I can see health

Chapter 265 The Hot Potato (Second)
"Congratulations, the completion of the system upgrade has increased to 37%!"

After completing this case, Lu Chen's system completion degree increased.

But Lu Chen didn't get the thank you value, and he didn't care.

Most of the family members are still struggling with drug use.

After the application of vancomycin, the patient's blood pressure increased compared with before.

Although the oxygen saturation did not rise, the vital signs were temporarily stable.

In Lu Chen's eyes, the patient's health was also slowly rising.

"How about we call the police?" Yin Xinhua said suddenly.

The police station has targets for drug addicts like this.

However, the patient's current situation is probably a hot potato.

"Hey, I've seen two patients who took drugs like this." Fan Zhiping said suddenly, "They were both young, with dilated cardiomyopathy, and severe and refractory heart failure. It’s related to drug use. Every time they get sick, they come to our department. Everyone knows that they take drugs, and the police also know about it, but the police station doesn’t dare to take care of their sudden death at any time.”

Yin Xinhua sighed, this patient is also an unstable factor in the eighth area of ​​the heart.

"I hope he wakes up early and leaves the hospital early."

After dealing with this patient, the eight areas in my heart regained their peace.

……

Recalling the diagnosis and treatment process just now, Yin Xinhua thought of Lu Chen while feeling lucky.

Fortunately, Junior Brother Lu Chen was here. It would not be so easy tonight if it were someone else.

The pinhole on the patient's skin was discovered by Lu Chen.

Everyone thought it was a "rash" at first!
"It's not easy!"

Yin Xinhua looked back at Lu Chen, and found that he was completing the patient's medical records and doctor's orders.

For some reason, Yin Xinhua was suddenly relieved that Lu Chen entered the second round of the provincial competition.

Unlike Yin Xinhua, Comrade Lao Fan was extremely calm.

Following behind Lu Chen, such difficult and weird cases are endless!
Comrade Lao Fan began to ponder and collect the cases he encountered during this period.

All of them are classic cases!
……

Maybe it's because this drug addict patient has consumed too much energy from everyone.

Throughout the night, the condition of the other patients was very stable.

That night, Lu Chen, Yin Xinhua, and Comrade Lao Fan all slept soundly.

Silent all night.

The next day, when Lu Chen opened his eyes, he looked at the time, and it was already 07:30.

It was rare to be quiet all night without being called by the nurse.

Lu Chen hurriedly washed up, and after a while, everyone else would arrive.

After washing up, I went to the doctor's office.

Lu Chen saw Fan Zhiping and Yin Xinhua sitting and chatting.

Seeing Lu Chen coming in, both of them smiled.

Yin Xinhua smiled at Lu Chen, "Junior Brother Lu, wake up."

"Yeah." Lu Chen nodded, "Senior Sister, the nurse didn't call you last night, right?"

"It's good that you didn't call me." Yin Xinhua smiled.

"That's good." Lu Chen also found a seat and sat down.

"By the way." Yin Xinhua said suddenly, "Brother, yesterday I saw that you are so proficient in using ultrasound. Who did you learn from?"

Lu Chen was taken aback for a moment, and then he said without blushing, "I usually study a part by myself, and I have a classmate in the ultrasound department in my dormitory. Sometimes I go to him to rub the machine and learn."

"Oh, that's it." Yin Xinhua didn't believe Lu Chen's words.

She has been learning echocardiography for a long time, but she is not as skilled as Lu Chen.

But Lu Chen didn't want to say it, and she didn't ask any more.

……

At eight o'clock, the shift begins.

The only content that Lu Chen took over was this drug addict patient.

"The 37-bed patient had a sudden high fever at around [-]:[-] last night, followed by dyspnea... After consulting with multiple departments and perfecting the echocardiography, he finally suspected that he was a patient with intravenous drug addiction, infective endocarditis, and valve vegetations. dislodges, leading to a pulmonary embolism."

As soon as this remark came out, the doctors in the entire department were a little surprised.

Although the content of Lu Chen's shift is not much, his clinical thinking is meticulous.

This case of drug abuse is definitely not as simple as it is said on the lips.

It is quite difficult to make a clear diagnosis of the patient in one night!

Everyone looked at Yin Xinhua with different eyes.

Because everyone took it for granted that this patient was diagnosed by Yin Xinhua, the senior physician on duty.

"Let's call the police and contact the police for a drug test."

Knowing that there was this special patient, Li Yao also came to the ward.

"We still have to report this patient to the medical department. Lu Chen, since you are familiar with the patient, I will leave it to you."

"Good teacher." Lu Chen nodded.

The shift is over.

Several attending doctors in the department gathered around Yin Xinhua.

Xia Gang clicked his tongue and said in amazement: "Junior Sister Yin, you are so ruthless, you have clarified the diagnosis of this patient in one night."

Xia Gang is the doctor who sees drug addicts.

He was still thinking about the cause of the patient's fever and chest tightness yesterday, but he didn't expect Yin Xinhua to solve it when he came in the morning.

This is a pulmonary embolism!
It's not just a pulmonary embolism!
Such an extremely dangerous disease, once the diagnosis is missed, then wait for a lawsuit.

Director Lin Cui's face was full of smiles, "Dr. Yin is great, he was able to diagnose pulmonary embolism caused by infective endocarditis in such a short period of time. The complexity of this case can be regarded as a teaching case." !"

There was a hint of embarrassment on Yin Xinhua's face.

She contributed to the patient's diagnosis, but it was not the most important thing.

Without Lu Chen, Li Qinghua, and the doctors in the ultrasound department, it would be absolutely impossible for her alone to make a diagnosis.

She might just give someone else thrombolysis in a foolish way!

"It's all thanks to everyone." Yin Xinhua said angrily.

Everyone thought that Yin Xinhua was being polite, and praised her again.

Lu Chen has deep merits and fame.

After he filed a record with the medical department, he returned to the dormitory after checking the room.

The day after tomorrow is the second round of competition!

He still has more important things to do, which is to continue to learn electrophysiology-related knowledge.

I slept very well last night, Lu Chen didn't sleep like usual, but directly turned on the open learning mode.

It just so happens that tomorrow is the weekend, so he can study in the dormitory for a few more days with peace of mind.

……

It's Monday again.

Today is the day of the second round.

The start time of the game was set at two o'clock in the afternoon as usual.

In the morning, Lu Chen came to the Eighth District of Heart.

The high fever of the drug addict patient turned to low fever.

Blood pressure has been completely stabilized, and respiratory oxygenation has also improved.

Lu Chen called out the doctor's order, and saw that the doctor in charge had re-examined his heart with color Doppler ultrasound.

Echocardiographic results showed that the pressure load on the right heart was reduced.

Lu Chen guessed that the bacterial mass emboli had been dissolved and dispersed, so the pulmonary artery was restored.

Blood culture results are back.

Positive, it is Staphylococcus aureus.

Since then, the diagnosis has never been in doubt!
From the start, the patient may have been infected with Staphylococcus aureus.

Bacteria enter the bloodstream, leading to infection of the lining of the heart, which inflames the lining of the heart to form clumps of bacteria.

The clump will fall off if you are not careful. If it is a left endocardial clump, it will not cause pulmonary embolism, but will only cause embolism in other arteries.

But if it's the right endocardial bacterial growth falling off, it's a pulmonary embolism.

This kind of pulmonary embolism is not a common pulmonary thromboembolism, but a pulmonary bacterial vegetation embolism, so thrombolysis is not required, and thrombolytic drugs cannot be used.

Only by relying on strong antibiotics to break up the bacteria can it be possible to restore the patency of the pulmonary arteries.

The patient thus saved his life!
(End of this chapter)