I Can See Health

The patient's vitality is very consistent with diabetic ketoacidosis.

But the changing trend of life value is by no means as simple as diabetic ketoacidosis!

But Lu Chen didn't say anything.

He returned to the office with Gu Xinyue and Lou Jie.

"Lu Chen, we can leave and go to the canteen to eat." Gu Xinyue was about to go to the duty room to change out of her white coat.

Lu Chen said, "Wait a minute."

"Huh?" Gu Xinyue looked confused. He saw Lu Chen suddenly walking towards Teacher Lou Jie.

"Mr. Lou, look at this patient's abdominal CT..." Lu Chen walked up to Lou Jie and said softly.

"Which patient?" Lou Jie looked back.

Hey, isn't this a genius boy from Min Ling's group?

"It's the patient with abdominal distension that you just went to the ward to see." Lu Chen explained, "I just saw his abdominal CT, and why do I feel that the pancreas is not very clear?"

"Really?" Lou Jie was shocked. Could it be pancreatitis?

She quickly opened the computer CT image.

If it is really pancreatitis, then this can be regarded as a mistake in her work!

At this time, Gu Xinyue also returned to the office and was startled when she heard the conversation between the two.

At this time, Lou Jie opened the CT image and took a look at the CT report.

Fortunately, it was just a small amount of pleural effusion and abdominal effusion.

The conclusion on the CT report sheet did not describe pancreatic abnormalities!

However, Lou Jie was still uneasy and enlarged the CT image.

really!

If Lu Chen said it, this patient's pancreas was really unclear!

This kind of unclearness may not be visible if you don't look carefully.

Moreover, this kind of image is not displayed clearly, which is most likely caused by the error of the CT machine, and may not explain any problem.

"Teacher Lou, do you think there is a problem?" Lu Chen continued.

In fact, Lu Chen didn't have any confidence at the beginning.

But when he saw that the patient's health value trend was two minus signs, his inner uneasiness worsened.

There is no way he would let go of any suspicious detail!

"It's true that some of the displays are not clear!" Lou Jie nodded slightly, "Let's do this. Let's do a quick blood and urine amylase test first. After the results come out, if there are any problems, we can consider a follow-up CT scan."

The patient just had an abdominal CT yesterday, and now he is going to have another one. The patient and his family may not be able to understand it.

Moreover, the patient's current symptoms are fair and he has no symptoms of abdominal pain, nausea, or vomiting.

Lu Chen frowned. Blood and urine amylase must be tested!

But if the results come out, the patient's condition may further worsen.

Is there any way to judge the patient's condition in advance?

Lu Chen thought for a while. In addition to amylase and CT tests, another test that can confirm the diagnosis is ultrasound!

"Teacher Lou, do we have an ultrasound machine in our department?" Lu Chen suddenly asked.

"Ultrasound machine?" Lou Jie was stunned, "Why do you want this?"

"I want to use an ultrasound machine to take a look at the patient's abdomen first." Lu Chen said, "If it's pancreatitis, then we should be able to see corresponding changes?"

"You know how to use an ultrasound machine?" Lou Jie was stunned.

This talented boy has too many skills!

Ultrasound technology is actually not difficult, but it does take a lot of time to master it.

Ordinary doctors do not have so much time to study ultrasound technology, so they set up an independent ultrasound department.

"I learned it before when I was in cardiology." Lu Chen nodded.

"But your cardiology department should be looking at the heart, right? You can also look at the abdominal organs?" Lou Jie asked doubtfully.

The anatomy of each organ is different, so the ultrasound doctor will also divide it into different parts.

Some focus on the heart, some focus on abdominal organs, and some focus on blood vessels!

"When I was learning cardiac ultrasound, I happened to learn abdominal ultrasound together." Lu Chen said.

In fact, Lu Chen had never learned abdominal ultrasound.

However, his mind has now entered the system and has been redeemed for the primary skill card of "Abdominal Ultrasound Technology".

This skill card only requires 100 gratitude points.

Lu Chen now had a "huge amount of money" in his hands and redeemed it without hesitation.

When Lou Jie saw this, he was dubious.

If other students had told her this, she would have dismissed it.

But the Lu Chen in front of him was extraordinary!

"Actually... our endocrinology department does have an ultrasound machine." Lou Jie said slowly.

"Really?" Lu Chen looked happy.

"It's just upstairs in the second endocrinology area." Lou Jie said, "I can't leave my post and go upstairs to borrow the machine. How about I call the second area nurse station and you go up and get it yourself?"

"Okay!" Lu Chen said immediately.

"That's okay." Lou Jie took out his cell phone and called the nurse station in District 2. "The call has been made. You and Gu Xinyue can go together."

She really wanted to see if Lu Chen knew this abdominal ultrasound technology?

If so, then the patient's disease can be diagnosed. Why not?

If not, then wait for the amylase results to come out before making further plans.

…

Lu Chen and Gu Xinyue came to District 2 together.

After talking to the nurse for a long time, Lu Chen wrote a loan note and then went downstairs.

Before that, Lu Chen took the time to enter the system virtual space and seize the time to conduct targeted training on abdominal ultrasound.

Of course, it’s mainly for the pancreas!

Because he had a foundation in cardiac ultrasound technology, Lu Chen learned abdominal ultrasound technology very quickly.

And under current emergency conditions, it is enough for him to learn how to interpret the pancreas.

After Lu Chen tried it in the system space more than a dozen times, he almost knew the basic pancreatic ultrasound technique.

…

Back to endocrinology area one.

Lu Chen and Gu Xinyue pushed the ultrasound machine into bed No. 31.

Lou Jie had already discussed this with the patient.

The patient was a little confused at first, but after hearing the possibility of severe pancreatitis, he still underwent blood tests and ultrasound examinations.

Lu Chen pushed the ultrasound machine next to the patient's bed.

He did not immediately perform an ultrasound, but first had the patient undergo another abdominal physical examination.

Apart from bloating, there were still no other abdominal signs.

After starting to apply coupling agent, Lu Chen picked up the ultrasound probe and officially started the abdominal ultrasound operation.

"Breathe calmly, then raise your hands and place them on both sides of your head." Lu Chen reminded the patient.

This increases the distance between ribs and facilitates inspection by the ultrasonic probe.

Lu Chen continued: "Lie on your right side."

Each posture determines what part to check.

The left lateral decubitus position is convenient for examining the liver, gallbladder, right kidney, right adrenal gland, and porta hepatis structure.

The right lateral decubitus position facilitates examination of the spleen, left kidney, left adrenal gland, and pancreatic tail area.

The patient heard the instructions and immediately followed them.

Lu Chen placed the probe coated with coupling agent on the patient's abdomen, and a black-and-white image immediately appeared in the ultrasound machine.

Lou Jie immediately looked at it intently.

Although she can't do ultrasound, she can still see ultrasound images.

Lu Chen's technique is quite good, and the images produced are relatively clear.

"This...the border of the pancreas is not very clear!" Lou Jie murmured. UU reading www.uukanshu.net

The lack of clarity here is not because Lu Chen's skills are not good.

It means that the pancreas has become diseased, so the displayed image has changed.

Lu Chen nodded: "Yes, the pancreas is slightly larger than normal. In addition, the echo inside the pancreas is uneven, and liquid dark areas can be seen around the pancreas... The most important thing is, Teacher Lou, look here."

Lou Jie followed where Lu Chen pointed, "Is this a liquid dark area? Is there abdominal fluid? Why is there so much!"

Lou Jie looked surprised.

The amount of intraperitoneal effusion shown by this ultrasound is much larger than yesterday's abdominal CT scan!

Yesterday it was a small amount at best, but today it has reached the level of a moderate amount of abdominal effusion!

The three people present were all shocked.

All the current evidence points to one disease - acute pancreatitis!