So let us look at the next point."
"Long-term lead exposure can lead to elevated blood pressure, toxic myocarditis and myocardial damage. Lead can increase oxygen free radicals in the body, resulting in lipid peroxidation damage, including myocardial cell membrane and myocardial microsomal membrane.
It can affect the cation transport enzyme of myocardial microsomal membrane, overload the ca2+ ion in vascular cells such as aorta, accumulate ca2+ in myocardial cells, cause abnormal membrane ion transport, and cause myocardial cell dysfunction. ”
"I don't know the family history of the patients, and there is no relevant literature to report how the heart function will become after a certain age in patients with congenital porphyria. But the changes in heart function, I think and congenital porphyrins There is no relationship between illness and it looks like lead poisoning."
This is what Zheng Ren is going to do.
Lead poisoning, its own mechanism of action and porphyrin metabolism. It can lead to anemia, and its mechanism is closely related to hemoglobin synthesis disorders and hemolysis.
Acute lead poisoning is still well identified, but the differential diagnosis between chronic lead poisoning and porphyria is not as difficult as it is.
Only laboratory inspections can clearly distinguish the difference between the two.
The patient did not have a laboratory test for lead poisoning. Zheng Ren just wanted to bury a thorn inside the Bruch family.
Correct!
Just a thorn.
It may not be useful, but it may also cause mutual suspicion among members of the family.
Anyway, there is no cost, and it is only the "prestige" of the Bruch family. In the face of the threat, intimidation, arrogance and arrogance of Woomer, Zheng Ren did not feel that he had any prestige in the Bruch family.
This is Zheng Ren’s counterattack.
For this counterattack, Zheng Ren even drank a bottle of energy potion without hesitation.
At this time his mind was exceptionally clear, his mind was almost flat, and there were countless things in between.
From the stomach to the kidneys, to the heart, brain, and nervous system, Zheng Ren carefully analyzed every suspicious point.
The most professional term, the most intimate analysis, the most in-depth differential diagnosis.
Gradually, all the doctors in the field were silent.
How did the disease that seemed to take for granted a decisive and fundamental change at the discretion of this young doctor?
At first it felt ridiculous, but after listening to it for ten minutes, no one except Dr. Rudy was still anxious to return to London.
Su Yunyan looked at Zheng Ren with his eyes wide open.
Did the goods think so at the beginning?
Zheng Ren is so confident that the slightest hesitation at the beginning is also gone, and the rest is just self-confidence.
Talking about it, every sentence clearly points to lead poisoning, and it is definitely not a disease of congenital porphyria and at least ten people present.
Although Zheng Ren is talking nonsense, in the face of his powerful theoretical knowledge, everything is said to be decent.
......
In the huge bedroom, the old Roche was half lying on the bed.
He stared at the image on the screen.
It is so clear that every expression and every movement of Zheng Ren in the middle of the screen is so firm and provocative.
The big pig's hoof gave Zheng Ren's charm value to the maximum at this moment.
incite……
From the very beginning of disdain, to the later letter will be suspicious, and then to this moment, the old Roche heart defense line has been broken.
Although he reacted a lot slower than before, he is still responsive compared to ordinary people.
"He was the young man who had become a lifelong professor at the Massachusetts General Hospital for some time before?" asked Old Roche.
The young man around him replied respectfully: "Yes, adults."
"Dr. Olsen just wants to see the king three times?" Roche said mutteringly. "The words spoken by this young man are very inflammatory. I almost believe it."
"..." The young man around Roche is silent.
What seems to happen around him seems to have nothing to do with him. As long as you take care of the old Roche, this is the only thing he has to do.
"Go, go see him." Old Roche said.
"Your body..."
"Nothing." Old Roche smiled. "The strength of a wheelchair is still there."
The young man was silent, prepared a wheelchair, laid a soft mat on it, and put a black, hooded dress on the old Roche, which put him in a wheelchair.
"Sendi, what do you think of this young man?" asked Old Roche.
"Young, but very professional. But I don't know why he is poisoning lead. Your food is strictly examined. There is no possibility of lead poisoning." Sendi pushed the old Roche, faintly said.
"You guessed my appearance, would you scare this young man?"
"Adult, yes." Sendi smiled. "Your stalwart figure is enough to crush everything. No one can say a lie under your pressure Old Roche smiled. He tried to re-tighten the black cap. His hand was like a deformed animal's paw, constantly trembled, and a simple movement was difficult.
"Adult, I will help you." Sendi stopped immediately.
"No." Old Roche smiled mildly. The scars and blisters on his face were distorted. The smile did not make him feel awkward, but it became more and more terrifying.
"Adult, in fact, you don't have to go see the little doctor." Sendi said: "He may know that he won't get the Nobel Prize this year, in a crazy revenge."
"He is a clever young man. Every sentence just says that he is doing a differential diagnosis. But this thorn is left in the heart, and the struggles and frictions within the family will intensify." Old Roche slowly said: "It seems to have just arrived. The old castle, he still doesn't know what kind of person I am, should give him a lesson."
"I can go."
"I am still alive, this is very important. It is not only to let this young doctor know, but also to let all the guys who are ready to move." Old Roche finally covered his face completely with a black cap, not letting a trace of sunshine Come in.
Under the shadow of darkness, his eyes radiated a demon light.
Sendi no longer dissuaded, but quietly pushed the old Roche to the elevator and came to the room where Zheng Ren was analyzing the illness.
The doctors whispered and talked, and Rudy was silent at the moment.
He did not believe that it was lead poisoning, but Zheng Ren, who stood on the stage and did a differential diagnosis like a speech, could not refute every sentence.
At this moment, the old Roche's wheelchair was pushed in quietly, like a ghost.
Still looking for a "surgical live room" free novel?
Baidu direct search: \"easy to read novels\" reading novels is very simple!
(= Easy to read novels)
"Long-term lead exposure can lead to elevated blood pressure, toxic myocarditis and myocardial damage. Lead can increase oxygen free radicals in the body, resulting in lipid peroxidation damage, including myocardial cell membrane and myocardial microsomal membrane.
It can affect the cation transport enzyme of myocardial microsomal membrane, overload the ca2+ ion in vascular cells such as aorta, accumulate ca2+ in myocardial cells, cause abnormal membrane ion transport, and cause myocardial cell dysfunction. ”
"I don't know the family history of the patients, and there is no relevant literature to report how the heart function will become after a certain age in patients with congenital porphyria. But the changes in heart function, I think and congenital porphyrins There is no relationship between illness and it looks like lead poisoning."
This is what Zheng Ren is going to do.
Lead poisoning, its own mechanism of action and porphyrin metabolism. It can lead to anemia, and its mechanism is closely related to hemoglobin synthesis disorders and hemolysis.
Acute lead poisoning is still well identified, but the differential diagnosis between chronic lead poisoning and porphyria is not as difficult as it is.
Only laboratory inspections can clearly distinguish the difference between the two.
The patient did not have a laboratory test for lead poisoning. Zheng Ren just wanted to bury a thorn inside the Bruch family.
Correct!
Just a thorn.
It may not be useful, but it may also cause mutual suspicion among members of the family.
Anyway, there is no cost, and it is only the "prestige" of the Bruch family. In the face of the threat, intimidation, arrogance and arrogance of Woomer, Zheng Ren did not feel that he had any prestige in the Bruch family.
This is Zheng Ren’s counterattack.
For this counterattack, Zheng Ren even drank a bottle of energy potion without hesitation.
At this time his mind was exceptionally clear, his mind was almost flat, and there were countless things in between.
From the stomach to the kidneys, to the heart, brain, and nervous system, Zheng Ren carefully analyzed every suspicious point.
The most professional term, the most intimate analysis, the most in-depth differential diagnosis.
Gradually, all the doctors in the field were silent.
How did the disease that seemed to take for granted a decisive and fundamental change at the discretion of this young doctor?
At first it felt ridiculous, but after listening to it for ten minutes, no one except Dr. Rudy was still anxious to return to London.
Su Yunyan looked at Zheng Ren with his eyes wide open.
Did the goods think so at the beginning?
Zheng Ren is so confident that the slightest hesitation at the beginning is also gone, and the rest is just self-confidence.
Talking about it, every sentence clearly points to lead poisoning, and it is definitely not a disease of congenital porphyria and at least ten people present.
Although Zheng Ren is talking nonsense, in the face of his powerful theoretical knowledge, everything is said to be decent.
......
In the huge bedroom, the old Roche was half lying on the bed.
He stared at the image on the screen.
It is so clear that every expression and every movement of Zheng Ren in the middle of the screen is so firm and provocative.
The big pig's hoof gave Zheng Ren's charm value to the maximum at this moment.
incite……
From the very beginning of disdain, to the later letter will be suspicious, and then to this moment, the old Roche heart defense line has been broken.
Although he reacted a lot slower than before, he is still responsive compared to ordinary people.
"He was the young man who had become a lifelong professor at the Massachusetts General Hospital for some time before?" asked Old Roche.
The young man around him replied respectfully: "Yes, adults."
"Dr. Olsen just wants to see the king three times?" Roche said mutteringly. "The words spoken by this young man are very inflammatory. I almost believe it."
"..." The young man around Roche is silent.
What seems to happen around him seems to have nothing to do with him. As long as you take care of the old Roche, this is the only thing he has to do.
"Go, go see him." Old Roche said.
"Your body..."
"Nothing." Old Roche smiled. "The strength of a wheelchair is still there."
The young man was silent, prepared a wheelchair, laid a soft mat on it, and put a black, hooded dress on the old Roche, which put him in a wheelchair.
"Sendi, what do you think of this young man?" asked Old Roche.
"Young, but very professional. But I don't know why he is poisoning lead. Your food is strictly examined. There is no possibility of lead poisoning." Sendi pushed the old Roche, faintly said.
"You guessed my appearance, would you scare this young man?"
"Adult, yes." Sendi smiled. "Your stalwart figure is enough to crush everything. No one can say a lie under your pressure Old Roche smiled. He tried to re-tighten the black cap. His hand was like a deformed animal's paw, constantly trembled, and a simple movement was difficult.
"Adult, I will help you." Sendi stopped immediately.
"No." Old Roche smiled mildly. The scars and blisters on his face were distorted. The smile did not make him feel awkward, but it became more and more terrifying.
"Adult, in fact, you don't have to go see the little doctor." Sendi said: "He may know that he won't get the Nobel Prize this year, in a crazy revenge."
"He is a clever young man. Every sentence just says that he is doing a differential diagnosis. But this thorn is left in the heart, and the struggles and frictions within the family will intensify." Old Roche slowly said: "It seems to have just arrived. The old castle, he still doesn't know what kind of person I am, should give him a lesson."
"I can go."
"I am still alive, this is very important. It is not only to let this young doctor know, but also to let all the guys who are ready to move." Old Roche finally covered his face completely with a black cap, not letting a trace of sunshine Come in.
Under the shadow of darkness, his eyes radiated a demon light.
Sendi no longer dissuaded, but quietly pushed the old Roche to the elevator and came to the room where Zheng Ren was analyzing the illness.
The doctors whispered and talked, and Rudy was silent at the moment.
He did not believe that it was lead poisoning, but Zheng Ren, who stood on the stage and did a differential diagnosis like a speech, could not refute every sentence.
At this moment, the old Roche's wheelchair was pushed in quietly, like a ghost.
Still looking for a "surgical live room" free novel?
Baidu direct search: \"easy to read novels\" reading novels is very simple!
(= Easy to read novels)
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