I Can See Health

Latest website: Lu Chen is not yet sure what the criteria are for the system to judge whether it has received clinical insights.

He has also had case discussions in the department before.

He also heard Li Yao and Sun Guoguo talk about some difficult cases, but he never received "clinical insights".

Moreover, this kind of clinical perception is not as digitized as the gratitude value.

In the system panel, there is only the value of gratitude, but there is no column for perception value.

There is no option to redeem the clinical thinking skills book in the system mall.

It seems that this kind of skill book may require Lu Chen to understand it on his own from his daily clinical work.

…

At this time, the cardiology department of Jinghua Second Hospital was in the classroom.

Everyone was surprised and happy when they heard Li Yao's opinion!

Wang Peng’s expression is the most exciting.

First there was confusion and surprise, and then there was surprise at the end!

He is the patient's bedside doctor.

He never had any clues about the patient's illness despite being in the hospital for such a long time.

"hht?" Wang Peng murmured in his heart, "Myocardial infarction, cerebral infarction, and gastrointestinal bleeding are completely opposite things, and they are actually caused by the same disease!"

He had never had this mindset.

It is easy to think of the same type of symptoms or signs together, but for different things, inertial thinking will separate them!

Wang Peng suddenly encountered this kind of patient, and he still thought about it again and again, and he also felt that there was a bright future after another.

"Director Li, can you give me any further advice on the patient's subsequent treatment?" Wang Peng asked very sincerely.

This difficult patient has been in his hands for a long time.

He also wanted to cure her as soon as possible and get her discharged from the hospital.

Li Yao thought for a while and said: "First complete the pulmonary arteriovenous angiography. Generally speaking, there is no special treatment for this disease, mainly symptomatic treatment. However, due to the danger of pulmonary arteriovenous fistula, even if there are no symptoms, you should thoroughly check whether there is such a disease." problem in order to perform preventive embolization treatment.”

"Surgical resection or embolization therapy can be performed for pulmonary arteriovenous fistulas. Beta-blockers can improve the hyperdynamic circulation state, reduce hepatic blood flow, reduce shunt volume, and relieve gastrointestinal bleeding."

"The prognosis depends on whether the visceral blood vessels are involved. If only the skin and mucosal capillaries are damaged, the prognosis is good. If the visceral blood vessels are extensively involved and hemangioma is formed, the prognosis is poor..."

Wang Peng listened and began to record Li Yao's opinions.

…

The hospital-wide general consultation that was originally planned to be "unfinished" had a relatively complete ending due to Li Yao's sudden appearance.

After Li Yao finished speaking, Wang Peng made a simple summary.

Based on what everyone said and the current impression diagnosis, it is the pulmonary arteriovenous fistula that Li Yao mentioned!

The hospital-wide general consultation is over.

Director Yang from the Third Heart District, Xu Zhonghuang from the Hematology Department, Ouyang Jing from the Rheumatology and Immunology Department, and others all came to Li Yao.

Although Li Yao said that the past few years have been unsatisfactory, everyone still has to do their job on the surface.

"Director Li, your thinking is really out-of-the-box. The patient has been in the third cardiac zone for almost a week, and we have not considered the possibility of pulmonary arteriovenous fistula." Director Yang said with a smile, "As soon as you come here, give us a brand new Ideas!”

"Director Yang is right. I was the one who said hht at first, but it was Director Li who used it vividly!" Xu Zhonghuang praised, "About 5% of hht patients have pulmonary arteriovenous fistulas. I forgot about this, hey, I’m old!”

Compared with the other three, Li Yao is the youngest, but has the highest position in Corey.

She is the director of the ward of cardiology department 8, and the other three have no positions.

"Several directors have given me awards." Li Yao smiled faintly, "I also heard the reminder from my students, and then I had a flash of inspiration and thought of this. Moreover, it is only an inference at the moment, and it has not been confirmed yet."

Director Yang smiled and said: "Hey, I have already told Wang Peng to do a pulmonary arteriovenous angiography immediately after returning. When the results are available, I will inform the directors."

"Oh, wait, Director Li, I heard you right. You said before that you listened to the students' opinions." Xu Zhonghuang suddenly said, "Which student are you?"

Director Yang also looked next to Li Yao, but did not see familiar faces like Sun Guoguo!

Li Yao waved to Lu Chen who was standing aside.

Lu Chen understood and quickly stepped forward, "Teacher."

"Let me introduce to you, this is my master's student this year, Lu Chen." Li Yao looked towards Director Yang and others with a smile.

A doctoral supervisor suddenly introduces her first-year graduate student to everyone. Either this student is very good, so he is related to her.

Director Yang looked Lu Chen up and down, he was a very sunny and handsome young man.

"Lu Chen...is this name familiar?" Director Yang suddenly said.

Li Yao smiled and said, "Some time ago, Lu Chen represented our school in the national medical skills competition and won first place."

As soon as he finished speaking, Director Yang, Xu Zhonghuang and others looked stunned.

Jinghua won first place in the national medical skills competition, which is a big deal!

Even though they don't pay much attention to this kind of competition, they have heard about the Jinghua team's success in winning the first place.

"So it's you, no wonder it sounds familiar to me." Director Yang said with a smile, "I have also watched several live broadcasts of the National Medical Skills Competition."

Xu Zhonghuang and Ouyang Jing originally didn't care much about Lu Chen, but when they heard what Li Yao said, they also took a look at Lu Chen.

No wonder Li Yao suddenly mentioned his students.

They didn't feel that it was Lu Chen who reminded Li Yao about this discussion.

On the contrary, he thought that Li Yao deliberately said this in front of everyone in order to support Lu Chen.

With such an outstanding student, who wouldn’t want to show it off?

Lu Chen stood beside Li Yao, silent.

Normally, it is difficult for a student to appear in the communication circle of professors.

He can stand here entirely because of Li Yao.

Lu Chen knew that this was the beginning of Li Yao's "reputation" for him.

As a mentor, Li Yao is already very competent to be able to do this.

A few people exchanged some more words, and then left one after another.

Lu Chen also said goodbye to Li Yao and returned to the dormitory.

…

Three zones in the heart.

After Wang Peng returned to the ward, he immediately communicated with the patient's family and asked for a pulmonary artery and vein contrast-enhanced CT.

In order to find out the final diagnosis, the family members readily agreed.

Wang Peng personally pushed the hospital bed and took the patient out for examination.

Less than twenty minutes from the end of the general hospital consultation, the results of the enhanced pulmonary artery and vein CT scan came out.

Enhanced CT showed that the right pulmonary artery was abnormally developed, and the distal end of the right lower pulmonary artery was tortuous and connected to the right lower pulmonary vein. It was diagnosed as a pulmonary arteriovenous fistula!

The moment Wang Peng saw the results, he was completely relieved and finally figured out the patient's diagnosis!

"In my heart, Director Li Yao from the Eighth District is really awesome!" Wang Peng sighed in his heart.

The patient had been in their department for so long, and he had invited consultations from many departments, but to no avail.

Teacher Li Yao directly connected all the clues together and finally got the correct diagnosis!

Wang Peng immediately informed Director Yang of the inspection results.

…

Jinghua Second Hospital.

Guipei Building dormitory.

After Lu Chen thought twice, he decided to use the case of oleander poisoning as the content of his speech.

Oleander poisoning is relatively common, and this case can be easily combined with clinical practice through the evolution of electrocardiogram.

For example, the electrocardiogram of this heart transplant patient is relatively ignored in clinical practice, that is to say, just look at the electrocardiogram and UU read a book www.uukanshu. Net can also be diagnosed.

Now that the content of the case discussion was determined, Lu Chen started making ppt.

From outline formulation, text polishing, to typesetting and beautification, Lu Chen spent most of the day and only completed one third of the content.

I looked at the time. It was almost five o'clock in the afternoon and it was time to start the night shift.

Lu Chen turned off his computer, packed his things, and got ready to go to work.

There was an apple on the table, which Wang Zihao gave to him at noon.

Sometimes, you still have to believe in this kind of metaphysics.

Lu Chen put the apple into his bag and went out.

Night shift in the cardiology department, here he comes!

…

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