I Can See Health

   Chapter 648 Allergies

   "Let's take a look at the results of the troponin screening first." Lu Chen frowned.

   After all, they are his classmates for the next three years. Lu Chen and Ke Yue did not leave the emergency department immediately, but accompanied them patiently.

   And Lu Chen also wanted to figure out, what the **** is wrong with this young girl?

  He Xiaohui was lying on the bed very weakly at this time.

   She felt that her chest pain was better, but she was still in an extremely uncomfortable state.

   This time, fortunately, she ran into her classmate, otherwise she really didn't know what to do.

  He Xiaohui looked in the direction of Ke Yue.

  Why is that wretched man there?

   She frowned, but the pain in her chest made her not thinking about other things.

  …

   When Ke Yue was thinking about He Xiaohui's condition, she suddenly thought of a very strange thing.

   That's because Lu Chen seemed to have known about He Xiaohui's anomaly from the very beginning, right?

   From the moment she appeared in their sight, Lu Chen's eyes were very strange.

   Could it be that he noticed something was wrong at that time?

  Ke Yue feels that this is really mysterious...

   If it wasn't for the timely reminder from Lu Chen just now, she might not have realized that He Xiaohui was about to faint.

   "Myocardial enzyme results are out!"

   At this time, the emergency doctor suddenly stepped forward, holding a test report in his hand.

  Lu Chen and Ke Yue hurried forward.

   "Troponin is elevated!" the emergency doctor said solemnly.

  Lu Chen looked intently.

   Sure enough, troponin in cardiac enzymes increased about tenfold!

   "Lu Chen, is she really suffering from a heart attack?" Ke Yue whispered, "But she doesn't have any risk factors for coronary heart disease?!"

   This time, Lu Chen didn't answer immediately.

  Myocardial infarction, in a narrow sense, refers to myocardial infarction caused by coronary heart disease, that is, the rupture of plaque in the coronary vessels and the formation of thrombosis.

   Broadly speaking, any factor that causes myocardial damage can be called myocardial infarction, such as myocarditis, tachyarrhythmia, bradyarrhythmia, cardiomyopathy, etc.

   Therefore, He Xiaohui's elevated troponin means that her heart muscle is damaged, which can be said to be myocardial infarction in a broad sense.

   But one thing is certain, the cause of her myocardial infarction is definitely not because of coronary heart disease.

   Thinking of her previous history of fever, Lu Chen frowned, "Could it be fulminant myocarditis?"

   Ke Yue was also taken aback, "Is it myocarditis?"

   "Well, the myocardial damage caused by myocarditis cannot be ruled out at present." Lu Chen said solemnly, "Because she has a history of prodromal infection, as well as chest pain and elevated troponin."

   Lu Chen's idea coincided with that of the emergency doctor.

  Explosive myocarditis is an acute and critical illness.

  If not handled properly, patients may suffer from acute heart failure, malignant arrhythmia and other unpredictable malignant events at any time!

   The only troublesome thing now is that He Xiaohui's family is not around.

   This kind of critical illness still needs family members by his side.

   "No matter what the cause of the myocardial damage, she now needs to be hospitalized for further examination." Lu Chen said solemnly.

   "Well." Ke Yue nodded, "The emergency department teacher is communicating with her, should we contact the graduate department?"

   "I'll contact you." Lu Chen said, "Her parents are away, and the teachers of the graduate department should come to take care of her."

"OK."

   The two acted separately.

   Ke Yue took care of He Xiaohui and was ready to take her to the hospital.

  Lu Chen contacted the teacher of the graduate department and informed He Xiaohui's situation one by one.

   "Lu Chen, the emergency department teacher suggested that she live in CCU first." Ke Yue said, "Let's take her there?"

   "Well, according to the current condition, it is necessary to live in CCU." Lu Chen nodded slightly.

  He Xiaohui is at high risk of living in a general ward before cardiovascular disease is ruled out.

   "Is she willing to live in CCU?" Lu Chen asked.

  CCU has no family to accompany her, so she can only be alone. She is a girl, which may be very inconvenient.

   "She is willing." Ke Yue whispered, "She said that the chest pain was so uncomfortable that it seemed like she was about to die. Now let her live wherever she wants, I guess she is willing."

   "Well, that's fine." Lu Chen breathed a sigh of relief, "I have contacted the teacher of the graduate department, and there will be a teacher to communicate with He Xiaohui."

  The next thing, Lu Chen and Ke Yue will no longer care.

   As a classmate who just met, sending He Xiaohui to the emergency department and then sending her to the CCU ward is very interesting.

   As for Lu Chen, he was still regarded as a lewd man by the confused He Xiaohui.

  …

   I thought it was just a simple school registration, but I didn’t expect to encounter such a thing.

  Lu Chen felt that the "God of Black Face" was lurking near him again.

   If you find a time, you still have to go to the temple to worship.

   After registration, the Graduate Division organized a meeting for all students to announce their graduation thesis requirements and study arrangements for the next three years.

  Cobo spends most of his time in the lab.

  The first two years of the professional doctorate are in the clinic, and the last year in the laboratory.

   However, each instructor has their own specific arrangements, which may be slightly different.

  He Xiaohui was still hospitalized in CCU due to her illness, and was unable to come over.

   And the bed that was vacated in Lu Chen's dormitory, no one lived in.

   This made Lu Chen a little happy.

  The double room became a single room!

  No need to worry too much about what you usually do in the bedroom.

  …

   After school started, Lu Chen's clinical tasks became heavier.

   In order to exercise Lu Chen, Zhang Shuqing added a few more beds for him.

   The most important thing is that Zhang Shuqing paid back his three master students and asked Lu Chen to help them with them.

  Lu Chen was busy until late every day before returning to his bedroom.

   He almost forgot about "He Xiaohui".

   Until the fifth day after school started, Ke Yue found him.

   "Lu Chen, do you still remember He Xiaohui?"

   "He Xiaohui?" Lu Chen was stunned, "Who is it?"

   "It was the girl who had chest pains on the day of the school year. You thought about myocarditis." Ke Yue explained.

   "Oh...it's her!" Lu Chen just remembered, "What happened to her?"

   "She sent me a WeChat message this morning, saying that she had a coronary angiography yesterday and no stenosis was found." Ke Yue said, "In addition, there is no problem with the cardiac ultrasound."

   "As expected." Lu Chen smiled, "She's so young, she doesn't have any genetic diseases, and she doesn't have any bad habits. It's definitely not a myocardial infarction caused by coronary heart disease."

   "Listen to her, CCU hasn't given a definite diagnosis yet. She is very annoying every day now, and she doesn't dare to leave the hospital easily." Ke Yue wondered, "Is it really myocarditis?"

"The diagnosis of myocarditis is more troublesome, and it is definitely not possible to do a myocardial biopsy. The best way is to do a cardiac magnetic resonance examination." Lu Chen said slowly, "However, I thought back carefully later, there should be another kind of The possibility of disease..."

   "What's the possibility?" Ke Yue immediately became interested.

   "Do you remember when she took anti-inflammatory drugs?" Lu Chen smiled.

   "Anti-inflammatory drugs?" Ke Yue frowned, "You mean she took clarithromycin?"

   "Yeah." Lu Chen nodded slightly, "Actually, you should ask her medical history more carefully. If her chest pain is related to taking clarithromycin, it is most likely the myocardial damage caused by clarithromycin."

   At that time, the situation was relatively urgent, and Lu Chen was not the first doctor, so he did not understand these situations.

  Ke Yue immediately understood after Lu Chen's reminder: "Lu Chen, what do you mean, myocardial infarction caused by coronary spasm? Clarithromycin-induced coronary spasm... side effects of the drug?"

  Lu Chen smiled: "It can be said that coronary spasm caused by clarithromycin caused myocardial infarction, but it is not necessarily a side effect of the drug."

"what is that?"

"Drug allergy!"

   (end of this chapter)