I Can See Health

Latest website: Seeing the system prompts, Lu Chen was extremely shocked.

Originally, the system could not only receive gratitude points, but also clinical thinking insights!

And right now, I was given a clinical thinking skills book.

Although it is only a basic skill book, it is enough for Lu Chen now.

If this clinical thinking skills book were to be measured by a gratitude value, it would definitely exceed all current skill books and skill cards.

This is also a skill that all doctors dream of.

Lu Chen is just a "rookie" who has just entered clinical practice. He may have accumulated quite good knowledge in cardiovascular medicine, but when it comes to other departments, his knowledge reserve is somewhat stretched!

With a thought, Lu Chen immediately used this "Clinical Thinking Skills Book".

After using the skill book, he didn't feel any different.

However, according to the previous method of using the system skill book, this does not directly instill various knowledge, but requires him to practice it himself.

So, Lu Chen turned his attention back to the case in front of him.

…

"Are there any other teachers who have any different diagnostic opinions or any good suggestions for the current treatment plan?"

Wang Peng stood on the rostrum and looked around at the crowd.

So far in this discussion, although there are many opinions, not many are reliable.

Among them, hht diagnosed by teacher Xu Zhonghuang is one of the more reasonable diagnoses to solve the patient's gastrointestinal bleeding.

However, how to explain the patient's myocardial infarction and cerebral infarction?

Everyone in the audience whispered, but no one stood up to speak.

Lu Chen has been immersed in the insights brought to him by the clinical thinking skills book.

When he reviewed the case, he saw something different from before.

The patient's thrombosis and bleeding, these two contradictory symptoms, seem to be separated, but are there any inner connections?

Lu Chen turned to look at Li Yao, who was standing aside, and said softly: "Teacher, tell me, if all the patient's conditions are explained in terms of monism, will there be any connection between the patient's cerebral infarction, myocardial infarction, and gastrointestinal bleeding?"

When Li Yao heard Lu Chen's words, she was stunned for a moment and then fell into deep thought.

Thrombosis and bleeding, two completely opposite things, how can they be related?

If it had been said by another student, she might not have cared so much.

But this came from Lu Chen's mouth, and Li Yao couldn't help but take it to heart.

…

"If no teacher continues to speak, then this college-wide discussion will be over. Thank you everyone..."

Before Wang Peng finished speaking, Li Yao suddenly stood up.

Wang Peng's words were forcefully suppressed.

"Director Li, do you... have any other opinions?"

Everyone passed the microphone to Li Yao's hand.

Li Yao smiled slightly, "Since I have some ideas and some tips from my students, I will just say a few words."

"Teacher Li, please tell me." Wang Peng smiled.

Everyone present automatically ignored Li Yao's "tips from students."

Li Yao lowered her head and glanced at Lu Chen beside her, and then said slowly.

"Based on the medical history, physical examination and related examination results, the possibility of paradoxical embolism cannot be ruled out."

As soon as Li Yao stood up, Lu Chen opened his small notebook again.

"Contradictory embolism, what is this?"

Lu Chen had some doubts in his heart.

This is another new knowledge point!

"Paradoxical embolism, also known as paradoxical embolism and bizarre embolism."

It means that thrombus in the venous system and right atrium enters the left heart system from the right heart system through intracardiac communication, causing arterial embolism in the heart, brain, kidneys and peripheral blood vessels.

Common causes of paradoxical embolism are: ventricular septal defect, patent ductus arteriosus, atrial septal defect, pulmonary arteriovenous malformation and patent foramen ovale, the most common of which is patent foramen ovale.

At this time, Director Yang from the third cardiac area slowly spoke out: "Director Li, we have just considered the diagnosis of paradoxical embolism, but through esophageal ultrasound, no cardiac chambers such as patent foramen ovale were found. Internal shunt disease, so these diseases should be ruled out.”

Everyone looked at Li Yao in unison, feeling that it was impossible for the director of the Eighth District to just give this explanation of his condition.

They pricked up their ears to hear what other explanations Li Yao could give.

Li Yao still had a slight smile on her face.

"If intracardiac shunt disease has been ruled out, has pulmonary arteriovenous malformation been ruled out?"

Director Yang heard this and shook his head: "This disease is relatively rare, so we have not considered it for the time being."

Li Yao smiled and continued: "Let's forget about pulmonary arteriovenous malformations for now. Let's talk about hht that Director Xu Zhonghuang just talked about."

Everyone here didn't know why.

Regarding hht, teacher Xu Zhonghuang has made it very clear just now.

What is Li Yao doing?

Only when Xu Zhonghuang heard Li Yao's words, he frowned at first, and then his face was stunned, revealing a hint of surprise!

"Pulmonary artery malformation and hht?!"

He raised his head and glanced at Li Yao who was speaking, with a hint of admiration in his eyes.

At this time, Li Yao's words continued to come from his ears.

"hht, as we all know, this disease is a hereditary disease caused by abnormal development of blood vessel walls. This disease mostly occurs in young and middle-aged people, and can affect both men and women. Its typical lesions are bright red on the skin and mucous membranes. Or purple capillaries or small blood vessels dilate, causing bleeding in the skin and mucous membranes or gastrointestinal bleeding.”

Everyone was even more puzzled after hearing what Li Yao said.

She did not introduce new viewpoints, but recounted the characteristics of hht.

"Director Li, we all know about your hht," Wang Peng said on the stage.

"Then do you know what the pathophysiology of hht is?" Li Yao asked with a smile.

"Ah? This..." Wang Peng was stunned.

He is a cardiologist, so how does he know the pathophysiology of HHT?

Li Yao smiled and said: "hht, its basic pathological changes are that the smooth muscles of small arteries and small veins are incomplete, and the surrounding matrix lacks elastic tissue."

"The earliest morphological abnormality is postcapillary venular dilatation. As the venules dilate, the venules curl into clumps, and eventually, the capillaries connecting the arterioles and venules disappear, and the arterioles connect directly to the venules."

"This is the reason for the formation of arteriovenous fistula. If this morphological change occurs in the pulmonary blood vessels, it is a pulmonary vascular malformation-pulmonary arteriovenous fistula!"

Before Li Yao finished speaking, Director Yang from District 3 was the first to react.

"hht, UU Reading www.uukanshu.net first causes bleeding, and then causes pulmonary artery malformation. Pulmonary arteriovenous fistula will form thrombus. The thrombus travels with the blood circulation and reaches the patient's heart, coronary artery and cerebral blood vessels, causing myocardial infarction and cerebral infarction. stem!"

Therefore, myocardial infarction, cerebral infarction, and digestive tract will appear in one patient!

That’s all.

Everyone here is a doctor from a top tertiary hospital, so they understood instantly.

A hht caused all the chain reactions for the patient!

Lu Chen finished listening to Teacher Li Yao's explanation.

It’s like the layers of fog have been lifted away, and you feel like you’re invigorated and enlightened!

"Congratulations on receiving clinical insights!"

The system beep sounded again, but this time no skill book was received.

7017k