This case is not particularly complicated, but it is easy to diagnose... but not so easy.

The patient is an elderly woman named Zhang Xiedi, who is 65 years old this year. The patient said that she started catching a cold a month ago and developed symptoms of dizziness and nausea and dry retching. This symptom lasted almost a whole month. It was fine if she lay flat. As long as she stood up or sat down, Zhang Xiedi would experience unbearable dizziness and nausea, and then she would have dry retching that she could not vomit anything.

The feeling of being there all the time makes people feel very uncomfortable, and Zhang Xiedi's own situation is quite special - she lost her father in her youth and lost her husband in middle age. She worked as a packaging workshop worker in a local flat glass factory, and forced her to raise her son Liu Banjun. Liu Banjun resolutely signed up for the army when she was twenty years old, and was selected as an armored soldier.

The heavy snow two years ago caused severe blizzards in Song'an Province and several surrounding provinces. Liu Banjun, the son of Zhang Xiedi, a soldier of the people, certainly had no choice but to take the winding mountain road with his comrades and help local traffic police and cleaning personnel to open the passageway. Any place where the machine could not pass was Liu Banjun and other comrades dug it out with iron pickaxes and even with both hands.

The excavation lasted almost a whole day. After the road was opened, even the young men in their twenties were exhausted. At this moment, Liu Banjun suddenly realized that a little soldier in his class seemed to be staggering at his feet. And less than one meter above his feet was a cliff.

Liu Banjun did not dare to speak loudly, for fear of scaring his comrades. He walked around behind his comrades without saying a word. Just when he was about to get in touch with his comrades, the little soldier's feet became soft and he fell towards the cliff.

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The little soldier did not fall off the cliff. The squad leader who rushed towards him was Zhang Xiedi's son Liu Banjun.

When the battalion commander who had lost one shoe and the regiment commander who had no coats rushed to the foot of the mountain, Liu Banjun's body was gone. It took a long time for the other soldiers to restrain his remains.

The rescued little soldier almost fainted from crying, and the other comrades were all red in their eyes and remained silent for a long time.

Two days later, Liu Banjun's regiment commander and comrades from the local people's armed forces conveyed the bad news to Zhang Xiedi. Zhang Xiedi suppressed the grief and talked about the situation with Liu Banjun's girlfriend before fainting.

He bravely rescued his comrades and even sacrificed his life. Liu Banjun was posthumously awarded the second-class merit, and Zhang Xiedi also became a family member of a revolutionary martyr. Because the staff of the local Civil Affairs Bureau understood that Zhang Xiedi's family was special, they would visit her home every month or so, help with housework and solve some life problems for her.

This time, Zhang Xiedi was sent to the emergency room. It was because the staff of the Civil Affairs Bureau who came to visit found that something was wrong. Then he quickly contacted the 120 ambulance. After arriving at the hospital, Zhou Jun found out that Zhang Xiedi's dizziness had lasted for almost a month.

"We have had a CT scan on her, and we also called the ENT department and had a vestibular function test for her." Zhou Jun saw that Sun Lien had studied for a long time and seemed to have not figured out the reason, so he explained, "There is nothing abnormal in both tests. But the patient still complained of dizziness and nausea."

"I'm just about to ask for an ENT department consultation first." Sun Lien smiled at Zhou Jun, and then continued to frown and read the report. Overall, there was nothing particularly surprising about this report - Zhang Xiedi herself did not have any abnormalities except that her blood pressure was slightly higher when she was admitted to the hospital.

But the problem lies in the "no abnormality". If the patient is abnormal everywhere, why would she still get sick? Sun Lien looked at the case several times and saw that except for the slightly low blood potassium content of the patient, and the report of hyponatremia and hypochlorous chlorine, there was almost nothing worth noting.

Zhang Xiedi's blood potassium content is actually not very low, at least it has not reached the point where the downward arrow needs to be marked on the test report - 3.6mmol/L. Although this level is relatively low, it is definitely not an abnormality.

Her blood sodium level was lower than the theoretical reference value - the detection value of 123.8mmol/L was lower than the normal minimum level of 135mmol/L, and the blood chlorine was lower than the reference value of 95mmol/L. Her test result was 92.9mmol/L.

In Sun Lien's opinion, these data are of course not normal, but they seem to be explained by dizziness, nausea and dry retching. If the patient has dizziness, nausea, then her usual diet and water will definitely be affected. Potassium, sodium, and chlorine are important substances that maintain the balance of electrolytes in the body. They are supplemented through diet and excreted from the body through metabolism. When the patient is unable to eat normally for a long time, the patient's electrolyte levels will inevitably decline.

In other words, the changes in these indicators seem to be the result of the disease rather than the cause. The real reason for the martyr's mother's discomfort is still hidden in the fog.

"This patient is a family member of a martyr, so the treatment fee can be taken from the Civil Affairs Bureau." Zhou Jun said at the right time that he was preparing to transfer the patient to Sun Lien. "But it is not a big deal for people to live in the emergency department now - I have either broken arms or broken legs all day long. When the old lady saw these patients, she was in a bad mood every day. Staying for a day or two was a helpless move. I have been living for three days. If I stayed there, I am afraid that the old lady would have any problems."

The emergency room is a place very close to death, especially in the emergency room - it is a battlefield almost every day. As Zhou Jun said, broken arms and legs are common. At least three or five people who die if they fail to rescue them in one day. Although the emergency room is large, it is indeed not appropriate to put an old man here.

"Why didn't it be transferred to the God?" Sun Lien asked with a frown, "Isn't this symptom of dizziness just right for the God?"

"The god thinks that the electrolyte of this patient is not right, so it should be handed over to the endocrinology first." Zhou Jun rolled his eyes invisibly and complained, "The endocrinology is willing to accept the patient, but the patient is determined to go. She said that the endocrinology department will not know anything except blood drawing."

Sun Lien blinked and asked, "The patient's compliance is not good?"

"Not that." Zhou Jun shook his head and said, "The patient's own compliance is very good, but he just refuses to go to the endocrinology department. No matter how he persuades her, she has no opinion at all."

This was strange. Sun Lien thought for a while and then asked, "I have no objection to the matter of transferring to our department. If the patient agrees, I will go back and receive it now."

"As long as it is not an endocrinology department, she seems to be fine." Zhou Jun was also a little confused about why the family of the martyr had such a big opinion on the endocrinology department. However, as long as the patient was transferred to another department, Zhou Jun would be content - continuing to put her in the emergency department, delaying the transfer rate of the hospital bed is a trivial matter. What if someone scares him?

After saying a few more words to Zhou Jun, Sun Lien turned around and entered the rescue room. According to Zhou Jun's guidance, he found the bedside near the wall. Then he saw this patient who had a lot of opinions about the endocrinology department.
Chapter completed!