I Can See Health

   Chapter 448 Changes

   Leave the eight areas of the heart.

  Lu Chen bought a box lunch in the cafeteria and went back to the bedroom.

   Back in the dormitory, he ate while combing through the contents of the national nature tender.

   He envisages that the premise of multi-center clinical research is to pass the national natural project!

  Once you fail, all your current efforts will be in vain.

   "The recent meal in the cafeteria was too oily and watery, and there was no meat at all." Lu Chen took a bite and put the boxed lunch aside.

   At noon, Lu Chen rested for half an hour before going to work.

  …

   It is winter now, when respiratory diseases and cardiovascular diseases are high.

   In the afternoon, Lu Chen received three more patients one after another.

   Just as he finished writing the third patient's course record, the fourth patient arrived again!

   Respiratory Medicine Ward 1, doctor's office.

Wang Defa, an intern in the    group, was following behind Lu Chen.

   "Junior Brother, let's take the fourth patient."

   "Huh? Well..."

  Wang Defa is quite clever, but he is not very reliable at ordinary times, and he is not very willing to take the initiative to accept patients.

   During this time, Lu Chen also wanted to pull him and teach him well.

  Otherwise, after this internship period is over, nothing will happen, and there is no way to justify it.

  …

  The two came to the ward.

   This is a female patient of about 60 years old, dressed in plain clothes and has gray hair.

   Next to her was a middle-aged woman in her thirties.

   However, when Lu Chen walked into the ward and saw this patient, he was stunned.

   The health value on the patient's head, showing 49 (---).

   The changing trend of the three minus signs!

   This is amazing!

   Health is already below the 60 limit, and looking at this trend, it is very likely that it will continue to decline!

  Lu Chen was shocked, and immediately stepped forward to check the patient's condition.

   Wang Defa on the side was a little strange, why did Brother Lu Chen suddenly get nervous?

When    came to the patient, Lu Chen noticed that the patient's mental state didn't seem right.

   She was half lying on the bed, her eyes narrowed slightly.

   The complexion and lips are slightly pale, and the asthma is more obvious.

   "Auntie!" Lu Chen lightly patted the patient's shoulder.

  The patient slowly opened his eyes, saw the doctor in front of him, let out a weak "um", and then closed his eyes again.

   "Auntie, what's wrong with you? Do you want to sleep?" Lu Chen felt the patient's pulse, and then motioned to Wang Defa to take his blood pressure.

   "Hmm." The patient didn't open his eyes, he murmured,

  Lu Chen frowned immediately and said to the middle-aged woman beside him, "Who are you the patient?"

   "I, I am her daughter-in-law." The middle-aged woman was a little reserved, and her Mandarin still carried local dialects.

   "Auntie's mental state has always been like this?" Lu Chen asked.

"No, my mother, she was fine at home before, and she can still work at home." The middle-aged woman said, "In the last half month, for some reason, she often coughs and expects phlegm, and keeps saying that she is very tired. ,Want sleep."

  Cough, expectoration, want to sleep?

  Lu Chen felt that things were not so simple.

   At this time, Wang Defa also finished measuring his blood pressure, "Brother, the blood pressure is around 100/60mmHg."

   "Yes." Lu Chen nodded, "I'll do another electrocardiogram."

   ECG, blood pressure, these are all routine needs to be done on admission.

   "Uh, okay." Wang Defa was a little reluctant, but he still went to push the electrocardiograph.

   Taking advantage of this time, Lu Chen began to ask about the patient's family's condition.

   For an emergency patient like this, don’t mess around.

  Inquiring about the condition is a very important part, which can understand the condition of the patient and make an impression diagnosis.

   "Doctor, my mother lived in your department because of pneumonia two months ago, and she was discharged after a week of stay."

"This time, about half a month ago, my mother had intermittent coughing and phlegm again. When she saw it at the clinic, she thought it might be pneumonia recurring. She took medicine and injected injections. But the effect has not been good, so I will come here today. already."

   Hearing the woman's answer, Lu Chen frowned deeply, "It was just pneumonia in the past? No other disease?"

  "This..." The woman looked back at the patient, and hesitantly said, "I don't live with my mother. She used to be in good health, so... there should be nothing wrong with her."

  The woman's answer was hesitant. Lu Chen heard the words and asked in confusion, "Where's your husband?"

   "He works in the magic capital, and he comes back twice a year, and he is not at home now." The woman said.

   At this time, Wang Defa pushed the electrocardiograph over.

   He performed an electrocardiogram on the patient, and Lu Chen picked up the stethoscope and examined the patient.

   "We could hear moist rales in both lungs, and heart auscultation was normal."

   At this point, the electrocardiogram was also done.

  Lu Chen glanced at the electrocardiogram, which was also normal.

   "Junior brother, go and call Mr. Fan over." Lu Chen whispered beside Wang Defa's ear, "This patient may be a little serious, so he needs to check."

  Wang De was stunned for a while, but he could not see any abnormality. After nodding, he walked out of the ward.

  …

   in a minute.

  Fan Yujing frowned and came to the ward.

   "What patient?" Fan Yujing picked up the patient's electrocardiogram.

   She was a little curious, Lu Chen had accepted so many patients.

   Why is this one the only one that needs her to check it out in person?

"The family said that the patient was hospitalized in our department two months ago because of pneumonia, and this time he came again because of cough and sputum." Lu Chen said, "But I think the patient's mental state is not very good, so I asked my junior brother to call you. coming."

   Hearing Lu Chen's words, Fan Yujing walked to the hospital bed in doubt.

   The patient lies on the bed with his eyes closed and appears to be asleep.

   "Auntie, can you hear me?" Fan Yujing said softly.

   The patient slowly opened his eyes, then closed them again.

   "The patient is lethargic!" Fan Yujing was shocked,

   This mental state is not caused by ordinary pneumonia!

  Once a disease causes a change in mental state, that's a big deal.

   "Call the nurse to get the ECG monitor." Fan Yujing quickly said to Lu Chen.

  Lu Chen understood and walked out of the ward immediately.

  Although the patient's current vital signs are stable, it is not allowed to change at any time!

  The nurse quickly brought the ECG monitor and connected the patient's whole body.

The patient's daughter-in-law on the side of    was a little confused.

   "Doctor, doctor, you are..." The woman said in amazement, it should cost a lot of money to use this kind of equipment!

  Fan Yujing had already done the physical examination for the patient, and turned back to the woman and said, "Come out, I'll talk to you about the condition."

  …

   At this time, Lu Chen returned to the ward.

   "The patient's family said that they were hospitalized two months ago, and they should be able to call up the medical record!"

   He immediately entered the medical record borrowing system, and quickly found the patient's medical records two months ago.

  In the course record, the patient did not have any history of other diseases except pneumonia.

   However, when Lu Chen saw the patient's chest CT two months ago, his expression suddenly froze!

   The patient’s chest CT showed a 1cm mass in the left lung!

On the   CT report sheet, it is recommended to review the chest CT after one month, and further examination if necessary.

  Lu Chen continued to look at the patient's medical records, but did not see the chest CT for reexamination.

   In other words, the patient did not come for a follow-up consultation.

   "If the patient really has no other diseases, the only problem is this lung space occupying!"

  Lu Chen frowned deeply.

   "But, in just two months, will there be such a big change?"

   Thanks to the leader for the reward, I owe 10 more updates.

   (end of this chapter)