good brother of successor Wilson the car drove into the old lover Cuddy after the living room, it was hurt House finally, a new stinger was found in the detention center waiting for parole aaa。 of course, the screenwriter did not forget to House install new children for training: this time House what conquered is a beautiful female doctor with a mixed-race face Adams。House a surprising talent is once again shown in the new episode. the extraordinary observation skills, bold reasoning, the odd-looking style and magical physical examination skills are fully visible. once in Hopkins the top students trained Adams the doctor's attitude also turned from the initial arrogance to the surprise, and eventually became House followers of action. the cases in this episode are still rare. unlike usual, House this time, there is no sufficient medical resources to use, and diagnosis depends entirely on the most primitive means. a young man suffered from joint pain, fever, rash and other symptoms in prison. Adams at first it was gonorrhea, but House it was overturned with a more convincing lupus erythematosus Adams。 however, the patient's performance is much more than that. the man's fingers that were yellowed by tobacco and the subsequent fracture caused the House turning to the diagnosis of advanced lung cancer. at this time House auscultural skills: without a stethoscope House accurately detect the presence of shadows in the patient's lungs. experienced clinical experts can understand the patient's lungs through tapping, and there are even strangers who can estimate the patient's heart by just auscultation. EF values ​​(ejection fraction, usually require the help of cardiac ultrasound for simulation calculations). House the talent is probably concentrated on the legend of the most experienced doctors in the world. of course, for most mortals with moderate abilities, pursuing this state is actually far less than reading a chest x-ray or arranging a reliable ultrasound insurance. House the magic did not help the patient, and the chest radiograph showed that the man's lung shadow was not cancer. the patient's symptoms of bleeding are not consistent with the hypercoagulant state that is often seen in advanced lung cancer, and the condition becomes more complicated. in addition, the patient suffered from allergic shock. fortunately, the doctor was present, and the tracheotomy in a simple situation saved the young man's life. now, all clinical manifestations are finally complete: coagulation dysfunction, rash, osteoporosis, allergies. what will be the answer? what's about to leave House mastocytosis thought of Mastocytosis）。 this hematologic disease can invade multiple systems throughout the body and often manifests as episodic allergies. mast cells release inflammatory mediators such as histamine, causing patients to develop urticaria, laryngeal edema and even suffocation. however, allergic signs such as flushing and hypotension are not limited to mastocytosis. before making this diagnosis, sepsis, carcinoid syndrome, and neuroendocrine tumors need to be carefully considered. VIP tumors or pheochromocytoma, medullary thyroid carcinoma and other diseases. the elimination of these diseases requires careful systemic examination and multiple laboratory examinations. House the screenwriter simplified the details here and chose to use aspirin for a simple diagnosis. aspirin (acetylsalicylic acid) is a cyclooxygenase inhibitor that inhibits prostaglandins ( PG） biosynthesis, while promoting the production of allergic mediator leukotrienes ( LT）， enhance allergic reactions induced by mast cells. therefore, when patients with existing allergic potential take aspirin, they are likely to induce allergic shock on the spot. this will help rule out similar manifestations caused by other reasons mentioned above. the notes on dinner proof, House i guessed the ending again. of course, the highlight of this show is far from this case itself. House when he was in a crisis in the world, he did not forget to save the poisoned pet cricket for his roommate. the methods he used were still refreshing. and this successful rescue was later House rescue in chaos laid the foreshadowing. House the talent comes from the screenwriter. can write all kinds of strange cases House the screenwriter has a considerable medical foundation. coincidentally, there is a case report about mastocytosis in the new england journal of medicine. in this report, patients' allergic symptoms worsened after aspirin use, massachusetts general hospital ( MGH） realistic version of House we finally confirmed the condition through careful diagnosis and treatment. of course, in terms of identification, analysis and treatment details, professional medical journals reflect another aesthetic. this episode House is the prototype of the story derived from this? and such a professional attitude is probably just a height that domestic screenwriters cannot reach.