I Can See Health

   Chapter 721 Is your period normal?

   "If you still respect people, please turn off your recording!"

   Jiao Jingqiu's voice was not loud, but it reverberated in the doctor's office and did not dissipate for a long time.

   The middle-aged man also seemed to be confused by Jiao Jingqiu's series of voices. He subconsciously turned off the video button and slowly stuffed the phone back into his pocket.

   "This recording of mine...I'm not talking about the court, but I'm afraid that I can't hear it clearly, so I can't remember that much, so I just recorded it and listened to it slowly." The middle-aged man paused and said.

   Jiao Jingqiu ignored him and sat back in his seat.

  Lu Chen glanced at the middle-aged man. After a long while, he slowly said, "If you continue to be hospitalized in our Cardiology Department, I hope you can fully trust me instead of pointing your phone at me."

  There was a moment of silence in the doctor's office.

   Jiao Jingqiu, who looked weak, made a speech without flinching, but it confused the big man.

   "Then I won't say anything now, I'll come to your director tomorrow morning!"

   The middle-aged man left these words of being strong on the outside and working on the inside, and left quickly.

  …

   "Lu Chen, just now... Thank you." Jiao Jingqiu recovered and whispered to Lu Chen.

  Lu Chen waved his hand quickly, "You're welcome, Sister Jiao, and I didn't help you much."

   Actually, in Lu Chen's heart, Senior Sister Jiao Jingqiu has changed a lot. She seems weak, but she doesn't admit defeat at all!

   However, girls who dare to study cardiology are not weak girls!

   At this time, Jiao Jingqiu blushed, "Actually, I'm also afraid. If you weren't here, I wouldn't dare to tell him that..."

  Lu Chen: "..."

   Good guy, did you see it wrong?

   But since he's here, Lu Chen still wants to take a look at the girl's condition.

   Opened the disease course record, and Lu Chen began to read it.

   The patient is an eighteen-year-old girl who has just started college.

  ps: No intention to offend the big girls.

   A week ago, the patient caught a cold and began to have symptoms of chest tightness and palpitation. He took anti-inflammatory drugs in the local clinic for three days, but it did not improve at all, and the symptoms were getting worse!

  The family began to worry, so they came to the First Hospital of Modu. After seeing them in the emergency department, they found that two myocardial enzymes were elevated, and they were admitted to the Cardiology Department.

   On examination after admission, myocardial enzymes were normal.

  The electrocardiogram showed that the heart rate was too fast, the echocardiography was normal, the lung CT showed a small amount of inflammatory exudation, and the others were normal.

   Other laboratory test results are that the white blood cells are high, and the D-dimer is a little bit high, but not many.

   "The patient's symptoms worsened tonight?" Lu Chen asked in confusion.

   "Yes." Jiao Jingqiu nodded, "If it wasn't for the worsening of the symptoms, this would not have happened. But after I gave her oxygen, the symptoms were much better."

  Lu Chen was taken aback for a moment, after inhaling oxygen, the symptoms could be relieved.

   It seems that diseases such as myocarditis, myocardial infarction, and cardiomyopathy can be ruled out temporarily.

   "Sister Jiao, what kind of illness are you considering now?" Lu Chen looked at Jiao Jingqiu beside him.

   "Maybe it's ordinary pneumonia." Jiao Jingqiu said, "Myocarditis, the most feared thing, has now been ruled out."

   "But she's been on antibiotics for so many days, so she should get better, right?" Lu Chen frowned.

  Jiao Jingqiu also thought about this problem, so he said: "It may be that the antibiotics did not cover the pathogenic bacteria, or there were other complications, so the treatment did not have much effect."

  Lu Chen didn't reply immediately.

   He read the patient's laboratory report again, and after a long while, he slowly said, "The patient has chest tightness, fast heart rate, and high D-dimer. Does pulmonary embolism need to be ruled out?"

   The mechanism of pulmonary embolism has been discussed before and will not be repeated here.

"Pulmonary embolism?" Jiao Jingqiu shook her head when she heard the words, "D-dimer is just high, and the patient is so young, there is no risk factor for pulmonary embolism, could it be pulmonary embolism caused by pneumonia? I think... Is that unlikely?"

  Lu Chen thought for a while, then said, "I'll see the patient himself."

  …

   It is late at night now.

  In the corridor of the ward, snoring can be heard one after another.

  Lu Chen came to the patient's ward.

  The girl did not fall asleep immediately because she had just suffered from chest tightness.

   Seeing Lu Chen coming, the middle-aged man was slightly surprised.

   "I'll see her." Lu Chen came to the hospital bed and expressed his intention.

   The middle-aged man saw this and slightly vacated some space for Lu Chen.

  Because the other patients in the ward were asleep, Lu Chen's questioning voice was very low, and the content was as concise as possible without being verbose.

   But he didn't ask anything special, and the girl's answer was similar to what was recorded in the course of the disease.

   However, the girl's HP is 56(——)!

   is enough to prove that her condition is more than just pneumonia.

   Then, Lu Chen gave the girl a simple heart and lung auscultation.

   A small amount of wet rales could be smelled in both lower lungs, and other abnormalities were found.

   "Have you traveled far recently?" Lu Chen asked again, "For example, taking a long flight or a train?"

   The common cause of pulmonary failure is that the venous thrombosis of the lower extremities falls off, reaches the pulmonary artery, and blocks the pulmonary artery.

   For lower extremity venous thrombosis, in addition to some diseases, the most common is the long-term bedridden, sedentary, and economy class passengers on long-distance planes.

   "No." The middle-aged man replied instead, "She has been studying at school and has no time to go out to play."

  Lu Chen nodded lightly, "Then have you taken any special medicine?"

   The middle-aged man said again: "My daughter used to be in good health. She never got sick and never took medicine."

   On the ward, the girl did not deny it.

   "Is that so..." Lu Chen frowned.

   At first glance, there are really no risk factors for pulmonary embolism.

   However, Lu Chen was still a little unwilling to give up.

   He touched his chin, looked at the **** the hospital bed, and asked for no reason, "Is your period normal?"

   "Ah...this..." The girl's face was thinner and her face was slightly red.

   This time, the middle-aged man could not answer instead, he just wondered: "Is this related to the disease?"

   "Maybe." Lu Chen said lightly, looking back at the **** the hospital bed, "Can you tell me whether your period is normal? How much is it? How many days?"

  The girl hesitated a little, her voice soft like a mosquito, "It's normal now."

  Lu Chen saw the girl's hesitation, "It's normal now, what about before? Isn't it normal?"

   The middle-aged man also saw what was wrong with the girl, and said quickly, "The doctor is treating you now, so tell the truth!"

  The girl heard the words and whispered: "I used to have irregular menstruation, I came late, and the amount was large. Later, I took some medicine by myself, and now I'm getting better."

   "Take medicine?" Lu Chen frowned, "What medicine did you say?"

   "That...contraceptive pill..." The girl hesitantly said.

   (end of this chapter)