I can see health

Chapter 648 Allergies
"Let's look at the results of troponin screening first." Lu Chen frowned.

After all, they are my classmates for the next three years. Lu Chen and Ke Yue did not leave the emergency department immediately, but accompanied them patiently.

And Lu Chen also wanted to find out, what is wrong with this young girl?

At this time, He Xiaohui was lying on the bed extremely weak.

She felt that her chest pain was better, but she was still in a very uncomfortable state.

This time, fortunately, she ran into her classmate, otherwise she really didn't know what to do.

He Xiaohui looked in Ke Yue's direction.

Why is that wretched man here?
She frowned, but the burst of pain in her chest stopped her from thinking about other things.

……

When Ke Yue was thinking about He Xiaohui's condition, he suddenly thought of a very strange thing.

That means Lu Chen seemed to know about He Xiaohui's abnormality from the very beginning, right?
Ever since she appeared in their line of sight, Lu Chen's eyes were very strange.

Did he realize something was wrong at that time?

Ke Yue feels that this matter is really mysterious...

If it wasn't for Lu Chen's timely reminder just now, she might not have realized that He Xiaohui was about to faint.

"Myocardial enzyme results came out!"

At this time, the emergency doctor suddenly stepped forward, holding an inspection report in his hand.

Lu Chen and Ke Yue hurried forward.

"The troponin has risen!" the emergency doctor said solemnly.

Lu Chen looked intently.

Sure enough, the troponin in the cardiac enzymes increased by about ten times!
"Lu Chen, is she really having a heart attack?" Ke Yue whispered, "But she doesn't have any risk factors for coronary heart disease?!"

This time, Lu Chen didn't answer right away.

Myocardial infarction, in a narrow sense, refers to myocardial infarction caused by coronary heart disease, that is, plaque rupture and thrombus formation in coronary vessels.

Broadly speaking, any factor that causes myocardial damage can be called myocardial infarction, such as myocarditis, tachyarrhythmia, bradyarrhythmia, cardiomyopathy, etc.

Therefore, the increase of He Xiaohui's troponin also means that her heart muscle has been damaged, which can be said to be myocardial infarction in a broad sense.

But one thing is certain, the cause of her myocardial infarction was definitely not coronary heart disease.

Thinking of her previous history of fever, Lu Chen frowned, "Could it be fulminant myocarditis?"

Ke Yue was also taken aback, "Is it myocarditis?"

"Well, myocardial damage caused by myocarditis cannot be ruled out at present." Lu Chen said seriously, "Because she has a history of pre-infection, chest pain, and elevated troponin."

Lu Chen's thinking coincided with that of the emergency doctor.

Explosive myocarditis is an emergency.

If not handled properly, patients may experience acute heart failure, malignant arrhythmia and other unpredictable malignant events at any time!
The only troublesome thing now is that He Xiaohui's family members are not around.

This critical illness still requires family members to be by their side.

"No matter what causes the myocardial injury, she needs to be hospitalized for further examination now." Lu Chen said in a deep voice.

"Yeah." Ke Yue nodded, "The emergency department teacher is communicating with her, should we contact the graduate department?"

"I'll get in touch." Lu Chen said, "Her parents are not here, so the teacher of the graduate department should come to take care of her."

"Ok."

The two acted separately.

Ke Yue took care of He Xiaohui and was ready to take her to the hospital at any time.

Lu Chen contacted the teacher of the postgraduate department and informed He Xiaohui of He Xiaohui's situation one by one.

"Lu Chen, the emergency department teacher suggested that she live in the CCU first." Ke Yue said, "Shall we take her there?"

"Well, according to the current condition, it is necessary to live in CCU." Lu Chen nodded slightly.

Before excluding cardiovascular disease, He Xiaohui lived in a general ward, and the risk of He Xiaohui was very high.

"Is she willing to live in CCU?" Lu Chen asked.

CCU has no family members to accompany her, so she can only be alone. She is a girl, which may be very inconvenient.

"She is willing." Ke Yue whispered, "She said that the chest pain was too uncomfortable, as if she was going to die. Now she is willing to live wherever she is asked."

"Well, that's good." Lu Chen breathed a sigh of relief, "I have contacted the teacher of the graduate department, and the teacher will communicate with He Xiaohui when the time comes."

Lu Chen and Ke Yue will not care about the next thing.

As a classmate I just met, sending He Xiaohui to the emergency department and then to the CCU ward was already very interesting.

As for Lu Chen, he was still regarded as a wretched man by the confused He Xiaohui.

……

I thought it was just a simple registration for the start of school, but I didn't expect to encounter such a thing.

Lu Chen felt that the "God of Black Face" was lurking near him again.

Find a time, or have to go to the temple to worship.

After registration, the Graduate School organized a meeting for all students to announce their graduation thesis requirements and study arrangements for the next three years.

Cobo spends most of his time in the lab.

The first two years of the doctorate are clinical, and the last year is in the laboratory.

However, each instructor has their own specific arrangements, which may be slightly different.

He Xiaohui was still hospitalized in the CCU because of her illness, but she couldn't come over.

And the vacant bed in Lu Chen's dormitory was occupied, but no one lived in it.

This made Lu Chen a little happy.

The double room becomes a single room!
You don't have to worry too much about what you usually do in the dormitory.

……

After school started, Lu Chen's clinical tasks became even more arduous.

In order to train Lu Chen, Zhang Shuqing gave him a few more beds.

Most importantly, Zhang Shuqing returned and asked Lu Chen to help bring his three postgraduate students.

Lu Chen was busy every day until very late before returning to his dormitory.

He almost forgot about "He Xiaohui".

It wasn't until the fifth day after school started that Ke Yue found him.

"Lu Chen, do you still remember He Xiaohui?"

"He Xiaohui?" Lu Chen was taken aback, "Who is it?"

"It was the girl with chest pain on the first day of school. You were thinking about myocarditis." Ke Yue explained.

"Oh...it's her!" Lu Chen finally remembered, "What's wrong with her?"

"She sent me a WeChat message this morning, saying that she had undergone coronary angiography yesterday, and no narrowing was found." Ke Yue said, "In addition, there is no problem with the echocardiography."

"It's expected." Lu Chen smiled, "She is so young, she doesn't have any genetic diseases, and she doesn't have any bad habits, so it's definitely not a myocardial infarction caused by coronary heart disease."

"I heard from her that the CCU hasn't given a definite diagnosis yet, and she's very annoyed every day, and she doesn't dare to leave the hospital easily." Ke Yue wondered, "Is it really myocarditis?"

"The diagnosis of myocarditis is troublesome. It is definitely not possible to do a myocardial biopsy. The best way is to do a cardiac MRI." Lu Chen said slowly, "However, I thought about it later, there should be another Possibility of disease..."

"What's possible?" Ke Yue immediately became interested.

"Do you remember that she took anti-inflammatory drugs?" Lu Chen smiled.

"Anti-inflammatory drugs?" Ke Yue frowned, "You mean the clarithromycin she took?"

"Well." Lu Chen nodded slightly, "Actually, we should ask her medical history more carefully. If her chest pain is related to taking clarithromycin, it is very likely that clarithromycin caused myocardial damage."

At that time, the situation was more urgent, and Lu Chen was not the first doctor, so he didn't understand these situations.

After Lu Chen's reminder, Ke Yue immediately understood: "Lu Chen, you mean, myocardial infarction caused by coronary artery spasm? Clarithromycin-induced coronary artery spasm... drug side effects?"

Lu Chen smiled: "It can be said that the coronary artery spasm caused by clarithromycin caused the myocardial infarction, but it does not necessarily mean that the drug is a side effect."

"what is that?"

"Drug allergy!"

(End of this chapter)