I Can See Health

   Chapter 546 Diagnosed

   Jinghua Second Hospital, Cardiology Clinic.

   Today's cardiology outpatient clinic is very special.

   Many students came to the outpatient clinic to see a doctor because they were found to have problems due to the physical examination for the college entrance examination.

   Among them, Jinghua Experimental Middle School has the most students!

  Li Qinghua is sitting in the consultation room of the general outpatient department of Cardiology and has received four senior high school students.

   All of them had problems with the physical examination for the college entrance examination, so the parents took the physical examination form and found the outpatient department of the Cardiology Department of the Jinghua Second Hospital.

   And the name of the signer on the form is "Lu Chen"!

  Li Qinghua put down the form in his hand and said to the parent in front of him: "Well, I heard that the child's heart beat is indeed irregular. It is most likely a kind of arrhythmia, premature beat."

   "Premature beats?" the parent asked suspiciously.

  Li Qinghua nodded and explained patiently: "A normal person's heart beats at the same time interval, but your child's heart beats earlier than expected. This is premature beats."

   "Is it serious?" the parent asked again.

   "It depends on the number of premature beats and what kind of premature beats it is, so the doctor who examines your child will recommend a dynamic electrocardiogram and echocardiography." Li Qinghua said.

   "Then, why don't you just do an ordinary electrocardiogram?" The parent wondered, "Why do you have to carry this electrocardiogram on your body for 24 hours? Now that the child is a critical time for review, you can't waste a day!"

  Li Qinghua was a little tired, his mouth was dry.

   However, the relationship between doctor and patient itself is a very unequal information. He still explained patiently: "Ordinary electrocardiogram, you can only see the heart beating situation at this moment."

   "And the Holter monitor is to look at the heart condition throughout the day, so we can find out how many premature beats there are in a day, so that we can prescribe the right medicine.

   "Secondly, wearing this dynamic electrocardiogram on your back will not affect your daily study and life."

   "Is it necessary?" The parents of the students frowned.

   "Must do it!" Li Qinghua nodded slightly.

   "Since you said so, then do it!" Kazuya nodded.

   Afterwards, Li Qinghua gave the parents a checklist of cardiac ultrasound and dynamic electrocardiogram.

  The parents left with their children.

  …

In the outpatient room, Li Qinghua felt a little strange.

   A few parents and students who came today seem to have forms signed by Lu Chen!

  This means that they are all students who Lu Chen found in the physical examination of the experimental middle school.

   "Why did the students with arrhythmia come to Lu Chen's place?" Li Qinghua was quite surprised, he had seen the form signed by other doctors.

   Just then, there was another knock at the door.

   "Please come in." Li Qinghua recalled his thoughts and cleared his throat.

  The door of the outpatient room was pushed open, and a father and son walked towards them.

  Looking at this lineup, Li Qinghua wondered in his heart, "Is it another student who took the college entrance examination physical examination?"

   Looking at the form in the man's hand, Li Qinghua knew that he had guessed correctly.

   "Doctor, my child has a problem with the physical examination for the college entrance examination, so the school asked me to come to the Cardiology Clinic of Jinghua Second Hospital." As soon as Jin Huafang entered the door, he said straight to the point, "Hurry up and find out what the problem is."

  Li Qinghua took the form that was handed over, and the signature on it was still Lu Chen!

   However, this time the form, the above diagnosis has changed!

   is no longer the previous "arrhythmia", but has become "hypertrophic cardiomyopathy!"

  Li Qinghua was shocked, how amazing is Lu Chen?

  Inquiry plus physical examination, such a simple two steps, to find out the patient's "Hypertrophic Cardiomyopathy"?

   "A murmur can be heard on the left edge of the sternum. The symptoms are relieved when squatting, and the murmur is also reduced!"

   After seeing what Lu Chen wrote, Li Qinghua immediately picked up the stethoscope in his hand and said to Jin Hua Fang, "I need to listen to the students now."

   "Okay." Jin Huafang nodded, then let his son Jin Miao expose his chest.

   Li Qinghua frowned deeply and asked Jin Miao to come to him, and he began to check.

  …

   After half an hour.

  Li Qinghua put away the stethoscope, his expression full of amazement

   Sure enough, it was exactly the same situation as Lu Chen described in the form!

   And, when the patient squatted down, the murmur on the left edge of his sternum was indeed attenuated!

   "Doctor, how is my son's condition?" Jin Huafang said quickly, "What is the disease?!"

   "Didn't the medical examiner tell you?" Li Qinghua frowned.

   "I said a little, what is hypertrophic cardiomyopathy." Jin Huafang whispered, "I mainly want to see if your diagnosis is the same as his."

   "Then I'll tell you now, it's the same!" Li Qinghua said, "But these are preliminary diagnoses, and your son still needs an echocardiogram and an electrocardiogram."

  Jin Huafang naturally wouldn't leave for inspection so easily, and he asked Li Qinghua a lot of questions.

   Such as, what is hypertrophic cardiomyopathy?

   Is hypertrophic cardiomyopathy serious? What are the treatment methods?

   Li Qinghua was really going to be stunned by him.

   In the end, Jin Huafang left the clinic with the echocardiography sheet opened by Li Qinghua.

   "Huh..." Li Qinghua looked at the back of the father and son leaving, and couldn't help but wonder, "This kid Lu Chen is really fierce! How did he find out about the abnormality of these students?"

   When others go, they all go to make up for mixed meals.

   But Lu Chen went there for the real purpose of seeing a doctor!

   And he was able to quickly diagnose what kind of disease among many students, this ability, Li Qinghua could only silently admire in his heart.

  …

   Jinghua Second Hospital, outpatient cardiac ultrasound room.

  Jin Huafang met other parents who were also from Jinghua Experimental Middle School.

   "All of you have problems with the physical examination?" Jin Huafang did not expect so many people.

   "Yeah, what about arrhythmia, let's definitely check the ultrasound and electrocardiogram."

   "And do a 24-hour Holter."

   "Yes! However, there are several hundred for this one Holter, and several hundred for cardiac ultrasound..."

   Finally it was Jin Huafang's turn. He took his son Jin Miao into the cardiac ultrasound room and handed the examination sheet to the sonographer.

   The doctor in the ultrasound department also saw Li Qinghua's description in the checklist.

  Hypertrophic cardiomyopathy to be investigated?

   This surprised the sonographer!

   In general, few clinicians directly diagnose hypertrophic cardiomyopathy. It is only discovered by patients who routinely undergo echocardiography.

   The sonographer immediately became very energetic.

   Ultrasound diagnosis of hypertrophic cardiomyopathy is also very difficult, and it may be difficult for ordinary sonographers to draw such a conclusion.

   for a long time.

   The result of the echocardiogram is out: hypertrophic cardiomyopathy!

   (end of this chapter)