I can see health

Chapter 721 Is menstruation normal?
"If you still respect people, please turn off your recording!"

Jiao Jingqiu's voice was not loud, but it echoed in the doctor's office and did not disperse for a long time.

The middle-aged man seemed to be confused by Jiao Jingqiu's series of voices, he subconsciously turned off the video button, and slowly put the phone back into his pocket.

"This recording of mine... I'm not saying I'm thinking about the court, but I'm afraid I won't be able to hear it clearly and I won't be able to remember so much, so I just recorded it and listened slowly." The middle-aged man paused.

Jiao Jingqiu ignored him and sat back in her seat.

Lu Chen glanced at the middle-aged man, and after a while, he said slowly: "If you continue to be hospitalized in our cardiology department, I hope you can fully trust me instead of pointing your phone at me."

There was a moment of silence in the doctor's office.

The seemingly weak Jiao Jingqiu made a speech without flinching, but confused this big man.

"Then I won't say anything now, come to your director tomorrow morning!"

The middle-aged man dropped the words of being strong on the outside and doing things on the inside, and left quickly.

……

"Lu Chen, thank you just now." Jiao Jingqiu regained her senses and whispered to Lu Chen.

Lu Chen quickly waved his hand, "You're welcome, Sister Jiao, and I didn't do much to help."

Actually, Senior Sister Jiao Jingqiu has changed a lot in Lu Chen's heart. She looks weak under her appearance, but she doesn't admit defeat at all!
However, girls who dare to study cardiology are not weak girls!
At this moment, Jiao Jingqiu blushed, "Actually, I'm also afraid. If you weren't here, I wouldn't dare to tell him that..."

Lu Chen: "..."

Good guy, did I miss it?

But now that he's here, Lu Chen still wants to take a look at the girl's condition.

Opening the course record, Lu Chen began to read it.

The patient was a young girl who had just entered college.

ps: No intention to offend female college girls.

A week ago, the patient caught a cold and began to have symptoms of chest tightness and palpitation. He took anti-inflammatory drugs in the local clinic for three days, but it did not improve at all, and the symptoms became more and more serious!

The family members became worried, so they came to Shanghai No. [-] Hospital. After seeing it in the emergency department, two items of myocardial enzymes were found to be elevated, and they were admitted to the cardiology department.

The examination after admission showed that the myocardial enzymes were normal.

The electrocardiogram showed a fast heart rate, the echocardiogram was normal, and there was a small amount of inflammatory exudation on the lung CT, and there were no other abnormalities.

The results of other laboratory tests are that the white blood cells are high, and the D-dimer is a little high, not a lot.

"Has the patient's symptoms worsened tonight?" Lu Chen wondered.

"Yeah." Jiao Jingqiu nodded, "If it wasn't for the aggravation of the symptoms, this kind of thing wouldn't have happened. But after I gave her oxygen, the symptoms improved a lot."

Lu Chen froze for a moment, after inhaling oxygen, the symptoms could be relieved.

At present, it seems that diseases such as myocarditis, myocardial infarction, and cardiomyopathy can be ruled out for the time being.

"Sister Jiao, what disease are you thinking about now?" Lu Chen looked at Jiao Jingqiu who was on the side.

"Maybe it's ordinary pneumonia." Jiao Jingqiu said, "The most feared myocarditis has been ruled out now."

"But she has been taking antibiotics for so many days, logically speaking, she should be better?" Lu Chen frowned.

Jiao Jingqiu also thought about this problem, so she said: "It may be that the antibiotics did not cover the pathogenic bacteria, or there were other complications, so the treatment did not have much effect."

Lu Chen didn't reply immediately.

He read the patient's test report again, and after a long while, he said slowly: "The patient has chest tightness, fast heart rate, and high D-dimer. Does pulmonary embolism need to be ruled out?"

The mechanism of pulmonary embolism has been mentioned before, so I won't repeat it.

"Pulmonary embolism?" Jiao Jingqiu shook her head when she heard the words, "D-dimer is only high, and the patient is so young, so there is no high-risk factor for pulmonary embolism. Could it be pulmonary embolism caused by pneumonia? I think... Isn't that very likely?"

Lu Chen thought for a while, then said, "I'll go and see the patient himself."

……

It's late at night now.

In the corridor of the ward, snoring could be heard one after another.

Lu Chen came to the patient's ward.

The girl didn't fall asleep immediately because of her chest tightness just now.

Seeing Lu Chen coming, the middle-aged man was slightly surprised.

"I'll come and see her." Lu Chen came to the hospital bed and expressed his purpose.

Seeing this, the middle-aged man slightly vacated some seats for Lu Chen.

Because the other patients in the ward were asleep, Lu Chen asked in a very low voice, trying to be concise and not wordy.

However, he didn't ask anything special, and the girl's answer was similar to that in the medical record.

However, the life value of the girl is 56 (——)!

It is enough to prove that her illness is not just as simple as pneumonia.

Afterwards, Lu Chen gave the girl a simple cardiopulmonary auscultation.

A small amount of moist rales could be smelled in both lower lungs, and no abnormalities were found in others.

"Have you traveled far recently?" Lu Chen asked again, "Such as taking a long time by plane or train?"

The common cause of pulmonary insufficiency is that the thrombosis in the veins of the lower extremities dislodges, reaches the pulmonary artery, and blocks the pulmonary artery.

As for lower extremity venous thrombosis, except for some diseases, the most common ones are economy class passengers who are bedridden, sedentary, and take long-distance flights.

"No." The middle-aged man replied instead, "She has been studying at school and has no time to go out to play."

Lu Chen nodded slightly, "Then did you take any special medicine?"

The middle-aged man said again: "My daughter used to be in very good health. She never got sick and never took medicine."

In the ward, the girl did not deny it.

"Is that so..." Lu Chen frowned.

At first glance, there is really no risk factor for pulmonary embolism.

However, Lu Chen still did not give up.

He touched his chin, looked at the girl on the hospital bed, and asked for no reason, "Is your menstruation normal?"

"Ah... this..." The girl's face was relatively thin, and her face was slightly red.

This time, the middle-aged man couldn't answer instead, he just asked in confusion: "Is this related to the illness?"

"Maybe." Lu Chen said indifferently, and turned to look at the girl on the hospital bed, "Tell me whether your menstruation is normal or not? How much? How many days?"

The girl hesitated a little, her voice was as thin as a mosquito, "It's normal now."

Lu Chen saw the girl's hesitation, "It's normal now, but what about before? Isn't it normal?"

The middle-aged man also saw that something was wrong with the girl, and quickly said: "Now it's the doctor who sees you, so tell the truth!"

The girl heard the words and said in a low voice: "My menstruation was not very normal before, it came late, and the amount was heavy. Later, I took some medicine by myself, and now it is getting better."

"Take medicine?" Lu Chen frowned, "What medicine did you say?"

"That...the contraceptive pill..." the girl stammered.

(End of this chapter)