I Can See Health

Remember [new] in one second! Lu Chen just redeemed the intermediate skill book of "CT Reading" just before, and Lu Chen's reading ability has been greatly improved.

After carefully studying the entire film, he felt that a vicious situation could not be ruled out.

Therefore, there will be opinions on regular review and further inspection on the CT report sheet.

About ten minutes later, Fan Yujing returned to the doctor's office.

Lu Chen immediately retrieved the patient's chest CT scan from two months ago.

"Teacher Fan, look at this patient's previous CT scan."

As soon as Fan Yujing took a look, her face became a little ugly.

"Lu Chen, please check, which doctor in our department was responsible for this patient before?"

She has also seen that the patient's lungs occupy space on the CT scan, which is not a good thing!

Lu Chen found the doctor's signature in the medical history record. "The signature is Dr. Wang Renyong. He happened to be off the night shift today..."

Fan Yujing immediately took out her mobile phone and made a call.

"Hello, Doctor Wang, I'm Fan Yujing..."

After a conversation, Fan Yujing frowned and hung up the phone: "Before the patient was discharged from the hospital, Dr. Wang had suggested further examination, but the patient and her family members refused. In the end, she had to come to the outpatient clinic regularly for chest CT examination, but it seemed that did not come."

Lu Chen felt helpless. There was really nothing the doctor could do for such a patient who did not follow the doctor's instructions.

"Lu Chen, what disease do you think the patient has?" Fan Yujing said suddenly.

Lu Chen paused and then said slowly: "It's not clear yet, but if the patient's mental state is abnormal, cerebrovascular accidents cannot be ruled out first. However, based on the patient's current CT scan, tumor-related brain diseases cannot be ruled out."

"Then how do you judge the patient's condition?" Fan Yujing was a little confused, "It's just based on the change in the patient's mental state. What if she is really just tired and wants to sleep?"

"No!" Lu Chen said resolutely, "I asked the patient's family, and she had never been like this before. Moreover, I called the patient several times, and through her reaction and physical examination, I basically confirmed that she was in a sleepy mental state. "

Fan Yujing raised her eyebrows, looked at Lu Chen in front of her, and thought to herself, this student is interesting!

It was completely different from the previous students who only knew the typical signs of the disease.

In the face of clinical changes in condition, there is no coping strategy.

"Okay, when the patient's condition improves a little, you take her to the outpatient clinic for a review of chest CT scan." Fan Yujing said.

"Ok, no problem."

…

In the office, Lu Chen taught Wang Defa how to write a disease course record.

He didn't expect that this junior brother, who had been in bed for so long, didn't even know how to record medical records.

"Junior brother, the chief complaint and the current medical history need to correspond! The number of the chief complaint needs to use Arabic numerals, not Chinese numerals!"

"The past history must be detailed. Write down what diseases you have suffered from, how you were treated, and what the prognosis is!"

After teaching Wang Defa diligently, Lu Chen also gained some gratitude points.

Later, when the patient's condition improved slightly, Lu Chen took him to the CT room.

I had a CT scan last night and the results came out quickly.

When Lu Chen opened the CT image, his pupils shrank slightly.

Sure enough, the space occupied by the previous lung CT scan became larger!

And it’s not just a tiny bit bigger, but it’s doubled in size, reaching about 2cm!

More importantly, there are many "burr signs" around the lungs.

This is a very typical change in lung cancer!

"This kind of mass-occupying area with burr edges is probably a malignant tumor in the chest!"

In addition to the chest CT scan, Lu Chen also scanned the head and abdomen.

I wouldn’t know if I didn’t check, but I’d be shocked if I checked!

New space-occupying nodules suddenly appeared in the patient's head and liver.

Lu Chen was shocked. He immediately took out the patient's previous CT report for comparison.

"That's true!" Lu Chen thought to himself, "It seems that the tumor has metastasized to the head and liver! This is why the patient has symptoms of drowsiness!"

However, Lu Chen had ten thousand reasons in his mind.

In just two months, why did the patient's chest CT scan change so much?

…

Return to the first ward of the Department of Respiratory Medicine.

Fan Yujing also learned the news immediately.

"I think it's probably a tumor." Fan Yujing saw the chest CT film for review, "It's time to communicate the condition with the patient's family again!"

Outside the ward.

Fan Yujing had already called the patient's daughter-in-law, and Lu Chen followed her.

"What!" The voice of the patient's daughter-in-law finally became louder, "You said... it might be lung cancer? How is that possible? My mother had already done a CT scan two months ago! At that time, the doctor said it was just pneumonia..."

"You said it yourself, that was two months ago! At that time, there was not only pneumonia, but also nodules. In addition, at present, we are only guessing that it is probably something bad." Fan Yujing said, "If you agree to the diagnosis, then Need an electronic bronchoscopy!”

"Yes, yes..." At this time, the patient's daughter-in-law hesitated again.

She rubbed her clothes with her hands, looking dazed.

"Aren't your immediate family members here yet?" Fan Yujing frowned and looked at Lu Chen aside.

"We have been notified." Lu Chen shook his head, "Come over tomorrow at the earliest."

The daughter-in-law, after all, is not a direct relative and cannot make up her mind.

On the phone, she communicated with her son, but she couldn't explain why.

"Why didn't you come for a review a month ago?"

At this time, Fan Yujing suddenly asked.

“On the CT report form, it is clearly written that the patient should be reexamined in one month!”

The patient's daughter-in-law opened her mouth at first, wanting to say something, but then swallowed it back, and then hesitantly said: "My mother said she is fine, so there is no need to come for a follow-up check."

"Your mother said..." Fan Yujing frowned and said, "She doesn't understand, and you don't understand either? The doctor must have communicated with you before leaving the hospital. I also called Dr. Wang just now. He said I suggested that you do further examination, but you refused..."

Fan Yujing hasn't finished speaking yet, UU reads a book www. uukanshu.net was interrupted by the patient's daughter-in-law, "Doctor, it's not me who refused! It's my mother herself. She doesn't want to come for a review. Can I still tie her over?"

Fan Yujing sighed slightly in her heart, after all, she was not her biological mother.

"Okay, then just wait until your husband comes over tomorrow, and I'll talk to him then."

"Okay." The patient's daughter-in-law nodded and left.

…

Back to the doctor's office.

Lu Chen and Fan Yujing were both a little silent.

Even Wang Defa, who is usually quite active, was silent at this moment.

The patient's chest CT scan progressed so rapidly within two months that it even metastasized.

This is something no one could have imagined!

The most distressing thing is that the doctor has warned in advance, but it is still useless.

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