I can see health

Chapter 143 Atrial Fibrillation at will!

Diarrhea itself will not cause major problems, and it will not kill anyone.

However, if severe diarrhea occurs for a long time, some potassium ions and calcium ions in the body may be drained away, and the human body will suffer from electrolyte disturbances, and severe electrolyte disturbances will be fatal.

Such as hypokalemia, manifested as limb weakness, and even arrhythmia.

"I've only seen such severe diarrhea in books." Wang Xiaodong frowned.

"Cholera?" Lu Chen responded.

"Yes." Wang Xiaodong nodded, "I heard from the director that they had a lot of cholera at that time, and cholera was scary. But now cholera is hardly seen. But we should also be vigilant."

Cholera has an acute onset and rapid spread.

The main manifestations are diarrhea, "rice swill-like" stool, and vomiting. It belongs to the international quarantine infectious disease, and cholera belongs to the Class A infectious disease in my country.

"Doctor, give me some glucose first, I'm afraid I'll faint." Seeing that Wang Xiaodong didn't prescribe the medicine, Xiao Yunfei became a little impatient. "I heard people say that glucose can replenish energy. have eaten."

Wang Xiaodong comforted: "Don't be in a hurry, let's see it clearly. How is your physical condition?"

"Everything is fine, nothing sick." Xiao Yunfei replied.

Wang Xiaodong nodded and turned to Lu Chen.

"Because the patient had eaten unclean food before diarrhea, and the diarrhea was so severe, acute gastroenteritis was considered the most likely possibility. We gave him a routine stool test, and then an abdominal B-ultrasound, and observed with some antibiotics. "

Wang Xiaodong explained all the doctor's orders.

Before leaving, he asked Lu Chen to take an electrocardiogram for the patient.

This EKG is routine.

No matter what the problem is, as long as it is an adult, the first thing to do when you come to the emergency department is an electrocardiogram.

Lu Chen pushed the electrocardiogram machine away, and quickly took an electrocardiogram for the patient.

"The electrocardiogram is fine, but the heart rate is too fast." Lu Chen said to Xiao Yunfei.

"Well, thank you doctor."

Xiao Yunfei paid the money, left a bowel movement, and went for an abdominal color Doppler ultrasound.

For patients with diarrhea, in addition to acute gastroenteritis, other problems should also be considered.

Such as kidney stones, appendicitis, etc.

Don't think that kidney stones will only cause back pain, and appendicitis will only cause abdominal pain.These diseases may cause diarrhea, and similar to gastroenteritis, there is no evidence without inspection.

Ultrasound results came out soon, and the liver, gallbladder, pancreas, and spleen were basically normal.

Lu Chen looked at the existing auxiliary inspections.

Consider possible diagnoses for the patient.

He had just performed a physical examination on the patient, and the abdominal examination was negative.

At present, the most likely diagnosis is still what Wang Xiaodong said, acute gastroenteritis!

However, Lu Chen always felt that something was wrong.

A simple case of acute gastroenteritis will certainly not reduce the life value to only 64.

This value has reached a dangerous limit.

At this time, Wang Xiaodong returned to the emergency ward.

He also saw the patient's ultrasound results.

"Junior brother, gastroenteritis is still considered at present, give the patient some left oxygen."

"Okay." Lu Chen nodded, and at the moment he can only listen to the doctor's orders.

Levofloxacin injection, which is a relatively broad-spectrum antibiotic, is effective in treating infectious diarrhea.

"Doctor, is it necessary to take some antidiarrheal medicine? I just took it again." Ms. Xiao asked Wang Xiaodong with a mournful face.

"Observe after using the medicine. Diarrhea is not always a bad thing. It can expel all the unclean things in the stomach, and it will be fine. I will give you more water, electrolytes, and energy. , if the diarrhea is not good, I will give you some antidiarrheal medicine." Wang Xiaodong explained.

Xiao Yunfei heard the words and went to the bathroom in peace.

Lu Chen also returned to the doctor's office.

"Junior Brother, what kind of patient came here just now?" He Qin smiled and looked at Lu Chen.

Lu Chen replied: "Patients with diarrhea and normal abdominal ultrasound may still be acute gastroenteritis."

"Oh, this season, if you don't eat clean, you will easily get gastroenteritis." He Qin said.

Lu Chen smiled, but didn't speak.

He always felt that this patient must not be so simple.

But now we can only take medication and observe.

After treating Xiao Yunfei, several patients came to the emergency department one after another.

Most of them are patients with abdominal pain, chest pain, fever and cough.

Lu Chen followed Wang Xiaodong to treat a few patients, and gained 3 thank you points.

……

after an hour.

Just when Lu Chen was about to forget about Xiao Yunfei.

At some point, she was standing at the door of the doctor's office.

"Doctor, why do I feel a little tight in my chest?"

Xiao Yunfei covered her chest with one hand, with a pained look on her face.

At this time, Wang Xiaodong just went to the ward to see the patient.

There are only Lu Chen and He Qin in the office.

Lu Chen looked a little puzzled.

Chest tightness?

She didn't have this symptom before!
He Qin whispered from the side: "Brother, could it be a drug allergy? Some people are prone to allergies to antibiotics like levofloxacin."

Lu Chen frowned, but just now the patient said that he is usually not allergic to medicine or food.

"It should not be an allergy. Almost all drug allergies occur during the use of the drug, especially three to ten minutes before the drug is taken. I have never heard of an allergic reaction after the drug is finished. This is not logical." Lu Chen said.

He Qin nodded, and said, "As long as it's not a drug allergy, it's fine, otherwise it will be troublesome if the drug allergy causes chest tightness."

Drug allergy is very likely to lead to anaphylactic shock, or even laryngeal edema, with the risk of suffocation.

So what is the reason?

Seeing Xiao Yunfei frowning tightly, it seems that his chest is really uncomfortable.

Lu Chen stepped forward and auscultated Xiao Yunfei's heart with a stethoscope.

"broken!"

As soon as the stethoscope touched her chest, Lu Chen heard a frantic rhythm, her heart was beating very fast, bouncing, bouncing, bouncing, bouncing, bouncing, bouncing!

No wonder she suffered so much!
At least 160 beats per minute, no one can bear such a fast heartbeat.

With such a fast rhythm, the heart cannot pump blood normally, so whether it is the brain or the heart will be ischemic, chest tightness is inevitable!
He Qin also stepped forward to auscultate the heart, her expression was exactly the same as Lu Chen's.

My heart is beating so fast, what happened?

Why is there arrhythmia?

Lu Chen brainstormed immediately.

"Auntie, did you have a heart attack before?"

Xiao Yunfei shook her head: "No."

Lu Chen raised his brows, this is the first time arrhythmia appeared!
"Auntie, then we need to review another electrocardiogram."

"Okay, I'll listen to you." Xiao Yunfei was very cooperative.

When they came to the ward, Lu Chen and He Qin reviewed an electrocardiogram for her.

"Rapid atrial fibrillation!"

After getting the electrocardiogram, Lu Chen made a diagnosis immediately.

The heart of a normal person beats very regularly, beating at the same interval.

But people with atrial fibrillation.

The heartbeat is irregular, fast for a while, slow for a while.

The heart does what it wants.

(End of this chapter)