I Can See Health

Such a young child has such high blood pressure?

Lu Chen's first impression was that the blood pressure monitor was not broken.

A normal way of thinking is to consider instrument damage only after ruling out disease diagnosis and after multiple measurements.

In Lu Chen's eyes, the little girl's health value was 63.

Behind 63, there is a "-" symbol.

He quickly asked the little girl on the hospital bed.

"Are you feeling uncomfortable?"

The little girl timidly did not look back. A middle-aged woman about forty years old standing nearby, who must be her mother, said: "It's fine now, but in the past week, she always complained of headaches and nausea. Sometimes And vomiting.”

With such high blood pressure, of course you will get a headache!

At this time, the nurse took another blood pressure monitor and measured the blood pressure on both sides of the little girl.

The results are all above 200/100mmHg!

The blood pressure meter was not broken, what was "bad" was the little girl in front of me.

The nurse was immediately frightened by her blood pressure. If she was a middle-aged and elderly person with such high blood pressure, that would be fine.

But the girl in front of me is only more than ten years old!

"Are you feeling uncomfortable at this moment?" Lu Chen continued to ask.

The little girl shook her head slightly and whispered: "No...no."

Lu Chen felt a little relieved. The reason why he kept asking the little girl if she felt any discomfort.

This is mainly used to determine the treatment of high blood pressure.

If the blood pressure is very high but there are no related symptoms or target organ damage, oral antihypertensive drugs can be used.

However, if high blood pressure causes severe headaches, vomiting, and damage to target organs, intravenous antihypertensive drugs need to be used to lower the blood pressure as soon as possible.

At present, the little girl does not have any symptoms and can first use oral medications to lower her blood pressure.

However, there must be an internal reason for such a young girl to have such high blood pressure!

Lu Chen immediately concentrated on asking about the medical history.

The patient is a 13-year-old female student.

Height: 163cm, weight: 7 Index: 28.60.

He gained 30kg in one year and was admitted to the hospital with headache and nausea for 1 week.

The patient developed a headache after catching a cold 1 week ago, which was characterized by persistent distension and pain, accompanied by fever, nausea, and vomiting of sour water. No symptoms such as chest pain or palpitation.

At that time, the temperature measured at school was 38℃ and Bp180/85mmhg. The fever symptoms improved after being given symptomatic and supportive treatment.

However, in the past week, the patient's symptoms not only did not subside, but also tended to worsen, so he came to Jinghua Second Hospital.

The reason why I came to the endocrinology department was because the outpatient doctor considered that the patient had high blood pressure, obesity, and a series of endocrine system diseases such as metabolic syndrome, so he was admitted to the endocrinology department.

In addition, the patient's parents were in good health and denied a family history of hypertension.

Her menarche age was 12 years old, and her menstrual cycle was irregular, with 2 menstrual periods per month or prolonged menstrual cycles.

Lu Chen also did an electrocardiogram on the little girl, and the electrocardiogram result was normal.

After taking the medical history, the most important thing now is to lower your blood pressure!

…

Back to the doctor's office.

Min Ling has returned from seeing the patients.

"Lu Chen, what's the condition of the patient you're seeing?" Min Ling asked immediately.

Lu Chen briefly recounted the patient's medical history.

"13 years old, high blood pressure, what did you think about it?" After hearing this, Min Ling glanced at Lu Chen and asked for his opinion.

Lu Chen paused, then slowly said: "The first and most important thing is to find the cause of the patient's hypertension, mainly to exclude secondary hypertension factors. The second is that the patient is obese. Is there the possibility of metabolic syndrome?"

"Yes, very good." Min Ling nodded slightly, "You come and write down the course of the disease and give medical instructions."

"Okay." Lu Chen said.

Min Ling's move shocked Lou Jie on the side.

Let a new student write down the course of illness and give medical orders?

Min Ling was not such a lax person before!

Let alone a first-year graduate student, even a second-year or third-year graduate student would not be able to let her go like this.

I saw that Lu Chen did not refuse or hesitate.

He found a free computer and started giving medical orders.

First and most important, three antihypertensive drugs.

The next step is blood drawing and some imaging tests.

Blood draws are mainly used to check some routine items and secondary hypertension factors.

Lu Chen quickly filled out a set of medical orders.

…

Lou Jie on the side was secretly shocked, this new student looks pretty good!

He must have relevant clinical work experience before, otherwise he would not be proficient!

Lou Jie pretended to casually click on what Lu Chen had just ordered.

When she saw the computer screen in front of her clearly, her pupils shrank slightly.

Lu Chen has already given all the medical orders.

All the routine blood tests after admission were taken, as well as sex hormones, thyroid function, catecholamines, cortisol, aldosterone, etc. Lu Chen took everything without missing a beat!

The most important thing is, there are no mistakes!

Doctor's orders are one of the carriers that best reflect a doctor's clinical thinking.

"This first-year graduate student is not easy!" Lou Jie raised his eyebrows, "His name is...Lu Chen..."

She felt that the name sounded familiar, but she couldn't remember where she had heard it.

However, she was more cautious about Min Ling's student.

…

After giving the doctor's orders, Lu Chen began to write a medical history.

He was also very quick at writing down medical records.

In less than twenty minutes, the first visit, medical records, and corresponding communication records were all written.

Lu Chen's speed once again shocked Lou Jie.

She clicked on the medical history record written by Lu Chen.

A long while.

"This..." Lou Jie raised his head and couldn't help but said in surprise, "Can't you find any mistakes?!"

The disease course written by freshmen who have just entered clinical practice is usually full of loopholes.

But Lu Chen's was different.

From the patient's chief complaint, current history, current history, etc., Lu Chen's medical history was written in a very standard and organized manner.

While Lu Chen went out to sign documents with the patient, Lou Jie finally couldn't help but approached Min Ling and asked, "Sister Xiaoling, are you a student... really a freshman in the first year of graduate school?"

"Yes." Min Ling nodded, "What's wrong?"

"I don't feel like he is a new student!" Lou Jie said in surprise, "I have read all the medical orders and the course of the disease he wrote, and there is almost no need to modify them. I have never seen such a powerful new student."

Min Ling covered her mouth and smiled, "It's nothing. If you knew other things about Lu Chen, you wouldn't be surprised."

"Other things?" Lou Jie looked at Min Ling doubtfully.

"Yes, UU Kanshu www.uukanshu.net school issued an announcement last week, you should have read it too." Min Ling said, "Everyone should have read it!"

Lou Jie was stunned. An announcement was issued last week?

She immediately recalled it in her mind...

Lu Chen...

"Is it him...that Lu Chen?"

Lou Jie suddenly thought of someone and immediately looked at Min Ling aside.

Min Ling nodded slightly.

It's really him!

Lu Chen, a cardiologist, won sixth place in the national electrocardiogram finals!

No wonder Lou Jie felt that the name sounded familiar, because the Second Academy had been promoting Lu Chen's deeds some time ago.

Although she doesn't pay much attention to these things, she still knows that there is such a number one person.