I can see health

Chapter 240 Short Winter Melon! (It snowed a lot and rewarded with more rewards)

Now the patient's diagnosis is finally clear, that is hypertrophic cardiomyopathy!

The family members heard a statement, and felt more at ease.

People are most afraid of the unknown!
"Is this disease serious?" the patient's wife suddenly asked.

Lu Chen thought for a while, and then said: "The cause of this disease is unknown, it may be related to genetics, severe heart failure, and even sudden death. Many young people died suddenly, or the news said that when a certain person was playing basketball Died, maybe it was this hypertrophic cardiomyopathy.”

Due to the repeated episodes of chest pain in the past few years, the patient's heart function is not very good after the echocardiography evaluation just now.

Sun Guoguo said to the patient on the bed: "If you don't control your blood pressure well, your heart function will get worse and worse."

High blood pressure will increase the load on the heart, which will further cause myocardial hypertrophy.

When severe heart failure occurs, the patient will be unable to move an inch.

"Then after my blood pressure drops, can the antihypertensive drugs be stopped?" the patient whispered.

Sun Guoguo's expression was serious, and he said seriously: "You can't just take the antihypertensive medicine if you want it, or just take it if you don't want to. The antihypertensive medicine should be the same as eating, and you have to take it every day, so that you can lower your blood pressure steadily."

If blood pressure fluctuates greatly, it is more harmful than simple hypertension!

Just imagine, a water pipe, which is constantly expanding with heat and contracting with cold, will explode sooner or later.

"Doctor, can my hypertrophic cardiomyopathy really be cured?" the patient asked with a bitter face.

"I don't even know the cause of this disease, so how can I cure it?" Sun Guoguo spread his hands and said, "Of course, just because it can't be cured doesn't mean it can't be cured."

"We have drugs that can control the symptoms. The metoprolol you are taking now is a better drug. It can make your heart beat a little slower, ease it, and reduce obstruction."

"Also, you can throw away that nitroglycerin, hypertrophic cardiomyopathy may aggravate the condition by taking nitroglycerin."

"But in the past, sublingual oral administration for chest pain really helped." The patient was a little puzzled.

"It may be that the blood pressure is too high. Nitroglycerin can lower blood pressure and relieve symptoms." Sun Guoguo emphasized, "But anyway, it is better to use metoprolol in the future, and use less nitroglycerin. You don't have coronary heart disease." .”

"If I take this metoprolol, will the pain continue?"

"If the medicine doesn't work well, surgery is still possible." Sun Guoguo continued, "The outflow tract of the left ventricle of the heart is obstructed. If it gets worse, it can be surgically removed."

Lu Chen and Sun Guoguo patiently explained the condition to the patients and their families.

……

"Congratulations, I got +1 from Luo Ping!"

"Congratulations, I got +1 from Zhang Fang!"

Lu Chen received two more thank you points one after another.

However, what surprised Lu Chen was that the completion rate of the system upgrade did not increase!
According to the previous practice, every time a case is diagnosed, the upgrade completion rate will increase by 1%.

However, the patient's diagnosis was very clear, but the system did not give any hints for a long time.

"Could it be a system delay?" Lu Chen couldn't help thinking, "Or a system bug?"

However, after the patient applied metoprolol, the chest pain did relieve!

So Lu Chen didn't pay much attention to this.

……

Because of the treatment of this patient, more than half of the noon break has passed.

Lu Chen had no choice but to go to the cafeteria to buy a meal.

After eating, with only 10 minutes left, he went directly to the eighth area of ​​his heart.

The patient with hypertrophic cardiomyopathy in the morning made Lu Chen realize some of his own problems.

For example, the auscultation of the heart is not careful enough!
Heart auscultation is the housekeeping skill of a cardiologist.

The patient has myocardial hypertrophy and left ventricular outflow tract obstruction. It stands to reason that murmurs can be heard in the heart auscultation area.

But Lu Chen subconsciously felt that the patient was suffering from myocardial infarction, so he didn't carefully auscultate the heart valve area!

I didn't auscultate carefully, so I missed such an important sign all at once!
In addition, Lu Chen also realized the importance of cardiac ultrasound for clinical diagnosis.

Especially for patients with changes in the heart structure, whether it is electrocardiogram, chest CT, or coronary angiography, it is impossible to diagnose and judge.

Only through echocardiography can we better understand the morphological characteristics of the heart structure!
Doing an echocardiogram by yourself is far more intense than having someone else do an echocardiogram.

……

After a busy day, I returned to my bedroom at night.

Lu Chen continued the training of echocardiography.

After a real-world exercise, he became more aware of his technical weaknesses.

Based on this, Lu Chen started targeted training!

It is precisely because of the existence of the system virtual space that he was able to master the entry-level cardiac ultrasound technology in such a short period of time.

The skill proficiency of echocardiography rose all the way to 60% before stopping.

Although this kind of cardiac ultrasound skill card is elementary, it still benefited Lu Chen a lot.

……

The next day.

Today Li Yao came to the ward and started the weekly rounds of the director.

Recently, Li Yao came to the ward less often because she was busy writing the National Nature Bidding Document.

This is to ensure the quality of ward rounds.

Therefore, Li Yao's ward rounds today are very slow.

"Ms. Li, this 10-bed patient came yesterday, and the echocardiogram showed hypertrophic cardiomyopathy." Sun Guoguo said.

Li Yao stood at the bedside of a 10-bed patient, flipping through his medical records in his hand.

At this time, the patient's wife suddenly complained from the side: "Director Li, the doctor told our family to lose weight, but look at him, he has fat on his face and stomach, and his hands and feet are not fat. If he loses weight, he will look like a winter melon .”

This made the hall roar with laughter.

"Patients with high blood pressure must lose weight!" Li Yao read his laboratory report, "Blood fat is high, blood sugar is also high, and the glycated hemoglobin is 7.5%, which means that he is very likely to have diabetes. But you didn’t notice it before. You have high blood pressure, high blood lipids, and high blood sugar. If you don’t lose weight, you’ll be hospitalized again later.”

Li Yao checked the patient while talking.

She found that the patient was really obese in the head and face, mainly in the trunk, and the limbs were not very fat, but rather thin.

Li Yao pondered for a moment, then sighed, as if she had discovered something strange.

She turned to look at the people behind her.

"Do you think of anything when you see the patient's body shape?"

Lu Chen had already noticed something.

Just now when the patient's family members said short winter melon, everyone else laughed out loud, but he couldn't laugh alone.

The completion rate of the system upgrade has not increased for a long time, Lu Chen thinks this may not be a system bug!
He thought of a situation that others might not have thought of, except Li Yao of course.

No one else in the group spoke.

Seeing this, Lu Chen took over the words: "The patient's condition is more complicated, and I'm afraid that cardiac hypertrophy is not the main cause."

When this statement came out, everyone was lost.

　No more, everyone go to sleep.

　　
　
(End of this chapter)