I can see health

Chapter 578 Strange Referral Pain

After all, electrophysiological examination is an invasive surgical operation.

Lu Chen could understand the patient's resistance.

On the other hand, Lu Chen was going to review the patient's ECG and echocardiogram again.

The level of examination in different hospitals varies widely.

Especially at the level of echocardiography, ordinary hospitals can at most see the size of each chamber of the heart, and nothing else can be seen.

The ultrasound departments of some top hospitals, through ultrasound examination, can conduct echocardiography, and even diagnose cardiomyopathy, valvular disease, congenital heart disease and so on.

Just in case, Lu Chen had to check Li Wenqian again, so that he was more at ease.

……

Go back to the doctor's office.

Lu Chen asked Su Rui to write the medical record, and he was responsible for making the doctor's orders.

The division of labor between the two can save a lot of time.

This is also the first time that Lu Chen experienced the joy of being a senior doctor!

Finally, the staff can have someone to help write medical records, or give doctor's orders.

Lu Chen really didn't dare to let the younger brothers and sisters in the group write their medical history, and he was also a student himself, so he always directed the younger brothers and sisters under him, that's not the case.

Now that he manages the bed independently, Su Rui is equivalent to his first student!

"Su Rui, besides autonomic disorder, what diseases do you think this patient should consider?"

Lu Chen began to ask questions.

This habit also inherits Li Yao's "excellent tradition".

Back then when he rotated in the eight districts of his heart, he was tortured by Li Yao's questions for several months.

Su Rui pursed her lips, and there was great doubt in her small eyes.

No matter how good she is, she is only an undergraduate intern after all, with little to no clinical experience.

"Senior Brother Lu, I haven't thought of it yet." Su Rui secretly glanced at Lu Chen.

Although the senior brother in front of her is not from Kyoto University School of Medicine, she dare not show any contempt.

On the contrary, after she heard about Lu Chen's deeds, she felt a sense of admiration beyond measure.

Lu Chen smiled, "Actually, there is such a principle in our cardiology department."

"Young people say that their heart is not feeling well, and they have to think of stomach problems."

"The elderly say that their stomach is uncomfortable, and they must think of heart disease!"

Su Rui blinked, "Brother, but the symptoms described by the patient don't seem to have anything to do with stomach problems, she clearly pointed out that it's the heart discomfort..."

Lu Chen smiled, "Many times the description of the symptoms is inaccurate, or in other words, there is radiating pain. When my roommate used to have kidney stones, the pain was also involved in the testicles."

After saying this, Lu Chen felt a little inappropriate.

After all, Su Rui is still a young female intern, unlike those mature nurses.

"Ahem." Lu Chen coughed lightly to hide his embarrassment.

Su Rui blushed slightly, "Brother, you, what kind of roommates are you?"

"You can see it if you have a chance." Lu Chen scratched his head and could only sell Wang Zihao, "Actually, what I mean is that the esophagus and the heart are very close, and some patients may suffer from gastroesophageal reflux, which causes heart failure. Comfortable, so it was described by the patient as a symptom of the heart."

Since innervation of visceral nerves is relatively intricate, there are often overlapping innervations.

For example, one nerve may innervate several organs, which may cause interference to the brain. In fact, it is a problem of A, and sometimes the brain thinks it is a problem of B, so subjectively it will be manifested as B's pain.

The typical pain of kidney stones is waist pain in the kidney area, and ureteral stones can also cause renal colic or ureteral colic, which can also radiate to the testis and labia.

While listening to Lu Chen's narration, Su Rui recorded it in her notebook.

"Congratulations, the thank you from Su Rui is worth +1!"

Another reminder popped up on the system panel, Lu Chen smiled slightly, and continued: "So, don't worry about the patient's electrophysiological examination, I'm going to try to give stomach protection treatment first, and if necessary, complete the gastroscopy examination. After gastric diseases are ruled out, Do another electrophysiological examination."

Lu Chen's overall thinking was completely displayed in front of Su Rui.

He didn't have any secrets. As for how much Su Rui could understand and comprehend, it depended on her understanding.

"Senior brother Lu, does the patient have coronary heart disease?" Su Rui asked again.

Lu Chen smiled, "I don't think about it, because the patient is young and doesn't have any high-risk factors for coronary heart disease (high blood pressure, diabetes, smoking, etc.), so coronary heart disease is not considered. Of course, if the patient is worried about coronary heart disease, you can improve the coronary artery disease." CTA check."

"Yeah." Su Rui nodded, and wrote down what Lu Chen said in the notebook.

……

In the first area of ​​the heart, in the ward.

Li Wenqian was lying on the bed, still thinking about the electrophysiological examination that Lu Chen just mentioned.

After thinking about it for a long time, she decided to search for electrophysiological information on the Internet first.

At this moment, the nurse came in, she was still pushing a treatment trolley with several bottles of medicine on it.

"Do I still need an injection?" Li Wenqian wondered.

"Excuse me, are you Li Wenqian from bed 25?" The little nurse picked up the infusion sheet for comparison.

"Yes." Li Wenqian nodded.

"That's right, this is the medicine prescribed by the doctor in charge of the bed." The little nurse said.

"What medicine?" Li Wenqian frowned. She doesn't feel any discomfort now, does she still need medicine?

"Stomach-protecting medicine."

"What? Stomach-protecting medicine?" Li Wenqian immediately stopped the little nurse from getting the needle, "I don't have a stomach problem! Don't give me the needle yet!"

After speaking, Li Wenqian took out her mobile phone again, looked at the name of the liquid on the infusion sheet, and then began to search online.

half an hour.

"It's really a medicine to protect the gastric mucosa!" Li Wenqian frowned even deeper, "Why did this young doctor prescribe me a medicine to protect the stomach? Could it be that the commission for this medicine is very high?"

Isn't this fucking?She couldn't be stabbed like this for no apparent reason.

Li Wenqian quickly found the doctor's office.

Lu Chen was explaining the patient's condition to Su Rui.

"Doctor Lu..." Li Wenqian called softly.

Lu Chen looked back, "What's the matter with you?"

"That's right, why did you give me stomach-protecting medicine?" Li Wenqian stared closely at Lu Chen, trying to get a satisfactory explanation from him.

"Oh, it's this one. I'm going to find you." Lu Chen then explained his thoughts to Li Wenqian.

"You said that my heart is not feeling well, but it is actually caused by a stomach problem?" Li Wenqian's eyes were full of disbelief.

Heart discomfort and stomach problems, these two conditions, she can still distinguish clearly.

"We just have this consideration." Lu Chen said, "So we are going to give you some stomach-protecting drugs and do a diagnostic treatment."

Li Wenqian still didn't believe it, she paused, "Then you can prescribe me some stomach-protecting medicine, I don't want to get an injection."

"Alright." Lu Chen nodded slightly, and prescribed pantoprazole capsules and gastric mucosal protective agent to Li Wenqian.

　The pace will be faster next time.

　　
　
(End of this chapter)