I can see health

Chapter 207
Chapter 203 Final Diagnosis

(Chapter name dropped again...)
For the time being, Lu Chen still doesn't know what is the standard for the system to judge whether it has received clinical insights.

He also had case discussions in the department before.

He also heard about some difficult cases from Li Yao and Sun Guoguo, but he never received any "clinical insight".

Moreover, this kind of clinical perception is not as digital as the gratitude value.

In the system panel, there is only the value of gratitude value, and there is no column for sentiment value.

In the system mall, there is no option to exchange clinical thinking skill books.

It seems that this kind of skill book may require Lu Chen to comprehend it from his usual clinical work.

……

At this time, the Cardiology Department of Jinghua Second Hospital was in the classroom.

Everyone was surprised and happy when they heard Li Yao's opinion!
Wang Peng's expression is the most exciting.

First doubts, surprises, and finally surprises!

He is the patient's doctor.

The patient stayed in the hospital for so long, and he never had any clues about the patient's disease.

"HHT?" Wang Peng murmured in his heart, "Myocardial infarction, cerebral infarction, and gastrointestinal bleeding, which are completely opposite, are actually caused by a disease!"

He has never had this mode of thinking.

Symptoms or signs of the same type are easy to think of together, but different things, inertial thinking will separate them!

When Wang Peng encountered this kind of patient suddenly, he still thought about it again and again, and felt that there was another village in the dark.

"Director Li, do you have any advice on the patient's next treatment?" Wang Peng asked very sincerely.

This difficult patient has been in his hands for a long time.

He also wanted to be cured as soon as possible, so she was discharged from the hospital.

Li Yao thought for a while and said: "Pulmonary arteriovenous angiography first. Generally speaking, there is no special treatment for this disease, mainly symptomatic treatment, but because of the danger of pulmonary arteriovenous fistula, even if there are no symptoms, it should be thoroughly checked whether there is such a disease." problem, in order to do preventive embolization therapy."

"Surgical resection or embolization is feasible for pulmonary arteriovenous fistula. Beta-blockers can improve the state of hyperdynamic circulation, reduce hepatic blood flow, reduce shunt flow, and relieve gastrointestinal bleeding."

"The prognosis depends on whether the visceral blood vessels are involved. If only the skin and mucous membrane capillaries are damaged, the prognosis is good. If the visceral blood vessels are extensively involved and hemangiomas form, the prognosis is poor..."

While listening, Wang Peng began to record Li Yao's opinions.

……

The hospital-wide general consultation, which was originally planned to be "unfinished", had a relatively complete finale because of Li Yao's sudden appearance.

After Li Yao finished speaking, Wang Peng made a brief summary.

Based on what everyone said and the current impression diagnosis, it is what Li Yao said about pulmonary arteriovenous fistula!
The general meeting of the whole hospital is over.

Director Yang from the third heart area, Xu Zhonghuang from the Department of Hematology, Ouyang Jing from the Department of Rheumatology and Immunology, and others all came in front of Li Yao.

Although Li Yao said that the past few years have been unsatisfactory, everyone's superficial work still needs to be done properly.

"Director Li, your thinking is really out of the ordinary. The patient has been in the third area of ​​the heart for almost a week, and we have never considered the possibility of pulmonary arteriovenous fistula." Director Yang said with a smile, "As soon as you come, give us a brand new one." Idea!"

"Director Yang is right. I was the one who mentioned HHT at the beginning, but Director Li used it vividly!" Xu Zhonghuang praised, "About 5% of HHT patients have pulmonary arteriovenous fistula. I forgot about this, hey, I'm getting old!"

Compared with the other three, Li Yao is the youngest, but his position is the highest in Corey.

She is the director of the eighth ward of the Cardiology Department, and the other three have no positions.

"Several directors have won the award." Li Yao smiled lightly, "I also heard my student's reminder, and I had a flash of inspiration. I thought of this, and it is only an inference at present, and I have not yet diagnosed it."

Director Yang smiled and said, "Hey, I have told Wang Peng to do pulmonary arteriovenography immediately after returning. I will notify the directors when the results are available."

"Oh, wait, Director Li, I heard correctly. You said that you listened to the opinions of the students." Xu Zhonghuang said suddenly, "Which student are you?"

Director Yang also looked beside Li Yao, but he didn't see such familiar faces as Sun Guoguo!

Li Yao beckoned to Lu Chen who was on the side.

Lu Chen understood, and hurried forward, "Teacher."

"Let me introduce to you, this is my graduate student this year, Lu Chen." Li Yao looked at Director Yang and the others with a smile on his face.

A doctoral supervisor suddenly introduced her first-year student to everyone. If this student is very good, then she is related to her.

Director Yang looked Lu Chen up and down, he was a very sunny and handsome young man.

"Lu Chen...is this name familiar?" Director Yang said suddenly.

Li Yao smiled, "Some time ago, Lu Chen represented our school in the National Medical Skills Competition and won No.1."

As soon as the words fell, Director Yang, Xu Zhonghuang and others were stunned.

Jinghua won the first place in the national medical skills competition, which is a big deal!

Even if they don't pay much attention to this kind of competition, they have heard about the Jinghua team's deeds all the way through and won the first place.

"So it's you, no wonder it sounds familiar to me." Director Yang said with a smile, "I've also watched a few live broadcasts of the National Medical Skills Competition."

Xu Zhonghuang and Ouyang Jing didn't pay much attention to Lu Chen at first, but when they heard what Li Yao said, they also took a look at Lu Chen.

No wonder Li Yao suddenly mentioned her students.

They didn't feel that it was Lu Chen who reminded Li Yao of this discussion.

On the contrary, they think that Li Yao deliberately said this in front of everyone in order to support Lu Chen.

With such an outstanding student, who wouldn't want to show it off.

Lu Chen stood beside Li Yao, silent.

Usually, it is difficult for a student to appear in the communication circle of professors.

He was able to stand here entirely because of Li Yao.

Lu Chen knew that it was Li Yao who started giving him "reputation".

As a mentor, Li Yao is already very competent to be able to do this.

Several people communicated again, and then left one after another.

Lu Chen also bid farewell to Li Yao and returned to the dormitory.

……

Three areas in the heart.

After Wang Peng returned to the ward, he immediately communicated with the patient's family members, and needed to have a pulmonary arteriovenous enhanced CT.

In order to find out the final diagnosis, the family members readily agreed.

Wang Peng personally pushed the hospital bed and took the patients out for examination.

In less than 10 minutes from the end of the hospital-wide general consultation, the results of enhanced pulmonary artery and vein CT came out.

Enhanced CT showed that the right pulmonary artery was abnormally developed, and the distal end of the right lower pulmonary artery was tortuous and connected to the right lower pulmonary vein. The diagnosis was a pulmonary arteriovenous fistula!

The moment Wang Peng saw the result, he was completely relieved, and finally figured out the patient's diagnosis!

"Director Li Yao from District [-] is really amazing!" Wang Peng sighed inwardly.

The patient has been in their department for so long, and he also invited many departments for consultation, but it was still useless.

Teacher Li Yao directly interspersed all the clues together, and finally got the correct diagnosis!
Wang Peng immediately informed Director Yang of the inspection result.

……

Jinghua Second Hospital.

The dormitory of Guipei Building.

After repeated consideration by Lu Chen, he decided to use the case of poisoning caused by oleander as the content of his speech this time.

Oleander poisoning is relatively common, and this kind of case can easily be combined with clinical practice through the evolution of electrocardiogram.

For example, the electrocardiogram of this patient with a heart transplant is relatively neglected clinically, that is to say, it can be diagnosed just by looking at the electrocardiogram.

Now that the content of the case discussion has been determined, Lu Chen started making the PPT.

From drafting the outline, polishing the text, to typesetting and beautifying, Lu Chen spent most of the day, and only completed one-third of the content.

Looking at the time, it was almost five o'clock in the afternoon, and it was time for the night shift.

Lu Chen turned off the computer, packed his things, and got ready to go to work.

There was an apple on the table, which was given to him by Wang Zihao at noon.

Sometimes, you still have to believe in this kind of metaphysics.

Putting the apple in the bag, Lu Chen went out.

The night shift of the cardiology department, here he comes!

……

(End of this chapter)