I can see health

Chapter 373 He is that Lu Chen! (One update today, make up tomorrow)
Such a small child with such high blood pressure?

Lu Chen's first impression was that the blood pressure gauge was not broken.

In a normal way of thinking, instrument damage can only be considered after excluding disease diagnosis and after multiple measurements.

In Lu Chen's eyes, the little girl's HP is 63.

Behind 63, there is a "-" symbol.

He hurriedly asked the little girl on the hospital bed.

"Is there something wrong?"

The little girl timidly did not look back, and a middle-aged woman about 40 years old, who should be her mother, said, "It's fine now, but in the past week, she always complained of headaches, nausea, and sometimes would vomit."

With such a high blood pressure, of course you will have a headache!

At this time, the nurse took another blood pressure monitor and measured the blood pressure on both sides of the little girl.

The results are all above 200/100mmHg!

The blood pressure monitor is not broken, but the "broken" one is the little girl in front of me.

The nurse was frightened by her blood pressure. If it is a middle-aged and elderly person with such a high blood pressure, then it is fine.

But the girl in front of me is only in her teens!
"At this moment, is there anything uncomfortable?" Lu Chen continued to ask.

The little girl shook her head slightly and whispered, "No...no."

Lu Chen felt a little relieved, the reason why he kept asking the little girl if she felt any discomfort.

This is mainly in judging the treatment of high blood pressure.

If the blood pressure is high, but there are no related symptoms and target organ damage, oral antihypertensive drugs can be used.

However, if high blood pressure causes severe headache, vomiting, and damage to target organs, it is necessary to use intravenous antihypertensive drugs to lower blood pressure as soon as possible.

At present, the little girl has no symptoms for the time being, and oral drugs can be used to lower blood pressure first.

However, such a young girl has such a high blood pressure, there must be an internal reason!

Lu Chen immediately concentrated his energy and began to ask about the medical history.

Patient female, 13 years old, student.

Height: 163cm, weight: 76kg, BMI index: 28.60.

The body weight increased by 30kg in one year, and he was admitted to the hospital for one week with headache and nausea.

One week ago, the patient had a headache after catching a cold, showing continuous distending pain, accompanied by fever, nausea, and vomiting acid water.No chest pain, palpitation and other symptoms.

At that time, the body temperature was measured at 38°C at school, and the Bp180/85mmhg was given. After symptomatic and supportive treatment, the fever symptoms improved.

But in the past week, the patient's symptoms not only did not decrease, but also tended to worsen, so he came to Jinghua Second Hospital.

The reason why I came to the endocrinology department was because the outpatient doctor considered that the patient had high blood pressure, obesity, and a series of endocrine system diseases such as metabolic syndrome, so he was admitted to the endocrinology department.

In addition, the patient's parents were in good health and denied a family history of hypertension.

Her age at menarche was 12 years, and her cycles were irregular, with 2 or prolonged menstrual cycles.

Lu Chen also took an electrocardiogram for the little girl, and the result of the electrocardiogram was normal.

After asking the medical history, the most important thing at present is to lower blood pressure!
……

Go back to the doctor's office.

Min Ling has already seen the patient and came back.

"Lu Chen, what's the condition of the patient you're seeing?" Min Ling asked immediately.

Lu Chen briefly recounted the patient's medical history.

"13 years old, high blood pressure, what do you think about it?" Min Ling glanced at Lu Chen and asked for his opinion.

Lu Chen paused, and then slowly said: "First of all, the most important thing is to find the cause of the patient's high blood pressure, mainly to rule out secondary high blood pressure factors, and secondly, the patient is obese. Is there a possibility of metabolic syndrome?"

"Well, very good." Min Ling nodded slightly, "You write the medical history and give the doctor's orders."

"Okay." Lu Chen said.

This move of Min Ling startled Lou Jie who was on the side.

Ask a freshman to write the course of disease and issue doctor's orders?

Min Ling was not such a loose person before!
Not to mention a freshman in the first year of research, even a second or third year student, it is impossible for her to let go like this.

I saw that Lu Chen did not refuse or hesitate.

He found a spare computer and started giving medical orders.

The first is the most important, three antihypertensive drugs.

This is followed by blood draws and some imaging tests.

Blood drawing is mainly to check some routine items and secondary hypertension factors.

Lu Chen quickly finished prescribing a whole set of medical orders.

……

Lou Jie on the side was secretly startled, this freshman looks pretty good!

He must have relevant clinical work experience before, otherwise he would not be proficient!
Lou Jie pretended to be casual and clicked on the doctor's order that Lu Chen just gave.

When she saw the computer screen in front of her clearly, her pupils shrank slightly.

Lu Chen has already issued all the doctor's orders.

The routine blood draws for admission have all been taken, as well as sex hormones, thyroid function, catecholamines, cortisol, aldosterone, etc., Lu Chen has taken care of everything!
Most importantly, there are no mistakes!

Doctor's order is one of the carriers that best reflects a doctor's clinical thinking.

"This freshman is not easy!" Lou Jie frowned, "His name is... Lu Chen..."

She felt that the name was familiar, but she couldn't remember where she had heard it.

However, she paid more attention to Min Ling's student.

……

After giving the doctor's order, Lu Chen began to write the medical history.

He is also very fast at writing medical records.

In less than 10 minutes, the first trip, major medical records, and corresponding communication records were all written.

Lu Chen's speed shocked Lou Jie again.

She clicked on the course record written by Lu Chen again.

half an hour.

"This..." Lou Jie raised his head and couldn't help saying in surprise, "Can't find any mistakes?!"

The course of disease written by freshmen who have just entered the clinic is generally full of loopholes.

But Lu Chen's was different.

From the patient's chief complaint, current medical history, existing history, etc., Lu Chen's medical history was written in a very standardized and orderly manner.

While Lu Chen went out to sign the paperwork with the patient, Lou Jie finally couldn't help but leaned over to Min Ling and asked, "Miss Xiaoling, you student...are you really a freshman in Yanyi?"

"Yes." Min Ling nodded, "What's wrong?"

"I don't think he's a freshman!" Lou Jie said in surprise, "I've read all his doctor's orders and course of illness, and almost no need to revise. I've never seen such a powerful freshman."

Min Ling covered her mouth and smiled, "What is this? If you know other things about Lu Chen, you won't be surprised."

"Other things?" Lou Jie looked at Min Ling suspiciously.

"That's right, the school issued a circular last week, you should have read it too." Min Ling said, "Everyone should have read it!"

Lou Jie was taken aback, the announcement was made last week?

She immediately recalled in her mind...

Lu Chen...

"Could it be him... that Lu Chen?"

Lou Jie suddenly thought of someone, and immediately looked at Min Ling who was beside him.

Min Ling nodded slightly.

It's really him!
Lu Chen from the cardiology department won No.6 in the national electrocardiogram finals!

No wonder Lou Jie felt that the name sounded familiar, because the Second Academy was constantly promoting Lu Chen's deeds some time ago.

Although she doesn't pay much attention to these things, she still knows that there is such a number one person.

　I'm on night shift tonight, so I can only change it once, and I'll make it up tomorrow!Everyone go to bed early and rest.

　　
　
(End of this chapter)