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Chapter 132 He Fights If He Wants!

 While Yu Zhiming was looking through the disease information, he was quickly thinking about various possibilities in his mind.

The elderly man developed rapidly bloody stools and edema in his lower limbs. The first thing Yu Zhiming thought of was kidney damage.

It is easy to understand that kidney damage causes blood in the stool.

As for edema, if the kidney function is not good, the body's metabolism will slow down, which will not be conducive to the body's discharge of excess water.

The excess water present in this part of the body will make people look bloated.

What causes kidney damage?

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

There are six kinds of medicines for oral administration, the main functions are anti-allergic, anti-inflammatory and antibiotics.

Perhaps the patient took too many anti-allergic or antibiotics when treating pityriasis rosea?

Many people have the problem of taking medicine randomly.

Perhaps this old man took too many medicines, which not only caused kidney damage, but also disrupted the body's functions and reduced his immune system, causing a series of subsequent physical symptoms?

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

But, will things be so simple?

This is a test given to him by Teacher Qi. He has to make two or three turns...

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

The old man’s condition shouldn’t be that simple!

Thinking of this, Yu Zhiming, who had already looked through the disease information again, started reading it again.

He seemed to remember a philosopher who said that when things are complicated and you can't find a solution, just look at the source.

Once you know why things started in the first place and the context for solving the problem, it will naturally become clear.

The source of the complex current 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 old man has been treating pityriasis rosea for more than a month, which is the most likely to cause problems.

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

It is a common self-limiting inflammatory skin disease.

Typical skin lesions are rose-colored macules and maculopapular rashes covered with bran-like scales.

It tends to occur on the trunk and limbs near the trunk, and usually resolves on its own within four to eight weeks.

Its cause is unknown, but it may be related to viral infection, allergies, and certain drugs can also cause it.

Immune dysfunction may also be related to it.

However, in Yu Zhiming's memory, skin diseases such as pityriasis rosea will not cause damage to the kidneys and other internal organs.

So, is there a possibility of misdiagnosis?

Canadian doctors are also human beings, and misdiagnosis is inevitable.

If the diagnosis is misdiagnosed, then the rash all over the body, which looks similar to pityriasis rosea, can cause damage to the internal organs?

Thinking of this step, a bright light suddenly flashed across 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 allergenic substances, resulting in increased capillary fragility and permeability.

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

All patients will experience varying degrees of purpura in the early stages of Henoch-Schonlein purpura, most of which are located on the limbs and buttocks, with the external appearance of purple-red papules.

Yu Zhiming quickly ran through the knowledge about allergic purpura in his mind, and it almost matched the old man's current physical symptoms.

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

Obviously, the old man was misdiagnosed in Canada, and his allergic purpura was diagnosed as pityriasis rosea.

The treatment is inappropriate, and the allergic substances in the body have not been effectively removed, causing the physical symptoms to become more serious.

Yu Zhiming looked at Qi Yue with confidence.

"Teacher, it's allergic purpura!"

Qi Yue raised his head and said calmly: "The diagnosis was correct, but it took nearly half an hour. It was just 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 slightly and waved his hand, indicating that Yu Zhiming could leave.

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

"Damn, there's so much pressure..."

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

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

7 patients with heart disease of varying severity.

16 patients with serious problems of other internal organs.

Suspected cancer patients, 0.

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

During the meal, Yu Xiangwan proposed that tomorrow is Fu Xiaoxue's military training parade for new recruits, and she would go visit it.

Gu Qingning said she wanted to go too.

She also said that she was as tired as a dead dog following Fu Xiaobo these two days, so she would take the opportunity to have 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: "Lao Wu, Xiaoxue's military parade ended in the morning. In the afternoon and tomorrow, they will rest to welcome the official start of university study life next Monday."
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"Xiaoxue asked me to remind you of the feast you promised?"

Yu Zhiming said casually: "Then let's make it tomorrow night."

"That Shandong restaurant?"

"Okay!"

Yu Xiangwan suggested again: "Aunt Xiaoxue's daughter, Zeng Yan, should we also invite her over?"

"My sister-in-law gave us such an expensive gift, we can't just ignore her daughter, right?"

Yu Zhiming hummed and said: "Sister, you can decide and arrange these things, I will only be responsible for paying for it!"

Yu Xiangwan responded with a smile, and then said: "Lao Wu, regarding cars, I chose one model each of Mercedes-Benz, BMW, Audi, Volvo and Cadillac."

"I also got several copies of the car model introduction, down payment price, installment payment, expenses and other related information."

"After you have eaten, take a look first."

Yu Zhiming let out an ooh and said with a smile: "Sister, why are you choosing big brands?"

Yu Xiangwan raised his eyebrows and said, "Of course. As a doctor now, you can't drive a million-dollar luxury car, so the brand of this car must be more powerful."

She said with excitement: "When those salesmen heard that it was a doctor from Huashan Hospital who was buying the car, they didn't need me to negotiate the price, and they directly gave me the best discount."

"Lao Wu, if I expose your name again, maybe I can get another discount."

"You can be considered a celebrity now."

Yu Zhiming chuckled and said, "Sister, that's not necessarily the case."

"Perhaps in the minds of those pretty salespeople, I am just a lecher who molests her..."

After dinner, Yu Zhiming looked through and compared a pile of car information brought back by the fourth sister, and was somewhat surprised to hear Gu Qingning chatting on the phone with her elder sister.

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

Yu Zhiming asked doubtfully: "Gu Qingning, you and my eldest sister are not familiar with each other. Do you have so much to say?"

Gu Qingning glanced at him sideways and hummed: "It is precisely because we are not familiar with each other that we have more topics to talk about."

"Didn't you hear that the topics we talk about most are about my eldest sister, my baby brother, and my baby son?"

After a moment of pause, Gu Qingning said with a stern look on her face: "Sister, I said that I have a share of the sweet potato sticks, peanuts, walnuts and other food sent this time!"

Yu Zhiming made a light noise and ignored the girl.

He came to the kitchen door and said to Yu Xiangwan, who was still busy in the kitchen: "I think these cars are all okay."

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

After nine o'clock in the evening, the small home where the Yu family's siblings lived received an unexpected visitor.

Gu Qingran and Hua Sifan!


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