I can see health

Chapter 722 I'd Rather Diagnose Errors by Myself (Part [-])
A hospital in the capital city.

Cardiology ward.

When the girl said the three words of contraceptive pills, the middle-aged man showed disbelief in his eyes.

"Lili, what are you talking about? You take birth control pills to regulate menstruation?"

"Who did you hear all this from?"

"How can you take medicine indiscriminately! If you have any questions, please tell Dad in time!"

The middle-aged man couldn't help scolding in a low voice.

It would be intolerable and unacceptable for any other father that his precious daughter was actually taking this kind of medicine.

"Dad...I..." The girl lowered her head, her eyes were red, and she couldn't utter a word for a long time.

Lu Chen was also quite surprised in his heart, and quickly said: "The contraceptive pill can indeed regulate menstruation, and we will also use this method in clinical practice. For some patients with irregular menstruation, temporary use of short-acting contraceptive pills can make menstruation Back to normal."

"Really?" The middle-aged man's expression improved after hearing this.

Lu Chen nodded.

Birth control pills generally contain estrogen and progestin.

The principle of contraceptives used to regulate menstruation is mainly to adjust the levels of estrogen and progesterone in the body by taking contraceptives, so that the original abnormal hormone levels can be adjusted to normal.

The girl also said at this time: "It's like this. A girl in our dormitory has irregular menstruation. After she went to the hospital, the doctor gave her a contraceptive pill, and her menstruation became normal after that. I tried it. For a moment, I didn't expect it to be very useful."

When the middle-aged man heard the words, his face was ashen, and he didn't say much.

Lu Chen shook his head helplessly, "The reasons for irregular menstruation are different for everyone. Maybe you can take contraceptive pills to rectify it, but this is a temporary solution rather than a permanent cure."

"The most important thing is that you can't take birth control pills for a long time!"

Speaking of this, Lu Chen already understood the reason for the chest tightness of the girl in front of him.

"Doctor, please tell me the specific side effects." The middle-aged man looked a little anxious, and he stared at Lu Chen intently.

Lu Chen thought for a while before saying: "It is common for people to be obese, have high blood pressure, and may also suffer from depression and some butterfly spots on the body. The most serious thing is that taking contraceptive pills for a long time will put people in a state of depression. hypercoagulable state."

"High coagulation state?" The middle-aged man asked suspiciously, "Is there any harm in this?"

"This is what I'm going to tell you next." Lu Chen said in a deep voice, "It's related to your daughter's current condition!"

Lu Chen's words made the middle-aged man a little nervous.

The girl on the hospital bed also looked closely at Lu Chen.

"Come out first, I'll tell you carefully." Lu Chen said to the middle-aged man in front of him.

"Okay." The middle-aged man lowered his head to comfort his daughter, and then walked out of the ward with Lu Chen.

……

In the corridor of the ward.

Lu Chen and the middle-aged man came to a corner.

"The body is in a hypercoagulable state. Simply put, it means blood stasis, which is prone to thrombosis." Lu Chen paused and said, "If the thrombus is in some small blood vessels, it may not matter, but if it is in a large blood vessel or it is more important blood vessels..."

Lu Chen looked back at the middle-aged man, "That's more complicated. For example, if a blood clot is in a heart vessel, if the blood vessel is completely blocked, it will cause a myocardial infarction. If a blood clot is in a pulmonary vessel, it will cause a pulmonary embolism!"

"Myocardial infarction, pulmonary embolism?" The middle-aged man was startled, "Then my daughter is..."

Lu Chen said slowly: "I now suspect that she may have a pulmonary embolism!"

The middle-aged man swallowed, and said with difficulty: "Is this disease serious?"

Lu Chen nodded slightly: "If the pulmonary vessels are completely blocked, the patient is at a very high risk of sudden death!"

When the middle-aged man heard this, he became anxious, "Leader, what should I do next? What kind of medicine should be used for treatment? Do I need surgery?"

"Don't be so nervous." Lu Chen comforted, "Next, you may need to do an enhanced CT of the pulmonary vessels to confirm whether it is the disease or not."

"Okay, I'll listen to you. Take all the tests and medicines you need!" The middle-aged man was a little incoherent.

Afterwards, Lu Chen asked the middle-aged man to go back to the ward first.

He came to the doctor's office to talk to Jiao Jingqiu about the patient's condition.

……

"She's been on the pill?"

When Jiao Jingqiu heard the news, her mouth opened wide.

Who would have imagined that a girl who is a girl is actually taking contraceptive pills for a long time? !
"In order to regulate menstruation, follow the example of your roommate." Lu Chen shook his head helplessly, "There is still relatively little knowledge about this in our society. If you have menstrual problems, you should go to the hospital for examination as soon as possible instead of eating random things drug."

"Hey." Jiao Jingqiu also sighed, "Little girl. Thin-skinned. So do you really suspect pulmonary embolism now?"

"Well." Lu Chen said, "I have already communicated with the patient's family, and I will arrange a pulmonary artery CTA later."

"Okay, I will notify the CT room immediately." Jiao Jingqiu also understood the seriousness of the matter.

If it is really a pulmonary embolism, then the risk level of the patient's condition has risen to a higher level.

And the treatment measures will be completely different.

Pulmonary artery enhanced CT is different from ordinary CT in that it needs to use a high-pressure syringe to create a contrast agent into the blood vessel.

If you want to do emergency enhanced CT at night, you need to notify the CT room in advance, so that the nurse who administers the medicine will rush over.

"Lu Chen, I'll accompany the patient for an examination later, please help me see the ward." Jiao Jingqiu contacted the CT room and asked the patient to be pushed to the CT room in half an hour.

"Okay, no problem." Lu Chen readily agreed, this is also one of the responsibilities of the general hospitalist.

Although there was a graduate student on night shift in the ward, he was only a student after all. Jiao Jingqiu didn't dare to let the student accompany the examination, or let the student stay alone in the ward. These are very risky things.

……

After half an hour.

CT comes and calls, you can go to check.

Jiao Jingqiu immediately took the girl to the CT room of the outpatient building.

Lu Chen stayed in the cardiology ward, temporarily taking care of the patients in the ward.

Nurse Yan Shuming walked into the doctor's office and gave Lu Chen a thumbs up.

"Mr. Lu, you are really good! Patients who others can't handle, you come here for less than half an hour, and you can handle them."

She is very clear about the reason why the patient suddenly went out for examination.

"I haven't been diagnosed yet." Lu Chen smiled, "Don't praise me to the sky."

"I see, this pulmonary embolism is almost inseparable!" Yan Shuming was extremely confident in Lu Chen, "Otherwise, how could it take so long for a simple pneumonia?!"

"I'd rather make a wrong diagnosis. She's just a simple case of pneumonia." Lu Chen smiled.

Pulmonary embolism is not a simple disease.

For example, the patient with pulmonary embolism in the emergency department was intubated a few days ago, and he almost failed to be rescued.

(End of this chapter)