I Can See Health

"Lu Chen, this is the patient's heart ultrasound done this morning."

Jiang Qingyan handed over a color heart ultrasound report sheet.

The Ultrasound Department of Jinghua Second Hospital is very strong.

It has been ranked among the top ten in the country all year round, equivalent to the national status of the Cardiology Department of Beijing Second Hospital.

Therefore, the reports issued by the ultrasound department are generally accurate.

Lu Chen looked at the cardiac ultrasound report sheet.

"Left ventricular systolic function was normal. Mitral valve prolapse causing moderate mitral regurgitation and mild left atrial dilation was seen."

Judging from the results of the cardiac ultrasound alone, congenital heart disease has been denied.

Lu Chen fell into deep thought again.

Myocarditis, vasculitis, rheumatic immune diseases...

None of this seems right!

So what exactly could it be?

About ten minutes later, Sun Guoguo returned to the office.

"The family agreed to the interventional treatment. Junior Sister Jiang and I sent the patient down. After the rest of you have finished your work, go back to the dormitory to rest."

"Okay." Everyone agreed.

After Sun Guoguo finished speaking, she and Jiang Qingyan pushed the hospital bed to the CCU on the fourth floor.

…

At this time, Lu Chen still had no idea about this case.

He suddenly realized that this young patient had a disease that he had probably never encountered before.

This is most likely a rare disease!

There is certainly no record of this in undergraduate internal medicine books.

Therefore, based on his current accumulation of knowledge, this case may not be diagnosed at all.

Lu Chen fell into deep thought.

Now, the only thing that can allow him to make a breakthrough.

That was the "Literature Reading" skill book that I had picked out before.

Perhaps relying on the super-high comprehension ability given by the skill book, he can find some clues and ideas from the literature library.

Lu Chen quickly finished writing the course record of the critical report, and then finished the other things in the morning.

"Ke Yue, tell your senior sister later, I'm going back to the dormitory first."

"Ah? Okay." Ke Yue nodded in surprise.

Lu Chen is usually the last one to leave the department. Why did he leave so early today?

…

Return to the dormitory quickly.

turn on computer.

Lu Chen entered the medical paper review website.

“Cardiac disease, tendon xanthomas, mitral valve prolapse, intermittent claudication in young patients…”

Integrate all patient information together.

It is divided into symptoms, signs, and auxiliary examination information in turn.

Lu Chen began to search for relevant papers.

Checking papers is also a technical job.

The search scope is large, the targets are scattered, and the workload is heavy.

The search scope is small and it is likely that many diseases will be missed.

Lu Chen started his search by looking at the disease classification of coronary heart disease in young people.

Then add qualifying conditions, such as tendon xanthomas, intermittent claudication, etc.

I checked the Chinese Papers Library.

Nothing!

There are very few reports of cases related to rare diseases in China.

Even if there are, most of them are for electrophysiology and coronary intervention, which are very utilitarian.

Lu Chen could only expand his search targets to include foreign language literature libraries.

As a result, the workload has increased several times.

This is still if you have the "Literature Reading" skill book.

If there is no skill book, it will take most of the day just to translate the words.

…

"Hey, Lu Chen, what are you busy with?"

Roommate Wang Zihao suddenly leaned his head over.

"Check some literature." Lu Chen smiled.

"I see that these are all English documents, so impressive." Wang Zihao said in surprise.

These are all medical professional English, not regular English like CET-4 or CET-6.

"I just browsed some abstracts of the literature. There isn't much content." Lu Chen said with a smile, "It's not very difficult. You can do it if you want."

Wang Zihao curled his lips, he would not listen to Lu Chen's deception.

He can't do it.

"Lu Chen, let's have a group activity in our dormitory this weekend, shall we go together?" Wang Zihao said with a smile.

"Okay, what activity?" Lu Chen raised his head and glanced at Wang Zihao.

"Live CS." Wang Zihao said with a smile, "There is a live CS hall nearby. The owner and I are very familiar with each other. He gave me some coupons. We can go there for a day. There is everything to eat and play."

"Okay." Lu Chen nodded.

It's better to participate in this kind of group activity to avoid feeling unsociable.

After all, Lu Chen would have to live in the dormitory for three more years.

"Then it's settled, next Saturday, live CS." Wang Zihao smiled, "Lu Chen, if you have other friends, you can also come and play together. I have plenty of coupons."

Wang Zihao is a native of Jinghua.

He also studied at Beijing Medical University for his undergraduate degree, and he is familiar with the food, drink and entertainment nearby.

"Okay." Lu Chen nodded.

He thought for a while, maybe he could call him Zhou Wei. For a deep game fan, the temptation of this real-life CS is definitely not small.

…

After chatting with Wang Zihao for a few words, Lu Chen continued to read literature.

"Heart diseases in young people...are probably congenital heart disease, cardiomyopathy, myocarditis, vasculitis, etc."

"Intermittent claudication...obliterative vasculitis."

…

After reviewing hundreds of case reports, I still couldn't find any disease related to this girl.

1:50 p.m.

There are still ten minutes left before going to work.

All three roommates got up one after another.

Lu Chen stood up, stretched, and was about to close the computer.

Sudden.

He glanced at the bottom of the interface, where there was an article about a case of xanthoma in a young girl.

By some strange coincidence, Lu Chen clicked in. UU Reading www.uukanshu.net.

This is a 15-year-old girl.

This child's xanthomas were also distributed along tendons.

The paper introduces this:

"Painless xanthomas, congenital xanthomas (homozygous familial hypercholesterolemia) are considered. The patient also has symptoms of intermittent claudication, and lipid deposition is considered to cause atherosclerotic occlusion of the lower limbs."

Lu Chen looked stunned for a moment, then showed ecstasy.

The article mentioned that among the possible clinical manifestations of familial hypercholesterolemia are painless xanthomas and white rings at the edge of the cornea.

This patient also had symptoms of intermittent claudication!

The only difference is that the patients in this paper did not have any heart disease.

However, it is mentioned that lipid deposition caused by familial hypercholesterolemia may cause systemic atherosclerotic occlusion.

If there is accumulation of blood vessels in the lower extremities, it is intermittent claudication.

If it accumulates in the heart blood vessels, myocardial infarction may occur.

Accumulation of blood vessels in the brain will cause cerebral infarction!

As for why mitral valve prolapse occurs, it is rupture of the mitral valve chordae tendineae caused by myocardial infarction, or uterine muscle dysfunction!

Seeing this, Lu Chen was enlightened!

All of this is caused by high blood lipids!

"Lu Chen, you're almost late for work. Why don't you leave?"

Wang Zihao shouted to Lu Chen before going out.

"You go first, I'll be out right away." Lu Chen replied without raising his head.

He must hurry up and download this article to his mobile phone.

At this time, a prompt also popped up on the system panel.

"Congratulations, the completion of the system upgrade has increased, and the current progress is 2%."