When Chen Cang returned to the ward, the patient stopped twitching. It seems that this twitch is paroxysmal.

    Meng Xi took the medical record folder handed over by Chen Cang and opened the test sheet and image result report.

    Then he bent over and said to the patient, "I''ll check you. You lie flat and straighten your hips and knees."

    Meng Xi held the upper part of his ankle in his left hand, took out a pen in his pocket, quickly stroked from the outside of the blunt self-sufficient bottom to the root of his little finger, and then turned to the side of his big toe.

    Only the patient''s thumb was dorsiflexed, and the other four toes were fan-shaped.

    Chen Cang is stunned. BABINSKY''s disease is positive?!

    Meng Xi''s mouth rose slightly. Although he had not been diagnosed, he had an idea in his heart.

    The patient seemed to be a little uneasy: "doctor... What''s the matter with me? How did my hands and feet start to twitch well?"

    Meng Xi comforted, "it''s all right. Don''t worry. I''ll wait for Dr. Ge to bring the test sheet."

    Meng Xi can actually give a conclusion now, but for the sake of insurance, he still has to wait for the test sheet to come out.

    A group of graduate students, GUI Peisheng, dressed in white and holding a notebook, came into the ward with a turtle face, trying to see what heart disease can cause convulsions?

    After coming in, they stood in a row next to the wall one by one and gave way to the aisles on both sides of the bed. After all, they knew that once the patient had any situation, they could not help themselves. The two sides of the hospital bed and the aisles were position C, which were prepared for the big man.

    They just watch the big guy show quietly!

    Not long after, Ge Huai trotted in with a long string of test sheets before he could tear them open.

    "Director Meng, look, this is the test sheet."

    Meng Xi took the test sheet, turned it over, relaxed, and sure enough.

    Meng Xi asked Ge Huai, "what medicine did you use these two days?"

    Ge Huai was slightly stunned: "now we mainly use digitalis and diuretics to prevent heart failure."

    After hearing this, Meng Xi immediately frowned, turned his head and asked, "how do you consider the treatment plan after the patient is admitted to the ward."

    With Meng Xi''s questions in the room, the atmosphere suddenly became serious!

    Ge Huai was asked by Meng Xi and was speechless: "the patient''s ECG showed that the st was prolonged and the T wave was low, while the ultrasonic ECG could obviously see the enlargement of ventricular cavity, the thickening of ventricular septum, the decrease of pulsation, the incomplete closure of mitral valve and the obvious pericardial effusion. Therefore, I still considered the treatment of heart. After all, at that time... The test results have not come out."

    Without waiting for GE Huai to explain, Meng Xi said directly, "now the results come out. Take a look. What are you thinking about?"

    Ge Huai blushed. He had seen clearly on the way. How could he not understand: "this should be the excitation contraction European Union of myocardial fibers caused by the combined effect of low calcium and bottom blood magnesium. Low calcium affects the electrophysiological characteristics of myocardial cells and induces arrhythmia."

    "Patients with long-term hypocalcemia should be the main cause of limb paresthesia, muscle spasm and even hand and foot convulsions."

    The graduate students around suddenly realized.

    i see!

    Without any evaluation, Meng Xi turned to look at Chen Cang: "how much should blood calcium be normal? What''s the use?"

    Chen Cang was stunned. You forced me to pretend

    My physiological and biochemical indexes are taught by Mr. Fang Yonglin. This is the only perfect level skill I have!

    Without any pause, Chen Cang blurted out: "normal adult blood calcium is 2.25 ~ 2.75mmoll. Blood calcium has important functions in the human body. First, it is an important component of human bones and teeth. Second, it maintains the normal function of nerves, muscles and myocardium, and finally participates in blood coagulation."

    Meng Xi immediately glanced at Chen Cang with a calm face and some surprise.

    The graduate students around looked fantastic. Did the big guy rehearse in advance!

    It must be!

    You''ve been forced three times since the shift handover today.

    It''s no more than three... You''re going too far in this way?

    You look like we graduate students are fools

    You must have memorized the information, or rehearsed in advance. Today''s cliff is an acting.

    The students have some tears. Isn''t it our feeling that you pretend to be forced like this?

    How much can normal blood calcium remember? We''re still doing the blood routine. Are you all doing the ions?

    Back index is one of the essential basic qualities of clinical medical students. In emergency, we should know some common test sheets like the back of our hands.

    Meng Xi handed the test sheet to Chen Cang: "let''s see what information you can get through the test sheet."

    Chen Cang took the test sheet and looked at it at will, and immediately frowned slightly!

    This may not be a simple heart disease.

    Chen Cang looked up slightly: "teacher Meng, this may be a parathyroid heart disease!"

    Hearing this sentence, Meng Xi couldn''t help but give a meal.

    A group of students around looked at each other at a loss and made rapid eye contact!

    "What is this?"

    "Don''t look at me, I don''t know what this is!"

    "I know parathyroid gland and heart disease. Why don''t I know it when it''s piled together?"

    "What are you looking at? Look at me. I can do it?"

    After watching for a long time, they reached a final consensus!

    This guy wants to install a big ratio!

    It''s one lap bigger than the first three!

    Are we graduate students really going to be hit by a small undergraduate dimension promotion???

    Thinking of this, everyone felt lonely and cold on the sandbar

    When GE Huai heard what Chen Cang said, he suddenly recalled the term!

    A rare disease!

    First, I hesitated for a while, then I quickly took over the test sheet, looked carefully, meditated for a moment, and thought of all the manifestations of the patient. The more I looked, the clearer it was, and the more I looked, the more I was frightened!

    Finally realized!

    Yes!

    Why didn''t you think of it?

    This boy is great!

    Chen Cang was a little stunned. He found that no one paid attention to himself. Chen Cang felt that there was a lack of audience?

    Shouldn''t you have a voice of doubt?

    I''m so forced. I have to give me a face.

    After waiting for a few seconds, Chen Cang was disappointed to find that no one was talking.

    This time, five points... Failed!

    However, Chen Cang still felt that he should finish: "patients may suffer from idiopathic hypoparathyroidism. This disease is rare, but it is mostly sporadic and related to immunity. It can be clearly seen from the test indicators that although the proportion of lymphocytes in patients is normal, this proportion is very similar to that in patients with idiopathic parathyroid lymphocytes."

    "The patient''s blood calcium was only 1.9, the blood phosphorus increased to 1.59, and the serum immune activity parathyroid hormone was basically undetectable."

    "The reduction of PTH in patients can affect the myocardial contractility, and as Mr. Ge said, low blood calcium and low blood magnesium affect the contraction of myocardial fibers, so I guess it is paranail subtractive heart disease."

    "While low calcium, sodium excretion decreases, water and sodium retention can aggravate the burden of the heart, and the new function of the patient is not complete, so... * it seems that there is no problem with GE''s treatment."

    "However, if you supplement some calcium agents, such as oral vitamin D3 or luogai total calcitriol capsule, the effect may be better, and even heart failure may be alleviated!"

    After Chen Cang finished these words smoothly in one breath, he couldn''t help sighing. If he didn''t make a face, it would be meaningless

    Chen Cang''s voice has just fallen!

    Clapping applause came from outside the door.

    "Good! Good! Good!"

    Xia Gaofeng came in from the outside with an excited face. His eyes were filled with joy and joy. He is really a great talent and a bloody BMW!

    To tell the truth, Xia Gaofeng hasn''t met such a spiritual and capable student for a long time.

    This is no exaggeration.

    First of all, it has strong hands-on ability and good suture skills. Now, the analysis of diseases, especially the analysis of physiological and biochemical test indicators, can be said to be extremely detailed.

    The comprehensive analysis of these abilities can fully show a person''s clinical thinking and surgical talent!

    Thinking of this, Xia Gaofeng looked at Chen Cang with satisfaction: "good! The analysis is very reasonable!"

    At the peak of summer, many diseases are clear at a glance, and there are too many. The rare disease of hypoparathyroidism is not very rare for him.

    But for GE Huai, it may be very rare.

    What are you afraid of?

    I''m afraid of integration!

    Once a group of diseases pile up, it is difficult to prepare to identify the patient''s real disease.

    However, Chen Cang can analyze the heart disease with low parathyroid function in the test sheet of cardiac surgery.

    It''s really valuable!

    Hey

    It hurts to think that such students are not their own!