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Chapter 1305 1342 Have you ever encountered a situation where you opened it and saw nothing?

Zhou Congwen took the opportunity of chatting to ask Director Wen a few medical history, and then checked the child's health, and then took the previous information from Xiao Kai.

After reading it, Zhou Congwen handed over the information to Xiao Kai and said to Director Wen, "Director Wen, wait for me."

Director Wen frowned and was curious when he saw Zhou Congwen turn around and leave.

He has been tortured by his child's illness for many years, and he has no clear diagnosis, so he is worried about it when he says it.

It wasn't that short of time, Director Wen stood at the door and looked at Zhou Congwen's back.

Zhou Congwen went to the treatment room and soon walked out with a pair of disposable PVC film gloves.

This is……

"I'll check the individual for the child." Zhou Congwen looked at Director Wen with a puzzled look and smiled slightly.

"Hasn't you just finished the investigation?" Director Wen was puzzled..

"You need to see the location of YN." Zhou Congwen said, "I just asked about the medical history and the child said his thighs were also a little painful. I guess I was embarrassed to say the specific location."

Director Wen was stunned.

This is the most critical factor he believes that children "pretending to be sick", but Zhou Congwen said that this is the focus of diagnosis.

Could it be that I missed something?

He frowned and watched Zhou Congwen put on disposable PVC film gloves and took off the child's pants.

When he saw that Director Wen felt chill all over and was stunned.

There is a red maculopapular rash near the child's YN, similar to erysipelas. Although it is not big, it is only between 1-2cm, which looks shocking.

What's going on? Director Wen's heart was grabbed by his invisible hand and he squeezed it tightly.

Zhou Congwen looked around the child’s YN and quickly put on his pants and took off his gloves.

Before Zhou Congwen could throw his gloves into the trash can, Xiao Kai immediately reached out.

Zhou Congwen was stunned for a moment, Xiao Kai smiled faintly, took the glove and turned around and threw it away.

Damn, Zhou Congwen cursed in his heart, look at Dean Xiao!

Compared with Dean Xiao, the graduate students I taught before were so stupid as if they were a piece of wood.

However, Zhou Congwen didn't say anything. After handing the gloves to Xiao Kai, he said to Director Wen, "Check it out. We can't check it here. I'll ask 912. It probably won't work 912, so I have to contact Union."

"!!!" Director Wen was stunned, his mind was confused.

What's wrong with the child?!

"Director Wen? Director Wen?" Zhou Congwen called twice.

"Ah?!" Director Wen came back to his senses and curbed his panic. "Professor Zhou, what disease does the child have?"

“I think it’s familial Mediterranean fever.”

"..." Director Wen didn't seem to hear clearly, and he exclaimed, "What's the disease?"

"Familial Mediterranean fever." Zhou Congwen said affirmatively, "The onset age is young, with repeated periodic attacks. The inflammatory indicators are significantly increased during the attack and fall back during the attack. Gastrointestinal endoscopy and imaging examination cannot explain the patient's symptoms."

"In the case of similar situations, the first thing to consider is Mediterranean fever. Although this disease occurs frequently abroad, you can tell by seeing the name of the disease that there are more attacks around the Mediterranean, but we also have it in our country, and the number is not small."

"It's just that familial Mediterranean fever is a rare disease and is usually misdiagnosed."

Misdiagnosis!

These two words slapped Director Wen in the face like a slap.

For doctors, these two words are extremely fatal, just like taking Director Wen’s life. And this time there is a difference, the misdiagnosis is his own son.

This cannot be explained, it can only be said that my level is not enough.

He was about to refute, but he swallowed it back immediately when he reached his mouth.

The patient is his own son. Should he say that Zhou Congwen’s diagnosis is wrong or that his diagnosis is correct?

Although I don’t know what the hell is familial Mediterranean fever, Director Wen would rather want a confirmed diagnosis than just having a fever that is so confused.

The appendix has been removed, and the child's illness has not been cured for so many years...

Compared with the child's confirmed diagnosis, your old face does not seem to be very important. Your level is not enough, and it seems that you can accept it in front of the child's confirmed diagnosis.

Director Wen looked at Zhou Congwen in confusion, and finally nodded.

"Uh, I'll call to contact me." Zhou Congwen said, "If you need a genetic test, 912 doesn't seem to work. Oh, this test is very troublesome."

After hearing what Zhou Congwen said, Director Wen’s complicated mood became even more complicated.

"Director Deng, ask you something." Zhou Congwen called Deng Ming by phone.

Director Wen looked at Zhou Congwen's young figure and felt a little moved.

Look at others, keep silent and say 912, Union, look at yourself.

He knew very well that Zhou Congwen was not bragging... The world's number one cardiothoracic surgeon was able to stay at the academician workstation of the Second Hospital of Medical University because of Mr. Huang's stubbornness, otherwise he would have left long ago.

Director Wen corrected his mentality and his waist bent a little without realizing it.

"Can we do genetic testing for 912? To be precise, we check for pyrin proteins about Mediterranean fever."

"Oh, please help me ask if Union Medical College can do it. I'll wait for your phone call. Director Wen's child from the hepatobiliary surgery department has inexplicably had fever. It's been a few years since I suspect it's familial Mediterranean fever."

"Okay, then I'll wait for your call."

After hanging up the phone, Zhou Congwen saw Director Wen standing at the door of the emergency room with his body arched, and walked over and said, "Director Wen, wait a moment, my senior brother is in contact."

Senior brother, Director Wen almost spit out his old groove.

The senior brother who saw the ghost, but when he thought that the phone was the director of the Chest Department of 912, Director Wen couldn't help but bend his waist a little.

Zhou Congwen's seniority is really high. Director Wen thought of Mr. Huang and reluctantly realized that he might also call Zhou Congwen "Uncle Master".

Fortunately, I don’t like this thing now, otherwise it would be so embarrassing.

"Professor Zhou, I heard you say what protein it is, that's..."

"The pyrin protein, which is caused by mutations in the MEFV gene, is closely related to the innate immune system and is a functional protein that regulates the inflammasome."

Director Wen felt dizzy when he heard this.

He doesn't understand what protein and what gene encoding it is.

Zhou Congwen also felt that he had said too much, so he turned his head to look at Director Wen and smiled, "Director Wen, when you were not divided into subjects before, you were in the general public and had never encountered patients with acute abdominal disease but had nothing to do with it."

“!!!”

Director Wen was stunned for a moment, his eyes were straightened, and he was surprised that he had only one thought - how did Zhou Congwen know!

"It's okay to open it, but the patient still had a stomachache after closing the abdomen, which was more troublesome in the end." Zhou Congwen continued, "Your child's condition is quite mild, he had an appendix and had no signs of peritonitis.

The trouble is that severely ill patients feel very painful, and their signs of peritonitis are clear, but nothing can be seen after surgery."

"In general, most of the cases are considered Mediterranean heat."
Chapter completed!
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