I Can See Health

   Chapter 295 I didn't do anything!

   The condition of the 16-bed patient stabilized, so Lu Chen stayed by the 15-bed and asked about Wang Ruoxi's medical history.

  Because Wang Ruoxi used to be a medical-related person, the process of Lu Chen asking about his medical history was relatively simple.

  Wang Ruoxi understands very well, as long as Lu Chen mentions it, she can quickly answer the corresponding question.

   But Lu Chen was also very cautious to avoid being led astray by Wang Ruoxi.

  Especially this kind of person who doesn't understand but can easily bring in his own subjective factors.

  …

After    inquired about the medical history, Lu Chen summarized Wang Ruoxi's disease process.

   She has been experiencing intermittent pain in the chest area in the past month, which is a tingling sensation in the front chest.

  The back was dull pain for the first two days, and then turned into a tingling pain.

   Each time the pain lasts no more than 1 minute, sometimes the chest and back are painful at the same time, and sometimes only the back is painful.

   The pain is accompanied by nausea and retching. Pain time is irregular.

   The interval between the two pains before and after the pain became shorter, and the shortest was 5 minutes.

   ECG, because the pain time is too short, Wang Ruoxi has only done one ECG during pain.

   The ECG after the pain was consistent with the ECG at the time of pain, and no obvious abnormality was found.

  …

   After taking the medical history, a routine physical examination is performed.

  Lu Chen first sterilized his stethoscope, auscultated Wang Ruoxi's heart and lungs, and then performed a simple abdominal examination, and found nothing abnormal.

   "This is the blood I went to the emergency department to check when I got sick." Wang Ruoxi took out a stack of medical records in her bag.

  Lu Chen reached out and took it. This was seen in the emergency department of Jinghua Second Hospital.

   When there is chest pain, the emergency blood test results show that blood routine, liver function, renal function, myocardial enzyme spectrum, etc. are all normal.

After   , Wang Ruoxi also checked the chest + full abdomen CT, and the results showed no obvious abnormality.

   In addition, the ultrasound of the abdominal great vessels, heart, and neck vessels was perfected, and no obvious abnormality was found in the results.

  Lu Chen frowned slightly after reading all of Wang Ruoxi's examination results.

   These inspections she has done are already very detailed and comprehensive.

   But all the checks, all are normal!

"Doctor Lu, to tell you the truth, I saw a doctor in your cardiology outpatient clinic, and most doctors said that I was not sick." Wang Ruoxi smiled bitterly, "But I just felt a pain in my chest, and it didn't improve much. "

  Lu Chen paused, then looked up at Wang Ruoxi on the bed: "If you just pass these inspection reports in your hand, you are indeed fine."

   "Really?" Wang Ruoxi looked a little lost.

   Not sick, of course a good result.

   But she can really feel her chest pain. This chest pain is physical pain, not caused by mental tension.

"but……"

  Wang Ruoxi heard these two words in Lu Chen's mouth, a glimmer of hope flashed in his eyes.

"but what?"

  Lu Chen said sternly: "But it cannot be ruled out that you have other diseases that have not been found in other areas."

   "Doctor Lu, can you tell me more about it?"

   Although Wang Ruoxi has studied medicine, she has never really been a doctor after all.

   When it comes to professional knowledge, she only knows a little bit about it.

Lu Chen thought about it and said: "We generally need to improve the relevant examinations, such as the examination of the heart, lungs, digestive tract, aorta, etc., consider whether there is herpes zoster, pleurisy, intercostal neuralgia, costochondritis, etc., and exclude the above For organic diseases, considering whether there are mental and psychological factors such as anxiety and mental stress, benign chest pain or cardiac neurosis can be considered. Of course, about 30% of chest pains cannot be found!"

   Hearing Lu Chen's words, Wang Ruoxi nodded

   Her chest pain lasted for a long time,

  Many doctors saw the report in her hand and said she was not sick.

  How to say, such an answer will make her even more anxious.

  Because she knew that this kind of pain has affected her daily life, it is definitely not such a simple thing.

   But without finding any reason, this kind of unease is very uncomfortable.

   At this time, Lu Chen was holding the inspection report in his hand.

   Looking at the HP on Wang Ruoxi's head, it shows 75!

   "There shouldn't be any major problems." Lu Chen thought.

   For such female patients in their twenties and thirties, some patients do experience persistent chest pain.

   Although Lu Chen has little clinical experience, he has seen a few cases.

   This patient, in most cases, is a benign form of chest pain, or cardiac neurosis.

  However, the doctor can't just kill the patient with a stick, saying that the patient is not sick.

   This can lead to a state of extreme boredom and resistance in the patient.

   "Doctor Lu, do you think it is necessary for me to do a coronary CTA or coronary angiography?" Wang Ruoxi suddenly asked again.

Lu Chen shook his head: "No need! Although coronary CTA is a non-invasive examination, a small amount of contrast agent must be injected. Coronary angiography is a invasive examination. In your current state, there is absolutely no need to do it. These two kinds of tests, but you can do several electrocardiograms frequently during each attack, which is the most economical, convenient, and can understand the state of the heart."

  With the continuous development of medical technology, coronary angiography interventional procedures are also rapidly improving and innovating.

  Many large hospitals have the conditions for daytime angiography, which means that a coronary angiography can be done directly in the outpatient department, and you can be discharged on the same day.

  More and more people just do coronary intervention for the sake of convenience.

   thereby neglecting coronary intervention, which is an invasive examination.

  Invasive examination, as the name suggests, has certain trauma to the human body.

   Even, there are many complications that are irreversible and permanent damage.

  Unless coronary heart disease is suspected, or coronary heart disease is ruled out, this interventional treatment of coronary angiography is recommended.

   A young woman like Wang Ruoxi does not have any high-risk factors for coronary heart disease, and the chance of a patient having coronary heart disease is very small!

   "Doctor Lu, I'll listen to you." Wang Ruoxi smiled and looked at Lu Chen.

Maybe it was because Wang Ruoxi always mentioned Lu Chen's excellence in front of him these few days, and he witnessed the whole process of Lu Chen's rescue, and after the first consultation, Wang Ruoxi believed Lu Chen's judgment very much. .

   "Well, if you are really worried, you can do an exercise treadmill test to rule out coronary heart disease." Lu Chen said.

   Exercise treadmill test is to let patients exercise on a treadmill (similar to treadmill) according to a set plan.

   Increase the burden on the heart, and monitor the ECG and blood pressure changes in real time during exercise.

  It is a simple, non-invasive and inexpensive auxiliary examination method commonly used in cardiovascular medicine.

   However, because the exercise treadmill test has certain risks, many small hospitals do not have this test.

   "Okay, I'll listen to you." Wang Ruoxi pursed her lips and smiled.

   At this time, Lu Chen noticed that a prompt popped up in the system panel.

   "Congratulations, +1 for receiving a thank you from Wang Ruoxi!"

   After receiving this prompt, Lu Chen suddenly felt a little strange, I haven't done anything yet!

  Wang Ruoxi just started to thank him?

   I still owe a chapter, I will update it tomorrow

   (end of this chapter)