I can see health

Chapter 376 Liquid Dark Area (third update from yesterday)

The patient's life value is very consistent with diabetic ketoacidosis.

But the change trend of life value is by no means as simple as diabetic ketoacidosis!
But Lu Chen didn't make a sound.

He returned to the office with Gu Xinyue and Lou Jie.

"Lu Chen, we can leave and go to the cafeteria to eat." Gu Xinyue was about to go to the duty room to change into a white coat.

Lu Chen said, "Wait a minute."

"Huh?" Gu Xinyue looked puzzled, and he saw Lu Chen walking towards Teacher Lou Jie suddenly.

"Ms. Lou, take a look at this patient's abdominal CT..." Lu Chen walked up to Lou Jie and said softly.

"Which patient?" Lou Jie looked back.

Hey, isn't this a boy genius from Min Ling's group?

"It's the patient with abdominal distension that you just went to see in the ward." Lu Chen explained, "I just saw his abdominal CT. Why do I feel that the pancreas is not displayed clearly!"

"Really?" Lou Jie was startled, could it be pancreatitis?

She quickly turned on the computer CT image.

If it is really pancreatitis, then it can be regarded as a mistake in her work!

At this time, Gu Xinyue also returned to the office, and when she heard the conversation between the two, she was startled.

At this time, Lou Jie opened the CT image and glanced at the CT report.

Fortunately, only a small amount of pleural effusion and peritoneal effusion.

The abnormalities of the pancreas were not described in the conclusion of the CT report!

However, Lou Jie was still uneasy and enlarged the CT image.

really!

If what Lu Chen said, the pancreas of this patient is really unclear!

This kind of unclearness, if you don't look carefully, you may not be able to see it.

Moreover, the display of this kind of image is not clear, which is most likely caused by the error of the CT machine, and may not explain any problems.

"Teacher Lou, do you think there is a problem?" Lu Chen continued.

In fact, at the beginning, Lu Chen didn't have any confidence.

But when he saw that the trend of the patient's life value was two minus signs, the uneasiness in his heart intensified.

It is impossible for him to let go of any suspicious details!

"It's true that the display is not clear!" Lou Jie nodded slightly, "Well, let's do a blood and urine amylase test first, and after the results come out, if there is any problem, then consider a CT scan."

The patient just had an abdominal CT yesterday, and now he is going to do another one. The patient and his family members may not be able to understand.

Moreover, the patient's current symptoms are acceptable, and there is no abdominal pain, nausea, or vomiting.

Lu Chen frowned, blood and urine amylase must be done!

But in case the results come out, the patient's condition may be further aggravated.

Is there any way now to judge the patient's condition in advance?
Lu Chen thought about it, besides the amylase and CT examination, there is another examination that can confirm the diagnosis, and that is ultrasound!
"Ms. Lou, do we have an ultrasound machine in our department?" Lu Chen asked suddenly.

"Ultrasound machine?" Lou Jie was startled, "Why do you want this?"

"I want to use the ultrasound machine to show the patient's abdomen first." Lu Chen said, "If it's pancreatitis, then you should be able to see the corresponding changes?"

"You know how to use an ultrasound machine?" Lou Jie was stunned.

This genius boy has too many skills!

Ultrasound technology is actually not difficult, but it does take a lot of time to master it.

Ordinary doctors do not have so much time to study ultrasound technology, so the ultrasound department is independent.

"I learned it when I was in the cardiology department." Lu Chen nodded.

"But in your cardiology department, you should be looking at the heart, right? You will also look at the abdominal organs?" Lou Jie asked suspiciously.

The anatomy of each organ is different, so the ultrasound doctor will also divide it into different parts.

Some focus on the heart, some focus on abdominal organs, and some focus on blood vessels!
"When I was studying echocardiography, I happened to learn abdominal ultrasound together." Lu Chen said.

In fact, Lu Chen never learned abdominal ultrasound.

However, his current thoughts have entered the system, and he has exchanged for the primary skill card of "Abdominal Ultrasound Technology".

This skill card only needs 100 thank you value.

Lu Chen now has a "huge sum" in hand, and he exchanged it without hesitation.

Seeing this, Lou Jie was dubious.

If other students told her this, she would definitely dismiss it.

But the Lu Chen in front of him is extraordinary!
"Actually...our endocrinology department really has an ultrasound machine." Lou Jie said slowly.

"Really?" Lu Chen looked happy.

"It's just upstairs in the second endocrine section." Lou Jie said, "I can't leave my post and go upstairs to borrow the machine. How about this? I'll call the nurse's station in the second section, and you can go up and get it yourself?"

"Okay!" Lu Chen said immediately.

"That's fine." Lou Jie took out his mobile phone and called the nurse's station in the second district, "I've got in touch, you and Gu Xinyue can go together."

She really wanted to see if Lu Chen knew this abdominal ultrasound technology?
If yes, then the patient's disease can be diagnosed, why not do it?

If not, then wait for the amylase results to come out before making further plans.

……

Lu Chen and Gu Xinyue came to the second district together.

After talking to the nurse for a long time, Lu Chen also wrote a loan note, and then went downstairs.

Before that, Lu Chen took the time to enter the virtual space of the system, and seized the time to conduct targeted training on abdominal ultrasound.

Of course, mainly for the pancreas!

Because of the foundation of cardiac ultrasound technology, Lu Chen learned abdominal ultrasound technology very quickly.

And now under emergency conditions, it is enough for him to learn how to read the pancreas.

After Lu Chen tried more than a dozen times in the system space, he has almost mastered the basic pancreatic ultrasound techniques.

……

Back to the endocrine area.

Lu Chen and Gu Xinyue pushed the ultrasound machine into bed 31.

Lou Jie had already discussed it with the patient.

At first, the patient was still a little confused, but after hearing that there was a possibility of severe pancreatitis, he still underwent a blood test and an ultrasound examination.

Lu Chen pushed the ultrasound machine to the patient's bedside.

He did not immediately perform an ultrasound examination, but first re-examined the patient for abdominal physical examination.

Apart from bloating, there were still no other abdominal signs.

After applying the gel, Lu Chen picked up the ultrasound probe and officially started the abdominal ultrasound operation.

"Breathe calmly, then raise your hands and put them on both sides of your head." Lu Chen reminded the patient.

This increases the intercostal spacing and facilitates the inspection of the ultrasound probe.

Lu Chen continued: "Lie down on the right side."

Every body position is related to what part to check.

The left decubitus position is convenient for checking the liver, gallbladder, right kidney and right adrenal gland, and the structure of the porta hepatis.

The right decubitus position is convenient for examining the spleen, left kidney and adrenal gland, and the tail of pancreas.

When the patient heard the words, he did so immediately.

Lu Chen placed the probe smeared with coupling agent on the patient's abdomen, and a black and white image immediately appeared in the ultrasound machine.

Lou Jie immediately looked intently.

Although she doesn't know how to do ultrasound, she can still see ultrasound images.

Lu Chen's technique is still good, and the images produced are relatively clear.

"This... the boundary of the pancreas is not very clear!" Lou Jie murmured.

The lack of clarity here is not because Lu Chen's technique is bad.

It means that the pancreas has a lesion, so the displayed image has changed.

Lu Chen nodded: "Yes, the pancreas is a little bigger than normal, and the echo inside the pancreas is uneven, and a liquid dark area can be seen around the pancreas... The most important thing is, Teacher Lou, look here."

Lou Jie looked at the place Lu Chen pointed at, "This is a liquid dark area, is there peritoneal effusion? Why are there so many!"

Lou Jie looked surprised.

The amount of peritoneal effusion shown by the ultrasound is much more than that on the abdominal CT yesterday!
Yesterday was at most a small amount, but today it reached the level of a moderate amount of peritoneal effusion!

The three people present were all shocked.

All the current evidence points to one disease - acute pancreatitis!

(End of this chapter)