I can see health

Chapter 467 This is intuition, do you believe it? (Second update)
For all the clinical manifestations of the patient, he only thought of diseases of the respiratory system.

But it ignores a very important point, that is, diseases of other systems, such as the cardiovascular system!
Persistent chest pain, combined with high blood pressure, the most important thing is that the life value is so low!
It is easy to think of an extremely dangerous disease-aortic dissection!

……

Go back to the doctor's office.

While ordering Wang Defa to check the patient's blood pressure again, Lu Chen expressed his thoughts to Fan Yujing.

"Aortic dissection?" Fan Yujing frowned.

This disease is more common in cardiology and cardiac surgery, but it is still rare in respiratory department.

"Hmm." Lu Chen said in a deep voice, "The patient had chest pains, and the ECG showed no abnormalities. Although the pain could be relieved after taking painkillers, the pain reappeared after the effects of the drugs wore off!"

In fact, relying on the patient's clinical symptoms and auxiliary examination alone, the possibility of aortic dissection is unlikely.

However, looking at the red health on his head, Lu Chen felt uneasy.

If it was just pneumonia, tuberculosis, or even a tumor, his health couldn't be so low and drop so fast!
Just in case, Lu Chen still thinks it's better to be cautious.

"Teacher Fan, I think it's best for the patient to complete the CTA of the aorta." Lu Chen said.

Fan Yujing frowned slightly. According to the current situation of this patient, CTA of the aorta cannot be ruled out, but the possibility is not high.

Because high blood pressure may be caused by the patient's poor control, chest pain may also be caused by pneumonia or lung tumors.

"Well, you go and communicate with the patient's family." Fan Yujing said, "If the family agrees to complete the examination, then take it to the CT room for one. If not, then control the blood pressure for the time being."

"Okay!" Lu Chen nodded.

He also understands that if the life value cannot be seen, judging from the patient's current situation, the possibility of a diagnosis of active layer dissection is indeed very small!
……

Department of Respiratory Medicine One Ward.

Outside the hallway of the ward.

"Brother, what are you talking about? There is... the possibility of aortic dissection?"

Mei Yejun's face turned pale with fright.

As a medical student, she knew too well what "aortic dissection" meant!
This disease is almost as famous as the god of death.

Without surgery, it is almost impossible to save!
Even if it is an operation, it is a narrow escape!

People suffer from tumors, if treated in time.There may be many more years to live.

But this aortic dissection is a time bomb, and you don't know when the bomb will explode.

This means that patients may die suddenly at any time!

"Junior Sister, don't worry." Lu Chen quickly comforted, "I just suspect this possibility, and it's not a [-]% confirmed diagnosis."

Mr. Mei Ye has lost his mind at this time.

"Brother, what should we do next?"

"I recommend doing a CTA of the aorta!" Lu Chen said seriously, "No matter what, we still need to make a diagnosis and rule out aortic dissection!"

Hearing this, Mr. Mei Ye hesitated and said, "Brother, don't tell my dad first. I'll inform my mom first, she's out of town."

"Okay." Lu Chen nodded, "Let's decide as soon as possible."

"Ah."

……

Go back to the doctor's office.

Lu Chen immediately issued a doctor's order to reduce blood pressure.

The patient's current blood pressure is 180/100mmHg. If it is really aortic dissection, this blood pressure is very dangerous.

According to clinical guidelines, the blood pressure of patients with aortic dissection should be controlled below 120/80mmHg.

Excessive blood pressure is likely to cause the gap in the dissection to become larger, directly leading to shock.

This kind of shock is extremely difficult to rescue.

"Lu Chen, what did the patient's family say?" Fan Yujing said.

"She also needs to contact other family members."

"Yes." Fan Yujing said, "Go and ask for an emergency consultation from the cardiology department."

Lu Chen was taken aback, please ask the cardiology department for an emergency consultation?
Teacher Fan doesn't quite trust his own judgment.

But Lu Chen also understands very well, judging the dissection only by high blood pressure and chest pain, no one will believe it!
"Okay, I'll call the cardiology department." Lu Chen said.

……

10 minute later.

Cardiology hospitalizations always come, but this time it's not Li Qinghua, but another acquaintance of Lu Chen's - Senior Sister Sun Guoguo.

When Sun Guoguo appeared in the respiratory department, Lu Chen was stunned for a moment.

"Senior Sister Guoguo, why are you here?"

Sun Guoguo was also quite surprised, smiled and said, "Didn't your respiratory department ask for an emergency consultation?"

"Ah? Isn't Teacher Li Qinghua here for a consultation?" Lu Chen said.

"Senior brother Li has been the head of the hospital for a year, so let him rest." Sun Guoguo said with a smile, "Brother, do you know which group's teacher is asking for an urgent consultation?"

Lu Chen rubbed his nose and said slowly, "Senior Sister, it's our team..."

"What?" Sun Guoguo was taken aback, "Do you still need an emergency consultation?"

Lu Chen's clinical ability is obvious to all, and it is not inferior to some senior attending doctors or even deputy chief physicians.

Lu Chen explained: "I suspect that a patient has aortic dissection, but Teacher Fan thinks it's safer to ask the cardiology department for a look."

"Teacher Fan...Fan Yujing?" Sun Guoguo asked suspiciously.

"En." Lu Chen nodded.

A trace of sympathy appeared on Sun Guoguo's face.

She had also heard of Fan Yujing's name.

"Where is Teacher Fan?"

Lu Chen said: "In her office, should I call her?"

"Then go see the patient first." Sun Guoguo said.

"Okay." Lu Chen said, "Sister, the patient doesn't know his condition yet."

"Don't worry, I understand."

……

Come to the ward.

Mei Yejun was not by the bed, only the patient was lying on the bed alone.

Lu Chen immediately stepped forward and said with a smile: "Uncle, your blood pressure is a bit high, so I invited a cardiologist to take a look. Although we used antihypertensive drugs, this cardiologist is an expert in blood pressure." Woolen cloth."

The patient immediately got up from the hospital bed and said with a smile, "Thank you, Dr. Lu. Xiaojun, she has something to do when she goes out, and she will be back later."

"Okay, I will communicate with her if there is anything."

After the introduction, Sun Guoguo started the consultation and physical examination.

After some questioning, Sun Guoguo basically understood the patient's condition.

"Uncle, rest well first." Lu Chen said to the patient, and then left the ward with Sun Guoguo.

outside the ward.

Sun Guoguo was quite surprised and said to Lu Chen: "The patient does have a history of high blood pressure and persistent chest pain in the left chest, but the blood pressure on both sides is the same. Although the possibility of aortic dissection cannot be ruled out, it is unlikely!"

The implication is, why did Lu Chen consider the diagnosis of dissection?

Normal clinical thinking may be diagnoses such as pneumonia, tuberculosis, and lung tumors.

Lu Chen smiled and said, "Senior sister, I said this is intuition, do you believe it?"

I can't say, I can see the life value...

　There are three more changes, after finishing writing, modify it and send it out again.

　　
　
(End of this chapter)