I Can See Health

   Chapter 265 Hot Potatoes (Second)

   "Congratulations, the system upgrade completion rate has risen to 37%!"

   After completing this case, Lu Chen's system completion degree increased.

   But Lu Chen didn't get any thanks, and he didn't care.

   Most of the family members are still struggling with i drug use.

   The patient's blood pressure increased after the application of vancomycin.

  Although the oxygen saturation did not rise, the vital signs were temporarily stable.

   In Lu Chen's eyes, the patient's health is slowly rising.

   "Should we call the police?" Yin Xinhua said suddenly.

   People who use drugs like this have indicators at the police station.

   However, the patient's current situation is probably a hot potato.

"Hey, I've seen two of these drug addicts." Fan Zhiping said suddenly, "They are both young, they have dilated cardiomyopathy, and they have severe and refractory heart failure. It is related to drug use. Every time they fall ill, they come to our department. Everyone knows that they use drugs, and the police also know that, but the police station does not dare to take care of their sudden death at any time.”

   Yin Xinhua sighed, this patient is also an unstable factor in the eight areas of his heart.

   "I hope he wakes up early and leaves the hospital early."

   After dealing with this patient, the eight areas of the heart returned to calm.

  …

  Recalling the diagnosis and treatment process just now, Yin Xinhua thought of Lu Chen in addition to being lucky.

  Fortunately, Junior Brother Lu Chen is here. If it was someone else, it wouldn't be so easy tonight.

   The pinhole on the patient's skin was discovered by Lu Chen.

   Everyone thought it was a "rash" at first!

   "It's not easy!"

  Yin Xinhua looked back at Lu Chen and found that he was perfecting the patient's course record and doctor's order.

   For some reason, Yin Xinhua suddenly felt relieved at the result of Lu Chen entering the second round of the provincial competition.

   Unlike Yin Xinhua, Comrade Lao Fan is extremely calm.

   Following behind Lu Chen, such difficult and bizarre cases are endless!

   Comrade Fan began to ponder and collect the cases he encountered during this period.

   All of them are very classic cases!

  …

   Maybe this drug addict has spent too much energy on everyone.

   Throughout the night, the condition of the other patients was very stable.

   That night, Lu Chen, Yin Xinhua and Comrade Lao Fan all slept very peacefully.

   was speechless all night.

   The next day, Lu Chen opened his eyes and checked the time, it was already 7:30.

   It was rare to be quiet all night without being called by the nurse.

  Lu Chen hurriedly took a shower, and left the ink for a while before everyone else arrived.

  After washing up, I went to the doctor's office.

  Lu Chen saw Fan Zhiping and Yin Xinhua sitting and chatting.

   They both smiled when they saw Lu Chen come in.

  Yin Xinhua smiled at Lu Chen: "Junior Brother Lu, get up."

   "Yeah." Lu Chen nodded, "Senior sister, didn't the nurse call you last night?"

   "It's great that you didn't call me." Yin Xinhua smiled.

   "That's good." Lu Chen also found a seat and sat down.

   "That's right." Yin Xinhua suddenly said, "Junior brother, yesterday I saw that you are so skilled in ultrasound technology. Who did you learn it from?"

  Lu Chen was stunned for a moment, and then said without blushing and heartbeat: "I usually study a part of myself. In addition, there is a classmate in the ultrasound department in my dormitory. Sometimes I go to him to rub the machine and learn a lesson."

   "Oh, that's it." Yin Xinhua didn't believe Lu Chen's words.

   She has taught herself cardiac ultrasound for a long time, but she is not as skilled as Lu Chen.

   But Lu Chen didn't want to say it, and she didn't ask anymore.

  …

   At eight o’clock sharp, the shift starts.

   The only content of Lu Chen's shift is this drug addict.

"The 37-bed patient had a sudden high fever at around 8 o'clock last night, followed by dyspnea... After consultation with multiple departments, after completing the echocardiography, the patient was finally suspected to be an intravenous drug addict, infective endocarditis, and valve vegetations. It falls off, causing a pulmonary embolism."

   As soon as these words came out, the doctors in the entire department were a little surprised.

   Although Lu Chen's shifts are not much, his clinical thinking is meticulous.

  This case of drug addiction is definitely not as simple as it says.

   It is quite difficult to get a clear diagnosis of a patient in one night!

  The eyes of everyone looking at Yin Xinhua are a little different.

  Because everyone took it for granted that this patient was diagnosed by Yin Xinhua, the superior doctor on duty.

   "Let's call the police and contact the police for a drug test."

   Knowing that there is this special patient, Li Yao also came to the ward.

   "I have to report this patient to the medical department. Lu Chen, if you are familiar with the patient, I will leave it to you."

   "Good teacher." Lu Chen nodded.

  The shift is over.

   Several attending doctors in Keli gathered around Yin Xinhua.

  Xia Gang tutted his tongue in admiration and said, "Junior Sister Yin, you are so cruel, you have figured out the diagnosis of this patient in one night."

   The doctor who sees drug addicts is Xia Gang.

   He was still thinking about the cause of the patient's fever and chest tightness yesterday, but he didn't expect to be solved by Yin Xinhua when he came in the morning.

   This is a pulmonary embolism!

   It's not just an ordinary pulmonary embolism!

   Such an extremely dangerous disease, once it is missed, just wait for a lawsuit.

Director Lin Cui's face was full of smiles, "Dr. Yin is good, he was able to diagnose pulmonary embolism caused by infective endocarditis in such a short period of time. The complexity of this case can be regarded as a teaching case. !"

   Yin Xinhua had a hint of embarrassment on his face.

   She played a part in the diagnosis of this patient, but not the main one.

  Without Lu Chen, Li Qinghua, and the ultrasound doctor, it would be absolutely impossible to diagnose on her own.

   She might have lysed someone else's thrombolysis in a foolish way!

   "It's all thanks to everyone." Yin Xinhua said angrily.

   Everyone thought Yin Xinhua was polite and praised her again.

  Lu Chen hides his merit and fame deeply.

   After he filed with the medical department, he went back to the bedroom after checking the room.

   The day after tomorrow is the second round!

   He has more important things to do, which is to continue to learn about electrophysiology.

   I slept well last night, Lu Chen didn't sleep as usual, but directly turned on the open learning mode.

   Tomorrow happens to be the weekend, so he can study for a few more days in the dormitory with peace of mind.

  …

   It’s Monday again.

   Today is the day of the second round.

   The start time of the game was set at 2:00 pm as usual.

   In the morning, Lu Chen came to the eight districts in his heart.

   The high fever of the drug addict turned into a low fever.

   Blood pressure was completely stabilized and respiratory oxygenation improved.

  Lu Chen called out the doctor's order and saw that the doctor in charge of the bed had reviewed him with a heart ultrasound.

   Echocardiographic results showed that the right heart pressure load was reduced.

  Lu Chen estimated that the bacterial mass embolus was dissolved and dispersed, so the pulmonary artery patency was restored.

   Blood culture results are in.

   positive is Staphylococcus aureus.

   Since then, the diagnosis is no longer a doubt!

   From the beginning, the patient may have been infected with Staphylococcus aureus.

  Bacteria enter the bloodstream, causing infection of the lining of the heart, and bacterial clumps form when the lining of the heart becomes inflamed.

  The mass will fall off accidentally. If it is a left endocardial mass, it will not cause pulmonary embolism, but will only cause other arterial embolism.

   But if the right endocardial bacterial vegetation falls, it is a pulmonary embolism.

   This kind of pulmonary embolism is not a common pulmonary thromboembolism, but a pulmonary bacterial vegetation embolism, so thrombolysis is not required, and thrombolytic drugs cannot be used.

   Only relying on powerful antibiotics to break up the bacteria can restore the patency of the pulmonary arteries.

   The patient thus recovered a small life!

   (end of this chapter)