This Doctor is Great

Chapter 11 Marfan syndrome is here...

Seeing Teacher Huang's curious eyes,

Zhou Mo explained: "It's like this. I met him in the subway the morning before yesterday, and then I saw that his fingers are relatively long, and he is tall and thin, and he is also short-sighted, so I initially suspected that he has " Marfan Syndrome"...but I'm not sure, so let him come here and have a look"

"Marfan syndrome?"

Teacher Huang Li was in a daze,

It took me a while to remember what Marfan syndrome is exactly.

This Marfan syndrome is rare, and generally patients with this disease will not realize that they have this disease, so it is relatively rare in outpatient clinics. Once it is serious, you may not come to the outpatient clinic, but go directly to the emergency room or ward.

Marfan syndrome, also called Marfan syndrome, is a hereditary connective tissue disease with autosomal dominant inheritance. Systemic abnormalities, especially associated heart valve abnormalities and aortic aneurysms. The disease may also affect other organs including the lungs, eyes...

The main hazard of Marfan syndrome is cardiovascular disease, especially the combined aortic aneurysm, which should be detected and treated early.

According to surveys by Mardoch et al., 1/3 of Marfan syndrome patients died before the age of 32, and 2/3 died around the age of 50. In 1995, SilevermanJL reported that the average age was only 40 years old.

According to the clinical manifestations: the three main signs of bone, eye, and cardiovascular changes and family history can be diagnosed.

Those who have all the three main signs are called the complete type.

Those with only two items are called incomplete type.

"Sit down, I'll show you..."

Teacher Huang said to the Ma Fang youth with a serious face.

The Ma Fang youth sat down quickly, feeling a little uneasy. He realized that his illness seemed to be quite serious through Teacher Huang's expression.

"Has anyone in your father's and mother's family ever had a disease similar to yours?"

"this……"

The Ma Fang youth thought about it carefully. In my father's lineage, there seem to be two or three who are taller and have longer fingers. He still remembers that when he was in school, his grandparents proudly said that his fingers were just like his uncle's, with slender fingers and a talent for playing the piano.

"It seems to have……"

"Pick up your clothes and show me..."

The Ma Fang youth lifted up his clothes as he said.

After a pinch, it is obvious that she is very thin. Although the texture of the skin is not as rough as the old man's skin, it already has a feeling of 'wrinkles'.

Moreover, there is no muscle, less fat, and pinching is like pinching a layer of skin.

Wrinkles, old skin, no muscle, no fat...

Much like Marfan syndrome.

But no curvature of the spine etc...

"Are you nearsighted?"

"Yes... I just wear contact lenses..."

"how many degree?"

"More than 600 degrees..."

Teacher Huang nodded.

Marfan syndrome, high myopia, cataract, retinal detachment and other possibilities...

"How's your breathing, how's it been? How's your running?"

"If you exercise, you can't do it too intensely, you will be out of breath..."

"good……"

Dr. Huang Li asked a few more questions...

Then check...

Teacher Huang is basically sure that the patient in front of him is indeed - "Marfan Syndrome"!

Very typical.

Bones, heart, eyes, all have problems...

Those who have all the three main signs!

Complete Marfan Syndrome!

However, further examination is still required.

"Go get an echocardiogram..."

"After finishing, go back to the hospital for diagnosis and reexamination..."

The so-called "echocardiography" is a non-invasive technique of choice for examining the anatomical structure and functional status of the heart and great vessels using the special physical properties of short-wave ultrasound.

The most important thing to pay attention to in Marfan syndrome is vascular lesions, so echocardiography is the preferred examination technique.

"Doctor... What is my disease? Is it serious?" The young Mafang youth felt uneasy.

"Don't be anxious, you still need to make a final diagnosis..." Teacher Huang said.

"Can you tell me what the disease is called?" the Ma Fang youth asked.

Teacher Huang pondered, and finally said: "The initial suspicion is "Marfan Syndrome", you can go back and check the information..."

"Marfan Syndrome..."

The young man on the Mal side muttered this name, then picked up the checklist, got up and left the consultation room.

...

Teacher Huang watched the Ma Fang youth leave, and then looked at Zhou Mo.

"You found out that he has Marfan syndrome in the subway?"

Zhou Mo nodded: "Yes, because when I was taking the subway, I was looking at some intractable diseases in the Department of Cardiology when I was scanning the information. When I saw his appearance, I thought of Marfan Syndrome..."

Teacher Huang nodded in satisfaction: "Not bad... I don't forget to study in the subway... It's much better than those medical students who use Douyin when they have time..."

Huang Yiming behind him: "..."

It feels like the teacher is talking about himself.

Teacher Huang looked at Huang Yiming behind him: "Please answer me, what is Marfan Syndrome..."

The life-threatening series of questions came unexpectedly!

"Ah~~~~"

Huang Yiming screamed, a little flustered and guilty.

He really didn't know what Marfan syndrome was.

Teacher Huang showed a disappointed expression. Why is there such a big gap between people? Although Zhou Mo had the worst academic qualifications and was disliked by many doctors when the 10 medical students were grouped, including himself, he was the last remaining medical student to be selected.

But in terms of clinical performance, Zhou Mo's performance was many times better than that of all other medical students: he managed the bed on the first day, and performed well, and successfully diagnosed a patient with refractory hypertension, and today's outpatient performance was even better. good.

And what about Huang Yiming? SYS is a master of doctoral studies, but he is a mess clinically.

"keep it up……"

"is teacher……"

Huang Yiming bowed his head in shame, a little frustrated in his heart, why Zhou Mo knew everything, but he seemed like an idiot who didn't understand anything. Who is the master?

at this time,

A third patient came in.

Teacher Huang suddenly asked Zhou Mo: "Do you know how to use the outpatient system?"

Zhou Mo shook his head: "No..."

Teacher Huang: "I'll teach you, wait for you to write the medical records..."

Zhou Mo was overjoyed: "Can I?"

This is to feed the experience package!

Teacher Huang smiled: "Of course!"

Zhou Mo was overjoyed: "Thank you teacher!"

The two exchanged seats, and Huang Yiming behind him felt like an outsider.

Looking at Zhou Mo's busy back, he drools with envy.

It was agreed to be a dog on the street together, but he quietly made it out·jpg