I Can See Health

Lu Chen adapted very quickly to the Department of Endocrinology.

After all, he has already rotated through two departments and is not the rookie who just came to the hospital.

Some of the interns in Min Ling's group were also working under Lu Chen. They helped measure blood sugar, blood pressure, and do electrocardiograms.

Lu Chen will also give lectures to the interns in his group and gain a wave of gratitude points.

Although he can now get a lot of gratitude points intermittently through Luo Xueya's popular science videos at station B.

However, Lu Chen discovered that the gratitude points obtained in this way are not only limited to daily acquisition, but also can be obtained up to twice a month!

Because after he and Luo Xueya's third video was released, the system popped up a prompt - the gratitude points obtained through this method this month have reached the upper limit!

Therefore, in his daily life and work, Lu Chen would not miss the opportunity to obtain gratitude points.

"Brother, the test results of the girl who came yesterday came out!"

When he arrived at the department the next day, an intern in the team handed Lu Chen a checklist.

This is a cardiac ultrasound examination report.

Cardiac color ultrasound showed: mild prolapse of the anterior leaflet of the mitral valve and mild to moderate regurgitation, and enlargement of the left heart.

Lu Chen frowned. There was a big problem with this cardiac ultrasound!

Valve prolapse, moderate regurgitation, and left heart enlargement.

The structural changes in the heart mean that the patient's disease will last for a long time!

It is easy to understand that half of the onset of the disease will not cause the size and structure of an organ to change.

Only damage that accumulates over time can make organs enlarge or shrink.

"Junior sister, have the other examination results come out?" Lu Chen turned back to look at the intern.

Liu Binsong nodded slightly: "Well, some blood test results have come out."

Lu Chen immediately turned on the computer and entered the test results query interface.

The patient's blood routine showed normal white blood cells, hemoglobin 107g/L ↓, platelets 37CV7CH22.7↓, MCHC: 297↓...

Lu Chen looked through the patient's tests that had already produced results and quickly found all the abnormal indicators.

"Brother, what disease does this little girl have?" Liu Binsong asked in a low voice.

Lu Chen shook his head slightly: "We can't tell yet. There are still many test results that have not come out."

Seeing the curiosity on Junior Sister's face, Lu Chen smiled and said a few more words.

"However, her high blood pressure must be considered a secondary possibility. First, we need to make a differential diagnosis of high blood pressure and obesity. We must improve the cortisol rhythm and low-dose dexamethasone experiments. It is best to keep a urine cortisol test. After all, blood It is easy to be affected; it is necessary to improve the medullary hormones to rule out pheochromocytoma.”

"Then we continued to improve the related examinations of blood vessels and heart to rule out elevated blood pressure caused by vascular stenosis and malformation, and finally performed enhanced RASS and adrenal CT."

"If you can check the hydroxylase, it would be better to check whether the individual is virilized."

"..."

Lu Chen's narration was very detailed. It didn't matter whether the junior sister could understand it or not, but he spoke it out in one go.

"Congratulations, I received a +1 thank you from Liu Binsong!"

Although there is only a little gratitude value, no matter how small the mosquito is, it is still meat.

Liu Binsong blinked and looked at Lu Chen.

The senior brother seemed to be very powerful, but she didn't understand most of them.

It didn't matter if she didn't understand, she wrote everything down in her little notebook.

"Let's go and see the patient again," Lu Chen said.

Before doing ward rounds, Lu Chen and Liu Binsong visited the patient.

The number of ward rounds is not too frequent, as long as the changes in the patient's condition can be detected in time, it is necessary.

"We may have to do a few more tests today." Lu Chen said to the girl's mother.

"Okay, I'll listen to you." The girl's mother understood the truth and cooperated very well with Lu Chen's diagnosis and treatment.

Although this girl's condition seems to be difficult, Lu Chen is very confident that it can be solved as long as the family members cooperate.

…

The morning shift is over and it’s time for ward rounds.

Lu Chen discovered that both the Department of Cardiology and the Department of Endocrinology have one special feature, that is, there are a large number of patients!

Not to mention that there are eight areas in the entire Department of Cardiology, and there are many extra beds!

The number of doctors in each ward, excluding graduate students and regular trainees, is far less than the normal doctor-patient ratio.

There are many patients and few doctors.

Lower-level doctors are exhausted every day, and most of their patients are mild patients, and not many are difficult or severe.

For example, in the Department of Endocrinology, most of the entire department is filled with diabetic patients, who come to the hospital to regulate blood sugar.

Many of these patients can be treated in outpatient clinics.

"Lu Chen, although the patient's condition in our endocrinology department is not as urgent as that of the cardiology department, it is not easy either." Min Ling said to Lu Chen with a smile.

"It's really not easy at all!" Lu Chen laughed bitterly.

Before I came to the Department of Endocrinology, I thought it was a relaxing place.

But what I didn't expect was that each doctor was responsible for a lot of beds.

Lu Chen only had to take care of four beds in the cardiology department, but in the endocrinology department, he had to take charge of six to eight beds.

The workload has almost doubled!

"Being a doctor is not easy in any department!" Min Ling shook her head.

…

During the ward rounds this morning, I found the little girl who came yesterday.

Min Ling communicated with the patient's family at the bedside, and then asked everyone in the group: "Can any of you tell me about the differential diagnosis of this patient?"

Min Ling's question naturally went beyond Lu Chen.

Because she knew that Lu Chen must know the answer, she was mainly the other interns in the inspection team.

Three of the four interns in the group, except Liu Binsong, immediately lowered their heads.

Min Ling was also from her student days, so she said, "Let Xiao Liu talk about it."

When Liu Binsong heard this, he lowered his head and looked at the small book in his hand.

She remembered the little knowledge points that senior brother Lu Chen told her in the morning.

Liu Binsong paused, glanced secretly at Lu Chen beside him, and then whispered: "The diagnosis of this patient is not yet clear because there are still many test results that have not been released."

"Then tell me what you know so far." Min Ling smiled.

"Yes." Liu Binsong nodded, "First of all, the patient's high blood pressure must be considered a secondary possibility. First, we need to differentially diagnose high blood pressure and obesity, and improve cortisol rhythm and low-dose dexamethasone experiments... "

Lu Chen on the side smiled helplessly as soon as he heard Liu Binsong's first sentence.

Good guy, this junior sister repeated exactly what she told her that morning...

When Min Ling heard Liu Binsong's answer, she looked surprised.

Liu Binsong has been in the endocrinology department for two weeks. Why didn't she realize that she could have such clinical thinking before?

"If you can check the hydroxylase, UU Reading www.uukanshu.net would be better to check if the individual is masculine." Liu Binsong glanced at Lu Chen secretly again and whispered, "Teacher Min, I said It’s over.”

"Very good, very good!" Min Ling nodded slightly, "It seems that you have worked hard when you went back! The rest of you must learn from Xiao Liu!"

The other three interns in the group nodded, but they were all confused.

Everyone’s level has always been about the same!

Why did Liu Binsong suddenly stand out from the crowd? !

At this time, another prompt popped up on Lu Chen's system panel.

"Congratulations, I received a +1 thank you from Liu Binsong!"

Lu Chen smiled secretly in his heart, this junior sister is not bad, but she is still thinking about herself at this time.

I just hope that she won’t become like Junior Sister Yao Jie in the future. After the two of them got acquainted, they didn’t give much thanks to themselves!