I Can See Health

Fortunately, there are not many patients now, so Lu Chen has enough time to look at these medical records.

"Tell me about your condition first." Lu Chen opened the medical record.

While reading, listen to the patient's story.

The patient's name is Chen Xing, 34 years old this year.

The health value on her head is 66(--).

"Okay." Chen Xing paused for a moment, "You may find it incredible, but I really am not pretending, and I am really not pretentious!"

Lu Chen raised his head and glanced at Chen Xing, "Go ahead."

"Yeah." Chen Xing looked a little solemn, "My illness is a long story..."

It turns out that Chen Xing has been weak since birth and had irritable bowel syndrome before.

I started getting this kind of urticaria 5 years ago, on my face, armpits, and chest, and my skin became red.

It's been even weirder lately.

She became increasingly unable to stand, either because she had no strength or simply couldn't stand.

You will sweat and feel dizzy just after standing for three to five minutes, but you can get better quickly by squatting or lying down.

"You get sick when you stand and get better when you lie down?"

Lu Chen wondered, this is very strange.

Unexpectedly, the first patient in his specialist clinic was such a strange patient.

Such a thick medical record proves that she has visited many hospitals and still has no clue.

"Yes." Chen Xing nodded quickly, "Sometimes my heartbeat can reach 180 beats per minute. I am particularly afraid of heat and sweat a lot at night. I have to use ice packs when I sleep. Not to mention going to work, I do it even when I go shopping. Less than..."

After Lu Chen understood the general condition of her condition, he began to look through Chen Xing's previous medical records.

Among them, dynamic electrocardiogram revealed sinus tachycardia and premature atrial contractions.

The remaining multiple examinations, including cardiac ultrasound, coronary CT, chest CT, etc., showed no meaningful changes.

According to the disease course record, Chen Xing had taken IC anti-arrhythmic drugs and beta-blockers.

However, hypotension and fatigue occurred, so the medication was discontinued.

Ablation treatment was performed again, but the effect was not good.

"I've been to various hospitals in the city, but I haven't found any problems yet." Chen Xing looked lonely.

In fact, she came to Guanghai No. 1 Hospital for treatment today.

Because of her rich medical experience, she checked the information of all the doctors in advance. Among them, Lu Chen was the best in the field of electrophysiology, so Chen Xing signed up for his expert account without hesitation.

Even though Lu Chen looks so young, she can't control most things at all. She can only find the cause of the disease as soon as possible and solve this problem that has troubled her for many years.

…

After Lu Chen read the patient's medical records, he already made a decision in his heart.

He closed the medical record and said slowly: "Women as young as you rarely have structural heart disease, but autonomic nervous system disorders are very common."

"Some people say I have menopausal syndrome." Chen Xing frowned, "Then urticaria is also an autonomic nervous system disorder?"

Lu Chen shook his head, "I don't know about urticaria, but I have heard of irritable bowel syndrome, which is also related to autonomic nervous system dysfunction."

"What should we do?" Chen Xing asked doubtfully.

In the past, some doctors said that this was an autonomic nervous system disorder, but did not give a solution.

Just let her rest more and not get excited, but this doesn't work at all, and the uncomfortable symptoms will still continue to appear.

When Lu Chen heard this, he said calmly: "I need you to do a test to further confirm. Don't be too nervous. This test is very simple."

"Okay, I'll listen to you."

Regardless of whether it is useful or not, Chen Xing will not refuse any inspection related to it.

Over the years of seeking medical treatment, Chen Xing has had too many examinations.

The experiment Lu Chen requested was very simple, a standing experiment.

The patient lies on his back for ten minutes, then stands up, and the heart rate and blood pressure are measured one minute, two minutes, and three minutes after standing up.

The results came out quickly.

After lying on his back and standing upright, Chen Xing's heart rate increased and continued to increase, but there was no hypotension.

At this time, in Lu Chen's eyes, the answer was already ready to come out.

Lu Chen looked at Chen Xing and said slowly: "Your disease is called hyperadrenergic pots."

"What?" Chen Xing was stunned, "Is it that simple?"

She had done CT, electrocardiogram, magnetic resonance and other examinations before, but no problem was found.

Lu Chen could confirm the diagnosis just by asking her to do such a simple experiment?

This is really incredible!

Lu Chen smiled: "That's almost it. You need to keep urine for another day and draw another tube of blood. You don't need to be nervous, it's not serious."

Chen Xing gritted his teeth and said nothing for a while.

After years of seeking medical treatment, no one told her the cause of the disease.

Now, Lu Chen just asked her to do a simple experiment and then directly gave her diagnosis.

"Okay, I'll do it now!"

Chen Xing didn't say anything more. She took the test sheet Lu Chen prescribed for her and walked out of the clinic.

At this time, Lu Chen also took a breath.

The first patient in my expert clinic has finally finished reading.

It seemed like there wasn't much talk, but half an hour had actually passed.

"Teacher, what is this disease you are talking about?"

Zhong Hui, a female graduate student on the side, asked in a low voice, "Why have I never heard of it?"

Lu Chen smiled: "This name is a bit long. You won't be able to remember it if I tell you everything."

"Hyperadrenergic pots, pots is postural tachycardia syndrome."

"This is a type of orthostatic intolerance accompanied by tachycardia. It is more common in women aged 15 to 35 years old. Symptoms of tachycardia, cerebral hypoperfusion, and overactivation of autonomic nerves may occur after standing upright. Symptoms may occur after lying down. Reduce or disappear.”

Zhong Hui seemed to understand something: "From the performance point of view, it is indeed very similar. That is to say, you were sure from the beginning that this female patient was a pots?"

Lu Chen nodded slightly: "I was still skeptical at first, because pots still have to be differentiated from inappropriate sinus tachycardia (ist).

"Both of them mainly affect young women, and symptoms often overlap. However, symptoms are not aggravated by standing upright, and the average heart rate is higher than that of POTS, and there is no typical high heart rate peak."

"When I saw the results of the posture test, I was basically sure it was pots. UU Reading www.ukanshu.net will tell you what type it is. The rest is to look at the blood test results."

Pots are also divided into hyperadrenergic, neurological, hypovolemic, etc., which can be further classified through catecholamine testing, skin biopsy, blood volume assessment, immune testing and other methods.

Lu Chen briefly explained Zhong Hui's condition.

As a graduate student who just entered clinical practice, she had basically zero clinical experience.

…

Just after the first patient left the clinic, less than a minute later, the door to the clinic was pushed open again.

A woman wearing a short skirt, black high heels, wavy waves, and a smile on her face slowly walked into the clinic.

－－－－－－Digression－－－－－

I've been too busy recently.

Write as much as you can.

.