I Can See Health

Remember [New] in one second! "Auntie, I saw you had a chest CT scan at the City Center Hospital. Did you bring the film?" Lu Chen said.

"Yes, I brought it."

Auntie Wang quickly squatted down and took a white bag from the drawer under the bedside table.

Lu Chen smiled, took the bag, and took out a brand new chest CT film from it.

Comparing the date, it was taken exactly a week ago.

Lu Chen carefully read the chest CT scan and found that the patient's lungs had no other abnormalities except for a little infection.

"This case is really not that simple." Lu Chen thought to himself.

Bronchial asthma seems simple, but why is the effect not good?

Because the external hospital has given the patient a full range of bronchial asthma treatment, Lu Chen's first thought is whether the cough and asthma are caused by other diseases?

"Doctor, do you have anything else to say?"

Auntie Wang said.

Lu Chen shook his head, "Thank you for your cooperation, Auntie, I'm done."

He returned the chest CT scan to Auntie Wang.

"Then my illness..." Lu Chen paused, "It's not clear yet. Further examination is needed. My superior doctor will come to see you later." Lu Chen really didn't have any idea about this case for a while. "Okay, thank you doctor." Lu Chen nodded slightly, and then left the ward. ... The first patient he met when he first entered the respiratory department was a bit tricky. Lu Chen also became interested. In the first two months, he stayed in the operating room every day, which was too boring. Back to the doctor's office. Fan Yujing was already sitting in front of the computer. Judging from her appearance, she should be waiting for Lu Chen. "What's the patient's condition?" Fan Yujing asked as soon as Lu Chen sat down. "Consider acute attack of bronchial asthma..." Before Lu Chen finished speaking, Fan Yujing interrupted, "I didn't ask you to tell the diagnosis, tell the condition!" Lu Chen frowned and glanced at Fan Yujing. This teacher's temper is really weird. However, he continued: "The patient is a 43-year-old female who was admitted to the hospital for 5 days with cough, sputum and wheezing..."

Lu Chen briefly introduced the medical history.

"Where was the bronchial asthma diagnosed and what treatment was used?" Fan Yujing said.

"I stayed in the Central Hospital for a month and was given hormones, antispasmodics and anti-infection treatments, but the effect was not very good."

After Lu Chen finished speaking, Fan Yujing did not speak. She took her stethoscope and left the doctor's office.

Seeing this, Lu Chen followed her.

…

Come to the ward again.

The patient is already lying on the bed.

Walking into the ward, only half a meter away from the bed, you can faintly hear the wheezing sound from the patient.

Fan Yujing came to the bed and asked about the medical history again.

This time, she also asked about some occupational disease history, dust exposure history, etc.

The patient answered one by one, and she did not have any other occupational diseases or exposure history.

"Have you seen the patient's medical order for treatment at the Municipal Hospital of Traditional Chinese Medicine?" Fan Yujing suddenly asked.

"I've seen it." Lu Chen nodded.

"What do you think?"

Lu Chen frowned slightly, "From the current diagnosis of bronchial asthma, the treatment of the Central Hospital is basically in place."

"Then why was the previous treatment not good?" Fan Yujing asked again, "What is the reason?"

Lu Chen shook his head and whispered: "It's not clear for the time being, but initially, first, it is possible that the drug dosage and treatment course are not enough; second, the previous diagnosis of bronchial asthma is wrong!"

The diagnosis error is just his current guess.

Colleagues should not look down on each other, so Lu Chen's voice is very low to avoid being heard by the patient's family.

Fan Yujing raised his eyebrows slightly when he heard Lu Chen's words, and was slightly surprised.

Unexpectedly, this student is really good.

"Based on the patient's current examination results, what other diagnosis do you consider besides bronchial asthma?" Fan Yujing said.

Lu Chen shook his head slightly, "It's not clear for the time being."

Respiratory department is not his major department, so naturally he is not as comfortable as in cardiology.

Fan Yujing didn't say much, turned to the patient and said: "Take out all the tests you did in the Central Hospital."

"Okay." Hearing this, the patient took out the chest CT film again and handed it to Fan Yujing.

Fan Yujing took it gently, held it in front of him, and looked at it carefully.

CT images are divided into 16 rows and 64 rows, mainly the difference in resolution.

It can be simply understood that 16-row CT is to cut the lungs 16 times.

64-row CT is to cut 64 times.

The larger the number of rows and the more times the cross-section is, the clearer the chest CT can be seen.

After a long while, Fan Yujing slowly put down the chest CT film in his hand.

"Have you seen the CT film?"

Lu Chen nodded slightly: "I have seen it."

"Can you read it?" Fan Yujing's words made Lu Chen stunned.

"I haven't learned it systematically, but I can read it a little." Lu Chen said.

"Haha, I think you don't know anything at all!" Fan Yujing put the CT film on the table beside him without any hesitation, and said coldly: "After looking at this CT film, do you still not know the cause of the patient's illness?" Fan Yujing's attitude was really bad. But Lu Chen was also stunned when he heard Fan Yujing's words. He had just carefully looked at this patient's chest CT film.

Apart from signs of lung infection, he didn't find any other problems!

Fan Yujing can actually see the cause of the patient's disease from this chest CT film?

Lu Chen immediately took the CT film.

He carefully studied and compared every aspect.

Lung windows, mediastinal windows, lung textures, bronchial shadows, he didn't miss any of them.

"It's a bit self-aware, so take a good look at it."

Fan Yujing snorted coldly and then left the ward.

Lu Chen ignored her and continued to study the chest CT film.

…

There are a lot of content about CT in the video, otherwise it would not be a separate subject.

However, with the development of modern medicine, doctors’ division of labor has become more and more detailed.

Doctors in many departments are not good at image reading, such as X-ray, CT and MRI.

Most doctors rely on the imaging department's reading results.

However, in clinical practice, it is often the bedside doctor who knows the patient’s condition best.

Relying on the interpretation of images by the imaging department not only delays the best treatment results, but may also result in errors in interpretation.

…

"call……"

After a long while, Lu Chen still shook his head helplessly.

Apart from the images of lung infection, he still didn't see anything abnormal.

Lu Chen knew that he was very lacking in the ability to read films.

"Auntie, please take the film back to me and take a look at it first." Lu Chen had no choice but to say to the patient, "I'll give it back to you after I review it."

"Okay, no problem." The patient grinned, "Just don't get rid of it. I will use it in the future."

"Well, UU reading www.uukaｎshu.net don't worry."

With that said, Lu Chen took the patient's chest CT film back to the doctor's office.

In the doctor's office.

Fan Yujing was giving medical instructions to the patient. At the same time, when she saw Lu Chen coming back, she said, "Write down the patient's course of illness."

"good."

Lu Chen first put aside the patient's chest CT film and began to write the patient's first course of illness record.

Lu Chen had the disease course record at his fingertips and finished it quickly.

However, he really didn't know how to fill in the line of disease history record and diagnosis.

Lu Chen clicked on the doctor's order and frowned.

The medical orders given by Fan Yujing were all very routine, with only a few simple orders for blood tests.

There are no anti-infective and bronchial asthma medications!

Seeing the doctor's order, Lu Chen turned back and glanced at Fan Yujing, then fell into deep thought again.