I Can See Health

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"Fat man, where is the superior of your group?" Lu Chen said in a deep voice.

Cheng Peng grimaced and said, "Director Shao and Senior Brother Xia Gang have gone to the cath lab for surgery, and we are the only students left in the group."

Lu Chen immediately said: "Call them quickly. Be sure to inform them of the patient's condition, and then order an urgent blood test to check the patient's blood routine, liver and kidney function, cardiac enzymes, and electrolytes."

If the patient's condition changes, he should inform the superior doctor as soon as possible!

"Okay." Cheng Peng nodded.

Lu Chen usually has a high prestige among the freshmen, and everyone still trusts him.

Not only is he rumored to have been impaled in an elevator, but he also has the "feat" of getting full marks in the entrance examination.

"By the way, it's hard to quickly call for an emergency nephrology consultation." Lu Chen added.

"Are you sure this is an emergency consultation?"

"This situation definitely requires emergency consultation!" Lu Chen nodded, "The patient may need emergency dialysis."

"Yeah!" Cheng Peng also knew the seriousness of the matter and immediately called Director Shao Jun, and then asked other friends in the team to give medical advice.

…

"Junior brother, what were you discussing there just now?"

Sun Guoguo had long noticed the situation on Director Shao Jun's team.

Lu Chen paused and said, "Senior sister, when I was inserting a urinary catheter into bed 36 just now, I found that he hadn't urinated all day."

"Bed 36?" Sun Guoguo frowned, "What kind of patient is that?"

"I had an acute myocardial infarction. I just had a stent. Today is the second day after the operation. I was transferred to the CCU just now."

"Isn't Director Shao in the department?" Sun Guoguo looked around the office, but did not see Director Shao Jun or Xia Gang.

"He went to the operating room with the doctors in the team." Lu Chen said.

"Are you having surgery again?" Sun Guoguo shook her head helplessly, "Hey, Director Shao turned an internal medicine department into a surgery department. Junior brother, go and help the classmates in his group."

"Um."

After receiving Sun Guoguo's instruction, Lu Chen went directly to Cheng Peng without any scruples.

"Fat man, how are you? Have you contacted Director Shao?"

"No, no one answered the phone." Cheng Peng shook his head, "Maybe he was undergoing surgery, and Senior Brother Xia Gang didn't answer the phone either."

This can't go on like this!

"Fat man, please ask an intern from your group to go to the cath lab to find Director Shao." Lu Chen said.

"Okay, that's all we can do now."

…

Cheng Peng quickly ordered an intern to go to the CCU on the fourth floor to find Director Shao Jun and Senior Brother Xia Gang.

"Nephrology emergency consultation, which patient is this?"

A burly middle-aged male doctor walked in outside the office.

Judging from his body shape, he doesn't look like a physician, but more like a surgeon.

"Hey, Teacher Wang, why did you come for the consultation in person?"

Sun Guoguo asked kindly when she saw the middle-aged male doctor.

"Hey, Dr. Corey is very busy." Wang Jun smiled, "Guoguo, are you working alone now?"

"Teacher Wang, I have been working for several years." Sun Guoguo said with a smile.

"Oh, I forgot a little." Wang Jun patted his head, "Look at my memory... Oh, which bed is the patient being consulted on?"

At this time, Cheng Peng quickly stood up and said.

"Teacher, there are 36 beds for patients to be consulted. I will take you there to have a look."

"Well, okay." Wang Jun nodded and followed Cheng Peng out of the doctor's office, "What's the condition of the patient?"

"The patient's condition..."

Cheng Peng didn't know how to formulate his words for a moment, so he glanced at Lu Chen standing aside for help.

Lu Chen understood immediately and walked out of the doctor's office.

"Teacher, the patient's condition is like this." Lu Chen said, "He just completed the second day of interventional surgery for acute myocardial infarction. He has not urinated today. After I just inserted a urinary catheter into him, he only urinated a few times." Ten milliliters of urine, consider the possibility of acute renal failure.”

Wang Jun glanced at Lu Chen, "Are you the bedside doctor?"

Lu Chen was stunned for a moment, then shook his head.

"Teacher, I am the bed doctor." Cheng Peng whispered.

"You are a bed doctor, how can you ask others to explain your condition?" Wang Jun raised his eyebrows.

Cheng Peng was a little nervous and didn't know what to say for a while.

Lu Chen smiled and said, "Teacher, I inserted the urinary catheter into the patient just now. I happened to find that he didn't urinate today, so I have a better idea of ​​the changes in his condition."

"Don't you regularly record urine output after surgery?" Wang Jun asked doubtfully.

"It will record 24-hour urine output." Lu Chen said.

"Then why didn't the bedside doctor notice any abnormalities in urination?"

Wang Jun's series of questions made Cheng Peng sweat on his forehead.

Fat people tend to sweat easily.

When Wang Jun asked him this question, he felt that his palms and backs were all sweaty.

Lu Chen also felt the pressure from the middle-aged doctor in front of him.

"Who is your superior doctor?"

"Teacher, I was assigned by Director Shao Jun." Cheng Peng whispered.

"Oh, is that boy Xia Gang taking you?"

"Well, Senior Brother Xia will take me." Cheng Peng nodded.

"Then I understand, they really got into the surgery." Wang Jun shook his head helplessly, "Let's go see the patient first."

…

In front of the hospital bed.

Yang Song looked at the three doctors in front of him nervously.

He read a joke online that hospitalized patients are most afraid of having many doctors come to see you at the same time.

Either your condition is very typical, or your condition is very critical.

At this moment, Yang Song hopes that he is the former.

"Young man, don't be nervous, let me take a look at you." Wang Jun came to the bed and began to perform a physical examination on Yang Song.

"Fine crackles can be heard at the base of both lungs, heart auscultation is normal, and there is slight edema in both lower limbs."

Wang Jun told all the positive signs he had detected.

Lu Chen was surprised on the side.

At that time, he was only focusing on the situation that "the patient did not urinate" and forgot to examine the patient.

Such positive signs are very meaningful and mean that the patient is experiencing fluid retention at this time.

"Young man, you haven't urinated all day today?" Wang Jun said.

"Yes." Yang Song nodded, "Just when the urinary catheter was inserted, there was a little bit of urine."

Wang Jun put away his stethoscope and looked at Cheng Peng aside.

“What is the patient’s creatinine before and after surgery?”

Cheng Peng thought for a while and said: "It was normal before the operation, but a little higher after the operation."

"How high is it?" Wang Jun frowned.

"One hundred thirty or forty." Cheng Peng hesitated.

"How many patients do you care about? You can't even remember the patient's test values?" Wang Jun raised his eyebrows, then looked at Lu Chen standing aside, "Tell me, what is the patient's creatinine?"

"It was 73umolL before surgery, and the review on the first day after surgery was 141umolL."

Wang Jun glanced at Lu Chen in surprise, "What is the creatinine clearance rate?"

Lu Chen paused, "Teacher, I roughly calculated that his creatinine clearance rate should be 58mlmin."

"Well, UU Reading www.uukanshu.net is pretty good." Wang Jun finally showed a happy smile on his face, and they weren't all unreliable.

"Are you also under Director Shao Jun's team?"

"No, I was led by Teacher Li Yao, and now Senior Sister Sun Guoguo is taking me." Lu Chen said.

"Well, Guo Guo did a good job." Wang Jun smiled and walked out of the ward first.

Back to the doctor's office.

Wang Jun read the patient's disease course and auxiliary examinations.

"Student Lu, right? You think this patient has acute renal failure. What is the cause? Is there any basis for this?"

Upon hearing Teacher Wang's inquiry, everyone around them turned their attention to Lu Chen.

For the convenience of reading next time, you can click "Collect" below to record this reading record (Chapter 162 Acute Renal Failure (10/10 Please subscribe)), and you can see it next time you open the bookshelf!

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