When the Doctor Uses A Hack -
Chapter 1097 - 1099: Genetic Diseases
Called the blood transfusion department, Chen Cang hurriedly said to Nurse Ke, "Check the blood sugar immediately!"
Upon hearing this, Nurse Ke immediately reacted and quickly checked the blood sugar.
After the blood sugar value came out, several nurses staring at the glucometer were stunned!
"Dr. Chen! It's off the charts..." Cheng Yi couldn't help but say.
Upon hearing this, Chen Cang also felt his heart sink to the bottom!
Sometimes, as a doctor, not knowing whether to be happy or worried when you correctly guess a patient's condition!
It really is a case of what you fear comes to pass!
"Insert a urinary catheter, urgently check the urine routine, pay attention to the urine ketone bodies."
"You go call the ultrasound doctor over, check the abdominal situation."
...
Chen Cang arranged everything methodically, and Lao Ma was also not idle on this side.
Lao Ma also guessed the patient's condition quite accurately.
Chen Cang's professional knowledge is very solid and reliable, which allowed Lao Ma to step away to prepare other things.
Because the young girl's blood lipid levels were outrageously high, it resulted in the blood displaying a pink coagulated state!
This situation is very dangerous and must be managed with equipment using extracorporeal circulation to "cleanse" the excess fat and other debris from her blood!
Chen Cang was preparing to lower the blood sugar, administering insulin.
Currently, the patient is largely suffering from diabetic ketoacidosis, but are there other diseases?
After all, the patient had severe abdominal pain before entering the clinic, and during the disease infusion period, the abdominal pain was unbearable!
This suggests the possibility of an acute abdomen!
Appendicitis?
Or cholecystitis?
Or perhaps... pancreatitis!
All three are possible, and here, the ultrasound doctor was also rushing over.
Hurry up and do an examination.
Upon this examination, the situation changed again.
Under the ultrasound, the pancreas was clearly swollen, with blurred edges, irregular, increased echogenicity, and unevenness, and there were small patchy hypoechoic or anechoic areas in the pancreas!
Acute pancreatitis!
Under ultrasound, clear pathological changes in the pancreas can be seen, but ultrasound is not clear in diagnosing pancreatitis, especially compared to CT in terms of the progression of pancreatitis.
After all, it is still necessary to consider whether there is a bile duct obstruction, should further examinations be completed?
"Dr. Chen, the blood pressure is only 80/40mmHg now!"
A sentence interrupted Chen Cang's thoughts.
Now, Chen Cang was about 70 to 80 percent sure that the patient had severe acute pancreatitis.
And it was indeed an acute reaction phase!
Forget it!
The priority now is to correct the shock, replenish plasma, and maintain hydro-electrolyte balance.
Thinking of this, Chen Cang began to prepare urgently.
After learning of the patient's condition, the laboratory personally sent someone to draw blood samples.
Such patients are too rare.
Chen Cang, having been in the emergency room for so long, was encountering this kind of situation for the first time.
The rescue work proceeded methodically!
At this time, Chen Cang said to the attending physician, "Keep watch, call me if anything happens, I'm going to ask the patient's parents about the situation."
At this moment, outside the resuscitation room, it was already a chaotic mess.
Wei Yayu and her husband Ge Xingye were both blaming the clinic doctor Miao Gaojun.
Ge Xingye glared at Miao Gaojun and roared, "You quack! If you are incompetent, don't open a clinic, do you even have a conscience!"
Miao Gaojun saw Ge Xingye like this and remained silent, sighing and sitting aside.
"You don't need to scold me, if there's a problem, I'll take responsibility. It's my responsibility and I won't shirk it. I won't leave the hospital today."
Wei Yayu crossed her arms and paced back and forth at the door.
This young lady's family situation is quite good; her mother is a senior executive at a foreign company, often traveling, with an office in the Philippines, and frequently going abroad, having just returned from staying there for half a year.
Her husband, Ge Xingye, is also a manager of a private company, overseeing twenty to thirty people, exuding a powerful presence.
After Chen Cang came out, he looked at Ge Xingye and Wei Yayu: "Family members, come over, I have some questions for you!"
Wei Yayu hurriedly ran over: "Doctor, what's the situation?"
Chen Cang took a deep breath: "The situation... is not optimistic!"
"We extracted a large amount of unhealthy blood from the patient, the specific lab indicators have just been sent out. The patient's blood sugar is very high, resulting in a coma caused by diabetic ketoacidosis!"
"But, at the same time, the patient has severe acute pancreatitis; in short, the situation is still very dangerous. Now, I see there are also issues with the liver; ultrasound can only show that it's fatty liver, we can't confirm whether there's hepatitis, I need to ask you, the family members, some questions!"
Wei Yayu quickly called Ge Xingye over: "Come over, the doctor wants to ask some questions."
Ge Xingye walked over indignantly.
Chen Cang, seeing Ge Xingye haranguing Miao Gaojun, couldn't help but sigh as well.
"Do you two have any hereditary diseases, or infectious diseases?" Chen Cang asked straightforwardly.
Over here, Wei Yayu shook her head: "No, I just had a checkup when I returned to the country, everything was fine."
"I was abroad recently, and just returned last week, the medical reports are all here, all pretty good."
At that moment, Ge Xingye suddenly paused; he had just arrived and hadn't heard everything, only catching the latter half of the conversation.
Just then, the bedside doctor, Xiao Zhao, suddenly said: "Dr. Chen, the patient's blood pressure has reached 90!"
Chen Cang nodded: "You could ask about this... it's quite necessary, tell me after I come out later."
Wei Yayu quickly nodded.
Ge Xingye's gaze seemed a bit dazed: "I... I'll go ask."
Wei Yayu gave him a disdainful look.
...
Ge Xingye's heart skipped a beat, the doctor had asked clearly, were there any genetic diseases? Or infectious diseases?
Thinking about this, Ge Xingye felt a lot of panic.
He took out his phone and ran outside to a place where no one was, and dialed a number.
"Hello? I wanted to ask you something, are you sick?"
A moment of silence on the other end!
"You found out too?" Then a woman's voice came through.
Hearing this, Ge Xingye shuddered in fear!
"What exactly is the disease! Speak quickly!" Ge Xingye asked anxiously, his eyes darting around vigilantly.
The woman sighed, "Syphilis!"
Ge Xingye immediately hung up the phone.
Angry, he felt like throwing his phone.
Could... syphilis be contagious?
During his wife's time abroad, he brought someone over to stay, afraid of being discovered, he chose his daughter's room...
But!
He had the housekeeping clean it up?
Could it still be found?
Thinking of this, Ge Xingye trembled all over.
After Chen Cang adjusted the plan and came out, he glanced at Wei Yayu: "Do the parents on both sides have any hereditary diseases?"
Wei Yayu nodded: "There's nothing on my side, his dad has diabetes and high blood pressure, oh! And cerebral infarction. Doctor, what's wrong?"
Chen Cang sighed, "It should be hereditary diabetes."
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