I can see health

Chapter 144 The Imminent Diagnosis

At this time, Wang Xiaodong also came to Xiao Yunfei's bedside.

"Brother, how is the patient?"

Seeing Xiao Yunfei's painful face, Wang Xiaodong also understood that something was wrong.

Lu Chen immediately handed the ECG to Wang Xiaodong.

"This is... atrial fibrillation?" Wang Xiaodong frowned.

Without P waves, the heart rate is absolutely irregular, which is atrial fibrillation.

Although he is not a cardiologist, atrial fibrillation should be one of the more common electrocardiograms in clinical practice, and he recognized it immediately.

"Well, rapid atrial fibrillation." Lu Chen nodded.

"I might have to ask the cardiology department for help." Wang Xiaodong said in a deep voice.

Although atrial fibrillation is a more manageable arrhythmia, after all, they are professionals.

In addition, it is also a good thing for multiple people to share.

According to director Yang Chunlai's words, consultation is to share one's responsibilities.

"Brother, I have already invited you." He Qin said.

"Okay." Wang Xiaodong nodded slightly.

Then he looked back at Xiao Yunfei who was lying on the bed, "Do you have chest pain?"

"A little bit." Ms. Xiao replied in a low voice, with an extremely uncomfortable expression.

"Use amiodarone injection first and push it for her." Wang Xiaodong told the nurse.

Amiodarone is an antiarrhythmic drug that can often convert atrial fibrillation to a normal rhythm.

However, amiodarone should be administered within 48 hours of the onset of atrial fibrillation.

Because once atrial fibrillation lasts for more than 48 hours, blood clots are prone to form in the atrium.

At this time, the application of amiodarone may dislodge the thrombus.

The thrombus travels with the blood to the brain and blocks the blood vessels in the brain, causing a "stroke".

This is also one of the most important reasons why most people have a "stroke".

……

Li Qinghua, the consulting doctor of the Department of Cardiology, is here again.

He basically agreed with Wang Xiaodong's handling.

"Add some potassium ions." Li Qinghua said, "This patient has long-term diarrhea and is prone to hypokalemia, which can easily induce atrial fibrillation."

"Okay." Wang Xiaodong ordered the nurse to hang another bottle of potassium.

Facts have also proved that amiodarone is effective.

In less than 20 minutes, Xiao Yunfei's heart rhythm finally returned to normal.

Heart rate returned to 100 beats/min.

Xiao Yunfei's brows finally relaxed a little.

……

"But the question now is, why did she have the arrhythmia?"

In the doctor's office, Wang Xiaodong's eyes were full of doubts.

She had no previous heart disease, was young, and had no high blood pressure.

Why did Haoduanduan suffer from arrhythmia?
He Qin thought for a while, then said: "Brother, I don't think it can be ruled out that it is caused by gastroenteritis stress."

Wang Xiaodong shook his head slightly: "This kind of situation is relatively rare, and it is not the first consideration."

Lu Chen on the side frowned.

To be honest, it is rare for such a young person with atrial fibrillation to have no history of heart disease!

He looked through Xiao Yunfei's treatment plan.

Suddenly, I was attracted by a medicine.

"Brother, could it be caused by this quinolone antibiotic (levofloxacin belongs to this type of antibiotic). This is not uncommon. I have seen a few cases during my internship."

Lu Chen pointed to the doctor's order on the computer.

Wang Xiaodong was taken aback.

"You said that, I just remembered that last time an old man also developed atrial fibrillation after taking moxifloxacin."

Moxifloxacin is also a quinolone antibiotic.

"Is it really a side effect of the medicine?" He Qin echoed.

Wang Xiaodong paused, then said: "Maybe it is true, it seems that I have to change her to cephalosporin antibiotics."

Cephalosporins are safer and cause fewer allergies.

But the antibacterial spectrum is not as wide as levofloxacin, and they cannot deal with some atypical pathogens.

But clinically, it is all hooliganism to talk about the curative effect regardless of the side effects!
"Let's observe it first. Junior brother, you can do a few more ECGs for the patient. In addition, after she stabilizes, let her have time to go to the cardiology department for a dynamic ECG."

"Ok."

……

But when Xiao Yunfei's symptoms recovered, she became anxious again.

"Doctor Lu, when can I go home?"

"It's too dangerous to go home now, we must observe for one more night, so as not to make any mistakes." Lu Chen rejected Xiao Yunfei's request.

"Oh, there's a lot of work to do tomorrow!"

"Is work more important than life?" Lu Chen replied directly.

"Oh, that's fine." Ms. Xiao shook her head and sighed.

Lu Chen was about to turn around and leave the ward.

Xiao Yunfei stopped him suddenly: "Doctor Lu, where do you have a supermarket? I'm thirsty and want to buy some water."

"We've given you a lot of water, are you still thirsty?" Lu Chen frowned.

"Yes, I'm a little thirsty." Ms. Xiao nodded.

"The supermarket is in the eighth inpatient department. It's a little far from our emergency department. It's not convenient for you. There is a drinking room in our ward. Let me get you a glass of water." Lu Chen said.

With Xiao Yunfei's current state, she can't move around casually, let alone she has no family to accompany her.

Lu Chen found a disposable water cup and drank a glass of water while drinking.

"The water is coming."

"Thank you."

Ms. Xiao took the water and was about to drink it, but was stopped by Lu Chen.

"Wait a minute!"

The movements of Xiao Yunfei's hands froze.

Holding the water glass in her right hand, she stopped in mid-air, looking at Lu Chen suspiciously.

"what happened?"

Lu Chen stared at her right hand.

"Do you usually have shaking hands?"

"I see that your hands are shaking a lot now!"

"Nervous? Or uncomfortable?"

Lu Chen asked several questions in succession.

Seeing Lu Chen's serious expression, he didn't seem to be talking about family matters, but more like he had discovered some important information.

Xiao Yunfei was a bit overwhelmed by the question.

Uh, after a while, she looked at her right hand and said, "It's usually a little bit, but today I guess I was scared, and my hand did shake a lot."

Those were a pair of delicate little hands, which looked like gentle hands.

But it's a pity that the right hand hovering in the air trembled slightly, and it seemed to tremble more and more the more I looked at it.

"Not quite right!" A trace of doubt flashed in Lu Chen's eyes.

"Lu... Doctor Lu, what's the matter?" Xiao Yunfei swallowed, feeling more and more nervous, with fine sweat oozing from the palms and forehead.

Lu Chen stared at Xiao Yunfei closely, and slowly said: "You may be trembling due to nervousness. But since you came to the emergency ward, I found that you sweat a lot, and you sweat more when you are nervous."

At the same time, Lu Chen also noticed.

Xiao Yunfei's eyes are also very piercing.

He didn't pay much attention to it before.

But now tie all the signs together.

I sweat a lot, my eyes are a little protruding, and my hands are shaking a little.

There are also arrhythmias.

Lu Chen suddenly felt as if layers of fog had been lifted.

The patient's diagnosis was imminent.

"If it's really this disease, then isn't her diarrhea..."

Lu Chen was taken aback, and suddenly thought of a terrible situation...

(End of this chapter)