I can see health

Chapter 748 Simple Test, Not Simple Diagnosis
Fortunately, there are not many patients now, and Lu Chen has enough time to look at these medical records.

"Tell me about your condition first." Lu Chen opened the medical record.

While checking, listen to the patient's story.

The patient's name is Chen Xing, 34 years old this year.

The health on her head is 66(——).

"Okay." Chen Xing paused for a moment, "You may find it incredible, but I'm really not pretending, I'm really not hypocritical!"

Lu Chen looked up at Chen Xing, "Speak."

"Mm." Chen Xing's expression was a little serious, "My illness is a long story..."

It turned out that Chen Xing had been weak since birth, and had irritable bowel syndrome before.

This kind of urticaria started to appear 5 years ago, on the face, armpits, and chest, and the skin became red.

It's been even weirder lately.

She became more and more 'unable to stand', either because she had no strength, or simply because she was unable to stand up.

As long as you stand for three to five minutes, you will sweat and feel dizzy, but you will get better soon if you squat down or lie down.

"You get sick when you stand up, but you get better when you lie down?"

Lu Chen wondered, this is very strange.

Unexpectedly, the first patient in my expert clinic was such a strange patient.

Such a thick medical record proves that she has visited many hospitals and still has no clue.

"Yeah." Chen Xing nodded quickly, "Sometimes the heartbeat can reach 180 beats per minute, and I'm especially afraid of the heat, and I sweat a lot at night, so I have to use ice packs when I go to sleep. Let alone go to work, I do it even when I go shopping. less than..."

After Lu Chen learned about her general condition, he began to look through Chen Xing's previous medical records.

Among them, dynamic electrocardiogram found sinus tachycardia, premature atrial contraction.

Other examinations, including echocardiography, coronary CTA, and chest CT, showed no significant changes.

In the record of the course of the disease, Chen Xing had taken IC antiarrhythmic drugs and beta-blockers.

However, hypotension and fatigue occurred, so the drug was discontinued.

Ablation therapy was performed again, but the effect was not satisfactory.

"I went to various hospitals in the city, but I haven't found any problems so far." Chen Xing looked lonely.

In fact, she came to Guanghai No. [-] Hospital for treatment today.

Because of her rich experience in medical treatment, she checked the information of all doctors in advance. Among them, Lu Chen is best at the field of electrophysiology, so Chen Xing registered his expert account without hesitation.

Even though Lu Chen looks so young, she can't control most things at all. She can only find the cause as soon as possible and solve this problem that has plagued her for many years.

……

After reading the patient's medical records, Lu Chen already made a decision in his heart.

He closed the medical record and said slowly: "A young woman like you rarely has organic heart disease, but autonomic dysfunction is very common."

"Some people say that this is menopausal syndrome." Chen Xing frowned, "Then urticaria is also an autonomic nervous disorder?"

Lu Chen shook his head, "I don't know about hives, but I've heard of irritable bowel syndrome, which is also related to autonomic dysfunction."

"Then what should we do?" Chen Xing asked suspiciously.

In the past, some doctors also said that this is an automatic neurological disorder, but did not give a solution.

Just let her rest more by herself and don't get emotional, but it doesn't work at all, the uncomfortable symptoms still continue to appear.

When Lu Chen heard this, he said unhurriedly: "I need you to do an experiment to further confirm it. Don't be too nervous. This experiment is very simple."

"Okay, I'll listen to you."

Regardless of whether it was useful or not, as long as it was related to the inspection, Chen Xing would never refuse it.

Over the years of seeking medical treatment, Chen Xing has done too many checkups.

The experiment that Lu Chen requested was very simple, a standing experiment.

After the patient lay on his back for 10 minutes, he stood up, and his heart rate and blood pressure were measured 1 minute, 2 minutes, and 3 minutes after getting up.

The results came out very quickly.

After lying on his back and standing upright, Chen Xing's heart rate increased and continued to increase, but there was no hypotension.

At this moment, in Lu Chen's eyes, the answer was ready to come out.

Lu Chen looked at Chen Xing and said slowly, "Your disease is called hyperadrenergic POTS."

"What?" Chen Xing was taken aback, "Is it that simple?"

She had done CT, EKG, MRI and other examinations before, but no problem was found yet.

Lu Chen just asked her to do such a simple experiment to confirm the diagnosis?

This is really incredible!

However, Lu Chen smiled: "It's almost there. You need to urinate for another day and draw another tube of blood. You don't need to be nervous, it's not serious."

Chen Xing gritted his teeth and didn't speak for a while.

After seeking medical treatment for several years, no one told her the cause of the disease

Now, Lu Chen just asked her to do a simple experiment, and then directly stated the diagnosis.

"Okay, I'll do it now!"

Chen Xing didn't say much, and walked out of the consultation room with the test sheet that Lu Chen had prescribed for her.

At this time, Lu Chen also took a breath.

The first patient in my expert clinic finally finished reading it.

It seemed that there was not much to talk about, but in fact half a quarter of an hour had passed.

"Teacher, what is the disease you are talking about?"

The female graduate student Zhong Hui asked in a low voice, "Why have I never heard of it?"

Lu Chen smiled: "This name is a bit long, you won't be able to remember it if you say it all."

"Hyperadrenergic POTS, POTS is postural tachycardia syndrome."

"This is a type of orthostatic intolerance with tachycardia, which is more common in women aged 15 to 35 years. It can show symptoms of tachycardia, cerebral hypoperfusion, and autonomic tachycardia after standing upright. Symptoms after supine position lessen or disappear."

Zhong Hui half understood: "In terms of performance, it is indeed very similar, that is, you were sure from the beginning that this female patient is POTS?"

Lu Chen nodded slightly: "At first I was skeptical, because POTS has to be differentiated from inappropriate sinus tachycardia (IST).

"They both primarily affect young women, and symptoms often overlap. But IST does not exacerbate symptoms by standing upright, has a higher average heart rate than POTS, and does not have the typical high heart rate peaks."

"When I saw the results of the body position test, I was basically sure it was POTS. The following is the type of type, and the rest will be based on the blood test results."

POTS is also divided into hyperadrenergic, neurological, and hypovolaemic, which can be further classified by catecholamine detection, skin biopsy, blood volume assessment, and immune detection.

Lu Chen briefly explained the illness to Zhong Hui.

As a first-time clinical graduate student, her clinical experience is basically zero.

……

Just after the first patient left the consultation room, within a minute, the door of the consultation room was pushed open again.

A woman wearing a short skirt, wearing black high heels, with big waves and a smile on her face, slowly walked into the consulting room.

　I've been too busy lately.

　　Write as much as possible.

　　
　
(End of this chapter)