I Can See Health

Lu Chen still liked Dong Hao and Lin Shumin.

Although their scientific research talents are not high, they are honest and willing to work hard.

This is the researcher Lu Chen wants most now.

If they can really stay in the laboratory, it will be good news for Lu Chen.

Dong Hao and Lin Shumin were naturally very happy when they heard Lu Chen's promise.

At the dinner table, everyone was coming and going, chatting happily.

Lu Chen also enjoyed it.

Although I am in a foreign land, I don't feel lonely with such a group of friends around me.

Lu Chen enjoyed this meal quite smoothly.

It's not like yesterday when I was called for a consultation in the middle of my meal.

After eating, everyone parted ways, and Lu Chen returned to the CCU lounge.

…

During lunch break at noon.

Lu Chen received a call from his aunt, asking about his cousin Li Huiyan.

As the first doctor of medicine in his family, he patiently explained the situation of thyroid cancer to his aunt.

Over in Jiangcheng, Li Huiyan also took a leave of absence and was admitted to Jiangcheng University Affiliated Hospital.

After all, it was the affiliated hospital where Lu Chen did his undergraduate degree, and he still knew some of his classmates in the hospital.

In order to prevent his aunt from worrying too much, Lu Chen had to say hello to his classmates in Jiangcheng and ask them to pay more attention to his cousin.

Just when Lu Chen finished talking to his aunt on the phone and was about to take a rest.

Wu Si from the emergency department suddenly called him.

"Lu Chen, are you busy? I didn't disturb you, did I?"

"It's okay today." Lu Chen smiled.

After the busyness of the past two days, today is a bit more leisurely.

"That's right, do you remember the patient who was diagnosed with pulmonary embolism in the emergency department a few days ago?" Wu Si asked.

Lu Chen was stunned for a moment, then smiled and said: "Of course I remember, it wasn't long ago, and we searched for a long time but couldn't find the cause of the patient's disease. Didn't I remember that he was transferred to the ICU for thrombolysis later?"

Wu Si's voice was relatively low, "I was transferred to the ICU for thrombolysis. The blood clots were dissolved at that time, but within a few days, new blood clots appeared in the patient."

Lu Chen looked surprised and said quickly: "How could this happen?"

Generally speaking, after taking thrombolytic drugs, patients should not have another pulmonary embolism.

Unless...there is something specific that caused the pulmonary embolism!

Generally speaking, patients with cancer, long-term bed rest, pregnancy, oral contraceptives, etc. have thicker blood and a higher risk of thrombosis.

Just like the girl yesterday, she suffered a pulmonary embolism due to an overdose of oral contraceptives.

Lu Chen was surprised, "Has the ICU found the cause of the patient's pulmonary embolism?"

Wu Si shook his head slightly and sighed: "We did an arterial and venous ultrasound of the lower limbs, and no thrombus was found."

The most common source of blood clots in pulmonary embolism is venous thrombosis in the lower limbs.

But now no thrombus has been found, which proves that other susceptibility factors exist!

"We still need to find the cause of pulmonary embolism!" Lu Chen said solemnly, "At present, it seems that if the cause is not treated, the hypercoagulable state in the patient's body cannot be relieved."

"We also considered this." Wu Si said, "But it is not easy to find the cause of pulmonary embolism. We have carefully studied the entire case, but we still can't find it!"

"In this case, please send me a copy of the patient's current case information, and I will take a look at it for you."

Lu Chen immediately became interested in this difficult case.

"no problem."

Wu Si was waiting for Lu Chen to say, "I'll send it to you right away."

Compared with doctors from other departments, Wu Si trusted Lu Chen more.

…

About five minutes later.

Lu Chen received Wu Si's case information.

He was like a detective at this time, flipping through the patient's case information.

In order to form a thrombus, there are generally three factors: thick blood, slow blood flow, and vascular endothelial rupture.

Lu Chen was looking for all information related to this factor, including pulmonary embolism, lung infection, abnormal renal function, etc.

Suddenly, he saw a not-so-attractive result in the patient's CT report.

"Rib fractures!"

Lu Chen frowned. Why did the patient, who was in good condition, suddenly break a rib?

He was now involved in brainstorming again.

In the course record, the patient did not have any history of impact.

I have been in the ICU ward for the past two days. How could I have a broken rib?

Could it be that he has been coughing and the cough has diagnosed his ribs?

Broken ribs caused by coughing may sound scary, but it is actually possible.

It is not uncommon for some patients with osteoporosis to have rib fractures caused by severe coughing, sneezing, or even sudden twisting of the waist.

This patient is really unlucky!

Pulmonary embolism, anemia, lung infection, and this time a rib fracture was added!

Lu Chen thought of the patient's anemia again.

At that time, the patient's family said it was caused by bleeding hemorrhoids.

Is this all a coincidence?

Is there no necessary connection?

"Can monism explain all the above anomalies?"

Lu Chen murmured in his heart.

Monism is to use one disease to explain all symptoms and abnormalities.

If you're just content with coughing causing fractures, why not be curious about what causes pulmonary embolism?

Where do blood clots come from?

Why do patients get pulmonary embolism so easily?

…

Thinking of this, Lu Chen's mind raced rapidly, and various possible diagnoses emerged.

Thick blood, abnormal kidney function, fractures, anemia...

All this information was added up, and Lu Chen gradually gained an idea.

"Could it be multiple myeloma?"

Lu Chen was shocked as this diagnosis flashed through his mind.

Normally, our bone marrow produces many normal plasma cells.

The usual job of plasma cells is to produce immunoglobulins. Immunoglobulins protect the body and can be considered as special forces.

But under pathological conditions, the patient's bone marrow goes haywire and they produce many abnormal plasma cells.

These abnormal plasma cells also secrete many proteins, but they are not normal immunoglobulins.

They have no role in protecting the body. Instead, they occupy the latrine and do not poop. They also waste food and hinder the development of normal plasma cells...

They can erode the patient's bones, leading to osteoporosis, which can lead to fractures if not careful.

The bone marrow cannot produce blood normally, UU Reading www.uukanshu.netｔ Then components such as red blood cells and platelets will be forced to decrease, and the patient will develop anemia and thrombocytopenia.

These bad proteins will accumulate in the renal tubules, causing kidney damage and abnormal kidney function.

Accumulation of bad proteins in the blood will cause blood viscosity, and patients are prone to dizziness, dizziness, fatigue and other symptoms.

Severe cases can cause thrombosis. Once the thrombus breaks off...

It’s pulmonary embolism!

When he thought of this, Lu Chen couldn't suppress the excitement in his heart.

Does the patient really have multiple myeloma?

This disease mostly occurs in middle-aged and elderly people, and the age of the patient is also appropriate!

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