I Can See Health

  Chapter 800 PPD positive?

   "I always thought that only elderly people with myocardial infarction need a stent. I didn't expect my daughter to have a stent too."

   Outside the ward.

   The patient’s parents lamented.

Dr. Hua explained, "Her disease is not a myocardial infarction caused by coronary heart disease, but the results are similar. The blood vessels in the heart are very narrow. Putting stents can save the heart, but stents alone cannot solve the problem, because this disease is a Blood vessels throughout the body may be involved."

   "Is there anything else to do?" the patient's parents asked.

   "Contrast-enhanced CT of Arterial Great Vessels."

   "Do, do everything!"

   The patient's parents nodded quickly.

   Subsequently, the patient was scheduled for chest CTA.

  The results of chest CTA showed that the lesions involved the aortic arch, bilateral upper extremity arteries, and coronary arteries.

   Therefore, the patient will have weakened or even palpable pulses in both upper extremities, but she always thought it was because of her weakness and general weakness.

   In addition, the blood test results came back, ESR, CRP were high, and anti-aortic antibodies were positive.

  The rheumatologist came for consultation and agreed with Lu Chen's diagnosis of "multiple Takayasu arteritis".

  …

   in the ward.

Lu Chen said to the girl: "This disease is an autoimmune disease. Due to various factors such as the environment, immunity, infection, etc., the immune system in the body is disturbed. The immune system specifically attacks the blood vessels in your body, especially the large blood vessels, causing blood vessels. Inflammation, leading to narrowing or even occlusion of blood vessel walls."

   "How to treat?"

   The patient was lying on the bed, looking much better than before.

  Lu Chen said: "To treat this disease, the only way is to suppress the immune system and use hormones."

  Hormone can be anti-inflammatory on the one hand, and can inhibit hormones on the other hand, which is the best guarantee drug.

  Cardiac stent is an emergency, not a cure, and ultimately depends on the long-term management of hormones and immunosuppressants.

   The patient can understand, but it is completely unacceptable.

   She started Baidu on the Internet again.

  If you take hormones for a long time, you will gain weight, and you will get a lot of acne, and even your aunt may no longer come, which will affect fertility.

   "Can I skip hormones and take other medicines?" The patient asked the doctor carefully, expressing his concerns.

  Lu Chen raised his brows, "What, are you married? Are you planning to get pregnant?"

   "Not yet, not married yet."

   "Then what are you worried about? When the disease is under control, if there is a chance to stop the medication, stop the hormones, and you can have a baby. It will get better." Lu Chen said with a smile, and was amused by her.

  Since the heart stent surgery is completed, the rest of the hormones will be properly regulated by the rheumatologist.

   "Transfer to the department, go to the rheumatology department." Lu Chen smiled and warned, "But remember to take antiplatelet drugs for a long time, remember that you have a stent in your heart."

"Um."

   The patient was quickly transferred to the Rheumatology and Immunology Department.

  …

  Return to Talent Apartment in the evening.

  Gu Xinyue is sitting on the sofa, eating fruit and watching TV shows.

   "You are so leisurely." Lu Chen put down his bag, "When do you still like to watch this kind of love soap opera?"

  Gu Xinyue smiled, "If you read too much literature, relax."

   "What, went out on a date with Xu Shan smoothly?"

   "Cough cough." Gu Xinyue coughed softly, "It's not a date, or a different place to discuss scientific research."

   "Really?" Lu Chen glanced at Gu Xinyue with a half-smile.

   "Mmmm." Gu Xinyue took a sip.

  Lu Chen shook his head slightly, this old man was more and more contrary to Gao Leng.

   "Are you still resting tomorrow?" Lu Chen asked.

   "Well, let's take another day off." Gu Xinyue said, "I finally have this time, so I have to make good use of it."

  Lu Chen sat beside Gu Xinyue, "What's the matter, rest with Xu Shan, isn't there enough time?"

   "You don't understand." Gu Xinyue glanced at Lu Chen.

"I don't understand?"

  Gu Xinyue nodded, "You're single, how do you understand?"

  Lu Chen shrugged, "Okay, anyway, I don't understand your silly jokes."

   "You are jealous." Gu Xinyue said lightly.

   "What are you jealous of?" Lu Chen said while pouring himself a cup of tea.

   "Jealous that Xu Shan can understand my bad jokes."

  Lu Chen: "..."

  Yes, Lu Chen returned to his room with a teacup.

   As Gu Xinyue said, life and work must be combined with work and rest.

   Today, Lu Chen did not continue to read literature or practice his surgical skills, but went to bed early.

   The next day.

  Lu Chen just got up, Gu Xinyue was already up.

   "So early, where are you going?" Lu Chen wondered.

   "Let's take a walk around." Gu Xinyue said, "By the way, I heard that your national nature project has been suspended."

  Lu Chen nodded, "You are quite well informed."

  Gu Xinyue spread her hands, "I heard what Xu Shan said. She also voted for National Nature this year, but the online review failed."

   "Oh." Lu Chen nodded, "Why don't you worry about your project?"

   "Oh, you're all dead. I'm going to review again, isn't it a waste of time?" Gu Xinyue pouted, "I'll start with the provincial and ministerial-level projects."

   "That's fine, I'm optimistic about you." Lu Chen smiled and patted Gu Xinyue's shoulder.

   "Hehe, then I'll go first, you can go to work."

After   , Gu Xinyue closed the door and left.

  …

  Lu Chen was done cleaning, so he could only go to work alone.

   Came to the cafeteria, ate a bowl of noodles, and then came to the department.

   "Hello Director Lu."

   "Hello Mr. Lu."

   Along the way, the nurses, doctors, and graduate students in the department greeted Lu Chen with a smile.

   "Well, how are you." Lu Chen responded with a smile.

   This feeling is really good.

   Because Gu Xinyue went to rest, Lu Chen continued to help him with ward rounds.

   This can be a group of graduate students and graduate students under the commander, but I can worry about it being broken.

   Director Lu has to ask another question!

   However, Lu Chen was very happy.

The    question and answer session is his favorite.

  The boy who killed the dragon eventually turned into a dragon!

   After checking the room, everyone finally breathed a sigh of relief.

   At this time, Doctor Hua suddenly ran towards Lu Chen.

   "Director Lu, have you finished checking the room?"

  Lu Chen looked back, "What's wrong? I just finished checking the room."

   "The previous patient with Takayasu arteritis has a situation." Dr. Hua said.

   "Huh?" Lu Chen was taken aback, "What's the situation?"

   "That's right." Dr. Hua said slowly, "After the patient was transferred to the Department of Rheumatology and Immunology, he did a lot of tests, including some tuberculosis tests, of which the tuberculin test (PPD test) was strongly positive."

   "PPD positive?" Lu Chen frowned.

   In clinical practice, a strong positive PPD test is of great significance.

   It is generally believed that there is tuberculosis in the body and the immunity is stimulated, which will lead to a strong positive test.

   Dr. Hua continued: "The rheumatologist said that the hormones will not come first."

   has tuberculosis and needs anti-tuberculosis treatment.

   Use hormones after you control them. Otherwise, once hormones are used and immunity is suppressed, tuberculosis may spread, which may be fatal.

   (end of this chapter)