I Can See Health

   Chapter 745 Whitening and Purple (First Update)

   As a doctor, Lu Chen will not let go of any small clues.

   Especially with multi-system symptoms like this one, you need to be cautious!

  Lu Chen is now a senior physician, and his words and deeds have influenced the treatment plan of the entire group.

   Soon, he followed Jin Miao to the ward.

  …

   on a hospital bed.

   An old lady in her 60s was lying on the bed, not listening to what she was talking about. Her face was extremely pale and there was no blood at all.

   In Lu Chen's eyes, her HP is 53(——)!

   This rate of health decline basically indicates some serious diseases.

   Seeing Lu Chen coming, the family members of the patient beside the bed quickly stood up.

   "Our director has come to see you." Jin Miao said.

   The family member looked at Lu Chen in surprise, and couldn't help but wonder: "Guanghai Cardiology Department actually has such a young director??!"

   But he just thought about it in his heart, and would not ask aloud in public.

  Lu Chen came to the bed, the old lady narrowed her eyes slightly and opened them slowly.

   "Auntie, what's your main discomfort right now?" Lu Chen tried his best to make his voice soothing.

   "Chest tightness." Auntie glanced at Lu Chen, then patted her chest lightly.

   "What about the others? For example, is there chest pain?" Lu Chen asked again.

   Auntie shook her head, "It's just chest tightness. When I lie down, I feel chest tightness so bad that I can't breathe. When I sit up, I feel more comfortable."

  Lu Chen nodded slightly.

   This is a typical symptom of heart failure.

   "I heard just now that you said you had gastritis before? Your legs and feet are not easy?"

Aunt    said noncommittally: "As I get older, there must be some problems. I usually eat, and my stomach is prone to bloating. As for the old cold legs, they were a little bit when I was young. When the weather became cold, my legs began to sore."

   Auntie seems to be more talkative too.

After    started talking about his medical history, some couldn’t stop.

   Lu Chen interrupted a little before she stopped.

   "Have you taken any medicine?" Lu Chen asked.

   "If you take medicine..." Auntie thought for a while, then shook her head, "I didn't take any medicine."

   The patient's family members said, "I did, my mother took some painkillers because of knee pain some time ago."

   Auntie nodded quickly after thinking about it.

   "Do you know the name of the medicine?" Lu Chen wondered.

   "It seems to be called... some kind of cloth." The family thought about it.

  Lu Chen paused, "Celecoxib?"

   "That's right." The family nodded quickly, "That's the medicine."

  Celecoxib, a non-steroidal pain reliever, is less harmful to the gastrointestinal tract than ibuprofen.

  Lu Chen asked the aunt to roll up her trousers and expose her knees.

   aside, Jin Miao was surprised to see Lu Chen's actions.

   Their cardiologists rarely see patients' skin conditions.

   Lu Chen's behavior made him feel a little labored, but he had to admire Lu Chen's patience.

  …

  Lu Chen lowered his head and pinched his aunt's knee.

   "Does it hurt?"

   "It's okay." The aunt whispered back.

   However, when Lu Chen touched the skin of Auntie's knee, he felt that Auntie's skin seemed a little rough.

   When you are older, your skin is definitely not as white and tender as when you are young, but it is not so hard, right?

  Lu Chen didn't speak, and looked at the skin on the aunt's face and abdomen again.

   He suddenly found that the skin on the aunt's face, abdomen, knees, etc. had thickened and hardened!

   "Come and feel it." Lu Chen stood up and said to Jin Miao who was beside him.

  Jin Miao was a little unclear, but he did it anyway.

   He also reached out and touched the skin of the patient's abdomen and knees, and was stunned, "It's really a little different from normal people. How can I put it, it's too hard!"

  Lu Chen nodded in agreement, and then said to the patient: "Auntie, you should feel it yourself, the skin seems to be hardened."

   "When you get old, it's like a damaged machine. It's normal for your skin to be rough, right?" The aunt would not admit her problems.

   Originally asked her to come to the hospital, but she was unable to survive at home, so she agreed to come.

  Lu Chen frowned slightly, the feel and texture of this skin were obviously different from normal old ladies!

   At this moment, the family members who had been standing beside the hospital bed said, "Doctor, besides joint pain, my mother has another problem."

   "You said." Lu Chen turned to look at the family.

   "It's my mother's hand, which sometimes turns white and purple."

   Hearing this, both Lu Chen and Jin Miao were shocked.

   "What is it exactly? Can you describe it in detail?" Lu Chen said quickly.

   The family shook their heads, "If you can't describe it, it's just an abnormal color. By the way, I remember taking a photo."

   "Flip through and show us."

  Lu Chen didn't speak, Jin Miao was quite excited.

  Hands turn white and purple, this peculiar phenomenon, called "Raynaud's phenomenon" in medicine, is a disease of the immune system.

  The family members took out their mobile phones, opened the photo album, and began to search slowly.

   Sure enough, soon.

   He actually found a photo.

   In the photo, it is a pair of rough veterans.

   And the interphalangeal knuckles of these hands are upward, and the skin color has become very white and purple, forming a sharp contrast with the bottom.

   "When it is cold, it becomes like this." The patient himself added.

  Lu Chen and Jin Miao also made up their minds after seeing this very typical photo.

   "It should be Raynaud's phenomenon." Jin Miao said in a daze.

  Lu Chen nodded, but he didn't stop thinking about his condition.

  Raynaud's phenomenon is just a symptom of rheumatic immune diseases, which can occur in many diseases.

  Fingers (toes) will experience numbness and sequential changes in color when exposed to cold and emotional agitation. The color first turns white, then purple, and then red.

The principle of    may be that in the early stage, the spasm of the local arterioles can be caused by the swelling of the vascular endothelial cells, resulting in tissue ischemia, and then ulcers and scars on the fingertips, necrosis of the distal segments of the hands and feet, or the absorption and shortening of the soft tissues and phalanges due to ischemia.

  …

   The more information about the patient, the more.

   It seems that the condition is more complicated than before. In fact, the more information, the clearer the patient's condition.

   After asking Lu Chen, he drew a more important clue from the patient, which was "difficulty opening the mouth".

  The patient began to have difficulty opening his mouth in the past 8 months.

  Lu Chen arranged all the symptoms in his mind, hard skin, difficulty opening his mouth, Raynaud's phenomenon, could it be...

   The manifestation of the patient's cardiovascular symptoms is most likely not the primary heart disease, but the heart involvement of some rheumatic disease!

Having guessed something in his heart, Lu Chen whispered to Jin Miao next to him: "Check! Continue checking! Antinuclear antibody, antinuclear antibody spectrum, immune kit, erythrocyte sedimentation rate, C-reactive protein (CRP), chest CT..."

  Kin Miao also understood the intention and immediately took action.

   (end of this chapter)