I Can See Health

  Chapter 144 Imminent Diagnosis

   At this time, Wang Xiaodong also came to Xiao Yunfei's bed.

   "Junior Brother, what's the condition of the patient?"

   Looking at Xiao Yunfei's painful face, Wang Xiaodong also understood that something was wrong.

  Lu Chen immediately handed the electrocardiogram to Wang Xiaodong.

   "This is... atrial fibrillation?" Wang Xiaodong frowned.

  There is no P wave, the heart rate is definitely irregular, this is atrial fibrillation.

  Although he is not a cardiologist, atrial fibrillation should be one of the more common ECGs in clinical practice, and he recognized it immediately.

   "Well, rapid atrial fibrillation." Lu Chen nodded.

   "It may be necessary to seek help from the Cardiology Department." Wang Xiaodong said solemnly.

  Although atrial fibrillation is a relatively easy arrhythmia to deal with, it is professional after all.

   In addition, it is a good thing to share with multiple people.

  According to Director Yang Chunlai's words, consultation is to share one's responsibilities.

   "Senior brother, I've already asked." He Qin said.

   "Okay." Wang Xiaodong nodded slightly.

   Then he looked back at Xiao Yunfei who was lying on the bed, "Are there any chest pains?"

   "A little bit." Ms. Xiao replied in a low voice, her expression extremely distressed.

   "Use amiodarone injection first and push her." Wang Xiaodong instructed the nurse.

  Amiodarone is an antiarrhythmic drug that can often convert atrial fibrillation to a normal rhythm.

   However, amiodarone should be used within 48 hours of the onset of atrial fibrillation.

   Because once atrial fibrillation lasts for more than 48 hours, it is easy to form a blood clot in the atrium.

   At this time, the application of amiodarone may cause the thrombus to fall off.

  A thrombus travels to the brain along with the blood circulation and blocks the blood vessels in the brain, causing a "stroke".

   This is also one of the most important reasons why most people have a "stroke".

  …

  Li Qinghua, the consulting doctor of the Cardiology Department, is here again.

   He basically agreed with Wang Xiaodong's handling.

   "Add some potassium ions." Li Qinghua said, "This patient has long-term diarrhea and is prone to low potassium, and low potassium can easily induce atrial fibrillation."

   "Okay." Wang Xiaodong instructed the nurse to hang a bottle of potassium again.

   Facts have also proved that amiodarone is effective.

   Less than 20 minutes later, Xiao Yunfei's heart rhythm finally returned to normal.

   Heart rate went back to 100 bpm.

  Xiao Yunfei's brows finally stretched a little.

  …

   "But the question now is, why did she have an arrhythmia?"

   In the doctor's office, Wang Xiaodong's eyes were full of doubts.

   She has no previous heart disease, is young, and does not have high blood pressure.

  Why does the good end have arrhythmia?

  He Qin thought for a while, then said, "Senior brother, I don't think it can be ruled out that it is caused by the stress of gastroenteritis."

  Wang Xiaodong shook his head slightly: "This situation is relatively rare, and it is not the first consideration."

   Lu Chen frowned.

   To be honest, it is rare for such a young atrial fibrillator to have no history of heart disease in the past!

   He looked at Xiao Yunfei's treatment plan.

   Suddenly, I was attracted by a medicine.

   "Brother, could it be caused by this quinolone antibiotic (levofloxacin belongs to this type of antibiotic)? This is not uncommon. I have seen a few cases during my internship."

  Lu Chen pointed to the doctor's order on the computer.

  Wang Xiaodong was taken aback.

   "You said that, but I remembered that the last time an old man used moxifloxacin, he also developed atrial fibrillation."

   Moxifloxacin is also a quinolone antibiotic.

   "Is it really a side effect of the drug?" He Qin echoed.

  Wang Xiaodong paused and said, "Maybe it's true, it seems that I have to change her cephalosporin antibiotics."

   Cephalosporins are safer and less allergic.

   But the antibacterial spectrum is not as broad as that of levofloxacin, and some atypical pathogens cannot be dealt with.

   But clinically, it is a hooligan to talk about the curative effect without the side effects!

   "Let's observe first. Junior brother, you can do more electrocardiograms for the patient. In addition, after she stabilizes, let her have time to go to the Cardiology Department to do a Holter monitor."

"OK."

  …

   But when Xiao Yunfei's symptoms got better, she started to worry again.

   "Doctor Lu, when can I go home?"

   "It's too dangerous to go home now, we have to observe for one more night, don't make any fools." Lu Chen rejected Xiao Yunfei's request.

   "Alas, there is still a lot of work to do tomorrow!"

   "Is work more important or life more important?" Lu Chen directly snorted back.

   "Oh, that's fine." Ms. Xiao shook her head and sighed.

  Lu Chen was about to turn around and leave the ward.

  Xiao Yunfei suddenly stopped him again: "Doctor Lu, where do you have a supermarket? I'm a little thirsty and want to buy some water."

   "We already replenished a lot of water for you, are you still thirsty?" Lu Chen frowned.

   "Yes, I'm a little thirsty." Ms. Xiao nodded.

   "The supermarket is in the eighth inpatient department. It's a little far from our emergency department. It's not very convenient for you. There is a drinking room in our ward. Let me get you a glass of water." Lu Chen said.

   In Xiao Yunfei's current state, she can't move around casually, not to mention that she has no family to accompany her.

  Lu Chen found a disposable water cup and took a cup of water between the drinking water.

   "The water is coming."

"thanks."

  Ms. Xiao took the water and just wanted to drink it, but was stopped by Lu Chen.

   "Wait a minute!"

  Xiao Yunfei's movements froze for a while.

   Holding a water glass in her right hand, she stopped in mid-air and looked at Lu Chen suspiciously.

"What's wrong?"

  Lu Chen stared at her right hand.

   "Do you usually have tremors in your hands?"

   "I see that your hands are shaking so much now!"

   "Are you nervous? Or uncomfortable?"

  Lu Chen asked several questions in a row.

  Looking at Lu Chen's serious expression, it didn't seem like he was chatting, but more like he had discovered some important information.

  Xiao Yunfei was a little bit overwhelmed when asked.

  Hmmm for a moment, she looked at her right hand and said, "Usually it's a little bit, but I'm probably scared today, my hand is shaking a lot."

   It was a pair of delicate little hands, and at first glance it looked like the hands of a gentleman.

   But unfortunately, the right hand that was hovering in the air trembled slightly, and the more I looked at it, it seemed to tremble more and more.

   "Not quite right!" A trace of doubt flashed in Lu Chen's eyes.

   "Lu... Doctor Lu, what's wrong?" Xiao Yunfei swallowed, feeling a little more nervous in her heart, sweating from her palms and forehead.

  Lu Chen stared at Xiao Yunfei and said slowly: "You may be nervous and your hands are shaking. But since you came to the emergency ward, I found that you like to sweat very much, and you sweat more when you are nervous."

   At the same time, Lu Chen also noticed.

  Xiao Yunfei's eyes are also very bright.

   He hadn't paid much attention to it before.

   But now link all the signs together.

   loves to sweat, her eyes are a little bulging, and her hands are a little trembling.

   There is also arrhythmia.

  Lu Chen suddenly felt as if the layers of fog were cleared away.

   The diagnosis of the patient in front of me is about to come out.

   "If this is really the disease, then her diarrhea is not..."

  Lu Chen was startled, and suddenly, he thought of a terrible situation...

   (end of this chapter)