I can see health

Chapter 75 Hypercholesterolemia

"Lu Chen, this is the patient's echocardiogram done in the morning."

Jiang Qingyan handed over a color echocardiogram report.

The Ultrasound Department of Jinghua Second Hospital is very strong.

It ranks among the top ten in the country all year round, which is comparable to the status of the Department of Cardiology of Jinghua Second Hospital in the country.

Therefore, the reports issued by the ultrasound department are generally very accurate.

Lu Chen looked at the echocardiography report.

"Left ventricular systolic function was normal. Moderate mitral regurgitation was seen due to mitral valve prolapse, and the left atrium was mildly dilated."

Judging from the results of echocardiography alone, congenital heart disease has been denied.

Lu Chen fell into deep thought again.

Myocarditis, vasculitis, rheumatic immune diseases...

None of this seems right!

So what could it be?

About 10 minutes later, Sun Guoguo returned to the office.

"The family members agreed to intervene in the treatment, and Junior Sister Jiang and I sent the patient down. After the rest of you finish your work, go back to the dormitory to rest."

"Okay." Everyone agreed.

After Sun Guoguo finished speaking, she and Jiang Qingyan pushed the hospital bed to the CCU on the fourth floor.

……

At this time, Lu Chen still had no idea about this case.

He suddenly realized that this young patient's disease, he may have never encountered before.

This is most likely a rare disease!
It is definitely not recorded in undergraduate internal medicine books.

Therefore, based on his current knowledge accumulation, it may not be possible to diagnose this case at all.

Lu Chen fell into deep thought.

Now, the only thing that can make him break through.

That is the "literature reading" skill book that I drew before.

Perhaps relying on the super high comprehension ability endowed by the skill book, he can find some clues and ideas from the document library.

Lu Chen quickly finished writing the course record of the critical value report, and then finished other things in the morning.

"Ke Yue, tell your senior sister later, I'll go back to the dormitory first."

"Ah? Okay." Ke Yue nodded in surprise.

Lu Chen is usually the last one to leave the department, why did he leave so early today?

……

Quickly go back to the bedroom.

turn on computer.

Lu Chen entered the medical papers review website.

"Heart disease, tendon xanthomas, mitral valve prolapse, intermittent claudication in young patients..."

Integrate all patient information together.

In turn, it is divided into symptoms, signs, and auxiliary examination information.

Lu Chen began to search for related papers.

Checking papers is also a technical activity.

The search range is large, the targets are scattered, and the workload is heavy.

The search scope is small, and it is very likely that many diseases will be missed.

Lu Chen first searched from the disease classification of young coronary heart disease.

Then add qualifications, such as tendon xanthoma, intermittent claudication, and so on.

Checked the Huaxia Papers Library.

Got nothing!
Case reports related to rare diseases in Huaxia are rare.

Even if there are, most of them are electrophysiological and coronary interventions, which are very utilitarian.

Lu Chen could only expand his search target to foreign literature databases.

In this way, the workload has more than doubled.

This is still in the case of the "document reading" skill book.

If there is no skill book, it will take half a day just to translate words.

……

"Hey, Lu Chen, what are you up to?"

Roommate Wang Zihao suddenly moved his head over.

"Check some documents." Lu Chen smiled.

"I see that your documents are all in English, so powerful." Wang Zihao said in surprise.

These are all medical professional English, not conventional English like CET-[-] and CET-[-].

"I just browsed the abstracts of some documents, and the content is not much." Lu Chen smiled, "The difficulty is not very high, you can do it yourself."

Wang Zihao curled his lips, he wouldn't listen to Lu Chen fooling around.

If he goes, he can't.

"Lu Chen, let's have a group activity in our dormitory this weekend, let's go together?" Wang Zihao said with a smile.

"Okay, what event?" Lu Chen looked up at Wang Zihao.

"Real CS." Wang Zihao laughed, "There is a live CS shop near here. I know the boss very well, and he gave me some coupons. We can go play for a day. There is everything to eat and play there."

"Yes." Lu Chen nodded.

It is better to participate in this kind of group activities to avoid being out of group.

After all, Lu Chen will live in the dormitory for three years.

"Then it's settled, next Saturday, live CS." Wang Zihao smiled, "Lu Chen, you have other friends, you can come and play together, I have a lot of coupons."

Wang Zihao is a native of Beijing.

He also studied at Jinghua Medical University for his undergraduate degree, and he is familiar with the nearby eating, drinking and having fun.

"Okay." Lu Chen nodded.

He thought about it, maybe he could be called Zhou Wei. For a deep game fan, the temptation of this real CS is definitely not small.

……

After chatting with Wang Zihao for a few words, Lu Chen continued to dig into the documents.

"Young heart disease...probably congenital heart disease, cardiomyopathy, myocarditis, vasculitis, etc."

"Intermittent claudication . . . vasculitis obliterans."

……

After reviewing hundreds of case reports, I still haven't found any diseases related to this girl.

One fifty in the afternoon.

10 minutes to work.

All three roommates got up one after another.

Lu Chen stood up, stretched, and was about to turn off the computer.

Sudden.

He glimpsed at the bottom of the interface, there was a case of xanthoma in a young girl.

By accident, Lu Chen clicked in.

This is a 15-year-old girl.

The xanthomas in this patient were also distributed along the tendons.

The paper introduces it like this:

"Painless xanthoma, consider congenital xanthoma (homozygous familial hypercholesterolemia). The patient also has symptoms of intermittent claudication, consider lipid deposition caused by atherosclerotic occlusion of the lower extremities."

Lu Chen was taken aback for a moment, and then revealed ecstasy.

As mentioned in the article, among the possible clinical manifestations of familial hypercholesterolemia, there are painless xanthomas and white rings at the edge of the cornea.

This patient also has symptoms of intermittent claudication!

The only difference is that the patients in this paper do not have any heart disease.

However, it is mentioned that lipid deposition caused by familial hypercholesterolemia may cause systemic atherosclerotic occlusion.

If blood vessels accumulate in the lower extremities, it is intermittent claudication.

Accumulation of cardiovascular blood vessels, then myocardial infarction may occur.

Accumulation of blood vessels in the brain leads to cerebral infarction!

As for why mitral valve prolapse occurs, it is the rupture of the mitral valve chord due to myocardial infarction, or the dysfunction of the mitral muscle!
Seeing this, Lu Chenmao suddenly realized!

All of this is caused by hyperlipidemia!
"Lu Chen, you're going to be late for work, why don't you go?"

Wang Zihao called out to Lu Chen before going out.

"You go first, I'll go out right away." Lu Chen replied without raising his head.

He has to hurry up and download this article to his phone.

At this time, a prompt popped up on the system panel.

"Congratulations, the completion of the system upgrade has increased, and the current progress is 2%."

(End of this chapter)