I Can See Health

   Chapter 467 This is intuition, do you believe it? (Second update)

   With all the clinical manifestations of the patient, he only thought of diseases of the respiratory system.

   But it ignores a very important point, that is, diseases of other systems, such as the cardiovascular system!

  Persistent chest pain, combined with high blood pressure, the most important thing is that the life value is so low!

   It is easy to think of an extremely dangerous disease - aortic dissection!

  …

   Back to the doctor's office.

   While instructing Wang Defa to review the patient's blood pressure again, Lu Chen expressed his thoughts to Fan Yujing.

   "Aortic dissection?" Fan Yujing frowned.

  This disease is relatively common in cardiology and cardiac surgery, but it is still rare in respiratory department.

   "Well." Lu Chen said in a deep voice, "The patient has chest pain and no abnormality in the electrocardiogram. Although the pain can be relieved after using the painkiller, but after the effect of the medicine wears off, the pain reappears!"

   In fact, based on the clinical symptoms and auxiliary examinations of this patient alone, the possibility of aortic dissection is unlikely.

   However, when Lu Chen looked at the red health on his head, he felt very uneasy.

   If it's just pneumonia, tuberculosis, or even a tumor, his HP can't be so low, and the rate of decline is so fast!

   Just in case, Lu Chen still felt that it was better to be cautious.

   "Mr. Fan, I think it's better for the patient to complete the aortic CTA." Lu Chen said.

  Fan Yujing frowned slightly. According to the current situation of this patient, aortic CTA cannot be ruled out, but it is not very likely.

  Because the high blood pressure may be just not well controlled by the patient, chest pain may also be caused by pneumonia or lung tumor.

   "Well, you can communicate with the patient's family." Fan Yujing said, "If the family agrees to complete the examination, then take it to the CT room for a test. If not, then control the blood pressure for the time being."

   "Okay!" Lu Chen nodded.

   He also understands that if he can't see the life value, judging from the patient's current situation, the possibility of diagnosing active layer dissection is indeed very unlikely!

  …

   A ward of the Department of Respiratory Medicine.

   Outside the ward corridor.

   "Senior brother, what did you say? Is there a possibility of... aortic dissection?"

   Mei Yejun's little face turned pale with fright.

  As a medical student, she knows too much what "aortic dissection" means!

   This disease is almost as famous as the **** of death.

   Without surgery, it is almost impossible to save!

  Even if it is an operation, it is a near-death experience!

   People suffer from tumors if treated in time. Survival may be years away.

   But this aortic dissection, that's a ticking time bomb, you don't know when the bomb will explode.

  This means that the patient has the possibility of sudden death at any time!

   "Junior sister, don't worry." Lu Chen quickly comforted, "I just suspect this possibility now, not 100% confirmed."

  Mei Yejun has lost his mind at this time.

   "Senior brother, what should we do next?"

   "I suggest still doing an aortic CTA!" Lu Chen said sternly, "In any case, it is still necessary to diagnose and rule out aortic dissection!"

  Jun Mei Ye hesitated when he heard the words: "Senior brother, don't tell my dad first. I'll inform my mother first, she is out of town."

   "Okay." Lu Chen nodded, "Let's decide as soon as possible."

"Um."

  …

   Back to the doctor's office.

  Lu Chen immediately issued a doctor's order to lower blood pressure.

   The patient's current blood pressure is 180/100mmHg. If it is really aortic dissection, this blood pressure is very dangerous.

   According to clinical guidelines, the blood pressure of patients with aortic dissection is best controlled below 120/80mmHg.

  Excessive blood pressure is likely to cause the dissection rupture to become larger and directly lead to shock.

   This kind of shock is extremely difficult to rescue.

   "Lu Chen, what did the patient's family say?" Fan Yujing said.

   "She has to contact other family members."

   "Well." Fan Yujing said, "Go and ask for an emergency cardiology consultation first."

  Lu Chen was taken aback for a moment, would you like an emergency consultation with the Cardiology Department?

   Mr. Fan doesn't quite trust his own judgment.

   But Lu Chen also understands it very well. To judge dissection only by high blood pressure and chest pain, no one will believe it!

   "Okay, I'll call the Cardiology Department." Lu Chen said.

  …

ten minutes later.

   The hospitalization of the Cardiology Department always came. This time, it was not Li Qinghua, but another acquaintance of Lu Chen, Senior Sister Sun Guoguo.

   When Sun Guoguo appeared in the respiratory department, Lu Chen was stunned for a moment.

   "Senior Sister Guoguo, why are you here?"

  Sun Guoguo was also quite surprised, smiled and said, "Didn't your respiratory department ask for an emergency consultation?"

   "Ah? Isn't Mr. Li Qinghua here for the consultation?" Lu Chen said.

   "Senior brother Li has been the hospital chief for a year, so he has to rest." Sun Guoguo smiled, "Senior brother, do you know which group of teachers should ask for emergency consultation?"

  Lu Chen touched his nose and said slowly, "Senior sister, it's our group..."

   "What?" Sun Guoguo was stunned, "Do you still need an emergency consultation?"

  Lu Chen's clinical ability is obvious to all, and he is not inferior to some senior attending physicians and even deputy chief physicians.

  Lu Chen explained: "I suspect that a patient has aortic dissection, but Mr. Fan thinks it is safer to ask the cardiologist to see it."

   "Mr. Fan... Fan Yujing?" Sun Guoguo asked suspiciously.

   "Yes." Lu Chen nodded.

   A sympathetic look appeared on Sun Guoguo's face.

   Fan Yujing's name, she has also heard of it.

   "Where is Teacher Fan?"

  Lu Chen said: "In her office, should I call her?"

   "Then go see the patient first." Sun Guoguo said.

   "Okay." Lu Chen said, "Senior sister, the patient doesn't know his condition yet."

   "Don't worry, I understand."

  …

   came to the ward.

   Mei Yejun was not by the bed, only the patient was lying on the bed alone.

Lu Chen immediately stepped forward and smiled: "Uncle, your blood pressure is a little high, so I invited a cardiologist to take a look. Although we used antihypertensive drugs, this cardiologist is an expert in blood pressure reduction. Woolen cloth."

  The patient immediately got up from the hospital bed and said with a smile, "Thank you, Dr. Lu. Xiaojun, she went out for some business, and will be back in a while."

   "Okay, I will communicate with her if there is anything."

   After the introduction, Sun Guoguo started the consultation and physical examination.

After some inquiries, Sun Guoguo basically understood the patient's condition.

   "Uncle, you have a good rest first." Lu Chen said to the patient, and then followed Sun Guoguo out of the ward.

   Outside the ward.

  Sun Guoguo said to Lu Chen quite strangely: "The patient does have a history of hypertension, and there is persistent chest pain in the left chest, but the blood pressure on both sides is equal. Although the possibility of aortic dissection cannot be ruled out, it is unlikely!"

The implication of    is why did Lu Chen consider the diagnosis of dissection?

  Normal clinical thinking may be the diagnosis of pneumonia, tuberculosis, and lung tumors.

  Lu Chen smiled and said, "Senior sister, I said this is intuition, do you believe it?"

   I can't say, I can see the life value...

   There are three more updates. After writing, please revise it and send it out.

   (end of this chapter)