I can see health

Chapter 295 I Did Nothing!

The condition of the patient in bed 16 tended to be stable, so Lu Chen stayed beside bed 15 and asked about Wang Ruoxi's medical history.

Since Wang Ruoxi used to be a medical-related person, the process for Lu Chen to ask about the medical history was relatively simple.

Wang Ruoxi understands it very well, as long as Lu Chen mentions it, she can quickly answer the corresponding question.

But Lu Chen was also very cautious to avoid being led astray by Wang Ruoxi.

Especially this kind of half-understanding people, it is easy to bring in their own subjective factors.

……

After asking about the medical history, Lu Chen summarized Wang Ruoxi's disease process.

In the past month, she had intermittent pain in the chest area, which was a tingling sensation in the front chest.

The back was dull pain for the first two days, and then turned to stabbing pain.

The pain lasted no more than 1 minute each time. Sometimes the chest and back were painful at the same time, and sometimes only the back was painful.

Pain accompanied by nausea and retching.Pain is irregular in duration.

The interval between two pains before and after became shorter, the shortest being 5 minutes.

Electrocardiogram, because the time of pain is too short, Wang Ruoxi has only done one electrocardiogram at the time of pain.

The electrocardiogram after the pain was consistent with the electrocardiogram during the pain, and no obvious abnormalities were found.

……

After taking the medical history, a routine physical examination is performed.

Lu Chen first sterilized his stethoscope, auscultated Wang Ruoxi's heart and lungs, and then performed a simple abdominal examination, and found no abnormalities.

"This is the blood that I went to the emergency department to check when I got sick." Wang Ruoxi took out a stack of medical records in his bag.

Lu Chen reached out to take it. It was seen in the emergency department of Jinghua Second Hospital.

In case of chest pain, urgent blood test results showed that blood routine, liver function, kidney function, myocardial enzyme spectrum, etc. were all normal.

Afterwards, Wang Ruoxi also checked the chest + full abdomen CT, and the results showed no obvious abnormalities.

In addition, the ultrasound of the abdominal great vessels, heart, and neck vessels was improved, and no obvious abnormalities were found in the results.

After reading all the inspection results of Wang Ruoxi, Lu Chen frowned slightly.

The inspections she has done have been very detailed and comprehensive.

But all inspections are normal!
"Doctor Lu, to tell you the truth, I have seen a doctor in your cardiology clinic, and most of the doctors said that I am not sick." Wang Ruoxi smiled bitterly, "But I just feel tightness in my chest, and it hasn't improved much. "

Lu Chen paused, then looked up at Wang Ruoxi who was on the bed: "If you just pass these inspection reports in your hand, you are indeed fine."

"Really?" Wang Ruoxi looked a little disappointed.

Not sick, of course, is a good result.

But she can really feel her chest pain, which is a physical pain, not caused by mental tension.

"but……"

When Wang Ruoxi heard these two words from Lu Chen's mouth, a glimmer of hope flashed in his eyes.

"but what?"

Lu Chen said seriously: "But it can't be ruled out, you have other diseases that haven't been discovered."

"Doctor Lu, can you tell me more about it?"

Although Wang Ruoxi has studied medicine, she has never really been a doctor after all.

When it comes to professional knowledge, she is only half-knowledgeable.

Lu Chen thought for a while and said, "We generally need to complete relevant examinations, such as examinations of the heart, lungs, digestive tract, and aorta, and consider whether there are herpes zoster, pleurisy, intercostal neuralgia, costochondritis, etc., and rule out the above. For organic diseases, depending on whether there are mental and psychological factors such as anxiety and mental stress, benign chest pain or cardiac neurosis can be considered to be diagnosed. Of course, about 30% of chest pains cannot find the cause!"

Hearing Lu Chen's words, Wang Ruoxi nodded
Her chest pain lasted for a long time,

Many doctors saw the report card in her hand and said she was not sick.

How should I put it, such an answer will make her even more anxious.

Because she knew that this kind of pain had already affected her daily life, and it was definitely not such a simple matter.

But I can't find any reason, this kind of restlessness is very uncomfortable.

At this time, Lu Chen held the inspection report in his hand.

Looking at the HP on Wang Ruoxi's head, it shows 75!

"There shouldn't be any major problems." Lu Chen thought in his heart.

For such female patients in their 30s and [-]s, some patients do experience persistent chest pain.

Although Lu Chen doesn't have much clinical experience, he has seen a few cases.

Such patients, in most cases, have a benign chest pain, or cardiac neurosis.

However, the doctor can't beat the patient to death directly with a stick, saying that the patient is not sick.

This can lead to a state of extreme boredom and resistance in the patient.

"Doctor Lu, do you think it's necessary for me to have a coronary CTA or coronary angiography?" Wang Ruoxi suddenly asked again.

Lu Chen shook his head: "No need! Although coronary CTA is a non-invasive examination, it also needs to inject a small amount of contrast agent. Coronary angiography is an interventional and traumatic examination. In your current state, there is no need to do it at all. These two kinds of examinations, but you can do several electrocardiograms frequently during each attack, this is the most economical, convenient, and can understand the state of the heart. "

With the continuous development of medical technology, interventional coronary angiography is also improving and innovating rapidly.

Many large hospitals have conditions for daytime angiography, that is to say, a coronary angiography can be performed directly in the outpatient clinic, and the patient can be discharged on the same day.

For the sake of convenience, more and more people directly undergo coronary intervention if they have a little problem.

Thus ignoring coronary intervention, which is an invasive examination.

Invasive examination, as the name suggests, has certain trauma to the human body.

Even, many complications are irreversible permanent damage.

Unless coronary heart disease is suspected, or coronary heart disease is ruled out, then interventional treatment with coronary angiography is recommended.

A young woman like Wang Ruoxi doesn't have any high-risk coronary heart disease factors, so the chance of the patient having coronary heart disease is very small!

"Doctor Lu, I'll listen to you." Wang Ruoxi looked at Lu Chen with a smile.

It may be because Wang Zihao has always mentioned Lu Chen's excellence in front of him these few days, and he has witnessed the whole process of Lu Chen presiding over the rescue, and after the contact with the first doctor, Wang Ruoxi believes in Lu Chen's judgment. .

"Well, if you are really worried, you can do an exercise treadmill test to rule out coronary heart disease." Lu Chen said.

The exercise treadmill test is to allow patients to exercise on a treadmill (similar to a treadmill) according to a set program.

An examination method that puts a burden on the heart and monitors changes in ECG and blood pressure in real time during exercise.

It is a simple, non-invasive and inexpensive auxiliary examination method commonly used in cardiovascular medicine.

However, because the exercise treadmill test has certain risks, many small hospitals do not have this kind of test.

"Okay, I'll listen to you." Wang Ruoxi pursed her lips and smiled.

At this time, Lu Chen found a prompt popped up on the system panel.

"Congratulations, I received a thank you value from Wang Ruoxi +1!"

After receiving this reminder, Lu Chen suddenly felt a little strange, I haven't done anything yet!
Wang Ruoxi started to thank him directly?
　I still owe a chapter, and I will update it tomorrow

　　
　
(End of this chapter)