I Can See Health

Now the patient's diagnosis is finally clear, that is hypertrophic cardiomyopathy!

The family members feel relieved when they hear that there is an explanation.

People are most afraid of the unknown!

"Is this disease serious?" The patient's wife suddenly asked.

Lu Chen thought about it and said: "The cause of this disease is unknown. It may be related to genetics. Severe cases may also cause heart failure or even sudden death. Many young people died suddenly, or the news said that someone died while playing basketball. Maybe it was hypertrophic cardiomyopathy."

Because the patient had repeated chest pain attacks in the past few years, his heart function was not very good after the evaluation of the cardiac ultrasound just now.

Sun Guoguo said to the patient on the bed: "If you don't control your blood pressure well, your heart function will get worse and worse."

High blood pressure will increase the heart load and further cause myocardial hypertrophy.

When severe heart failure occurs, the patient will be unable to move.

"Then after my blood pressure drops, can I stop taking antihypertensive drugs?" The patient whispered.

Sun Guoguo looked serious and said, "You can't take antihypertensive drugs whenever you want and not take them whenever you don't want. Antihypertensive drugs should be taken like eating, every day, to stabilize blood pressure."

"Doctor, is my hypertrophic cardiomyopathy really incurable?" the patient asked with a bitter face.

"We don't even know the cause of this disease, how can we treat it?" Sun Guoguo spread his hands and said, "Of course, incurable does not mean untreatable."

"We have drugs to control symptoms. The metoprolol I'm giving you now is a better drug. It can slow down your heartbeat, ease it a little, and reduce obstruction."

"In addition, you can throw away your nitroglycerin. Taking nitroglycerin for hypertrophic cardiomyopathy may aggravate the condition."

"But taking it sublingually for chest pain really helped before." The patient was a little confused.

"Maybe the blood pressure is too high. Nitroglycerin can lower blood pressure and relieve symptoms." Sun Guoguo emphasized, "But no matter what, it's better to use metoprolol in the future, and use less nitroglycerin. You don't have coronary heart disease." "What if I take this metoprolol and still feel pain?" the patient continued. "If the drug doesn't work well, you can still have surgery." Sun Guoguo continued, "The left ventricular outflow tract of the heart is obstructed. If it gets worse, you can have surgery to remove it." Lu Chen and Sun Guoguo patiently explained the condition to the patient and his family. ... "Congratulations, get a +1 thank you from Luo Ping!" "Congratulations, get a +1 thank you from Lai Zi Zhang Fang!" Lu Chen received two more thank you points in succession. However, what surprised Lu Chen was that the system upgrade completion rate did not increase! According to previous practice, the upgrade completion rate would increase by 1% for each case diagnosed. However, the diagnosis of this patient was already very clear, but the system did not prompt anything. "Is it a system delay?" Lu Chen couldn't help but think, "Or is it a system bug?"

However, after the patient applied metoprolol, the chest pain was indeed relieved!

So Lu Chen didn't care about this.

...

Because of this patient, most of the lunch break was over.

Lu Chen had to go to the cafeteria to buy a meal. After eating, there were only ten minutes left.

He went directly to the eighth area of ​​the heart.

This patient with hypertrophic cardiomyopathy in the morning made Lu Chen realize some of his own problems.

For example, the heart auscultation was not careful enough!

Heart auscultation is a cardiologist's ability to see.

The patient has myocardial hypertrophy and left ventricular outflow tract obstruction. Logically, murmurs can be heard in the heart auscultation area.

But Lu Chen subconsciously felt that the patient was a patient with myocardial infarction, so he didn't auscultate the heart valve area carefully!

This didn't auscultate carefully, and missed such an important sign all of a sudden!

In addition, Lu Chen also realized the importance of cardiac ultrasound for clinical diagnosis.

Especially for patients with such changes in heart structure, no matter electrocardiogram, chest CT, or coronary angiography, it is impossible to diagnose and judge.

Only through cardiac ultrasound can we better understand the morphological characteristics of heart structure!

And doing cardiac ultrasound by yourself is much more intense than having others do it.

…

After a busy day, I returned to the dormitory at night.

Lu Chen continued to train cardiac ultrasound.

After a real-world drill, he was more aware of the weaknesses of his skills.

Based on this, Lu Chen began targeted training!

It is precisely because of the existence of the system virtual space that he was able to master the entry-level technology of cardiac ultrasound in such a short time.

The skill proficiency of cardiac ultrasound rose all the way to 60%, and then stopped.

Although this skill card of cardiac ultrasound is elementary, it still benefited Lu Chen a lot.

…

The next day.

Today Li Yao came to the ward and started the weekly director's rounds.

Recently, because he was busy writing the national natural bid, Li Yao came to the ward less frequently.

"Teacher Li, the patient in bed 10 came yesterday, and the echocardiogram showed hypertrophic cardiomyopathy." Sun Guoguo said.

Li Yao stood at the head of the patient in bed 10, flipping through his medical records.

At this time, the patient's wife suddenly complained: "Director Li, the doctors have asked our family to lose weight, but look at him, he only has fat on his face and belly, and his hands and feet are not fat. If he loses weight again, he will look like a winter melon. .

This remark made the whole room burst into laughter.

"Patients with high blood pressure must lose weight!" Li Yao read his test report, "The blood lipids are high, the blood sugar is also high, and the glycosylated hemoglobin is 7.5%, which means that he is very likely to have diabetes. But you didn’t notice it before. You have high blood pressure, high blood lipids, and high blood sugar. If you don’t lose weight, you’ll be hospitalized again.”

Li Yao said while checking the patient.

She found that the patient was really obese on the head, face, and trunk. UU Reading www.uukanshu.net The limbs were not very fat, but appeared a little thin.

Li Yao pondered for a moment, then sighed, as if he had discovered something strange.

She turned her head and looked at the people behind her, "What did you think of when you saw the patient's body shape?"

Lu Chen had already noticed it.

When the patient's family members talked about short winter melon, everyone else laughed, but he was the only one who couldn't laugh.

The system upgrade completion degree has not increased for a long time. Lu Chen thinks that this may not be a system bug!

He thought of a situation that others might not have thought of, except of course Li Yao.

No one else in the group spoke.

Seeing this, Lu Chen took over and said, "The patient's condition is quite complicated. I'm afraid myocardial hypertrophy is not the main cause."

As soon as this statement came out, everyone was in an uproar.