Shen Lang felt something was wrong.

He felt like there were ten thousand ants crawling in his heart, which was itchy and uncomfortable. But when he thought of Zhou Congwen glanced at the patient and heard a few words about the patient's medical history, he showed a "had aversion" smile. He immediately felt powerless in his heart.

The patient in front of him did make Shen Lang very curious. He looked at the kind of body-taking that was mentioned, and it seemed that at least a fan who liked Peking Opera took over the body-taking of the old man.

As for whether he sang well, Shen Lang didn't understand at all, so he thought the words were straight and very nice.

However, Shen Lang knew Zhou Congwen and saw that Zhou Congwen was not in a hurry at all, he was sure that this guy had a clear diagnosis.

Curiosity and the two contradictory effects made Shen Lang particularly distressed.

He came to the door of the emergency room and looked inside, and was stunned for a moment.

Although the patient has other vital signs, the waveform on the electrocardiogram is paroxysmal supraventricular tachycardia!

This is so fatal!

Shen Lang hurriedly returned to Zhou Congwen and said hurriedly, "Congwen, the patient has paroxysmal supraventricular tachycardia!"

"Oh." Zhou Congwen smiled slightly, and did not move.

"Snap time to tell the emergency department doctor what you are diagnosing." Shen Lang was a little anxious.

Zhou Congwen looked at Shen Lang and made Shen Lang feel uncomfortable all over.

A few seconds later, Zhou Congwen asked, "Shen Lang, has the emergency department doctor given the corresponding treatment for tachycardia?"

“…”

Shen Lang felt that he must have been ruined by Zhou Congwenhua today.

Seeing that the electrocardiogram was not normal, I ran back and told Zhou Congwen, but forgot to ask the emergency department doctor what treatment he gave.

"Go and ask, I'll go out to smoke a cigarette, and you'll find me after asking."

After saying that, Zhou Congwen walked out of the corridor of the emergency department.

Shen Lang was speechless, and he had countless questions in his heart, and he asked the emergency department doctor as quickly as possible.

Soon, Shen Lang took the answer and trotted out to find Zhou Congwen.

Zhou Congwen sat by the flower bed at the door, smoking a cigarette. Although the weather was cold and his breathing was filled with misty air, he didn't seem to feel cold.

"Congwen, I gave it to you." Shen Lang said simply.

Zhou Congwen threw a cigarette and said to Shen Lang, "Tell me, what do you think."

"I have no ideas, no ideas at all." Shen Lang didn't hide anything in front of Zhou Congwen, and told the truth.

"Let me say that, what did you see when the patient pushed him in front of us just now?" Zhou Congwen asked.

"I saw the patient's lips cyanosis and heard him sing Peking Opera."

"The patient's eyes are a little bulging. Have you noticed it?" Zhou Congwen asked.

"..." Shen Lang shook his head.

He held it in his mouth, frowned and took out the lighter, fired it, but it was blown out by the wind.

Untied his coat, Shen Lang buried his head in his clothes, and slapped him three times, but he still didn't make any fire.

Zhou Congwen smiled and reached out and lit a cigarette for Shen Lang.

"What are you thinking?" Zhou Congwen asked.

"I'm wondering how you discovered it." Shen Lang was already awakened a lot by the cold wind at this time, and he frowned.

"Then I will tell you directly." Zhou Congwen sat down again with a smile. "When I saw the patient, I noticed that his conjunctiva had edema, a small amount of congestion, and his eyes were bulging. Although it was not particularly typical, it could barely be distinguished."

"Is it hyperthyroidism?" Shen Lang frowned and looked at Zhou Congwen.

"What you just said has not been in the past, that is not." Zhou Congwen said, "If you can believe you, the patient will rule out diseases such as hyperthyroidism."

Shen Lang was silent, holding a cigarette in his mouth thinking about what Zhou Congwen said.

"Since it's not hyperthyroidism, the patient's eyes still have..."

"Congwen, are you considering the increase in intracranial pressure?" Shen Lang asked.

"With this consideration, so when the reward is fine, things will be clearer." Zhou Congwen said, "Do you know that there is a clinical symptom called diplopia."

Double vision refers to an abnormal phenomenon in which two eyes feel like two images of objects.

There are many causes of diplopia, and diseases of the brain nerves or the brain itself may cause diplopia.

As long as one or several of the six muscles that control the rotation of the eyeballs are inflamed, trauma or neurological disorders, the muscle movements of both eyes will be inconsistent.

"Usually, double vision is a symptom that the patient described himself, but if you see too much, you will find that some of the patients' symptoms match the symptoms of the patients just now."

"Double vision, does it have anything to do with the patient's acting...?" Shen Lang asked in confusion.

Zhou Congwen stretched out his hand and wrote a "one" on the Canxue beside him.

Then, he wrote another "two".

"The second point is that you said the patient had fecal incontinence, right?"

"Yes! The smell is very big. I saw that the patient's family was a little confused. The doctor in the emergency department took a look and told the nurse that he wanted to help the patient with the mid-lane to do it at one time."

"Well, you can think it is incontinence, but from another perspective, can it be diarrhea?" Zhou Congwen asked.

Shen Lang stared at Zhou Congwen in a daze. From diarrhea to diarrhea, it had nothing to do with the patient's "body-taking". At least that's what Shen Lang thought.

"Third." Zhou Congwen wrote the next number on the snow again.

"The electrocardiogram shows paroxysmal supraventricular tachycardia, and the patient has a past history of flap replacement with heart disease."

Shen Lang nodded, his expression becoming more and more confused.

"Serum ions are still normal, only potassium ions are slightly higher. Near the upper limit of the normal value, it can not only rule out mental symptoms caused by ion disorders, but also..."

Zhou Congwen said, seeing Shen Lang's expression a little stiff, as if it was frozen by the cold wind, he smiled, "To put it simply, these conditions are enough. Now you think about what disease the patient is."

Shen Lang squatted in the snow, looking at Zhou Congwen's one, two, three, four, five written on the snow, and thought about it for a long time.

Zhou Congwen was not in a hurry, and looked at Shen Lang quietly.

The cigarette fireworks gradually faded away, but Shen Lang didn't notice that he seemed to be concentrating on something for the first time, completely forgetting himself.

After five minutes, Shen Lang looked up at Zhou Congwen and asked, "Digaoxin was poisoned?"

Zhou Congwen was extremely relieved.

Shen Lang is not a rotten wood. After carving it for a few times, he could find the correct answer.

Just a few conditions just now, it is impossible for a doctoral student who has been with him for about two years to have a clear diagnosis, but Shen Lang can find the answer in a very short time.

If Shen Lang is still talented, it is worth talking about so much that he has been guiding him to the "right path".

"Shen Lang, how did you guess?" Zhou Congwen asked.

"I've been reading books all the time, and you said so carefully that I have seen similar patients in the chest pain center. You almost told me the answer. If I can't guess it, I'd be stupid."
Chapter completed!