I Can See Health

Remember [new] in one second! Complaints are complaints, work still needs to be done!

Lu Chen accompanied Cheng Peng to complete the electrocardiogram again, and then returned to the doctor's office.

Before he could go back, Lu Chen saw from a distance that the door of the CCU was opened again.

Every time the door is opened, a new patient arrives.

"I'm going, are there new patients?" Cheng Peng saw Zhou Bin and Gu Xinyue already at the door.

Lu Chen and Cheng Peng stepped forward quickly.

…

“In your mother’s situation, it’s best to be hospitalized!”

There is a wheelchair at the gate.

In the wheelchair was a woman of about fifty years old.

Her hair was fluffy and she looked a little depressed.

"But I don't have time to take care of her now!" The patient's family member is a young woman, who is dressed fashionably and wearing heavy makeup. "And she is fine now and no longer has chest pain. Is it that serious?"

On the side, Lu Chen had already stepped forward.

He has seen that the patient's health is 46 (---).

The trend of life value changes is three minus signs!

Three minus signs basically means death is knocking on the door.

"No! Chest pain is a relatively dangerous disease. If the cause is not identified and some key diagnoses are missed, there is a risk of sudden death!" Zhou Bin said to the patient's daughter.

The patient's daughter didn't say anything, but the patient himself said: "Doctor, I'm really well and I don't need to be hospitalized anymore."

Her voice was extremely weak, her head was tilted, and she was leaning on the wheelchair. She didn't look like a normal person at all.

When Lu Chen and others heard this, they naturally didn't believe it.

He has already judged the patient's condition through the patient's vitality.

"Auntie, is your chest pain really gone?" Lu Chen emphasized again.

"Really." The patient nodded and stopped talking.

"Okay, then you, the patient's family, come and sign." Zhou Bin said immediately, "Write a refusal to be hospitalized, indicating that you are willing to bear all risks. Then you can go."

Hearing this, the patient's daughter hesitated again.

"Well, I'm going to stay in the general ward! Can't I?"

Zhou Bin shook his head, "Your mother's condition is critical, so she definitely can't go to the general ward."

"I assume these risks and go to the outpatient clinic for observation instead of hospitalization, is that okay?"

"No! The clinic won't admit you. You will have to come back then!"

It is impossible to keep such high-risk patients as time bombs in the outpatient clinic.

…

Next, the patient's daughter refused to be hospitalized this time using various excuses.

Lu Chen could tell that the patient's daughter didn't want her mother to be hospitalized at all.

However, she became a bitch and had to go to the archway.

I don't want my mother to be hospitalized, but I'm pretending to be entangled here, constantly saying that I don't have time, and my mother is no longer feeling uncomfortable.

"Doctor, I'm going to make a call outside." The patient's daughter suddenly said, "I'll be back soon."

"Where are you going to make a call?" Zhou Bin frowned.

"Right at the gate."

The patient's daughter pointed to the door, and Zhou Bin nodded and let her go out.

The patient was kept in the CCU ward by her.

…

"Lu Chen, you three take the patient's blood pressure first." Zhou Bin said, "Cheng Peng, go get the ultrasound machine."

"good!"

Although the patient was left at the door by his family, the doctor could not ignore him.

Once anything happens during this period, the CCU ward will be responsible.

Lu Chen measured the patient's blood pressure and said, "The blood pressure on both sides is normal, around 180/70mmhg."

"Okay, thank you." Zhou Bin said. She was holding a portable ultrasound and asked, "This patient has chest pain. Does any of you know the common differential diagnosis of chest pain?"

Gu Xinyue immediately spoke up: "The most common diseases in the cardiology department are myocardial infarction, pulmonary embolism, and aortic dissection. In addition to primary cases, diseases in other departments include hiatal hernia, pneumothorax, fractures, herpes zoster, etc."

Zhou Bin nodded with satisfaction, "Good answer!"

Then, she looked at Cheng Peng who was standing aside, "Cheng Peng, tell me, what is the most likely diagnosis of this patient?"

"Teacher, I didn't see any tests on the patient." Cheng Peng said helplessly.

"I'm talking about diagnosis through clinical manifestations, not laboratory values." Zhou Bin said.

"Huh? This..."

Cheng Peng was stunned, this was a bit difficult.

"Myocardial infarction?" He directly guessed a diagnosis.

"How do you judge myocardial infarction?" Zhou Bin asked doubtfully.

"Feeling." Cheng Peng said slowly.

Zhou Bin was speechless immediately. He glanced at Fatty Cheng, then took the ultrasound machine and began to perform a cardiac ultrasound examination on the patient.

Lu Chen stood aside and watched Zhou Bin's operations carefully.

…

After a while.

Zhou Bin put down the ultrasound machine and said: "The heart ultrasound doesn't look like much of a problem. The contractility of the myocardium is okay. The possibility of myocardial infarction is not high."

Lu Chen frowned and said that when he looked at Zhou Bin's operation just now, he discovered something unusual.

"Teacher Zhou, can I use this ultrasound?" Lu Chen said.

"You? Of course." Zhou Bin handed the portable cardiac ultrasound machine to Lu Chen and moved away.

She was very curious, could Lu Chen, a student, even know how to do ultrasound?

Ultrasound is something that actually doesn't have much technical content.

But it requires long-term operation practice.

Most people don't have this kind of ultrasound training conditions, and even if they know a little bit about it, they will forget it after a while.

…

At this time, Lu Chen took over the cardiac ultrasound instrument and applied some coupling agent.

Place the ultrasound probe on the heart.

As soon as Lu Chen started using the left ventricular short-axis window, the cardiac ultrasound image immediately appeared on the ultrasound screen.

"This technique is really fast!" Zhou Bin was shocked.

There is no doubt that Lu Chen is not only good at ultrasound, he is also very proficient in it!

This is really not simple.

Lu Chen not only knows clinical and scientific research, but also the operation of such auxiliary departments!

All these talents are concentrated in one body, which is really enviable by people around him.

…

Lu Chen was seen staring at the ultrasound screen.

In the short-axis view of the left ventricle, the image of the aortic arch is very clear.

"Lu Chen, is there anything wrong with this picture?" Zhou Bin suddenly asked.

She discovered that Lu Chen had only seen this aspect so far.

Is it just this one aspect?

Before Zhou Bin could finish speaking, UU Reading www.uukanshu.net heard Lu Chen say: "Teacher Zhou, please look carefully at the patient's aortic root."

"Aortic root?" Zhou Bin was stunned and looked attentively.

The first feeling is that there is nothing!

But staring closely at the root position, Zhou Bin suddenly felt something moving inside...

"Is this... a floating endometrium?" Zhou Bin said in shock.

Lu Chen nodded slowly: "Teacher Zhou, you are really amazing. I also think this is the floating endometrium."

In normal people's ultrasound, such floating intima sheets are unlikely to appear in the aortic root.

There is only one condition in which this phenomenon can be seen on ultrasound, and that is aortic dissection!

Zhou Bin's heart tightened.

She swallowed and did not immediately move away from the new field of view. Instead, she continued to check at the root of the aorta, trying to ensure the existence of the "floating intima".