I can see health

Chapter 64 Another Way to Get Appreciation Points
At noon, the department packs a lunch.

Lu Chen returned to the dormitory after eating.

In the system panel, there are currently a total of 26 thank you points.

Lu Chen decided to hold on for the time being, not to continue the lottery draw, and first digest the heart anatomy skill book he got in the morning.

Turn on the computer and collect books related to heart anatomy.

The knowledge content of most of the books is relatively scattered. After searching for a long time, he finally found a relatively authoritative "Clinical Anatomy - Chest Volume" and "Wilcox's Anatomy of Cardiac Surgery".

Heart anatomy, not only for cardiac surgeons, but also for cardiologists.

In the past, Lu Chen only had a taste of heart anatomy and electrophysiology.

This knowledge is too delicate and complicated, and few of them are involved in undergraduate studies. Even many senior doctors have little knowledge of these two fields.

Relying on the super comprehension ability provided by the skill book, Lu Chen quickly learned the knowledge of heart anatomy and formed a 3D stereogram in his mind.

From the morphological structure of each chamber of the normal heart, heart valves, blood supply and cardiac conduction system; to various types of heart congenital malformations, defects and common variations and other pathological anatomy knowledge.

Lu Chen brought all the knowledge in the book into his mind!

However, when exploring more advanced knowledge of heart anatomy, Lu Chen also felt a struggle.

After all, this is just an elementary skill book.

For two days on weekends, Lu Chen stayed in his dormitory, reading books on electrophysiology and cardiac anatomy.

He felt that his knowledge reserves were skyrocketing, but these were all knowledge from books, and could only be effective if used clinically.

……

It's a new week.

Every Monday, Li Yao will lead all the people in the group to make rounds.

Everyone was trembling, and it was time for "interrogation".

as predicted.

Since the first patient, Li Yao has prepared countless questions, waiting for everyone to answer them.

Internal medicine rounds are very slow.

Especially in this kind of big rounds, each patient will be sorted out from diagnosis, differential diagnosis, to auxiliary examination and treatment.

After about two and a half hours, I finally finished checking the room.

All the people in the group breathed a sigh of relief, and finally they didn't have to face the "one question and three don't know" questions.

come back to the office.

Everyone began to revise the doctor's order and write the course records.

"Lu Chen, you are going to start the night shift this week, and you are familiar with the night shift process." Li Yao said suddenly, "Well, you can follow Guoguo first. After the school officially starts in September, the teaching and research section will arrange a formal night shift for you."

Lu Chen was taken aback, "Okay."

He thought he would have to wait a few more weeks, but he didn't expect to start arranging night shifts in the second week of the clinic.

"Junior brother, I'm on the night shift tonight." Sun Guoguo smiled, then turned to look at Dong Hao, "The student on the night shift today seems to be Junior Brother Dong, so the three of us will be on the night shift together. "

The standard configuration for the night shift is two people, one undergraduate doctor and one rotation student.

Lu Chen is now the third person on the night shift, studying, doing chores, and doing physical work with Sun Guoguo and Dong Hao, which is not a formal night shift.

"Junior Brother, it's your first night shift, so don't be too nervous." Dong Hao patted Lu Chen on the shoulder, "Follow me and Senior Sister Guoguo, and you can make soy sauce next to me."

"OK, all right."

Lu Chen smiled, he wasn't nervous.

Being able to see the patient's life value can tell the patient's priority, which is the ability that many doctors dream of!
……

Today, the beds in Li Yao's group are full, and there are no new patients.

Lu Chen wrote the medical history records in the office and processed the medical records of patients who have been discharged from the hospital.

"Lu Chen, teach me how to read the electrocardiogram." Ke Yue walked up to Lu Chen with a copy of "Electrocardiogram Clear and Clear", "Senior Sister Guoguo is busy with her thesis. I don't understand something, so I want to ask for advice." you."

Ke Yue has been soaking in the electrocardiogram books these days, and whenever she recalls what happened to Teacher Lin Cui that day, she will feel ashamed.

Don't look at Ke Yue's usual submissiveness, and he doesn't speak too loudly.

But the quieter the person, the stronger their self-esteem.

Today, Ke Yue not only wanted to ask some questions about the electrocardiogram, but also to show the results of his hard work these days.

Lu Chen just finished writing the course records of all the patients.

"Okay, no problem."

He still remembered that after he promised to teach Ke Yue to read the electrocardiogram last time, he got a little gratitude from her.

Being a teacher is one of the ways to gain gratitude!
But where to start?
Lu Chen knew the basics of Ke Yue's electrocardiogram, but he didn't know the electrocardiogram of atrial fibrillation. It can be said that he didn't even reach the entry level.

Fortunately, he has obtained the "Electrocardiogram Basics" skill book, and his understanding of the basics of electrocardiogram is already very deep.

No matter from which aspect of the lecture, he can handle it with ease.

"First of all, you know the meanings of the P, QRS, and T waves in the electrocardiogram, right?"

Ke Yue nodded like a chicken pecking at rice.

During this period of time, she went back to supplement the basic knowledge of electrocardiogram.

"Well, then take a look at this electrocardiogram first."

Lu Chen took out four electrocardiograms from the medical record folder.

This is the electrocardiogram of a patient he recently admitted.

Ke Yue frowned, carefully identifying.

"This is... ventricular tachycardia..."

"Is the ventricular tachycardia as regular as the P wave?
Ke Yue asked suspiciously, "Could it be... P wave?"

Lu Chen smiled: "Of course it is. Don't be silly, this is the messenger from the roommate. You can read the second ECG."

Ke Yue hesitated: "This should be...atrial fibrillation..."

Ever since he didn't recognize the electrocardiogram of atrial fibrillation last time, Ke Yue has memorized the characteristics of the electrocardiogram of atrial fibrillation by heart.

"Should be?" Lu Chen raised his eyebrows.

Ke Yue frowned and said, "Although the heart rate in this picture is uneven, there is no small f wave. Aren't there small f waves in atrial fibrillation?"

"Really? Then look at the V2 lead, isn't that the f wave? Then look at the third ECG."

"Lu Chen, don't make fun of me, this ECG is... no problem, it's a normal ECG!"

"Look at the QRS wave in lead II. Can the QRS wave in lead II face down in a normal person? II, III, and aVF are all rS-type, which is left anterior branch block."

Ke Yue: ...

Lu Chen smiled: "Look at the last ECG again."

Ke Yue looked at it for a long time, and then said after a while:

"This should be a first-degree atrioventricular block, and the PR interval is prolonged."

"Have you read the book carefully? The book specifically said that the PR interval of the elderly can be extended to 0.22 seconds. The upper right side of this ECG shows that the patient is 82 years old, so this is a normal ECG."

Ke Yue: ...

She looked up at Lu Chen, feeling that she was hit again.

At this time, Lu Chen also received a prompt from the system.

"Congratulations, received the thank you from Ke Yue +1!"

"Congratulations, I received a thank you value from Dong Hao +1!"

"Congratulations, the thank you from Yao Jie is worth +1!"

"Congratulations, I received a thank you from He Qingdong +1!"

Seeing the system prompt, Lu Chen froze.

What's going on?

(End of this chapter)