Doctor of Healing

Chapter 694

Ji Xiang roared as if he had discovered a treasure.

Meng Qingfei ran back quickly, and said while running, "Wait for me a moment!"

This was said to the patient, and it should not be a very serious patient, so Meng Qingfei immediately wanted to see the discoloration of the urine.

When he came to the duty room, Meng Qingfei saw at a glance that the urine cup on the table was slowly changing color.

Just like the urine of a porphyria patient turns red, the color of the apple juice coming out of the juicer from the patient's urine is gradually changing.

It was as if a drop of black ink had been dripped into the urine, and the black mass was rippling and gradually melting, watching the whole cup of urine turn black.

Meng Qingfei glanced at it and immediately took out his phone.

Ji Xiang was speechless about this.

Seeing a doctor on Baidu was originally a sarcasm, but I didn't expect Meng Qingfei, Teacher Meng, to enjoy it.

Shouldn't it be right at this time to directly say what the patient's problem is to be qualified?
"Teacher Meng..." Ji Xiang said softly.

"Wait a minute, let me check! The color of the urine is black, what is the disease?" Meng Qingfei said.

"Urinary tract tumors, there shouldn't be any, but we need to check carefully. It's really unreliable. Xiaoji, you were the first to train in the urology department, and now you are doing kidney cancer surgery. Have you ever seen black urine?" Meng Qingfei held The mobile phone began to make a differential diagnosis.

Ji Xiang couldn't laugh or cry, if he didn't know Meng Qingfei was Teacher Meng, he would definitely think he was here to make a joke.

"No, I guess it's dark red hematuria, which is described as black." Ji Xiang said helplessly.

"Yes, so this rule is ruled out." Meng Qingfei said to himself.

"Eating red dragon fruit and foods containing anthocyanins, eating too much urine will turn red and black, causing changes in the color components in the urine, which can usually be relieved by reducing the amount of food consumed." Meng Qingfei continued to hold the phone Make a differential diagnosis.

"This doesn't seem to be the case. The patient has eaten dragon fruit for 3 years? That's so loving. Besides, after eating dragon fruit, the stool is red, and black urine is rarely seen. This one is doubtful."

Ji Xiang watched Meng Qingfei doing differential diagnosis with his mobile phone, and found it very interesting.

"Orally taking cascara bark, senna, artificial bezoar, metronidazole, sorbitol, methylene blue and other drugs, these drugs contain specific substances, which react with tissues and organs in the human body, making the urine appear black."

"No, Xiaoji, have you ever heard of a case where eating senna leaves made the urine turn black?" Meng Qingfei mused, resting his chin.

"No." Ji Xiang reminded, "Mr. Meng, there are still patients outside."

Meng Qingfei patted his thigh, reluctantly put the phone into the pocket of his white clothes, wiped his hands behind his buttocks, and turned to see the patient.

Ji Xiang recalled Mr. Meng's Baidu differential diagnosis, feeling inexplicably complicated.

But it seems that Mr. Meng has found a breakthrough. Ji Xiang recalled and found that the key point of the problem was not the differential diagnosis on the Internet, but Meng Qingfei found the problem from the patient's underwear turning black, and then observed that the urine turned black.

Generally, it will be washed away after urination, and no one can see that there is a problem with the urine. If it is not hospitalization, indwelling catheterization, and the urine remains in the urine bag for several hours, it will not be discovered at all.

It seems that the whole step is not difficult, but Ji Xiang knows that there is a gap here, and Meng Qingfei directly crosses it.

If there are no pre-steps, even if you search through the online library, you may not be able to find the answer.

Ji Xiang quietly thought about Meng Qingfei's diagnosis process. Compared with the system NPC's performance of being more intelligent and close to monsters, Meng Qingfei is more like a living person with flesh and blood, a living doctor.

After ten minutes, Meng Qingfei walked in happily.

"Xiaoji! This is the first time I know that cascara bark is a diet product!"

"Uh……"

Ji Xiang saw Meng Qingfei flicking his cell phone, searching for information about cascara bark.

"Both cascara bark and senna leaves are medicines that cause diarrhea, and both may cause dark urine. I have never heard of it, but if you encounter similar problems in young women in the future, you must think of cascara bark superior."

Ji Xiang didn't know how to evaluate Meng Qingfei's unconstrained thinking.

"Again, metronidazole. I just asked, and the patient has no history of oral metronidazole."

"Mr. Meng, I haven't heard that metronidazole can cause urine to change color."

"I didn't find it either. The information on the Internet is always true and false. If you can't find it, put it there first. Generally speaking, taking metronidazole will cause the urine to darken, but it turns black, which is a bit too much." It's gone." Meng Qingfei said.

"One more thing - rare diseases such as hereditary methemoglobinemia, usually patients have dark urine due to methemoglobinuria."

Meng Qingfei said something that was very difficult to pronounce, and then began to recite it.

Ji Xiang wanted to cover his face in embarrassment.

However, Meng Qingfei didn't think there was anything wrong. After reciting a long passage on medical-related topics, he began to log on to various professional websites to find relevant information.

Finally looking like a professional doctor, Ji Xiang thought to himself.

Because of constant interruptions from patients, it took Meng Qingfei nearly an hour to select two case reports.

Black Diabetic Arthritis!

A mouthful and rare diagnosis surfaced.

Meng Qingfei happily took a picture of the phone in front of Jixiang, "Look, Xiaoji!"

His finger pointed to a passage, and Ji Xiang looked carefully.

[In the middle and late stage, a large amount of homogentisic acid is deposited in the tissues, and extensive skin pigmentation can be seen, especially the auricle, sclera, nose, and cheeks will appear brown or blue-black due to pigmentation, and osteoarthritis may occur in the terminal stage. 】

It took more than five hours from seeing the patient's doubts to finding out the evidence.

In the dead of night, the logical closed loop was finally completed.

Although Meng Qingfei used a lot of Internet searches, Ji Xiang had a different understanding of his behavior.

"Mr. Meng, it seems to be black diabetes arthritis, exactly the same as what we saw."

"The patient needs joint replacement. There is a precedent. Are you following Deng Chaohong in the orthopedics department?"

"Yes."

"Then I will talk to the patient's family at night. If they agree to the operation, I will ask the patient to come to you tomorrow, and you will take it to Deng Chaohong to have a look."

"Okay." Ji Xiang simply answered Meng Qingfei's words, and Meng Qingfei's dark white clothes seemed to be emitting light.

Meng Qingfei seemed very happy. He reached out his hand to find a cigarette in Ji Xiang's pocket, and lit one happily.

"Xiaoji, I found that your habit of bringing cigarettes is really good. I don't want to smoke more, so I don't bring it myself. It's easy and worry-free to touch cigarettes from your pocket, and I'm somewhat embarrassed, so I smoke less."

Ji Xiang looked at Meng Qingfei with a happy expression on his face. Anyway, Ji Xiang didn't see any embarrassment in him.

"Mr. Meng, do you often see a doctor like this?"

Meng Qingfei looked up at Ji Xiang, and smiled slightly, "A master's trick is to pick flowers and hurt people. Don't stick to one trick and one style, as long as you can see it well."

(End of this chapter)