I Can See Health

   Chapter 722 I'd rather diagnose the error myself (first update)

  The First Hospital of Magic City.

   Cardiology ward.

   When the girl said the three words contraceptive pills, the middle-aged man showed an unbelievable look.

   "Lili, what did you say? You take birth control pills to regulate menstruation?"

   "Who did you hear this from?"

   "How can you take medicine indiscriminately! If you have any questions, tell Dad in time!"

  The middle-aged man couldn't help but scolded in a low voice.

  It is intolerable and unacceptable that his precious daughter is actually taking this medicine.

   "Dad...I..." The girl lowered her head and her eyes were red, unable to squeeze out a word for a long time.

Lu Chen was also quite surprised, and quickly said: "Contraceptives can indeed regulate menstruation, and we also use this method clinically. For some patients with irregular menstruation, temporary use of short-acting contraceptives can make menstruation easier. back to normal."

   "Really?" The middle-aged man heard the words, and his expression improved.

  Lu Chen nodded.

   Birth control pills generally contain estrogen and progesterone.

   The principle of contraceptives used to regulate menstruation is mainly to adjust the levels of estrogen and progesterone in the body by taking contraceptives, so that the original abnormal hormone levels can be adjusted to normal.

At this time, the girl also said: "It's like this. There is a girl in our dormitory who has irregular menstruation. After she went to the hospital, the doctor gave her birth control pills. After that, her menstruation became normal. I tried it. I didn't expect it to be very useful."

   The middle-aged man heard the words, his face was blue, and he didn't say much.

  Lu Chen shook his head reluctantly, "Everyone has different reasons for irregular menstruation. Maybe you can take contraceptives to adjust, but this is a temporary solution, not a cure."

   "The most important thing is that birth control pills can't be taken for a long time!"

   Having said this, Lu Chen already understood the reason for the chest tightness in the girl in front of him.

   "Doctor, please tell me about the specific side effects." The middle-aged man looked a little anxious, and he stared at Lu Chen intently.

Lu Chen thought for a while and then said: "It is common for people to be obese, their blood pressure will rise, they may also be mentally depressed, and some butterfly spots will grow on their bodies. The most serious thing is that long-term use of contraceptives will make people's bodies in a state of stress. hypercoagulable state."

   "High coagulation state?" The middle-aged man wondered, "Is this any harm?"

   "This is what I'm going to tell you next." Lu Chen said solemnly, "It's related to your daughter's current condition!"

   Lu Chen's words made the middle-aged man a little nervous.

   The **** the hospital bed also looked closely at Lu Chen.

   "Come out first, I'll tell you carefully." Lu Chen said to the middle-aged man in front of him.

   "Okay." The middle-aged man lowered his head and comforted his daughter, then walked out of the ward with Lu Chen.

  …

   in the corridor of the ward.

  Lu Chen and the middle-aged man came to a corner.

"The body is in a hypercoagulable state. Simply put, it means blood stasis and thrombus can easily form." Lu Chen paused and said, "If the thrombus is in some small blood vessels, it may not matter, but if it is in a large blood vessel or more important blood vessels..."

  Lu Chen looked back at the middle-aged man, "That's more complicated. For example, if the blood clot is in the heart blood vessel, if the blood vessel is completely blocked, it will cause myocardial infarction. If the blood clot is in the pulmonary blood vessel, it will cause pulmonary embolism!"

   "Myocardial infarction, pulmonary embolism?" The middle-aged man was startled, "Then my daughter is..."

  Lu Chen said slowly: "I now suspect that she may have a pulmonary embolism!"

   The middle-aged man swallowed and said with difficulty, "Is this disease serious?"

  Lu Chen nodded slightly: "If the large pulmonary blood vessels are completely blocked, the patient is at a very high risk of sudden death!"

   When the middle-aged man heard this, he became anxious, "Leader, what should I do next? What medicine should I use? Do I need surgery?"

   "Don't be so nervous for now." Lu Chen comforted, "Next, we may need to do an enhanced CT of the pulmonary blood vessels to confirm whether it is the disease."

   "Okay, I will listen to you, use all the tests that need to be done, and the medicines that need to be used!" The middle-aged men were all incoherent.

   Then, Lu Chen asked the middle-aged man to return to the ward first.

   He came to the doctor's office and talked to Jiao Jingqiu about the patient's condition.

  …

   "She's been taking birth control pills?"

   When Jiao Jingqiu heard the news, his mouth was wide open.

   Who would have thought that an 18-year-old girl would actually take birth control pills for a long time? !

"In order to regulate menstruation, follow the example of your roommate." Lu Chen shook his head helplessly, "We still don't know much about this knowledge in society. If there is a problem with menstruation, we still have to come to the hospital for a checkup as soon as possible, instead of eating indiscriminately. drug."

   "Hey." Jiao Jingqiu also sighed, "It's a little girl. She has a thin skin. Now, do you really suspect a pulmonary embolism?"

   "Well." Lu Chen said, "I have communicated with the patient's family, and I will arrange a pulmonary artery CTA later."

   "Okay, I will inform the CT room immediately." Jiao Jingqiu also understood the seriousness of the matter.

   If it is really a pulmonary embolism, then the risk of the patient’s condition has risen to a higher level.

   And the treatment will be very different.

   Enhanced CT of the pulmonary artery, unlike ordinary CT, requires a high-pressure syringe to create a contrast agent into the blood vessel.

   To do emergency enhanced CT at night, you need to inform the CT room in advance so that the nurses who spray the medicine will come over.

   "Lu Chen, I'll accompany the patient for an examination later, you can help me see the ward." Jiao Jingqiu contacted the CT room and asked the patient to be pushed to the CT room after half an hour.

   "Okay, no problem." Lu Chen readily agreed, this is also one of the general responsibilities of the hospital.

  Although there is a night shift graduate student in the ward, but after all, he is only a student. Jiao Jingqiu dare not let the student accompany the examination, or let the student stay in the ward alone, which are all very high-risk things.

  …

   After half an hour.

  CT arrival phone, you can go to check.

   Jiao Jingqiu immediately took the girl to the CT room of the outpatient building.

  Lu Chen stayed in the cardiology ward to take care of patients in the ward temporarily.

  Nurse Yan Shuming walked into the doctor's office and gave Lu Chen a thumbs up.

   "Mr. Lu, you are really amazing! For patients that others can't handle, you can come here in less than half an hour, and you'll be done."

   She is very clear about the reason why the patient suddenly went out for examination.

   "I haven't been diagnosed yet." Lu Chen smiled, "Don't compliment me."

   "I see, this pulmonary embolism is inseparable!" Yan Shuming had great confidence in Lu Chen, "Otherwise, how could a simple pneumonia have been going on for so long?!"

   "I'd rather diagnose myself wrong, she is just a simple pneumonia." Lu Chen smiled.

   Pulmonary embolism, this is not a simple disease.

   For example, the patient with pulmonary embolism in the emergency department a few days ago was put on tracheal intubation, and he was almost not rescued.

   (end of this chapter)