I Can See Health

   Chapter 726 Strange Fractures (First Update)

   As for Dong Hao and Lin Shumin, Lu Chen still prefers them.

  Although their scientific research talent is not high, they are honest and willing to work hard.

   This is the researcher that Lu Chen wants most now.

   If they can really continue to stay in the laboratory, it will also be good news for Lu Chen.

   Dong Hao and Lin Shumin were naturally very happy when they heard Lu Chen's promise.

  At the dining table, everyone came and went, chatting happily.

  Lu Chen also enjoyed it.

  Although I live in a foreign land, but with such a group of friends by my side, I don’t seem lonely.

   This meal, Lu Chen ate more smoothly.

   It's not like I was called in for a consultation when I ate half of my meal yesterday.

   After dinner, everyone parted ways, and Lu Chen returned to the CCU lounge.

  …

   During lunch break at noon.

  Lu Chen received a call from his aunt and asked about his cousin Li Huiyan.

  As the first MD in his family, he patiently explained the thyroid cancer to his aunt.

   Over in Jiangcheng, Li Huiyan also asked for leave and was admitted to the Affiliated Hospital of Jiangcheng University.

   After all, it is the affiliated hospital where Lu Chen's undergraduate degree is located, and he still knows some classmates in this hospital.

   In order to prevent his aunt from worrying too much, Lu Chen had to say hello to his classmates in Jiangcheng, asking them to pay more attention to his cousin.

   Just when Lu Chen and aunt finished talking on the phone and were about to rest.

   Emergency Department Wu Si suddenly called him.

   "Lu Chen, are you busy? Didn't I bother you?"

   "It's okay today." Lu Chen smiled.

   After the busy two days ago, today is to be more leisurely.

   "That's it, do you remember the patient who was diagnosed with pulmonary embolism in the emergency department the other day?" Wu Si asked.

  Lu Chen was stunned for a while, then smiled and said, "Of course I remember, it just happened not long ago, and we searched for a long time and couldn't find the cause of the patient. I remember that he was not transferred to the ICU for thrombolysis?"

   Wu Si's voice was relatively low, "I was transferred to the ICU for thrombolysis. At that time, the thrombus was dissolved, but within a few days, a new thrombus appeared in the patient's body."

  Lu Chen showed a surprised look and said quickly, "How could this be?"

   In general, patients should not experience pulmonary embolism again after taking thrombolytic drugs.

  Unless…something is causing a pulmonary embolism!

   Generally speaking, cancer patients, long-term bedridden, pregnancy, oral contraceptives and other patients have thicker blood and higher risk of thrombosis.

   Just like the girl yesterday, she suffered a pulmonary embolism because of an overdose of oral contraceptives.

  Lu Chen was startled, "Has the ICU found the cause of the patient's pulmonary embolism?"

   Wu Si shook his head slightly and sighed: "I did an arteriovenous ultrasound of the lower extremity, and no thrombus was found."

   The most common source of thrombus in pulmonary embolism is venous thrombosis in both lower extremities.

   But no thrombus has been found yet, which proves that other susceptibility factors exist!

   "We still need to find the cause of the pulmonary embolism!" Lu Chen said solemnly, "At present, it seems that if the cause is not treated, the hypercoagulable state in the patient's body cannot be relieved."

   "We also thought about it." Wu Sidao, "But it's easier said than done to find the cause of pulmonary embolism. We carefully studied the entire case, but still couldn't find it!"

   "In this way, you can send me a copy of the patient's current medical information, and I will help you look at it."

   Lu Chen immediately became interested in this difficult case.

"no problem."

  Wusi just waited for Lu Chen's words, "I'll send it to you right away."

   Compared with doctors in other departments, Wu Si trusts Lu Chen more.

  …

   about five minutes later.

  Lu Chen received Wu Si's case information.

   He was like a detective at this time, looking through the patient's case data.

  To form a thrombus, there are generally three factors: thick blood, slow blood flow, and rupture of the vascular endothelium.

  Lu Chen is looking for all the information related to this factor, including pulmonary embolism, lung infection, abnormal kidney function, etc.

   Suddenly, he saw a result that was not very noticeable in the CT report of the patient.

"Rib fractures!"

  Lu Chen frowned, why did the patient suddenly break a rib?

   He was now in a brainstorm again.

  In the course record, the patient did not have any history of impingement.

   I have been in the ICU for the past two days, how could I have fractured ribs?

   Could it be that you have been coughing all the time, and the cough has diagnosed the ribs?

  Coughing to fracture a rib sounds horrific, but it's actually possible.

  In some patients with osteoporosis, it is not uncommon to have severe coughing, sneezing, or even sharp twisting of the waist, which may lead to rib fractures.

  This patient is really unlucky!

   Pulmonary embolism, anemia, lung infection, this time with a fractured rib!

  Lu Chen thought of the patient's anemia again.

   At that time, the patient's family said that it was caused by hemorrhoids bleeding.

  Is it all accidental?

  There is no necessary connection?

   "Can a monism explain all of the above anomalies?"

  Lu Chen murmured in his heart.

  Monism is to use one disease to explain all symptoms and abnormalities.

   If you are only satisfied with coughing and causing fractures, why not wonder what causes pulmonary embolism?

  Where does the thrombus come from?

  Why do patients get pulmonary embolism so easily?

  …

  Thinking of this, Lu Chen's mind raced, and various possible diagnoses emerged.

   Thick blood, abnormal kidney function, fractures, anemia…

   All the information was superimposed, and Lu Chen gradually got his eyes on him.

   "Could it be multiple myeloma?"

  Lu Chen was shocked, and the diagnosis flashed through his mind.

   Normally, our bone marrow produces many normal plasma cells.

   The usual job of plasma cells is to produce immunoglobulins, which protect the body and can be considered special forces.

   But in pathological conditions, the patient's bone marrow is disorganized, and they produce a lot of abnormal plasma cells.

   These abnormal plasma cells also secrete many proteins, but they are not normal immunoglobulins.

  They do not have any protective effect on the body. Instead, they will dominate the ditch and not poop, and they will waste food and hinder the development and development of normal plasma cells.

  They can erode the patient's bones, leading to osteoporosis, which can lead to broken bones if you're not careful.

   The bone marrow cannot make normal blood, so the red blood cells and platelets will be forced to decrease, and the patient will develop anemia and thrombocytopenia.

  These bad proteins will accumulate in the kidney tubules, causing kidney damage and abnormal kidney function.

  The accumulation of bad protein in the blood will cause the blood to be thick, and the patient is prone to dizziness, vertigo, fatigue and other symptoms.

  Severe cases can cause thrombus formation, once the thrombus falls off.

   is pulmonary embolism!

   Thinking of this, Lu Chen couldn't hold back his excitement and excitement.

   Is the patient really multiple myeloma?

  This disease is more common in middle-aged and elderly people, and the age of the patient is also suitable!

   There are three more updates today

   (end of this chapter)