I can see health

Chapter 745 Turning White and Purple (Part [-])
As a doctor, Lu Chen would never let go of the smallest clues.

Especially for such multi-system symptoms, we need to be more cautious!
Lu Chen is now a senior doctor, and his words and deeds have affected the treatment plan of the entire group.

Soon, he followed Jin Miao to the ward.

……

Hospital bed.

An old lady in her 60s was lying on the bed, not listening to what she was muttering, her face was extremely pale, without a trace of blood.

In Lu Chen's eyes, her HP is 53(——)!

This speed of decline in health basically indicates some serious diseases.

Seeing Lu Chen coming, the family members of the patients beside the hospital bed quickly stood up.

"Our director is here to see you." Jin Miao said.

The family member looked at Lu Chen in surprise, and couldn't help wondering, "Guanghai Cardiology Department has such a young director??!"

But he is just thinking about it in his heart, and he will not ask in public.

When Lu Chen came to the bed, the old lady narrowed her eyes slightly and slowly opened them.

"Ma'am, what's your main discomfort right now?" Lu Chen tried his best to calm down his voice.

"Chest tightness." The aunt glanced at Lu Chen, then patted her chest lightly.

"What about the others? For example, do you have chest pain?" Lu Chen asked again.

The aunt shook her head, "It's just chest tightness. When lying down, the chest tightness is so severe that I can't breathe out. Only when I sit up do I feel more comfortable."

Lu Chen nodded slightly.

This is a typical heart failure symptom.

"I heard just now that you said you had gastritis before? Your legs and feet are also weak?"

The aunt said noncommittally: "As I get older, there must be some problems. I usually feel bloated after eating. As for the old cold legs, they were a little bit when I was young. When the weather turns cold, my legs start to ache."

The aunt seems to be more talkative.

After I started talking about my medical history, I couldn't stop.

It was Lu Chen who interrupted her slightly before she stopped.

"Have you taken any medicine?" Lu Chen asked.

"If you take medicine..." The aunt thought for a while, then shook her head, "I didn't take any medicine."

The family members of the patient on the side said, "Yes, my mother took some painkillers because of her knee joint pain some time ago."

The aunt thought about it and nodded quickly.

"Do you know the name of the medicine?" Lu Chen wondered.

"It seems to be called... What kind of cloth." The family members thought for a while.

Lu Chen paused, "celecoxib?"

"That's right." The family member nodded quickly, "This is the medicine."

Celecoxib, a non-steroidal pain reliever, is less harmful to the gastrointestinal tract than ibuprofen.

Lu Chen asked the aunt to roll up her trousers to expose her knees.

On the side, Jin Miao was surprised when he saw Lu Chen's actions.

Cardiologists seldom go to see the patient's skin condition.

Lu Chen's behavior made him feel a little strenuous, but he had to admire Lu Chen's patience.

……

Lu Chen lowered his head and squeezed the aunt's knee.

"Does it hurt?"

"It's okay." The old lady replied in a low voice.

However, when Lu Chen touched the skin of Auntie's knee, he felt that Auntie's skin seemed a little rough.

When you get older, your skin is definitely not as white and tender as when you were young, but it can't be so hard, right?

Lu Chen didn't speak, and looked at the skin of the aunt's face and abdomen.

He suddenly found that the skin on the aunt's face, abdomen, knees and other parts had thickened and hardened!

"Come and touch it." Lu Chen stood up and said to Jin Miao who was beside him.

Jin Miao didn't know why, but he did it anyway.

He also reached out and touched the skin on the patient's abdomen and knees, and then he was taken aback, "It's a bit different from normal people, how should I put it, it's a little too hard!"

Lu Chen nodded in agreement, and then said to the patient: "Ma'am, you should feel it yourself, the skin seems to have hardened."

"When people get old, it's like a machine is damaged. It's normal for the skin to be rough?" The aunt would not admit her problem.

Originally asked her to come to the hospital, or she could not survive at home, so she agreed to come.

Lu Chen frowned slightly, the feel and texture of the skin was obviously different from that of a normal old lady!

At this moment, the family member who had been standing by the hospital bed said, "Doctor, besides joint pain, my mother has another problem."

"Tell me." Lu Chen turned to look at the family.

"It's my mother's hands, sometimes they turn white and purple."

Hearing this, Lu Chen and Jin Miao were both shocked.

"What exactly is it like? Can you describe it in detail?" Lu Chen asked quickly.

The family member shook his head, "I can't describe it, it's just an abnormal color. By the way, I remember taking a photo."

"Turn it over and show us."

Lu Chen didn't speak, Jin Miao was quite excited.

This peculiar phenomenon of hands turning white and purple is called "Raynaud's phenomenon" in medicine, and it is a disease of the immune system.

The family members took out their mobile phones, opened the photo album, and began to search slowly.

Sure enough, after a while.

He did find a photo.

In the photo, it was a pair of rough old hands.

And the interphalangeal joints of these hands are upward, and the skin color has become very white and purple, forming a sharp contrast with the bottom.

"Usually when it is cold, it becomes like this." The patient himself added.

After seeing this extremely typical photo, Lu Chen and Jin Miao also made up their minds.

"It should be the Raynaud phenomenon." Jin Miao said in a daze.

Lu Chen nodded, but he didn't stop thinking about his condition.

Raynaud's phenomenon is just the appearance of rheumatic immune diseases, and many diseases will have this symptom.

Fingers (toes) experience numbness and sequential changes in color when they are cold or emotional. First, the color turns white, then purple, and then red.

The principle may be that in the early stage it is local arteriolar spasm, and later tissue ischemia is caused by swelling of vascular endothelial cells, resulting in fingertip ulcers and scars, extremity necrosis of extremities, or soft tissue and phalanx being absorbed and shortened due to ischemia.

……

The more information about patients is mined, the more.

It seems that the condition is more complicated than before, but in fact, the more information there is, the clearer the patient's condition will be.

After Lu Chen asked, he got another important clue from the patient, which was "difficulty opening his mouth".

In the past 8 months, the patient began to have difficulty opening his mouth.

In Lu Chen's mind, he arranged all the symptoms together, hardening of the skin, difficulty in opening the mouth, Raynaud's phenomenon, could it be...

The manifestation of the cardiovascular symptoms of the patient is very likely not the primary heart disease, but the heart involvement of some rheumatic disease!
Having guessed in his heart, Lu Chen whispered to Jin Miao beside him, "Check! Keep checking! Anti-nuclear antibody, anti-nuclear antibody spectrum, immune kit, erythrocyte sedimentation rate, C-reactive protein (CRP), chest CT..."

Jin Miao also understood his intention and acted immediately.

(End of this chapter)