I Can See Health

"Let's take a look at the results of the troponin screening first." Lu Chen frowned.

After all, they were their classmates for the next three years. Lu Chen and Ke Yue did not leave the emergency department immediately, but stayed with them patiently.

And Lu Chen also wanted to find out, what kind of disease did this young girl have?

At this time, He Xiaohui was lying on the bed extremely weak.

She felt her chest pain was getting better, but she was still in an extremely uncomfortable state.

This time, luckily she met her classmate, otherwise she really wouldn't know what to do.

He Xiaohui looked in the direction of Ke Yue.

Why is that wretched man here?

She frowned, but the pain in her chest kept her from thinking about other things.

…

When Ke Yue was thinking about He Xiaohui's condition, he suddenly thought of a very strange thing.

That means Lu Chen seems to have known about He Xiaohui's abnormality from the beginning, right?

From the moment she appeared in their sight, Lu Chen's eyes looked strange.

Did he realize something was wrong at that time?

Ke Yue felt that this matter was really mysterious...

If it hadn't been for Lu Chen's timely reminder just now, she might not have discovered that He Xiaohui was about to faint.

"The cardiac enzyme results are out!"

At this time, the emergency doctor suddenly stepped forward, holding a test report in his hand.

Lu Chen and Ke Yue stepped forward quickly.

"Troponin is elevated!" the emergency doctor said solemnly.

Lu Chen looked attentively.

Sure enough, the cardiac enzyme troponin increased about ten times!

"Lu Chen, is she really having a heart attack?" Ke Yue whispered, "But she doesn't have any risk factors for coronary heart disease?!"

This time, Lu Chen didn't answer immediately.

Myocardial infarction, in a narrow sense, refers to myocardial infarction caused by coronary heart disease, that is, plaque rupture and thrombosis in coronary blood vessels.

Broadly speaking, any factor that causes myocardial damage can be called myocardial infarction, such as myocarditis, tachyarrhythmia, bradyarrhythmia, cardiomyopathy, etc.

Therefore, He Xiaohui's troponin level increased, which meant that her myocardium was damaged, which can be said to be myocardial infarction in a broad sense.

But one thing is certain, the cause of her heart attack was definitely not coronary heart disease.

Thinking of her previous history of fever, Lu Chen frowned, "Could it be fulminant myocarditis?"

Ke Yue was also stunned, "Myocarditis?"

"Well, myocardial damage caused by myocarditis cannot be ruled out at present." Lu Chen said seriously, "Because she has a history of prodromal infection, chest pain, and elevated troponin."

Lu Chen's idea coincided with that of the emergency doctor.

Fulminant myocarditis is a critical illness.

If not handled properly, patients may suffer from acute heart failure, malignant arrhythmia and other unpredictable malignant events at any time!

The only troublesome thing now is that He Xiaohui's family members are not around.

For such a critical illness, family members still need to be around.

"Regardless of the cause of myocardial damage, she now needs to be hospitalized for further examination." Lu Chen said solemnly.

"Yes." Ke Yue nodded, "The emergency department teacher is communicating with her personally. Should we contact the graduate department?"

"I'll contact you." Lu Chen said, "Her parents are not here, so the teachers from the graduate school should come and take care of her."

"OK."

The two of them split up.

Ke Yue took care of He Xiaohui and was ready to take her to go through the hospitalization procedures at any time.

Lu Chen contacted the teacher of the graduate school and informed him of He Xiaohui's condition.

"Lu Chen, the emergency department teacher suggested that she be admitted to the CCU first." Ke Yue said, "Shall we take her there?"

"Well, judging from the current condition, it is necessary to stay in the CCU." Lu Chen nodded slightly.

Before cardiovascular disease is ruled out, He Xiaohui's risk is very high if she lives in a general ward.

"Is she willing to live in the CCU?" Lu Chen asked.

CCU has no family to accompany her, so she can only stay alone. She is a girl, which may be very inconvenient.

"She is willing." Ke Yue whispered, "She said that the chest pain feels so uncomfortable, as if she is about to die. She is probably willing to live wherever she wants to live now."

"Well, that's good." Lu Chen breathed a sigh of relief, "I have contacted the graduate school teacher, and a teacher will communicate with He Xiaohui then."

Lu Chen and Ke Yue no longer care about what happens next.

As a new classmate, it was quite interesting to send He Xiaohui to the emergency department and then to the CCU ward.

As for Lu Chen, he was still regarded as a wretched man by the confused He Xiaohui.

…

I thought it was just a simple registration for the start of school, but I didn't expect to encounter such a thing.

Lu Chen felt that the "black-faced god" was lurking near him again.

I still have to go to the temple to worship sometime.

After registration, the Graduate Department organized a meeting for all students to announce the requirements for their graduation thesis and their study arrangements for the next three years.

Cobo spends most of his time in the lab.

The first two years of the PhD program are in clinical practice and the final year is in the laboratory.

However, each instructor has his own specific arrangements, which may be somewhat different.

He Xiaohui was still hospitalized in the CCU due to her condition and could not come over.

As for the vacant bed in Lu Chen's dormitory, no one occupied it.

This made Lu Chen a little happy.

The two-person room became a single room!

You don’t have to worry too much about what you do in the dormitory.

…

After school started, Lu Chen's clinical tasks became even more arduous.

In order to train Lu Chen, Zhang Shuqing added a few more beds to him.

The most important thing is that Zhang Shuqing returned his three master's students and asked Lu Chen to help take care of them.

Lu Chen was busy until late every day before returning to his dormitory.

He had almost forgotten about "He Xiaohui".

It wasn't until the fifth day after school started that Ke Yue came to see him.

"Lu Chen, do you still remember He Xiaohui?"

"He Xiaohui?" Lu Chen was stunned, "Who is it?"

"It's the girl who had chest pain on the first day of school. You considered myocarditis." Ke Yue explained.

"Oh...it's her!" Lu Chen then remembered, "What's wrong with her?"

"She sent me a WeChat message this morning, saying that she had done a coronary angiography yesterday and no stenosis was found." Ke Yue said, "In addition, there were no problems with the cardiac ultrasound."

"As expected." Lu Chen smiled, "She is so young, has no genetic diseases, and has no bad habits. It is definitely not a myocardial infarction caused by coronary heart disease."

"I heard from her that the CCU hasn't given a definite diagnosis yet. She's very upset every day now, and she doesn't dare to leave the hospital easily." Ke Yue asked doubtfully, "Is it really myocarditis?"

"The diagnosis of myocarditis is difficult. It is definitely impossible to do a myocardial biopsy. The best way is to do a cardiac magnetic resonance examination." Lu Chen said slowly, "However, I thought about it carefully later and found that there should be another kind of myocarditis. The possibility of disease…”

"What's possible?" Ke Yue immediately became interested. UU Reading www.uｕkanshu.net

"Do you remember that she took anti-inflammatory drugs?" Lu Chen smiled.

"Anti-inflammatory drugs?" Ke Yue frowned, "You mean the clarithromycin she took?"

"Yes." Lu Chen nodded slightly, "In fact, we should ask her medical history more carefully. If her chest pain attack is related to taking clarithromycin, it is most likely myocardial damage caused by clarithromycin."

The situation was quite urgent at that time, and Lu Chen was not the first doctor. He did not understand the situation.

Ke Yue understood immediately after Lu Chen's reminder: "Lu Chen, you mean, myocardial infarction caused by coronary spasm? Clarithromycin induces coronary spasm... a side effect of the drug?"

Lu Chen smiled: "It can be said that the coronary spasm caused by clarithromycin caused the myocardial infarction, but it does not necessarily mean that the drug is a side effect."

"What's that?"

"Drug allergy!" 16377/10332175