I Can See Health
Chapter 463: This is intuition, do you believe it?
Remember [new] in one second! Of all the patient’s current clinical manifestations, he only thought of respiratory system diseases.
But a very important point is ignored, that is, diseases of other systems, such as the cardiovascular system!
Persistent chest pain, combined with high blood pressure, the most important thing is that the life value is so low!
It is easy to think of an extremely dangerous disease - aortic dissection!
…
Back to the doctor's office.
Lu Chen told Wang Defa to check the patient's blood pressure again while telling Fan Yujing what he thought.
"Aortic dissection?" Fan Yujing frowned.
This disease is relatively common in cardiology and cardiac surgery departments, but is still rare in respiratory departments.
"Yes." Lu Chen said in a deep voice, "The patient had chest pain and there were no special abnormalities in the electrocardiogram. Although the pain was relieved after taking painkillers, the pain reappeared after the medicine took effect!"
In fact, relying solely on this patient's clinical symptoms and auxiliary examinations, the possibility of aortic dissection is unlikely.
However, Lu Chen felt very uneasy when he looked at the red HP on his head.
If it was just pneumonia, tuberculosis, or even tumors, his health could not be so low and decline so fast!
Just in case, Lu Chen thought it was better to be cautious.
"Teacher Fan, I think it's best to let the patient complete the aortic CTA." Lu Chen said.
Fan Yujing frowned slightly. Judging from the patient's current situation, aortic CT cannot be ruled out, but it is not very likely.
Because high blood pressure may simply be due to the patient not controlling it well, chest pain may also be caused by pneumonia or lung tumors.
"Let's go and communicate with the patient's family." Fan Yujing said, "If the family agrees to complete the examination, then take it to the CT room for one. If not, then control the blood pressure first."
"Okay!" Lu Chen nodded.
He also understands that if the health value cannot be seen, judging from the patient's current condition, the possibility of diagnosing active layer dissection is indeed low!
…
Ward 1, Department of Respiratory Medicine.
Outside the ward corridor.
"Brother, what did you say? Is there a possibility of... aortic dissection?"
Mei Yejun's little face turned pale with fright.
As a medical student, she knows exactly what "aortic dissection" means!
This disease is almost as famous as death.
Without surgery, there is almost no hope!
Even if it is an operation, it is still a narrow escape!
People suffering from tumors must be treated promptly. The survival period may still be many years.
But this aortic dissection is a time bomb. You don’t know when the bomb will explode.
This means that the patient may die suddenly at any time!
"Junior sister, please don't worry." Lu Chen quickly comforted, "I just suspect this possibility now, not 100% confirmed."
Mei Yejun had no idea at this time.
"Brother, what should we do next?"
"I suggest you do an aortic CTA!" Lu Chen said seriously, "No matter what, we still need to confirm the diagnosis and rule out aortic dissection!"
Upon hearing this, Mei Yejun hesitated and said, "Senior brother, don't tell my dad yet. I'll inform my mom first, she is out of town."
"Okay." Lu Chen nodded, "Let's decide as soon as possible."
"Um."
…
Back to the doctor's office.
Lu Chen immediately issued medical orders to reduce blood pressure.
The patient's current blood pressure is 180/100mmhg. If it is really aortic dissection, this blood pressure is very dangerous.
According to clinical guidelines, the blood pressure of patients with aortic dissection is best controlled below 120/80mmhg.
Excessive blood pressure is likely to cause the dissection breach to become larger and directly lead to shock.
This kind of shock is extremely difficult to rescue.
"Lu Chen, what did the patient's family say?" Fan Yujing asked.
"She also has to contact other family members."
"Yes." Fan Yujing said, "First go and ask for an emergency cardiology consultation."
Lu Chen was stunned. Please ask for emergency consultation from the cardiology department?
Teacher Fan doesn’t really believe in his own judgment.
However, Lu Chen also understood very well that no one would believe it if he only judged dissection based on high blood pressure and chest pain!
"Okay, I'll call the cardiology department." Lu Chen said.
…
ten minutes later.
The resident from the cardiology department came, and this time it was not Li Qinghua, but another acquaintance of Lu Chen - senior sister Sun Guoguo.
When Sun Guoguo appeared in the respiratory department, Lu Chen was stunned for a moment.
"Sister Guoguo, why are you here?"
Sun Guoguo was also quite surprised, smiled and said, "Didn't your respiratory department call for emergency consultation?"
"Ah? Didn't Teacher Li Qinghua come for consultation?" Lu Chen said.
"Senior Brother Li has been the hospital chief for a year, so we have to let him rest." Sun Guoguo smiled and said, "Junior Brother, do you know which group of teachers requested emergency consultation?"
Lu Chen touched his nose and said slowly: "Senior sister, this is our group..."
"What?" Sun Guoguo was stunned, "Do you still need emergency consultation?"
Lu Chen's clinical ability is obvious to all, and he is not inferior to some senior attending doctors or even deputy chief physicians.
Lu Chen explained: "I suspect that a patient has aortic dissection, but Teacher Fan thinks it is safer to ask a cardiologist to take a look."
"Teacher Fan...Fan Yujing?" Sun Guoguo asked doubtfully.
"Yeah." Lu Chen nodded.
There was a look of sympathy on Sun Guoguo's face.
She had also heard of Fan Yujing's name.
"Where is Mr. Fan?"
Lu Chen said: "In her office, should I call her?"
"Then let's go see the patient first." Sun Guoguo said.
"Okay." Lu Chen said, "Senior sister, the patient doesn't know his condition yet."
"Don't worry, I understand."
…
Come to the ward.
Mei Yejun was not beside the bed, only the patient was lying alone on the bed.
Lu Chen immediately stepped forward and said with a smile: "Uncle, your blood pressure is a bit high, so I asked a cardiologist to take a look at you. Although we have taken antihypertensive drugs, this cardiologist is an expert in antihypertensive medicine. Woolen cloth."
The patient immediately got up from the hospital bed, UU reading www.uunnshu.net smiled and said: "Thank you, Doctor Lu. Xiaojun, she went out for something and will be back in a moment."
"Okay, I will communicate with her if anything happens."
After the introduction, Sun Guoguo began the consultation and physical examination.
After some questioning, Sun Guoguo basically understood the patient's condition.
"Uncle, please take a good rest first." Lu Chen said to the patient, and then followed Sun Guoguo out of the ward.
Outside the ward.
Sun Guoguo said to Lu Chen rather strangely: "The patient does have a history of hypertension and persistent chest pain in the left chest, but the blood pressure on both sides is equal. Although the possibility of aortic dissection cannot be ruled out, it is unlikely!"
The implication is, why would Lu Chen consider the diagnosis of dissection?
Normal clinical thinking may diagnose pneumonia, tuberculosis, and lung tumors.
Lu Chen smiled and said, "Senior sister, I said it was intuition, do you believe it?"
I can't say that I can see the health value...
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