I Can See Health

   Chapter 479

   Tucao returns to Tucao, work is still to be done!

  Lu Chen accompanied Cheng Peng to complete the ECG, and then returned to the doctor's office.

   Before going back, from a distance, Lu Chen saw that the door of CCU was opened again.

   Every time the door is opened, that means a new patient comes.

   "I'm going, is there a new patient?" Cheng Peng saw that Zhou Bin and Gu Xinyue were already at the door.

  Lu Chen and Cheng Peng hurried forward.

  …

   "In your mother's situation, it is best to be hospitalized!"

   There is a wheelchair at the gate.

  In the wheelchair, is a woman of about fifty years old.

   Her hair was fluffy and her expression was a little sluggish.

   "But I don't have time to take care of her now!" The family member of the patient is a young woman, who is stylishly dressed and wears heavy make-up. "And she is better now and no longer has chest pains. Is it that serious?"

   Beside, Lu Chen has already stepped forward.

   He has seen the patient's health at 46 (---).

   The trend of life value changes is three minus signs!

  Three minus signs basically means death is knocking on the door.

   "No! Chest pain is a relatively dangerous disease. If the cause is not identified and some key diagnoses are missed, there is a risk of sudden death!" Zhou Bin said to the patient's daughter.

  The patient's daughter didn't say anything, and the patient himself said, "Doctor, I'm really healed, and I don't need to be hospitalized."

   Her voice was extremely weak, her head was tilted, leaning on the wheelchair, she didn't look like a normal person at all.

  Lu Chen and the others would naturally not believe it when they heard this.

   He has already judged the patient's condition through the patient's HP.

   "Auntie, your chest pain is really getting better?" Lu Chen emphasized again.

   "Really." The patient nodded and stopped talking.

   "Okay, then the family members of the patient come to sign." Zhou Bin immediately said, "Write a refusal to be hospitalized, expressing that you are willing to take all risks. Then you can go."

   Hearing this, the patient's daughter hesitated again.

   "Well, I'm going to live in a general ward! Can't I?"

   Zhou Bin shook his head, "Your mother's condition is critically ill, and she definitely cannot go to the general ward,"

   "I take these risks and go to the outpatient clinic for observation instead of being hospitalized, is that okay?"

   "No! The outpatient clinic will not accept you, and you will come back when the time comes!"

   Such high-risk patients cannot be kept as time bombs in outpatient clinics.

  …

   Next, the patient's daughter refused to be hospitalized this time under various excuses.

  Lu Chen could see that the patient's daughter did not want her mother to be hospitalized at all.

   However, she became a bitch, and she had to go to the torii.

   I don’t want to have my mother hospitalized, but I pretend to be entangled here, and keep saying that I don’t have time, and my mother is no longer uncomfortable.

   "Doctor, I'm making a phone call outside." The patient's daughter said suddenly, "I'll be back soon."

   "Where are you going to call?" Zhou Bin frowned.

   "Right at the gate."

   The patient's daughter pointed to the gate, and Zhou Bin nodded and let her go out.

The    patient was left in the CCU ward by her.

  …

   "Lu Chen, the three of you first measure the patient's blood pressure." Zhou Bin said, "Cheng Peng, go and get the ultrasound machine."

"it is good!"

   Although the patient is placed at the door by his family, the doctor cannot ignore it.

  CCU ward is responsible for anything that happens during the stay.

  Lu Chen measured the patient's blood pressure. "Bilateral blood pressure is normal, all around 180/70mmHg."

   "Okay, thank you." Zhou Bin said, she was holding a portable ultrasound at this time, and asked, "This patient is a patient with chest pain. Does anyone know the common differential diagnosis of chest pain?"

  Gu Xinyue immediately said: "The most common diseases in the Department of Cardiology are myocardial infarction, pulmonary embolism, and aortic dissection. In addition to the first time, diseases in other departments include hiatal hernia, pneumothorax, fracture, herpes zoster, etc."

   Zhou Bin nodded with satisfaction, "That's a good answer!"

   Then, she glanced at Cheng Peng, "Cheng Peng, tell me, what is the most likely diagnosis of this patient?"

   "Teacher, I haven't seen any tests of the patient." Cheng Peng said helplessly.

   "I'm talking about diagnosis based on clinical manifestations, not laboratory values." Zhou Bindao.

   "Huh? This..."

  Cheng Peng was taken aback, this difficulty is a bit high.

   "Myocardial infarction?" He directly guessed a diagnosis.

   "How did you judge the myocardial infarction?" Zhou Bin wondered.

   "Feel." Cheng Peng said slowly.

   Zhou Bin was speechless immediately, glanced at Fatty Cheng, took the ultrasound machine, and began to perform cardiac ultrasound examinations on the patient.

  Lu Chen stood aside, watching Zhou Bin's operations carefully.

  …

   After half an hour.

  Zhou Bin put down the ultrasound machine and said, "Heart ultrasound does not seem to be a big problem, the contractility of the heart muscle is OK, and the possibility of myocardial infarction is not very high."

  Lu Chen frowned and said, just now he looked at Zhou Bin's operation, but found something unusual.

   "Mr. Zhou, can I use this ultrasound?" Lu Chen said.

   "You? Of course you can." Zhou Bin handed the portable echocardiograph to Lu Chen and moved aside.

   She was very curious, Lu Chen, a student, can even know ultrasound?

   Ultrasound is actually not very technical.

   But it takes a long time to practice.

  The average person does not have such ultrasound training conditions, even if they have a little fur, they will forget it after a long time.

  …

   At this time, Lu Chen took over the cardiac ultrasound machine and applied some couplant.

   Place the ultrasound probe on the heart.

   On the short-axis window of the left ventricle, as soon as Lu Chen got started, the cardiac ultrasound image was immediately displayed on the ultrasound screen.

   "This technique is really fast!" Zhou Bin was shocked.

   There is no doubt that Lu Chen is not only good at ultrasound, but also very skilled!

   This is really not easy.

  Lu Chen is not only good at clinical and scientific research, but also in the operation of such auxiliary departments!

   All these talents are concentrated in one body, which really makes the people around him envious.

  …

  I saw Lu Chen staring at the ultrasound screen.

  On the short-axis view of the left ventricle, the image of the root of the aortic arch is very clear.

   "Lu Chen, is there anything wrong with this picture?" Zhou Bin asked suddenly.

   She found that Lu Chen had only seen this aspect so far.

   Is it only this aspect?

   Before Zhou Bin finished speaking, he heard Lu Chen say, "Mr. Zhou, look carefully at the patient's aortic root."

   "The root of the aorta?" Zhou Bin was stunned for a moment and looked intently.

   First impression, nothing!

   But staring closely at the root position, Zhou Bin suddenly felt something move in it...

   "This is... a floating inner diaphragm?" Zhou Bin asked in astonishment.

  Lu Chen nodded slowly: "Mr. Zhou, you are really amazing, I also think this is the floating inner membrane."

   The ultrasound of a normal person, the aortic root, is unlikely to show this floating intimal sheet.

   There is only one case where this phenomenon can be seen on ultrasound, and that is aortic dissection!

   Zhou Bin's heart tightened.

   She swallowed her saliva and did not move her new field of vision immediately, but continued to look at the root of the aorta, trying to ensure the existence of the "floating intima sheet".

   (end of this chapter)