I Can See Health

   Chapter 374 Chapter 369 Lu Chen's Teaching (First Update)

  Lu Chen adapted very quickly in the endocrinology department.

   After all, he has already rotated through two departments, not the rookie who just came to the hospital.

Some interns in   Min Ling's group are all under Lu Chen's subordinates. They help measure blood sugar, blood pressure, and then do an electrocardiogram.

  Lu Chen will also give lectures to the interns in the group, reaping a wave of gratitude.

  Although he can get a lot of thanks intermittently through Luo Xueya's popular science video at station B.

   However, Lu Chen found that the gratitude value obtained in this way is not only limited to a daily limit, but also a maximum of twice a month!

  Because after the third video of him and Luo Xueya was released, the system popped up a prompt - the maximum amount of thanks you can get through this method this month!

   Therefore, in his daily life and work, Lu Chen would never let go of the opportunity to get gratitude points.

   "Senior brother, the results of that girl's examination came out yesterday!"

   As soon as he came to the department the next day, an intern in the group handed Lu Chen a checklist.

   This is an examination report of a cardiac ultrasound.

   Echocardiography showed mild prolapse of the anterior mitral valve and mild to moderate regurgitation, and left heart enlargement.

  Lu Chen frowned, this cardiac ultrasound has a big problem!

  Valve prolapse with moderate regurgitation and left heart enlargement.

   Changes in the structure of the heart, which means a long time frame for the patient’s illness!

  It is well understood that the beginning of the disease does not change the size and structure of an organ.

   Only damage over time can make an organ bigger or smaller.

   "Junior sister, have other inspection results come out?" Lu Chen looked back at the intern.

  Liu Binsong nodded slightly: "Well, some blood test results came out."

  Lu Chen immediately turned on the computer and entered the test result query interface.

   In the blood routine of the patient, white blood cells were normal, hemoglobin 107g/L↓, platelets 376G/L↑; MCV76.1↓, MCH22.7↓, MCHC: 297↓…

  Lu Chen looked at the patient's examinations that had already produced results, and quickly found all the abnormal indicators.

   "Senior brother, what's wrong with this little girl?" Liu Binsong asked in a low voice.

  Lu Chen shook his head slightly: "I can't see it for the time being, and there are still many test results that haven't come out yet."

   Seeing the thirst for knowledge on his younger sister's face, Lu Chen smiled and said a few more words.

"However, her high blood pressure must be considered secondary. First of all, we need to differentiate between high blood pressure and obesity. To improve the cortisol rhythm and low-dose dexamethasone experiment, it is best to keep urine cortisol. It is easy to be affected; it is necessary to improve the medullary hormones to rule out pheochromocytoma.”

   "Then continue to improve the related examinations of blood vessels and heart, rule out the increase in blood pressure caused by vascular stenosis and malformation, and finally do RASS and adrenal CT enhancement."

   "If you can check the hydroxylase set, it would be better to check whether the individual is masculine."

  “…”

  Lu Chen's narration is very detailed, and it doesn't matter whether the junior sister can understand it or not, anyway, he said it all at once.

   "Congratulations, +1 for receiving thanks from Liu Binsong!"

  Although there is only a little thank you, but no matter how small the mosquito is, it is still meat.

   Liu Binsong blinked at Lu Chen.

  Senior brother seems to be very powerful, but she doesn't understand most of them.

   It doesn't matter if you don't understand, she wrote it all down in her little notebook.

   "Let's go, let's see the patient again." Lu Chen said.

   Before the ward round, Lu Chen and Liu Binsong went to see the patient.

  The number of ward rounds is not too busy, as long as the changes in the patient's condition can be detected in time, it is very necessary.

   "There may be a few more tests to be done today." Lu Chen said to the girl's mother.

   "Okay, I'll listen to you." The girl's mother also understood the truth and cooperated with Lu Chen's diagnosis and treatment process very well.

  Although the girl's condition seems to be relatively difficult, as long as the family cooperates, Lu Chen is still very confident that it will be resolved.

  …

  Early shift ends, and it’s time for ward rounds.

  Lu Chen found that both the cardiology department and the endocrinology department have a special feature, that is, the number of patients is very large!

   Not to mention that there are eight areas in the whole cardiology department, and there are many extra beds!

   The number of doctors in each ward, if not including graduate students and regular trainees, is far less than the normal ratio of doctors to patients.

   The number of patients is large and the number of doctors is small.

   The lower-level doctors are exhausted every day, and most of the patients are mild patients, not many difficult and severe ones.

   For example, in the endocrinology department, the entire department is mostly diabetic patients, and they come to the hospital to regulate blood sugar.

   Many of these patients can be dealt with in outpatient clinics.

   "Lu Chen, although the patient's condition in our endocrinology department is not as urgent as that of the cardiology department, it is not easy." Min Ling said to Lu Chen with a smile.

   "It's really not easy at all!" Lu Chen smiled bitterly.

   When I didn’t come to the endocrinology department, I thought this was a relaxing place.

   But what I didn’t expect was that there were many beds in charge of each doctor.

  Lu Chen only needs to take care of four beds in the Cardiology Department, but in the Endocrinology Department, he needs to take care of six to eight beds.

   The workload has almost doubled!

   "Being a doctor is not easy for any department!" Min Ling shook her head.

  …

  In the morning, I checked the room and found the little girl who came yesterday.

  Min Ling communicated with the patient's family at the bedside, and then asked everyone in the group, "Can anyone of you talk about the differential diagnosis of this patient?"

  Min Ling's question naturally surpassed Lu Chen.

   Because she knew that Lu Chen definitely knew the answer, she was mainly other interns in the inspection team.

Of the four interns in the    group, except for Liu Binsong, three of them immediately lowered their heads.

  Min Ling also came from her student days, she said, "Let's talk about it, Xiao Liu."

   When Liu Binsong heard the words, he looked down at the small book in his hand.

  Senior Brother Lu Chen told him these little knowledge points in the morning, but she remembered them.

   Liu Binsong paused, glanced at Lu Chen beside him secretly, and then whispered, "The diagnosis of this patient is not yet clear, because there are still many test results that have not yet come out."

   "Then tell me what you know so far." Min Ling smiled.

"Well." Liu Binsong nodded, "First of all, the patient's hypertension must be considered secondary. First of all, we need to differentiate between hypertension and obesity, and we must improve the cortisol rhythm and low-dose dexamethasone experiments... "

   Beside Lu Chen, he smiled helplessly as soon as he heard Liu Binsong's first sentence.

  My dear, this junior sister repeated what she told her in the morning as it is...

  Min Ling looked surprised when she heard Liu Binsong's answer.

  Liu Binsong has been in the endocrinology department for two weeks. Why didn't she realize that she could have such clinical thinking?

   "If you can check the hydroxylase set, it would be better to check whether the individual is masculine." Liu Binsong glanced at Lu Chen secretly again, and whispered, "Mr. Min, I'm done."

   "Very good, very good!" Min Ling nodded slightly, "It seems that you did a lot of hard work when you went back! The rest of you must learn from Xiao Liu!"

The other three interns in the    group nodded, but they were all puzzled.

   Everyone's level has always been the same!

  Why did Liu Binsong suddenly stand out from the crowd? !

   At this time, another prompt popped up on Lu Chen's system panel.

   "Congratulations, +1 for receiving thanks from Liu Binsong!"

  Lu Chen secretly smiled in his heart, this junior sister is not bad, she is still thinking about herself at this time.

   I just hope she doesn't become like Junior Sister Yao Jie in the future. After the two of them get to know each other, they don't give themselves much thanks!

   There are two more

   (end of this chapter)