Sleepless Doctor

"Professor Wu."

Wu Mian got into the 120 ambulance, and a doctor in the car said, "The child still has a breath."

"Lower the urinary tube, monitor urine output, and observe how diabetes insipidus is." Wu Mian said.

"Okay." The doctor turned around and gave the child a urinary tube.

"Teacher Wu, what is the child's disease?" the doctor asked as he was busy.

"Han Xue Ke's syndrome." Wu Mian said.

Wait for the doctor to finish the urinary catheter and start the physical examination.

"Floating teeth are the most typical manifestation of Hanxueko's syndrome." Wu Mian said, "Unilateral protruding eyes and osteolytic changes can be basically judged."

"How do I go back to rescue?" The doctor asked distressedly, looking at the value on the ECG monitoring.

Han Xue Ke’s syndrome, he...doesn’t even know what it is.

"Treat hypokalemia." Wu Mian sat back in her seat and said lightly, "By the way, don't do any treatment for the patient's diabetes insipidus."

"..."

"I have encountered a similar patient before. The hospital gave psituitrin and dihydrogen urinary plug. The result was a big problem. After symptomatic treatment, the blood potassium directly rose from 1.5 to 6.2, almost dead."

"Uh...no treatment?"

"Yeah." Wu Mian nodded, "The patient's diabetes insipidus is due to lack of ADH, which causes a large amount of hypotonic fresh water to be lost from the urine, and sodium is not eliminated along with it, so the body becomes a salt pool, and sodium will increase. Higher."

"The characteristic of this kind of patients is that they drink a lot of water every day, about 10,000ml, and urinate after drinking." Wu Mian sighed, "It's okay if you don't have treatment. The existing technology is used for treatment, and the child will soon be treated. Complications such as epilepsy will occur. The traffickers gave the children medicine for diabetes insipidus, so the serum ions responded quickly."

"The compressed tablets of the oral deaminization acetate were found in the woman's bag and handed over to the police." Wu Mian said naturally, staring at the child without blinking.

Incurable disease...120 The emergency doctor froze for a moment.

Rehydration, symptomatic, the child's condition improved after 30 minutes. 120 The emergency doctor finally breathed a sigh of relief, sometimes asking what happened.

"Ms. Wu, what's going on here today, this is the first time I have seen special police dispatched."

"A group of human traffickers." Wu Mian said, "In the past, they bought children with congenital diseases in remote villages, mainly congenital heart diseases. For example, Han Xue Ke's syndrome is rare."

"Huh? Why do you buy a sick child?"

"Ten or 20 years ago, in a place with a lot of people like the train station, children with congenital heart disease went to beg, and the business was very good. After all, there were still many well-intentioned people. A hundred yuan in income."

I didn't think it was much money at first, but the 120 emergency doctor thought about it 20 years ago and couldn't help but slap his tongue.

And there is not only one child, but many children, and this income is extremely impressive.

"It's so wicked."

"There have been too many wicked things. You should have seen a lot as a doctor," Wu Mian said. "I assisted the Ministry of Public Security six years ago as a technical diagnostic expert in the investigation of this major case. I didn't expect to have any. The fish that slipped through the net, I met today."

"How dare that mastermind commit another crime without fear of being recognized?" the emergency doctor 120 asked suspiciously.

"He had a plastic surgery, and his former colleagues probably didn't know him." Wu Mian said, "And now the train station is different from before. Their main energy is spent on the hospital. You've heard of it, come with a dead child. The hospital prescribes medicines, and that's the kind of wrong money."

"..." The 120 emergency doctor was startled, "Unexpectedly, it was still a gang."

"Normally not, this one is different."

The 120 emergency doctor was confused. He was called in hastily to cooperate. At that time, there was a lot of enthusiasm and thought it was to arrest criminals. I didn't expect Teacher Wu to go up with a few mouthfuls and beat people honestly with a single fall.

"Teacher Wu, did you know it early in the morning?"

"I took a look at the news after I heard the news." Wu Mian said, "Later Dean Zhou sent me a video. The appearance of the child is a typical Han Xueke syndrome. At that time, I was wondering if there would be any accidents. Condition."

"What happened later?" 120 emergency doctors came in interest, and they could blow this out for several years.

"Section Chief Duan sent another photo. I saw the person negotiating and knew that it was a slippery fish, so there is no doubt."

"Isn't it plastic surgery?" The 120 emergency doctor seized a flaw in Wu Mian and asked.

"Well, it's really hard to tell the current plastic surgery." Wu Mian nodded, "but there are always some places that can't be adjusted, such as the distance between the frontal bone, nostrils, and eyebrows. Changed a face, these places I usually don’t move, because no one will notice."

"..." The 120 emergency doctor was startled.

It is true that very few people grind the frontal bones, and generally grind the cheekbones and cheekbones. And the size of the nostrils... who cares about this. Then there is the distance between the eyebrows, which sounds like a fantasy.

"Ms. Wu, can you tell the difference clearly?" the emergency doctor 120 asked in surprise.

"Well, you can know it at a glance." Wu Mian smiled, "Especially for the frontal bone, neurosurgical craniotomy is done a lot. You can know the size of the frontal bone at a glance, and what impact will it have on the operation."

"What's the impact?"

"You are not a neurosurgeon, and you don't understand what you said." Wu Mian smiled, "Plastic surgery is basically useless to me. Even if I change my face, I rarely use my frontal bones."

"..." The 120 emergency doctor said with emotion, "Mr. Wu, you are really a super brain."

"It's not a super brain." Wu Mian smiled, "Brother Shui can find out the 520 water cups of the same type that he has seen before. This kind of people and things are not uncommon."

120 Emergency doctors slapped their tongues. Teacher Wu was not talking about the world he was in. Those people should be geniuses.

"Can you do it too?" the emergency doctor 120 asked Xiner.

"Almost." Wu Mian smiled.

"Ms. Wu, you haven't finished talking, how did you make a clear diagnosis."

"It's very simple. UU reading www.uukanshu.com general illnesses will not cause large-scale fluctuations in serum ions in a short period of time. They are self-defeating and thought they had left iron evidence, but they did not expect that there is no flawless means of corrupting people. ."

"In addition to the typical physical signs of suspended teeth, there is nothing wrong with the diagnosis."

"CT images show extensive osteolytic destruction of the mandible accompanied by tooth suspension, and the lesions are often round or round-like bone defects. When the cortex of the mandible is invaded, soft tissue swelling around the mass may appear. The characteristic is bone eosinophilia. A common sign when granulomatous lesions occur in the jaws."

Wu Mian saw that the 120 emergency doctor was like a duck listening to thunder, and he smiled, "It is almost impossible to find a complete tooth with a mouthful of mouth. The remaining loose teeth seem to be suspended on the gums, called floating teeth. Rarely, you Take a look, you won’t be misdiagnosed if you encounter it again in the future."

"When you encounter this kind of patient, you must be careful and never treat it." Wu Mian said, "It's a rare disease."

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