I Can See Health

   Chapter 207

   Chapter 203 Final Diagnosis

  (Chapter name dropped again...)

   Lu Chen is not quite clear for the time being, what is the standard for the system to judge the received clinical perception.

   He also had case discussions in the department before.

   He also listened to Li Yao and Sun Guoguo talk about some difficult cases, but neither received any "clinical insights".

   And this clinical perception is not as digitized as the gratitude value.

In the    system panel, there is only the value of gratitude value, and there is no column of sentiment value.

In the    system mall, there is no option to exchange the clinical thinking skill book.

   It seems that this kind of skill book may require Lu Chen to comprehend from his usual clinical work.

  …

   At this time, the Cardiology Department of Jinghua Second Hospital was in the classroom.

   Everyone was surprised and happy when they heard Li Yao's opinion!

   Wang Peng's expression is the most exciting.

   First doubts, surprises, and finally surprises!

   He is the patient's doctor.

   In the hospital where the patient stayed for so long, he never had any clues about the patient's disease.

   "HHT?" Wang Peng murmured in his heart, "Myocardial infarction, cerebral infarction, and gastrointestinal bleeding, completely opposite things, are actually caused by a disease!"

   He has never had this mode of thinking.

  It is easy to think of the same type of symptoms or signs, but different things, habitual thinking will separate them!

  Wang Peng suddenly encountered such a patient, and he still reminisced over and over again, and he also felt that there was another village in the dark.

   "Director Li, do you have any comments on the patient's next treatment?" Wang Peng asked very sincerely.

   This difficult patient has been in his hands for a long time.

   He also wanted to be cured as soon as possible, so she was discharged from the hospital.

Li Yao thought for a while and said, "First improve pulmonary arteriovenous angiography. In general, there is no special treatment for this disease, mainly symptomatic treatment, but due to the danger of pulmonary arteriovenous fistula, even if there are no symptoms, it should be thoroughly checked for the presence of this disease. problem for prophylactic embolization.”

   "Surgical resection or embolization is possible for pulmonary arteriovenous fistula. Beta-blockers can improve the state of hyperdynamic circulation, reduce hepatic blood flow, reduce shunt flow, and relieve gastrointestinal bleeding."

   "The prognosis depends on whether the visceral blood vessels are involved. If only the skin and mucosal capillaries are damaged, the prognosis is good. If the visceral blood vessels are extensively involved and form hemangiomas, the prognosis is poor..."

  Wang Peng listened and began to record Li Yao's opinions.

  …

   Originally prepared for the "unfinished" general hospital consultation, but because of Li Yao's sudden appearance, there was a relatively complete finale.

   After Li Yao finished speaking, Wang Peng made a brief summary.

   Based on what everyone said and the current impression diagnosis, that is what Li Yao said about pulmonary arteriovenous fistula!

   The general meeting of the whole hospital is over.

   Director Yang from the three districts in the heart, Xu Zhonghuang from the Department of Hematology, and Ouyang Jing from the Department of Rheumatology and Immunology all came to Li Yao.

   Although Li Yao said that in recent years, she has been unsatisfactory, but the work on the surface of everyone still needs to be done in place.

"Director Li, your thinking is really out of your mind. The patient has been in the third area of ​​the heart for almost a week, and we haven't even considered the possibility of pulmonary arteriovenous fistula." Director Yang said with a smile, "As soon as you come, give us a brand new one. Ideas!"

"Director Yang is right. I said HHT at the beginning, but Director Li used it vividly!" Xu Zhonghuang praised, "About 5% of HHT patients have pulmonary arteriovenous fistulas. I forgot about this stubble, hey, old man!"

   Compared with the other three, Li Yao is the youngest in age, but has the highest position in Keli.

  She is the director of the eighth ward of the Cardiology Department, and the other three have no positions.

   "Several directors have won awards." Li Yao smiled lightly, "I also heard my student's reminder, and I had a flash of inspiration. I thought of this, and it is only an inference at present, and it has not been diagnosed yet."

   Director Yang smiled and said, "Hey, I have already instructed Wang Peng to do a pulmonary arteriovenography immediately after I go back. When the results come out, I will notify the directors."

   "Hey, wait a minute, Director Li, I heard it right, you said earlier that you listened to the opinions of the students." Xu Zhonghuang suddenly said, "Which student are you?"

   Director Yang also looked at Li Yao's side, but did not see such familiar faces as Sun Guoguo!

  Li Yao waved to Lu Chen who was beside him.

  Lu Chen understood and hurried forward, "Teacher."

   "Let me introduce to you, this is my master's student this year, Lu Chen." Li Yao smiled and looked at Director Yang and others.

  A doctoral supervisor suddenly introduced her first year student to everyone. If this student is quite good, then she is related to her.

   Director Yang looked up and down at Lu Chen, a handsome young man.

   "Lu Chen...Is this name familiar?" Director Yang said suddenly.

  Li Yao smiled, "Some time ago, Lu Chen represented our school in the National Medical Skills Competition and won the first place."

   As soon as he finished speaking, Director Yang, Xu Zhonghuang and others looked stunned.

  Jinghua won the first place in the National Medical Skills Competition, which is a big event!

  Even though they don't pay much attention to this kind of competition, they have heard that the Jinghua team has passed all the way and won the first place.

   "It turned out to be you, no wonder it sounds familiar to me." Director Yang said with a smile, "I have also watched several live broadcasts of the National Medical Skills Competition."

  Xu Zhonghuang and Ouyang Jing didn't care much about Lu Chen at first, but after hearing what Li Yao said, they also looked at Lu Chen.

   No wonder Li Yao suddenly mentioned his student.

   They didn't feel that this discussion was because Lu Chen reminded Li Yao.

   On the contrary, he thought that Li Yao deliberately said this in front of everyone in order to support Lu Chen.

   With such an outstanding student, who doesn't want to take it out and show it off.

  Lu Chen stood beside Li Yao, silent.

   Usually, it is difficult for a student to appear in the communication circle of professors.

   He can stand here entirely because of Li Yao.

  Lu Chen knew that it was Li Yao who started to give him "reputation".

   As a mentor, Li Yao is already very competent to be able to do this.

   Several people exchanged again, and then left one after another.

  Lu Chen also said goodbye to Li Yao and returned to the bedroom.

  …

   Three areas in the heart.

   After Wang Peng returned to the ward, he immediately communicated with the patient's family and needed an enhanced CT of the pulmonary artery and vein.

   In order to find out the final diagnosis, the family readily agreed.

  Wang Peng personally pushed the bed and took the patient out for inspection.

   In less than 20 minutes from the end of the general meeting of the whole hospital, the results of the enhanced CT of the pulmonary arteries and veins came out.

   Enhanced CT showed that the right pulmonary artery was abnormally developed, the distal end of the right lower pulmonary artery was tortuous and connected with the right lower pulmonary vein, and the diagnosis was pulmonary arteriovenous fistula!

  Wang Peng breathed a sigh of relief the moment he saw the results, and finally figured out the patient's diagnosis!

   "Director Li Yao in the eight districts in his heart is really amazing!" Wang Peng sighed in his heart.

  The patient has been in their department for so long, and he has also invited many departments for consultation, but it is still useless.

   Mr. Li Yao directly interspersed all the clues and finally got the correct diagnosis!

  Wang Peng immediately informed Director Yang of the inspection results.

  …

   Jinghua Second Hospital.

  Guipei Building bedroom.

   After repeated consideration by Lu Chen, he decided to take the case of oleander poisoning as the content of his speech.

   Oleander poisoning is relatively common, and this kind of case can be easily combined with clinical through the evolution of electrocardiogram.

   The electrocardiogram of this patient with a heart transplant is relatively neglected clinically, that is to say, it can be diagnosed just by looking at the electrocardiogram.

   Now that the content of the case discussion has been determined, Lu Chen started the production of the PPT.

  From outline drafting, text polishing, to typesetting and beautification, Lu Chen spent most of the day and only completed one third of the content.

   looked at the time, it was almost five o'clock in the afternoon, it was time for the night shift.

  Lu Chen turned off the computer, packed his things, and got ready to go to work.

  There is an apple on the table, which was given to him by Wang Zihao at noon.

  Sometimes, you still have to believe in this kind of metaphysics.

   Put the apple in the bag, and Lu Chen went out.

  The night shift of the Cardiology Department, here he comes!

  …

   (end of this chapter)