I can see health

Chapter 239 The Mysterious Lu Chen (Second Update)
Although Lu Chen is not as accurate as a professional heart color Doppler ultrasound doctor, he can still look at a few rough sections of heart disease.

However, Sun Guoguo's expression was somewhat puzzled.

"Junior brother, when will you have an echocardiogram??"

For cardiac ultrasound, the theoretical knowledge is very simple, but it requires long-term training.

Their clinicians rarely touch this thing, unless they learn it specially, otherwise they basically don't know it.

Lu Chen nodded without blushing and said: "I learned it before, and I can still see the common cuts clearly."

Looking back, he was ambiguous, but Sun Guoguo didn't continue to ask.

"That's all right, junior brother, try it first, if it doesn't work, wait for the ultrasound teacher to do it."

She knew that Lu Chen was not a random person, and if she said she could do an echocardiogram, there must be two mistakes!
Seeing that Sun Guoguo agreed, Lu Chen went to the treatment room to get a portable heart ultrasound machine.

……

However, Lu Chen forgot one thing.

On the last night shift, Fan Zhiping worked with Lu Chen.

Fan Zhiping knew very well that at that time Lu Chen was completely ignorant of echocardiography.

It's been a week now, and Lu Chen suddenly knows it?

If Lu Chen is not lying, then this is too unbelievable!
But based on Fan Zhiping's understanding of Lu Chen, he is not such a person at all, so there is no need to lie.

And it will be operated on the spot later, this lie will be seen through immediately, it is completely unnecessary!
Fan Zhiping watched Lu Chen walk into the ward with a portable echocardiography machine in his hand, and he suddenly felt that Lu Chen's body was covered with a layer of fog.

Many things about Lu Chen are too mysterious!

The closer they got, the stronger Fan Zhiping's feeling became.

……

Lu Chen got the echocardiography machine, coated the probe with coupling agent, and started his own operation.

"Uncle, turn your body to the left." Lu Chen instructed.

When an ultrasound machine is used to explore the heart, it is disturbed by the air in the lungs.

Therefore, the patient's body is generally tilted slightly to the left, and the plane of the heart is lower, so that the interference from the gas becomes less.

The patient nodded and shifted his body.

Lu Chen sat on the right side of the hospital bed and began to look at the first heart section.

Sun Guoguo saw that Lu Chen's posture was very standard, so he knew that he would probably do it.

Fan Zhiping on the side was also shocked.

Lu Chen didn't feel any unfamiliar with this set of movements.

Lu Chen comes to the department to work every day, where does he get the time for training?
Could it be that he bought a portable heart ultrasound machine and trained in the dormitory?

But the cheapest portable ultrasound machine costs tens of thousands of dollars.

It's not unreasonable to buy one yourself!
……

At this time, Lu Chen didn't have the time to pay attention to the thoughts of the people around him. He finished the four common heart sections.

Looking at it this way, I really saw the problem!
"The patient's left ventricle is hypertrophic and asymmetrical, and the left ventricular outflow tract is also narrowed, which is completely different from the myocardium of a normal person."

Lu Chen said to Sun Guoguo and Fan Zhiping who were beside him.

"Myocardial hypertrophy?" Sun Guoguo was taken aback.

This really showed Lu Chen the problem!

Sun Guoguo knew that the result of echocardiography was closely related to the operator's technique.

It's not that she doesn't believe Lu Chen.

It was Lu Chen's performance that was too monstrous!

The surprised expression on Fan Zhiping's face was exactly the same as that of Sun Guoguo.

If he doesn't know about Lu Chen's past, he must think that Lu Chen is talking nonsense.

But Lu Chen nodded firmly: "I roughly measured it, and the thickness of the myocardium has obviously increased, so there must be some hypertrophy of the myocardium. However, for the specific situation, we still have to wait for the ultrasound teacher to do it again before we can make a diagnosis. .”

The screen of the portable ultrasound machine is only the size of a palm, without many functions, and it is limited to Lu Chen's current technology. If you want to make a further diagnosis, you still need to rely on a professional ultrasound teacher.

Sun Guoguo nodded: "If the ultrasound results are correct, why does the patient's left ventricle have asymmetric hypertrophy? And the left ventricular outflow tract is also narrow."

"Hypertension?" Lu Chen's first thought was that the patient's high blood pressure had caused hypertrophy of the left ventricle of the heart.

Just imagine, with blood pressure so high, if the heart wants to pump blood out, it must increase its horsepower and do more work.

Just like taking part in physical exercise regularly, the left ventricle becomes hypertrophic after a long time.

The degree of myocardial hypertrophy is beneficial in a certain range of compensation.

But if there is too much hypertrophy, it will be like a spring losing its elasticity, and the heart function will be affected.

Sun Guoguo shook his head, "Myocardial hypertrophy in high blood pressure is generally symmetrical, but you just said that the cardiac hypertrophy of patients is asymmetrical!"

Lu Chen thought for a while and said, "Could it be hypertrophic cardiomyopathy?"

Sun Guoguo nodded in agreement.

Hypertrophic cardiomyopathy is an inherited cardiomyopathy.

Usually the ventricular muscles are characterized by asymmetric hypertrophy, and many adults died suddenly because of this disease.

This kind of hypertrophic myocardial infarction does not pump blood smoothly, which will lead to coronary ischemia, so it will also cause chest pain and tightness.

But this is not the cause of the coronary artery itself, but the outflow tract obstruction caused by myocardial hypertrophy, which leads to difficulty in pumping blood.

Thinking of this, Sun Guoguo began to feel annoyed that she should have had this heart ultrasound early in the morning.

But then again, at that moment, a 1-minute delay could be fatal.

……

About 10 minutes later, the doctor from the cardiac ultrasound department finally came.

Sun Guoguo asked the doctors in the Cardiac Ultrasound Department to re-do the cardiac color Doppler ultrasound on the patient.

The results confirmed again that the patient was a hypertrophic cardiomyopathy, and his ventricular septal thickness: left ventricular free wall thickness > 1.3:1.

The patient had asymmetric hypertrophy of the ventricles without chamber enlargement, and the patient did have concomitant left ventricular outflow tract obstruction.

"Junior brother, you are really amazing!" Sun Guoguo exclaimed.

In Sun Guoguo's mind, Lu Chen must have been studying echocardiography for a long time.

Otherwise, such skillful techniques would not be possible.

The patient's myocardial hypertrophy was diagnosed only through a portable cardiac ultrasound machine!

Even the ultrasound teacher was surprised,

It is really rare that such a young graduate student can independently diagnose hypertrophic cardiomyopathy!

……

Fan Zhiping's expression on the side became a little numb.

Hypertrophic cardiomyopathy can be diagnosed in less than a week after learning echocardiography?

Although Fan Zhiping is not a professional echocardiologist, he is well aware of the difficulty.

Because of the ultrasound doctors in their county hospital, it is easy to miss the diagnosis of hypertrophic cardiomyopathy.

Many patients had no problem with the echocardiography done in the county hospital, but when they arrived at the big hospital, they found myocardial hypertrophy!
This is not just one or two patients, but a frequent occurrence!

Fan Zhiping looked at Lu Chen, it was really unimaginable.

How did Lu Chen train the echocardiography technique to such an extent in this week!
　There is one more.

　　
　
(End of this chapter)