I Can See Health

"Congratulations, the system upgrade completion rate has increased to 37%!"

After completing this case, Lu Chen's system completion level increased.

But Lu Chen didn't get any gratitude points, and he didn't care.

Most of the time, the family members are still struggling with drug abuse.

After the patient was administered vancomycin, his blood pressure increased compared with before.

Although the oxygen saturation did not rise, the vital signs were temporarily stable.

In Lu Chen's eyes, the patient's health was also slowly rising.

"How about we call the police?" Yin Xinhua said suddenly.

The police stations have indicators for drug addicts like this.

However, the patient's current situation may be a hot potato.

"Hey, I have seen two patients who take drugs like this." Fan Zhiping suddenly said, "They are both young, have dilated cardiomyopathy, and have severe and refractory heart failure. I suspect It’s related to drug abuse. Every time they come to our department when they get sick, everyone knows that they are drug addicts, and the police also know about it, but the police station doesn’t dare to take care of their sudden death at any time.”

Yin Xinhua sighed, this patient was also an unstable factor in the eighth zone of his heart.

"I hope he wakes up soon and is discharged from the hospital soon."

After dealing with this patient, the eight areas in my heart returned to calm.

…

Recalling the diagnosis and treatment process just now, Yin Xinhua was thankful and also thought of Lu Chen.

Fortunately, Junior Brother Lu Chen was here. If it had been anyone else, tonight would not have been so easy.

The pinholes on the patient's skin were discovered by Lu Chen.

Everyone thought it was a "rash" at first!

"It's not easy!"

Yin Xinhua looked back at Lu Chen and found that he was completing the patient's course records and medical instructions.

Somehow, Yin Xinhua suddenly felt a little relieved that Lu Chen entered the second round of the provincial competition.

Unlike Yin Xinhua, Comrade Lao Fan was extremely calm.

Following Lu Chen, there was an endless stream of such difficult and weird cases!

Comrade Lao Fan began to think about collecting the cases he encountered during this period.

All of them are very classic cases!

…

Perhaps this drug addict has consumed too much of everyone's energy.

The other patients' conditions remained stable throughout the night.

That night, Lu Chen, Yin Xinhua and Comrade Lao Fan all slept very peacefully.

A night of silence.

The next day, Lu Chen opened his eyes and looked at the time. It was already half past seven.

It was rare to have a whole night of silence without being woken up by a nurse.

Lu Chen quickly washed up, and after a while, everyone else was about to arrive.

After washing up, I came to the doctor's office.

Lu Chen saw Fan Zhiping and Yin Xinhua sitting and chatting.

Seeing Lu Chen come in, both of them smiled.

Yin Xinhua smiled at Lu Chen and said, "Junior Brother Lu, get up."

"Yes." Lu Chen nodded, "Senior sister, the nurse didn't call you last night."

"You didn't call me, that's good." Yin Xinhua smiled.

"That's good." Lu Chen also found a seat and sat down.

"By the way." Yin Xinhua suddenly said, "Junior brother, yesterday I saw that you are so skilled in using ultrasound. Who did you learn from?"

Lu Chen was stunned for a moment, and then said without blushing, "I usually study part of it on my own. In addition, I have a classmate in the ultrasound department in my dormitory. I sometimes go to him to use the machine and learn."

"Oh, that's it." Yin Xinhua didn't believe Lu Chen's words.

She has been teaching herself cardiac ultrasound for a long time, but she is not as skilled as Lu Chen.

But Lu Chen didn't want to say it, and she stopped asking.

…

At eight o'clock sharp, shift handover begins.

The only content of Lu Chen's shift was this drug-addicted patient.

"The patient in bed 37 suffered a sudden high fever around 8 o'clock last night, and then developed difficulty breathing... After consultation from multiple departments, and after completing the cardiac ultrasound, it was finally suspected that he was a patient with intravenous drug addiction, infective endocarditis, and valvular vegetations. falling off, causing pulmonary embolism.”

As soon as these words came out, the doctors in the entire department were a little surprised.

Although the content of Lu Chen's shift was not much, his clinical thinking was rigorous.

This case of drug abuse is definitely not as simple as it sounds.

It is quite difficult to make a clear diagnosis of a patient in one night!

Everyone looked at Yin Xinhua a little differently.

Because everyone took it for granted that this patient was diagnosed by Yin Xinhua, the senior physician on duty.

"We'd better call the police and contact the police for a drug test."

Knowing that there was this special patient, Li Yao also came to the ward.

"We also need to report this patient to the medical department. Lu Chen, you are familiar with the patient, so I'll leave it to you."

"Okay teacher." Lu Chen nodded.

Shift handover completed.

Several attending doctors in the department gathered around Yin Xinhua.

Xia Gang clicked his tongue and said in surprise: "Junior sister Yin, you are so ruthless. You figured out the diagnosis of this patient in one night."

The doctor who treats drug addicts is Xia Gang.

He was still thinking about the reasons for the patient's fever and chest tightness yesterday. Unexpectedly, he was solved by Yin Xinhua as soon as he came in the morning.

This is pulmonary embolism!

It’s not just an ordinary pulmonary embolism!

For such an extremely dangerous disease, if the diagnosis is missed, lawsuits will be filed.

Director Lin Cui's face was full of smiles, "Doctor Yin is good. He was able to diagnose pulmonary embolism caused by infective endocarditis in such a short period of time. The complexity of this case can be regarded as a teaching case." !”

Yin Xinhua had a hint of embarrassment on his face.

She played a role in this patient's diagnosis, but it was not the most important thing.

Without Lu Chen, Li Qinghua, and the doctors in the ultrasound department, it would have been absolutely impossible for her to diagnose it alone.

She might have foolishly given someone else thrombolysis!

"It's all thanks to everyone's joint efforts." Yin Xinhua said angrily.

Everyone just thought Yin Xinhua was being polite and praised her again.

Lu Chen, on the other hand, hid his merit and fame deeply.

After filing a report with the medical department, he returned to his dormitory after checking the room.

The day after tomorrow is the second round!

He has more important things to do, which is to continue to learn electrophysiology-related knowledge.

He slept well last night. Lu Chen did not take a nap like usual, but directly turned on the cheating learning mode.

Tomorrow happened to be the weekend, so he could study in his dormitory for a few more days.

…

It’s Monday again.

Today is the day of the second round.

The start time of the game is set at two o'clock in the afternoon as usual.

In the morning, Lu Chen came to the eighth district of the heart.

The drug-addicted patient's high fever turned into low fever.

The blood pressure has completely stabilized and respiratory oxygenation has improved.

Lu Chen called up the doctor's orders and saw that the doctor in charge of the bed reviewed his heart color Doppler ultrasound.

Cardiac ultrasound results showed that the pressure load on the right heart was reduced.

Lu Chen estimated that the bacterial clump and emboli had dissolved and been dispersed, thus restoring the patency of the pulmonary artery.

The blood culture results are in.

Positive, it is Staphylococcus aureus. UU Reading www.uukanｓshu.net

From then on, there was no doubt about the diagnosis!

From the outset, patients may be infected with Staphylococcus aureus.

Bacteria enter the bloodstream, causing infection of the lining of the heart, and bacterial clumps form when the lining of the heart becomes inflamed.

The mass will fall off accidentally. If it is a left endocardial mass, it will not cause pulmonary embolism, but will only cause other arterial embolism.

But if bacterial growths fall off the right endocardium, it is pulmonary embolism.

This kind of pulmonary embolism is not a common pulmonary thromboembolism, but a pulmonary bacterial vegetation embolism, so thrombolysis is not required and thrombolytic drugs cannot be used.

Only by relying on powerful antibiotics to break up the bacteria can the patency of the pulmonary artery be restored.

As a result, the patient saved a small life!

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