I can see health

Chapter 43 Battle of ECG (Part [-])
Sun Guoguo frowned, then nodded slightly, but did not speak.

From Lin Cui's words, she can probably guess what happened just now.

Ke Yue has been in the department for two months. She is very clear about this little girl's poor clinical knowledge and skills.

However, although Lin Cui is the deputy director of the department, there is no need to be so aggressive and let a thin-skinned girl be so embarrassing.

What's more, Ke Yue is still Director Li Yao's student!

Even if you don't look at the monk's face, you should also look at the Buddha's face.

Lin Cui's doing this is completely disrespecting Teacher Li Yao!
Sun Guoguo didn't agree with Lin Cui's approach, but after all, the other party was a senior doctor and the deputy director of the department, so she couldn't say much.

……

As the deputy director of the department, Lin Cui didn't think so much. She is the leader of the department, and it is very common to teach a student a lesson.

"Atrial fibrillation is one of the most common electrocardiograms in our cardiology department." Lin Cui continued, "Everyone must master the characteristics and treatment methods of atrial fibrillation electrocardiograms! If you can't even recognize this most basic electrocardiogram, then you must Work hard, otherwise you will laugh your ass off if you reveal your identity as a cardiology graduate student!"

During this period, Ke Yue kept pulling his head away, almost burying his head in the floor.

It's not that she didn't work hard, but she fell too far!
During the whole five-year internship, she spent most of her time on reviewing for postgraduate entrance examinations, and seldom learned clinical knowledge and skills.

Especially the electrocardiogram, which completely needs to rely on a lot of image recognition to improve the ability!

The electrocardiograms in the books are the most standard abnormal electrocardiograms.

But clinically, there are no two identical ECGs at all.

In addition to relying on talent, you need to rely on yourself to accumulate more experience in understanding pictures.

……

Lu Chen could understand Ke Yue's mood at this time, lightly patted her on the shoulder, and whispered: "It's okay, just learn slowly, no one knows it at the beginning."

"En." Ke Yue responded lightly, but still lowered her head, Lu Chen couldn't see her expression clearly.

……

At this time, Lin Cui began to interpret the fourth and fifth ECGs.

However, the last two electrocardiograms are not as recognizable as before.

Lin Cui ordered several students in a row, but none of them knew the diagnosis of this electrocardiogram.

Even He Sirong was hesitant. After thinking for a long time, he said slowly: "Mr. Lin, the lower wall leads, V4-V6 lead ST depression in this picture, and V1-V3 lead ST segment elevation should be Coronary 6+2 phenomenon, consider left main occlusion."

When Lu Chen saw this picture for the first time, the diagnosis he considered was similar to what He Sirong said, it might be coronary heart disease and left main artery occlusion.

But this picture gave him the feeling that there was always something wrong, weird!

But what exactly was wrong, he couldn't tell.

Hearing this, Lin Cui shook her head and chuckled, and said, "The fourth picture should be the most difficult one. When this patient first came to our department, many people made mistakes, including some senior attending physicians! I I can only give a hint that this disease has nothing to do with primary heart disease!"

He Sirong knew from Lin Cui's words that she had made a mistake in her judgment!
Nothing to do with primary heart disease...

Lu Chen lowered his head and pondered, suddenly a flash of light flashed in his mind.

If it has nothing to do with primary heart disease, there is only one possibility left!

"Director Lin, I would like to ask, how is the patient's renal function?"

As the saying goes, there is no separation between heart and kidney.

This kind of obvious "ischemic" ECG, if it is not a heart problem, it is mostly a kidney problem!
Lin Cui looked at Lu Chen in surprise.

This boy is a bit unfamiliar. He just came to the department today?

"Well, this is indeed a patient with chronic renal insufficiency"

Hearing this, Lu Chen smiled slightly, and already had his own answer in his heart.

Seeing Lu Chen's smile, Lin Cui raised her eyebrows.

"You know the answer?"

They discussed the electrocardiogram for a long time at the beginning, and finally combined with the laboratory indicators to finally confirm the diagnosis!
Could it be that this boy was diagnosed with this electrocardiogram for the first time?

"If I'm not wrong, it should be hyperkalemia combined with hypocalcemia." Lu Chen smiled.

Everyone present was surprised and puzzled.

From coronary heart disease to hyperkalemia and hypocalcemia, the span is too great!

"This picture is indeed very difficult, but it is also very interesting."

Lu Chen smiled and said.

Sun Guoguo, who was giving medical orders at the side, also turned around curiously.

The electrocardiogram of atrial fibrillation is very common in cardiology, but "high potassium, low calcium" is extremely rare.

"The chest conduction V1-V3 R wave progression is poor, the R wave is slender, which is equivalent to the basic loss, the T wave is symmetrical, the waist is very thick, the high point is not obvious, it is very similar to the 6+2 phenomenon. I believe that most people have seen this picture It is said that it is coronary heart disease, and it may be the left main or proximal anterior descending artery or three-vessel disease."

He Sirong nodded slightly. The reason why she judged that it was coronary heart disease was also based on Lu Chen's description above.

Lu Chen paused and continued.

"But this patient is a patient with chronic renal insufficiency. After careful observation of the electrocardiogram, it is actually quite in line with the sharp wave, but it is not high, and the ST segment is obviously prolonged in the case of sinus tachycardia. Based on these, it is considered that this patient is Hyperkalemia with hypocalcemia."

"This is not a typical phenomenon of coronary 6+2. It is considered that the patient's severe renal anemia caused relative coronary ischemia. In fact, 6+2 was not a patent for coronary artery disease such as left main disease or three-vessel disease. !"

After Lu Chen finished speaking, the students present looked at each other in blank dismay.

These knowledge points completely surpass what they have learned before.

Only He Sirong, she is the only one among all the students who can understand what Lu Chen said.

Chronic Renal Insufficiency…

Hyperkalemia, hypocalcemia...

This was completely unexpected to her, and her thinking was still stuck in the fields of coronary heart disease and arrhythmia.

Even though Lin Cui had reminded that this picture had nothing to do with "primary heart disease", she still couldn't get around the corner.

But Lin Cui was silent.

Every word Lu Chen said was correct.

He not only judged hyperkalemia, but even hypocalcemia!
Just the interpretation of this electrocardiogram has completely covered up all the light of He Sirong before!
(End of this chapter)