I can see health

Chapter 445 You Can't Watch Movies at All!

"Auntie, I saw that you had a chest CT at the Central Hospital, did you bring the scan?" Lu Chen asked.

"Bring it."

Aunt Wang quickly squatted down and took a white bag from the drawer under the bedside table.

Lu Chen smiled, took the bag, and took out a brand new chest CT film from it.

Comparing the date, it happened to be a film shot a week ago.

Lu Chen carefully reviewed the chest CT and found that the patient's lungs were normal except for a little infection.

"This case is really not that simple." Lu Chen thought in his heart.

Seemingly simple bronchial asthma, but why the effect is not good?
Because the other hospital had already given the patient a full range of treatment for bronchial asthma, the first thing Lu Chen thought of was whether the cough was caused by other diseases?
"Doctor, do you have anything else to do?"

Aunt Wang said.

Lu Chen shook his head, "Thank you Auntie for your cooperation, I'm done asking."

He returned the chest CT film to Aunt Wang.

"Then my illness..."

Lu Chen paused, "I don't know yet, further examination is needed, and my superior doctor will come to see you later."

Regarding this case, Lu Chen really didn't have any ideas for a while.

"Okay, thank you doctor."

Lu Chen nodded slightly, and then left the ward.

……

When I first entered the Department of Respiratory Medicine, the first patient I met was a bit tricky.

Lu Chen also became interested.

For the first two months, he stayed in the operating room every day, which was too boring.

Go back to the doctor's office.

Fan Yujing was already sitting in front of the computer. Judging by her appearance, she should be waiting for Lu Chen.

"What's the patient's condition?"

As soon as Lu Chen sat down, Fan Yujing asked.

"Considering an acute attack of bronchial asthma..."

Before Lu Chen finished speaking, Fan Yujing interrupted: "I didn't ask you to talk about the diagnosis, but the condition!"

Lu Chen frowned deeply, and glanced at Fan Yujing, this teacher's temper is really weird.

However, he continued: "The patient was a 43-year-old female who was admitted to the hospital for 5 days with cough, sputum and wheezing..."

Lu Chen briefly introduced the medical history.

"Where was the bronchial asthma diagnosed and what treatment did you use?" Fan Yujing asked.

"I stayed in the central hospital for a month, and I was given hormone, anti-convulsion, and anti-infection treatments, but the effect was not very good."

After Lu Chen finished speaking, Fan Yujing didn't speak. She took her stethoscope and left the doctor's office.

Seeing this, Lu Chen also followed behind her.

……

Came to the ward again.

The patient is already lying on the bed.

Walking into the ward, only half a meter away from the bed, you can faintly hear the gasp of the patient.

Fan Yujing came to the bed and asked about the medical history again.

This time, she also asked about some occupational medical history, dust exposure history and so on.

The patient answered one by one, and she did not have any other occupational diseases and exposure history.

"Have you read the doctor's order for the patient's treatment at the Municipal Hospital of Traditional Chinese Medicine?" Fan Yujing asked suddenly.

"I've seen it." Lu Chen nodded.

"What's your opinion?"

Lu Chen frowned slightly, "From the current diagnosis of bronchial asthma, the treatment in the central hospital is basically in place."

"Then why was the previous treatment not good?" Fan Yujing asked again, "What is the reason?"

Lu Chen shook his head and said in a low voice, "I don't know for now, but from a preliminary point of view, firstly, the dosage and course of treatment may not be enough; secondly, the diagnosis of bronchial asthma was wrong!"

The wrong diagnosis is just his current guess.

Don't underestimate each other, all Lu Chen's voice is very small, so as not to hear the patient's family members.

When Fan Yujing heard Lu Chen's words, she frowned slightly, feeling slightly surprised.

Unexpectedly, this student has two brushes.

"According to the patient's current examination results, besides bronchial asthma, what other diagnosis do you consider?" Fan Yujing said.

Lu Chen shook his head slightly, "I don't know yet."

The Department of Respiratory Medicine is not his major, so naturally he is not as comfortable as he is in the Department of Cardiology.

Fan Yujing didn't say much, but turned to the patient and said, "Take out all the tests you did at the central hospital."

"Okay." Hearing this, the patient took out the chest CT film again and handed it to Fan Yujing.

Fan Yujing took it lightly, held it in front of her body, and looked at it carefully.

CT images are divided into 16 rows and 64 rows, mainly due to the difference in resolution.

It can be easily understood that 16-slice CT is to cut the lungs 16 times.

The 64-row CT is cross-cut 64 knives.

The larger the number of rows and the more times of cross-sections, the clearer the chest CT can be seen.

After a while, Fan Yujing slowly put down the chest CT film in her hand.

"Have you seen the CT film?"

Lu Chen nodded slightly: "I've seen it."

"Will you watch?" Lu Chen was taken aback by Fan Yujing's words.

"I haven't studied it systematically, so I will read a little bit." Lu Chen said.

"Hehe, I don't think you know it at all!" Fan Yujing unceremoniously put the CT film on the table aside, and said coldly: "After reading this CT film, don't you still know the patient's cause? "

Fan Yujing's attitude was really bad.

But Lu Chen was stunned when he heard Fan Yujing's words.

He had just carefully read this patient's chest CT film.

Except for the signs of lung infection, he didn't find any other problems!

Fan Yujing could actually see the cause of the patient from this chest CT film?

Lu Chen immediately took the CT film.

He carefully studied and compared every aspect.

Lung windows, mediastinal windows, lung markings, bronchial shadows, he would not let go of any of them.

"It's a bit self-aware, so take a good look."

Fan Yujing snorted coldly, and then left the ward.

Lu Chen ignored her and continued to study with the chest CT film.

……

There are a lot of content about CT in the image, otherwise it would not be a separate subject.

However, with the development of modern medicine, the division of labor among doctors has become more and more detailed.

Doctors in many departments are not good at image reading, such as X-ray, CT and MRI.

Most doctors rely on the results of the radiology department.

However, clinically, in many cases, it is the doctor who manages the bed who knows the patient's condition best.

Relying on the image reading of the imaging department not only delays the best treatment results, but also may cause errors in interpretation.

……

"call……"

After a while, Lu Chen still shook his head helplessly.

Except for the image of lung infection, he still didn't see anything abnormal.

Lu Chen knew that he lacked the ability to read films.

"Auntie, please take the film back for me to have a look first." Lu Chen had no choice but to say to the patient, "I'll return it to you after I've watched it."

"Okay, no problem." The patient grinned, "Just don't get rid of it for me, I will use it in the future."

"Well, don't worry."

With that said, Lu Chen took the patient's chest CT film back to the doctor's office.

in the doctor's office.

Fan Yujing was giving medical orders to the patient. At the same time, when she saw Lu Chen coming back, she said, "Write down the patient's course record."

"it is good."

Lu Chen first put the patient's chest CT film aside, and began to write the patient's first course record.

Lu Chen was able to write the record of the course of illness very quickly.

However, he really didn't know how to fill in the diagnosis line of the course record.

Lu Chen opened the doctor's order and frowned.

Fan Yujing's doctor's orders were very routine, only a few simple orders for blood tests.

None of the anti-infection and bronchial asthma medicines!
Seeing the doctor's order, Lu Chen glanced back at Fan Yujing, and then fell into deep thought.

(End of this chapter)