I can see health

Chapter 374 Chapter 369 Lu Chen's Teaching (Part [-])
Lu Chen adapted very quickly to the Department of Endocrinology.

After all, he has rotated through two departments, not the rookie who just came to the hospital.

Some of the interns in Min Ling's group were all under Lu Chen's subordinates. They helped measure blood sugar and blood pressure, and then did an electrocardiogram.

Lu Chen will also give lectures to the interns in the group to gain a wave of gratitude.

Although he can now get a lot of gratitude through Luo Xueya's science popularization video at station B.

However, Lu Chen discovered that the gratitude value obtained in this way not only has a daily limit, but also a maximum of two times a month!
Because after the third video of him and Luo Xueya was released, the system popped up a reminder - the thank you value obtained through this method this month has reached the upper limit!

Therefore, in daily life and work, if there is an opportunity to gain gratitude, Lu Chen will not let it go.

"Senior brother, the test results of the girl who came yesterday are out!"

As soon as he came to the department the next day, an intern in the group handed a checklist to Lu Chen.

This is an echocardiography report.

Cardiac color Doppler ultrasound showed: mild prolapse of the anterior leaflet of the mitral valve and mild to moderate regurgitation, and enlargement of the left heart.

Lu Chen frowned, there was a big problem with this echocardiogram!
Valve prolapse with moderate regurgitation and left heart enlargement.

The structure of the heart changes, which means that the time frame of the patient's disease is very long!
It is well understood that half of the disease will not change the size and structure of an organ at the beginning of the disease.

Only accumulated damage over time makes it possible for organs to grow or shrink.

"Junior Sister, have the other inspection results come out?" Lu Chen turned to look at the intern.

Liu Binsong nodded slightly: "Well, some blood test results came out."

Lu Chen immediately turned on the computer and entered the test result query interface.

In the blood routine of the patient, white blood cells were normal, hemoglobin 107g/L ↓, platelet 376G/L ↑; MCV 76.1 ↓, MCH 22.7 ↓, MCHC: 297 ↓…

Lu Chen looked through the patient's current examination results, and quickly found out all the abnormal indicators.

"Brother, what's wrong with this little girl?" Liu Binsong asked softly.

Lu Chen shook his head slightly: "I can't see it yet, there are still many inspection results that have not come out."

Seeing the thirst for knowledge on Junior Sister's face, Lu Chen smiled and said a few more words.

"However, her high blood pressure must consider the possibility of secondary. First of all, we need to make a differential diagnosis of high blood pressure and obesity. To improve the cortisol rhythm and small-dose dexamethasone experiment, it is best to keep urine cortisol. After all, blood It is easy to be affected; it is necessary to improve the medullary hormones to rule out pheochromocytoma."

"Then continue to improve the relevant examinations of blood vessels and the heart to rule out the increase in blood pressure caused by vascular stenosis and malformation, and finally enhance the RASS and adrenal gland CT."

"If you can check the hydroxylase, it would be better to check whether the individual has masculinity."

"..."

Lu Chen's narration was very detailed, and it didn't matter whether the junior sister could understand it or not, anyway, he said it all at once.

"Congratulations, I received the thank you value +1 from Liu Binsong!"

Although there is only a little thank you value, no matter how small a mosquito is, it is still meat.

Liu Binsong blinked at Lu Chen.

Senior brother seems to be very powerful, but she didn't understand most of them.

It doesn't matter if you don't understand, she wrote everything down in her little notebook.

"Let's go, let's go see the patient again." Lu Chen said.

Before the ward rounds, Lu Chen and Liu Binsong went to see the patient first.

The number of ward rounds is not idle, as long as the patient's condition changes can be detected in time, it is very necessary.

"There may be a few tests to be done today." Lu Chen said to the girl's mother.

"Okay, I'll listen to you." The girl's mother understood the truth and cooperated with Lu Chen's diagnosis and treatment process very well.

Although the girl's condition seems to be difficult, as long as the family members cooperate, Lu Chen is still very confident to solve it.

……

The early shift is over, and it's time for ward rounds.

Lu Chen discovered that both the Department of Cardiology and the Department of Endocrinology have a special feature, that is, there are a lot of patients!
Not to mention that there are eight areas in the whole cardiology department, and there are many extra beds!
The number of doctors in each ward, if graduate students and regular students are not counted, is far less than the normal doctor-patient ratio.

There are many patients and few doctors.

The lower-level doctors are exhausted every day, and most of the patients are mild patients, not many difficult and severe ones.

For example, in the Department of Endocrinology, most of the patients in the entire department are diabetics, and they come to the hospital to regulate blood sugar.

Many of these patients can be treated in outpatient clinics.

"Lu Chen, although the patient's condition in our endocrinology department is not as urgent as that of the cardiology department, it's not easy." Min Ling said to Lu Chen with a smile.

"It's not easy at all!" Lu Chen smiled wryly.

When I didn't come to the endocrinology department, I thought it was a relaxing place.

But what I didn't expect was that each doctor had a lot of beds.

Lu Chen only needs to manage four beds in the cardiology department, but in the endocrinology department, he needs to manage six to eight beds.

The workload has almost doubled!
"Being a doctor is not easy in any department!" Min Ling shook her head and said.

……

In the morning rounds, I found the little girl who came yesterday.

Min Ling communicated with the patient's family members by the hospital bed, and then asked everyone in the group: "Can any of you tell me about the differential diagnosis of this patient?"

Min Ling's question naturally crossed over Lu Chen.

Because she knew that Lu Chen must know the answer, and she was mainly other interns in the inspection team.

Among the four interns in the group, except for Liu Binsong, three of them immediately lowered their heads.

Min Ling also came from her student days, so she said, "Let's talk about it, Xiao Liu."

Upon hearing this, Liu Binsong looked down at the small notebook in his hand.

She still remembers the little things Senior Brother Lu Chen told him in the morning.

Liu Binsong paused, glanced secretly at Lu Chen who was beside him, and then said in a low voice, "The diagnosis of this patient is not clear yet, because there are still many test results that have not yet come out."

"Then tell me what you know so far." Min Ling smiled.

"Hmm." Liu Binsong nodded, "First of all, the patient's high blood pressure must be considered secondary. First of all, we need to make a differential diagnosis of high blood pressure and obesity. We need to improve the cortisol rhythm and low-dose dexamethasone experiments... "

Lu Chen, who was on the side, smiled helplessly when he heard Liu Binsong's first sentence.

Good fellow, this junior sister repeated exactly what I told her this morning...

When Min Ling heard Liu Binsong's answer, she immediately looked surprised.

Liu Binsong has been in the Department of Endocrinology for two weeks. Why didn't she realize that she had this kind of clinical thinking before?

"If you can check the hydroxylase, it would be better to check whether the individual has masculinity." Liu Binsong took a peek at Lu Chen again, and whispered, "Mr. Min, I'm done."

"Very good, very good!" Min Ling nodded slightly, "It seems that you have put in a lot of hard work when you go back! The rest of you should learn from Xiao Liu!"

The other three interns in the group nodded one after another, but they were very puzzled.

Everyone's level has always been about the same!

Why did Liu Binsong suddenly stand out from the crowd? !

At this time, another prompt popped up on Lu Chen's system panel.

"Congratulations, I received the thank you value +1 from Liu Binsong!"

Lu Chen secretly smiled in his heart, this junior sister is not bad, she was still thinking about herself at this time.

I just hope that she won't become like Junior Sister Yao Jie in the future. After the two get acquainted with each other, they won't be able to thank her very much!

　There are two more
　　
　
(End of this chapter)