I Can See Health

Remember [new] in one second! After all, electrophysiological examination is an invasive surgical operation.

The patient resisted, which Lu Chen could understand.

On the other hand, Lu Chen was going to review the patient's electrocardiogram and cardiac ultrasound.

The level of examinations varies widely from hospital to hospital.

Especially at the level of cardiac ultrasound, ordinary hospitals can only see the size of each chamber of the heart, but nothing else.

The ultrasound departments of some top hospitals can perform cardiac ultrasound through ultrasound examination, and can even diagnose cardiomyopathy, valvular disease, congenital heart disease, etc.

Just in case, Lu Chen decided to give Li Wenqian a second check, so that he could feel more at ease.

…

Back to the doctor's office.

Lu Chen asked Su Rui to write down the course of the disease, and he was responsible for giving the medical orders.

The division of labor and cooperation between the two can save a lot of time.

This was also the first time Lu Chen experienced the joy of being a senior doctor!

I finally have someone to help me write medical records or give medical orders.

For those junior brothers and sisters in the previous group, Lu Chen really didn't dare to ask them to write down the disease history, and he was also a student himself, so he always ordered his junior brothers and sisters, which was not the case.

Now that he is in charge of the bed independently, Su Rui is equivalent to his first student!

"Suri, in addition to autonomic nervous system disorders, what other diseases do you think this patient should consider?"

Lu Chen started to ask questions.

This habit also inherits Li Yao's "excellent tradition".

When he was rotating through the eight zones in his heart, he was tortured by Li Yao's questions for several months.

Su Rui pursed her lips, her little eyes filled with confusion.

No matter how academic she is, she is still just an undergraduate intern with little or no clinical experience.

"Senior Brother Lu, I can't think of it yet." Su Rui glanced at Lu Chen secretly.

Although the senior brother in front of her was not from Kyoto University School of Medicine, she did not dare to have any contempt for him.

On the contrary, after she heard about Lu Chen's related deeds, she felt overwhelming admiration in her heart.

Lu Chen smiled and said, "Actually, we have such a principle in the Department of Cardiology."

"Young people say that their heart is not feeling well and they have to think of stomach problems."

"If the elderly say they have an upset stomach, they should think of heart disease!"

Su Rui blinked, "Brother, the symptoms described by the patient don't seem to have anything to do with stomach problems. She clearly pointed out that it was heart discomfort..."

Lu Chen smiled, "Many times the symptoms are not accurately described, or there is radiating pain. When my roommate had kidney stones before, it would also cause pain in the testicles."

After saying this, Lu Chen felt something was inappropriate.

After all, Su Rui is still a young female intern, unlike those mature and experienced nurses.

"Ahem." Lu Chen coughed lightly to cover up his embarrassment.

Su Rui's face turned red, "Senior brother, what kind of roommates are you?"

"You can see it if you have a chance." Lu Chen scratched his head and could only give away Wang Zihao, "Actually, what I mean is that the esophagus and the heart are very close. Some patients may have gastroesophageal reflux, which causes heart failure. It feels comfortable, so it is described by patients as a symptom of the heart.”

Because visceral innervation is relatively intricate, there is often overlapping innervation.

For example, a nerve may control several organs, which may cause interference to the brain. In fact, it is a problem with A. The brain sometimes thinks it is a problem with B, so subjectively it will be manifested as pain in B.

The typical pain caused by kidney stones is waist pain in the kidney area. Ureteral stones can also cause renal colic or ureteral colic, and can also radiate to the testicles and labia.

Su Rui listened to Lu Chen's story and recorded it in her notebook.

"Congratulations, I received a +1 thank you from Su Rui!"

Another prompt popped up on the system panel. Lu Chen smiled slightly and continued: "So, there is no need to rush the patient's electrophysiological examination. I am going to try to give gastroprotective treatment first, and complete the gastroscopy if necessary. After gastric diseases are ruled out, Do another electrophysiological test.”

Lu Chen's overall thoughts were completely displayed in front of Su Rui.

He has nothing to hide. As for how much Su Rui can understand and comprehend, it depends on her understanding.

"Senior Brother Lu, is it possible that the patient has coronary heart disease?" Su Rui said again.

Lu Chen smiled and said, "I won't consider it because the patient is young and does not have any high-risk factors for coronary heart disease (hypertension, diabetes, smoking, etc.), so coronary heart disease is not considered. Of course, if the patient is worried about coronary heart disease, he can improve the coronary artery disease." cta check.”

"Yeah." Su Rui nodded and recorded what Lu Chen said in the notebook.

…

A zone in the heart, in the ward.

Li Wenqian was lying on the bed, still thinking about the electrophysiological examination that Lu Chen just mentioned.

After thinking for a long time, she decided to search for electrophysiology-related information on the Internet.

At this moment, the nurse walked in, pushing a treatment cart in her hand. There were several bottles of medicine on the treatment cart.

"Do I still need an injection?" Li Wenqian asked doubtfully.

"Are you Li Wenqian from bed 25?" The young nurse picked up the infusion sheet and compared it.

"Yes." Li Wenqian nodded.

"That's right, this is the medicine prescribed to you by the bedside doctor." said the little nurse.

"What medicine?" Li Wenqian frowned and asked. She doesn't feel any discomfort now. Does she still need medicine?

"Medicine for stomach protection."

"What? Medicine to protect the stomach?" Li Wenqian immediately stopped the nurse from injecting the acupuncture, "I don't have a stomach problem! Don't give me the acupuncture yet!"

After saying that, Li Wenqian took out her mobile phone again, looked at the name of the liquid on the infusion sheet, and then started searching online.

A long while.

"It's really a medicine that protects the gastric mucosa!" Li Wenqian's brows furrowed further, "Why is this young doctor prescribing medicine to protect my stomach? Is the commission for this medicine very high?"

Isn't this a mess? She couldn't afford to be stabbed with a needle for no apparent reason.

Li Wenqian quickly found the doctor's office.

Lu Chen was explaining the patient's condition to Su Rui. UU Reading www.uukaｎshu.net

"Doctor Lu..." Li Wenqian called softly.

Lu Chen looked back, "What's the matter with you?"

"That's right, why do you need to give me stomach protection medicine?" Li Wenqian stared at Lu Chen closely, trying to get a satisfactory explanation from him.

"Oh, that's it. I was about to go find you." Lu Chen then explained his thoughts to Li Wenqian.

"You said that my heart discomfort is actually caused by stomach trouble?" Li Wenqian's eyes were full of disbelief.

She can still clearly distinguish between heart discomfort and stomach problems.

"We just have this consideration." Lu Chen said, "So we are going to give you some stomach-protecting drugs as a diagnostic treatment measure."

Li Wenqian still didn't believe it. She paused and said, "Then please give me some medicine to protect my stomach. I don't want injections."

"Okay." Lu Chen nodded slightly and prescribed pantoprazole capsules and gastric mucosal protective agent to Li Wenqian.