I Can See Health

Chapter 207 Strange wheezing sound

The system prompts also confirmed Lu Chen's diagnosis.

In fact, Yin Xinhua also thought of pheochromocytoma.

As an attending physician in the Department of Cardiology, my blood pressure fluctuated rapidly, accompanied by corresponding symptoms of dizziness and palpitations. My first reaction was pheochromocytoma.

However, this diagnosis was revealed by Lu Chen first, and she had been considering acute myocardial infarction before.

This is a bit, ahem, a slap in the face.

However, Yin Xinhua also knew that Lu Chen was different from other graduate students.

"We will complete the abdominal examination tomorrow after the patient's condition is stable," Yin Xinhua said.

Although he made a diagnostic error, Yin Xinhua corrected it in time.

For patients with pheochromocytoma, surgical treatment is generally required after diagnosis.

…

The night hasn't started yet.

One patient has already experienced a change in condition.

Yin Xinhua had to doubt his luck tonight.

"Doctor Fan, are you popular during the night shift?" She quietly looked at Fan Zhiping aside.

"How should I put it? We are on duty and there are not many serious patients." Fan Zhiping said, "But we receive new patients every night, so it is quite busy."

Yin Xinhua nodded and looked back at Lu Chen.

Lu Chen is on his first night shift today. It's probably not because of him that he's angry, but it's most likely because of Fan Zhiping.

It seemed that Lu Chen had to find a reason to get Fan Zhiping back to the dormitory.

After a while.

Yin Xinhua slowly walked to Lu Chen's side.

Lu Chen was completing the course records and communication records of the suspected "pheochromocytoma" patient just now.

When Yin Xinhua communicated about his condition before, he had informed him of the possibility of intubation and cardiopulmonary resuscitation.

The family members also signed, but the doctor’s signature is not yet available, and it is time to sign it now.

Yin Xinhua leaned down and whispered: "Junior Brother Lu Chen, you...let Dr. Fan go back to the dormitory later. We are fine here and we don't need so many people."

"Yeah, okay." Lu Chen stopped what he was doing when he heard this and nodded immediately.

He was also a little uncomfortable with Fan Zhiping beside him.

Let's wait and find some reason to let Fan Zhiping go back to the dormitory first.

…

The doctor's office was quiet again.

Yin Xinhua and Fan Zhiping were chatting aside.

Doctors who are both cardiologists, one in a top provincial tertiary hospital and the other in a grassroots hospital, still have a lot of discussion points.

Unconsciously, Fan Zhiping talked about Lu Chen.

"Dr. Yin, are all the graduate students at Beijing Second Hospital so good? They can do everything from tracheal intubation to radial artery puncture."

Yin Xinhua waved his hand quickly and glanced at Lu Chen who was not far away: "Doctor Fan, don't make any mistake. This is just a special case, oh, no, this is a special case, that is, Lu Chen will do it! No one else can do it."

When Fan Zhiping heard this, he felt relieved.

If young people were like Lu Chen, then old guys like them would have no room to survive.

"Why is Lu Chen so good? I just saw his technique, and he is so skilled. This can't be practiced once or twice." Fan Zhiping said.

He had seen doctors at the county hospital perform intubation, but they might not be as skilled as Lu Chen.

Yin Xinhua smiled and said, "It's true that it's not just once or twice. Lu Chen participated in the national medical skills competition and won first place! He is very skilled in all kinds of operations!"

"National Medical Skills Competition?" Fan Zhiping was stunned, "Still first?!"

He had heard about this competition, but he didn't expect that Lu Chen actually won the first place in the country!

There is more than one skill in the national competition. To get first place, what matters is overall strength, not first place in a certain individual event.

Fan Zhiping looked back at Lu Chen who was writing the course record, and his evaluation of "Professor Lu Chen" became a little higher.

…

Lu Chen was writing down the course of illness record.

Fan Zhiping and Yin Xinhua were talking in the corner of the ward. Lu Chen could only hear faint voices coming from them, but could not hear what they said clearly.

Bang bang bang...

At this time, there was a knock on the door of the doctor's office.

Lu Chen turned around and looked.

A middle-aged man stood at the door of the doctor's office. He held his right hand on the door frame, his face was slightly pale, and he was breathing heavily.

"Doctor, I, I feel a little uncomfortable."

"Go back to the ward first. I'll come over to see you right away." Yin Xinhua stood up quickly and said.

The man shook his head slightly. The uncomfortable feeling of chest tightness and breathlessness made him speechless.

Lu Chen was closest to the man. Seeing that something was wrong with him, he immediately helped him in.

Yin Xinhua also noticed something was wrong.

She quickly stepped forward, picked up the stethoscope, and auscultated the patient's chest.

"There is obvious wheezing in both lungs." Yin Xinhua put away the stethoscope and said.

Lu Chen nodded. The patient's wheezing was obvious.

Even without a stethoscope, you can hear a lot of wheezing close to the patient.

"You go back to the ward first, we need medication immediately!"

There are many causes of wheezing, and Yin Xinhua is still not sure about the patient's condition.

But the wheezing sound that filled the lungs already indicated that the situation was extremely urgent.

Lu Chen immediately took the patient back to the ward.

…

Yin Xinhua took the time to look at the patient's medical records.

The patient, a 43-year-old male, suffered from chest tightness and wheezing for half an hour.

He has suffered from severe asthma in the past three months, which became obvious after activities.

I went to the community health station to get an injection today, but the effect was not very good, so I went directly to the hospital.

The patient had a history of asthma and denied hypertension, diabetes and other diseases.

The outpatient doctor's diagnosis, in addition to asthma, did not rule out coronary heart disease, so he was admitted to the cardiology department.

…

Yin Xinhua came to the ward.

The patient's wheezing did not improve, and he was sweating profusely. Auscultation of both lungs revealed diffuse wheezing, and he was unable to speak.

"First, use 5mg of dexamethasone intravenously!" Yin Xinhua told the nurse beside him.

About 2 minutes after the intravenous dexamethasone was pushed.

The patient reported obvious improvement, and auscultation of both lungs again revealed that the wheezing disappeared!

"What the hell is this, it got better so quickly?" Yin Xinhua was quite surprised.

It is unlikely that the asthma encountered in normal times will get better so quickly after using hormones!

"How many years have you had asthma?" Yin Xinhua asked in confusion.

"It's been 21 years."

"Have you been taking medicine to control it?"

"Occasionally taking salbutamol!"

"Well, okay! You take a rest." Yin Xinhua nodded, then looked at Lu Chen, "The patient should have an asthma attack. The recent weather changes may have an impact on environmental factors."

After asking, Lu Chen and others prepared for the doctor's office.

At this time, the door of the ward banged and was pushed open.

A middle-aged woman with a crew cut, dark and burly came in, and walked to the patient's bed with a fierce momentum.

"Why did you call me? You can't win the quarrel, why call me!"

The woman's voice was unusually loud, with strong penetration and a deep voice.

Lu Chen was two meters away from her, but still felt deafening.

The woman felt like Lu Zhishen was reborn!

Hearing her voice, before Yin Xinhua stood up to stop it, other patients' family members said directly, "Keep your voice down, you scared me."

Even so, the lady continued to question.

Lu Chen noticed that the patient on the bed suddenly couldn't speak again.

He immediately took out a stethoscope to listen to the patient's lungs.

"Wheezing, low breathing sounds!"