I Can See Health

Leave the eight zones in your heart.

Lu Chen bought a box lunch in the cafeteria and returned to his dormitory.

Back in his dormitory, he ate and sorted out the contents involved in the national natural bidding document.

He envisioned that the prerequisite for multi-center clinical research is to pass the National Natural Science Project!

Once it fails, all efforts made so far will be in vain.

"The nearest meal in the cafeteria has too little oil and water, and no meat at all." Lu Chen took a few bites and put the lunch aside.

At noon, Lu Chen rested for half an hour and then went to work.

…

It's winter, a time when respiratory and cardiovascular diseases are most common.

In the afternoon, Lu Chen admitted three more patients one after another.

Just as he finished writing the course record of the third patient, the fourth patient arrived again!

Ward 1 of the Department of Respiratory Medicine, doctor's office.

Wang Defa, an intern in the team, was following Lu Chen.

"Junior brother, let's go collect the fourth patient."

"Huh? Okay..."

Wang Defa is quite clever, but he is usually a bit unreliable and he is not very willing to take the initiative to accept patients.

During this period of time, Lu Chen also wanted to give him a hand and teach him a lesson.

Otherwise, after this internship period, you will know nothing and will not be able to justify it.

…

The two came to the ward.

This is a female patient about sixty years old. She is dressed simply and has some gray hair.

Next to her was a middle-aged woman in her thirties.

However, when Lu Chen walked into the ward and saw the patient, he was stunned.

The health value on the patient's head shows 49 (---).

The changing trend of three minus signs!

This is incredible!

The health value is already below the 60 limit, and looking at the changing trend, it is likely to continue to decline!

Lu Chen was shocked and immediately stepped forward to check on the patient's condition.

Wang Defa on the side was still a little surprised. Why did senior brother Lu Chen suddenly become nervous?

When he came to the patient, Lu Chen noticed that the patient's mental state seemed not right.

She was half lying on the bed, her eyes slightly squinted.

His face and lips were slightly pale, and his asthma was obvious.

"Mom!" Lu Chen gently patted the patient's shoulder.

The patient slowly opened his eyes and saw the doctor in front of him. He said a weak "hmm" and then closed his eyes again.

"Auntie, what's wrong with you? Do you want to sleep?" Lu Chen felt the patient's pulse and then motioned to Wang De beside him to take a blood pressure measurement.

"Yeah." The patient murmured without opening his eyes.

Lu Chen immediately frowned and said to the middle-aged woman beside him, "Who are you as a patient?"

"I, I am her daughter-in-law." The middle-aged woman was a little reserved, and her Mandarin still had a local dialect.

"Has your mental state always been like this?" Lu Chen asked.

"No, my mother, she was fine at home before and could still work at home." The middle-aged woman said, "Just in the past half month, for some reason, she often coughed and phlegm, and kept saying she was very tired. ,Want sleep."

Cough, expectoration, and want to sleep?

Lu Chen felt that things were not that simple.

At this time, Wang Defa also finished measuring his blood pressure and said, "Brother, the blood pressure is around 100/60mmhg."

"Yes." Lu Chen nodded, "Let's do another electrocardiogram."

Electrocardiogram and blood pressure are all routine requirements for admission.

"Uh, okay." Wang Defa was a little reluctant, but still went to bring over the electrocardiograph.

Taking advantage of this time, Lu Chen began to ask the patient's family members about their condition.

For emergency patients like this, do not panic.

Inquiring about the patient's condition is a critical step. It can help us understand the patient's condition and provide an impression of diagnosis.

"Doctor, my mother was admitted to your department two months ago because of pneumonia. She was discharged after a week."

"This time, about half a month ago, my mother had intermittent coughing and sputum production. At that time, she went to the clinic and thought she might have recurrent pneumonia. She took medicine and injections. But the effect was not good, so she came here today. ”

Hearing the woman's answer, Lu Chen frowned, "It was just pneumonia before? No other diseases?"

"Um..." The woman looked back at the patient and hesitated: "My mother and I don't live together. She used to be in good health, so... there should be nothing wrong with her."

The woman's answer was hesitant. When Lu Chen heard this, he asked doubtfully, "Where is your husband?"

"He works in Magic City and comes back twice a year. He is not at home now." The woman said.

At this time, Wang Defa pushed the electrocardiograph over.

He performed an electrocardiogram on the patient, and Lu Chen picked up the stethoscope and examined the patient.

"Rales can be heard in both lungs, and heart auscultation is normal."

At this time, the electrocardiogram was also completed.

Lu Chen glanced at the electrocardiogram, which was also normal.

"Junior brother, go and call Teacher Fan over." Lu Chen whispered in Wang Defa's ear, "This patient may be a little serious, so he should take care of it."

Wang De was stunned for a moment, but he couldn't see anything unusual. After nodding, he walked out of the ward.

…

One minute later.

Fan Yujing frowned and came to the ward.

"What patient?" Fan Yujing picked up the patient's electrocardiogram.

She was a little curious, Lu Chen had admitted so many patients.

Why is this the only one that she needs to check in person?

"The family said that two months ago, the patient was hospitalized in our department because of pneumonia, and this time he came again because of cough and sputum." Lu Chen said, "But I think the patient's mental state is not good, so I asked my junior brother to call you coming."

After hearing Lu Chen's words, Fan Yujing walked to the hospital bed in confusion.

The patient lies in bed with his eyes closed and appears to be asleep.

"Mom, can you hear me?" Fan Yujing said softly.

The patient slowly opened his eyes and then closed them again.

"The patient is lethargic!" Fan Yujing was shocked.

This kind of mental state is not caused by ordinary pneumonia!

Once a certain disease causes a change in mental state, things can get serious.

"Ask the nurse to bring over the ECG monitor." Fan Yujing said quickly to Lu Chen.

Lu Chen understood and immediately walked out of the ward quickly.

Although the patient's current vital signs are stable, there is no guarantee that they will change at any time!

The nurse quickly brought in an electrocardiogram monitor and connected it to the patient's whole body.

The patient's daughter-in-law beside her was a little confused.

"Doctor, doctor, what are you doing..." the woman said in surprise. It should cost a lot of money to get this kind of equipment!

Fan Yujing had already finished the patient's physical examination and turned back to the woman: "Come out and I'll talk to you about the condition."

…

At this time, Lu Chen returned to the ward.

"The patient's family said he was hospitalized two months ago, so they should be able to retrieve the medical records!"

He immediately entered the medical record borrowing system, and UU Kanshu www.uukanshu.net quickly found the patient's medical record from two months ago.

In the course record, the patient did not have any history of other diseases except pneumonia.

However, when Lu Chen saw the patient's chest CT scan two months ago, he was suddenly startled!

The patient's chest CT showed a 1cm space occupying the left lung!

On the CT report sheet, it is recommended to re-examine the chest CT after one month and conduct further examinations if necessary.

Lu Chen continued to look through the patient's medical records and did not see the chest CT scan for review.

In other words, the patient did not come for follow-up consultation.

"If the patient really has no other diseases, the only problem is the lung occupying space!"

Lu Chen frowned deeply.

"But, in just two months, will the changes be so big?" 16377/9915408