I Can See Health

   Chapter 456 Accidental ingestion? !

   The skills exam for a licensed physician, Lu Chen easily completed.

   For him, this exam is just a small episode of clinical work life.

   The next day, Lu Chen returned to clinical work.

   After staying in the first ward of the Department of Respiratory Medicine for a week, he has gradually become familiar with the workflow of the Department of Respiratory Medicine, as well as the diagnosis and treatment of common diseases.

   Fan Yujing's impression of this student in her group has changed greatly, and her cold temper has gradually changed.

   Moreover, since Lu Chen came, the other interns in the group also started to work hard.

  For example, Wang Defa, who used to clock in every day and mess around, is now actively participating in all clinical work. "Senior brother, do you think it's better for me to study for a master's degree or a master's degree?" Wang Defa moved a chair and sat beside Lu Chen.

   For current medical students, a postgraduate degree is just a stepping stone.

   The tertiary hospitals with slightly higher grades all require a postgraduate degree.

   And medical graduate students are different from other majors.

  Lu Chen finished writing the disease course record at hand, and smiled: "It depends on your personal interests. If you like clinical practice, then choose a master's degree; if you like scientific research and experiments, then choose a master's degree."

   "In addition, it is easier to study for a Ph.D. than a master's degree."

   "Finally, the master's degree and the master's degree should be divided into regions. The more economically developed and medically developed provinces are, the more important they are to the master's degree. For example, in Modu, more than half of the medical students chose the master's degree."

   As a "come here", Lu Chen imparted all his experience.

   In fact, both the master's degree and the master's degree are all aimed at solving the suffering of human diseases, and achieve the same goal in different ways.

   Which path to choose depends on the individual's choice.

   "Thank you, Senior Brother." Wang De heard the words, looking like he was thinking.

   For most graduates, they may not know the difference between a master's degree and a master's degree.

  Many people choose to study for a master’s degree or a post-graduate degree because they follow the trend and are influenced by their senior brothers and sisters.

   However, now that Wang Defa has Lu Chen's help, he can follow his heart and choose the future path.

  …

   Ten o'clock in the morning.

  The nurse walked to the doctor's office, and finally a new patient came to the group.

   Intern Wang De found that he was very proactive, so he didn't need Lu Chen to remind him.

   As long as there is a new patient, he will go directly behind Lu Chen and go to the ward to help Lu Chen treat the patient.

  …

  Lu Chen walked into the ward, followed by Wang Defa.

   This is a young woman of about thirty years old. She has a beautiful face, but her expression is melancholy, and there seems to be an indescribable pain between her brows.

   Next to her was a man in his thirties who seemed to be her husband.

   "Are you a patient?" Lu Chen took out the hospitalization certificate, which recorded the patient's brief information. Yuan Wenya, female, 29 years old.

   "Yes." Yuan Wenya nodded slightly.

   "Is there any discomfort in this hospitalization?" Lu Chen asked aloud.

   On the surface, the female patient has no external abnormalities.

   The health value on her head is 68, and the change trend is a minus sign.

   "I have been coughing and expectorating phlegm recently." Yuan Wenya said softly.

   "Cough, expectoration?" Lu Chen frowned, "Are you catching a cold?"

   "No." Yuan Wenya shook her head slightly, "It just appeared suddenly, without any signs, by the way, sometimes there is a fever and even coughing up sticky phlegm."

   "Fever?" Lu Chen raised his brows, the patient said so many symptoms, it sounded like an ordinary pneumonia.

   The only suspicious thing is that there are no signs!

   A person, so short, how could he get "pneumonia"?

   "Actually, I went to several hospitals to see and filmed." Yuan Wenya sighed.

   As soon as she finished speaking, the man on the side took out the medical records of the other hospital, including two chest CT images.

   "What did the doctor in the outer hospital say?" Lu Chen took the medical record in one hand and started to check it.

   "Oh, all the doctors said it was pneumonia." Yuan Wenya said softly, "But after half a month of antibiotics, there was no effect! Later, it was suspected to be tuberculosis, and I took anti-tuberculosis drugs for a long time, but it was useless!"

  Lu Chen's heart tensed, this kind of patient is here again!

   The old lady before was suspected of bronchial asthma, and there was no effect after symptomatic treatment.

  Lu Chen looked at the patient's examination results in the other hospital, and there were no abnormalities in hematology, biochemistry, and radiology.

   In addition, several tests related to tuberculosis were done, and the results were all negative.

   However, because of the scan skill card, when Lu Chen picked up the chest CT scan, he saw the problem at a glance.

   "Have you eaten anything by mistake recently?" Lu Chen glanced at Yuan Wenya.

   "It's nothing..." Yuan Wenya thought for a while, then shook her head.

   "This is weird." Lu Chen muttered.

   "Doctor, yes, is there any problem?" Yuan Wenya said quickly.

  Lu Chen picked up this chest CT film and pointed to the position of the upper right lung.

   "See here, there is a shadow."

   "Here, I know." Yuan Wenya nodded slightly, "A doctor from the respiratory department told me before, isn't it lung inflammation?"

  Lu Chen frowned, put the chest CT film behind the window glass, and continued to check this "negative" film through the sunlight.

   Yuan Wenya was a little surprised when she saw this: "Doctor, this... isn't this lung inflammation?"

  Lu Chen turned his head and immediately shook his head: "No! I just asked you if you ingested anything by mistake, but I actually wanted to tell you that this shadow area should be a foreign object."

   Upon further inspection, this "shadow" appears to be a rewind-like structure within the bronchus.

   "Yes, but I really didn't eat anything by mistake!" Yuan Wenya still shook her head.

  Lu Chen was also full of doubts in his heart.

   The patient is not a child and generally does not ingest it by mistake.

  Take a step back, even if you eat by mistake, you will definitely tell the truth.

   "Isn't this a foreign object?" Lu Chen frowned.

   For a while, he didn't have the slightest clue.

  …

   About ten minutes passed.

  Lu Chen asked about his medical history in detail again before returning to the doctor's office.

   "What patient?" Fan Yujing immediately stepped forward and asked.

"The patient is a twenty-nine-year-old woman. She has been coughing and expectorating sputum. I have been to four hospitals, but I can't find the cause." Lu Chen took out the CT image of the patient's chest. Plaque, I think there is something wrong."

   "Really?" Fan Yujing took the chest CT scan from Lu Chen's hand in confusion and put it on the reader.

   After a while.

  Fan Yujing came back to her senses and looked at Lu Chen aside, "Lu Chen, are you talking about foreign objects?"

  Lu Chen nodded, "This object with a rewinding structure is already a foreign body, but the patient denied the history of accidental ingestion."

   Fan Yujing frowned when she heard the words.

   The diagnosis of both of them contradicted the patient's medical history.

   (end of this chapter)