I Can See Health

At ten o'clock in the morning, just as Lu Chen finished writing the ward rounds, a new patient came to the department.

"Junior Brother Lu, it's your turn to admit patients."

Sun Guoguo looked at the order list of patients and saw that Lu Chen just happened to be there.

"Okay." Lu Chen nodded, saved the written medical records, and pushed the electrocardiograph to the ward.

The patient is a thirty-one-year-old male.

This morning when I was pulling bamboo shoots on the mountain, I developed chest pain, accompanied by cold sweats. The symptoms relieved themselves after about ten minutes.

The patient was thin and had a drunken red color on his face.

First thing, look at the color.

Lu Chen concentrated and took a look at the color on his head. It was yellow!

In the past two days, Lu Chen had been observing in the ward.

The same disease may have different colors on the patient's head if it is at different stages of development.

For example, most patients with hypertension have no complications and the color of their heads is yellow.

In patients with hypertensive crisis, that is, patients with severe complications, the color of their heads is red.

Another example is a patient with coronary heart disease. If an acute myocardial infarction occurs, it will definitely be red!

If it is just ordinary angina, the color will still be yellow!

Similarly, if an acute myocardial infarction is in the recovery phase, the color of the patient's head can change from red to yellow.

In short, the color represents the life and health value, and the color can change at any time according to the patient's condition!

…

"Senior Brother Lu, Teacher Sun asked me to come and follow you to collect patients."

Just as Lu Chen finished the electrocardiogram, a little intern girl in the team blushed and followed him into the ward.

As for why he was blushing, Lu Chen couldn't figure it out.

I looked at her name badge and saw that her name was Yao Jie, a fifth-year intern at Beijing Medical University.

"Well, okay." Lu Chen smiled and nodded, "Then you can ask about the medical history."

Hearing this, Yao Jie responded softly, then took out a pen and paper, walked to the patient's bedside, and began to inquire about the patient's condition.

Taking medical history is an essential skill for medical students.

No matter how declining Jinghua Medical University is, it is still a first-class medical university. The quality of its students is good, and Yao Jie's medical history inquiry is very standardized.

She asked while writing down the main content on paper.

We asked about the main symptoms, accompanying symptoms, onset time, relief methods, and treatment process in detail.

"Well, the question was very detailed, but there is one thing you forgot to ask." Lu Chen smiled, "The diseases in the cardiology department are different from other departments, and the content of the past history inquiry is also different. Think about it again."

Yao Jie frowned and thought for a moment.

“Ask about risk factors for heart disease!”

Lu Chen nodded with a smile and said, "Yes, through the assessment of risk factors, we can simply determine the patient's risk of coronary heart disease."

"Yes." Yao Jie nodded, then turned around and continued to ask about the patient's relevant risk factors, including smoking history, drinking history, etc.

"Do you usually smoke? How much do you smoke every day?"

"Smoking, about two to three packs a day."

"drink wine?"

"Drink, drink some liquor every night, only about two taels."

"What kind of work? Stay up late?"

"The truck driver often travels at night."

"Have you ever had high blood pressure or diabetes before?"

"I have diabetes, but I don't have high blood pressure."

After recording all the medical history, Yao Jie looked back at Lu Chen.

"Brother, is there anything missing?"

"Very good." Lu Chen smiled, "It's better than when I was an intern."

Yao Jie blushed and felt a little embarrassed.

"But what do you think the diagnosis of this patient is?" Lu Chen changed the subject and began to inherit the good tradition of the group - asking questions.

"Um..." Yao Jie looked at the patient on the bed again, "Coronary heart disease?"

"The patient is just thirty-one years old this year. Are you sure he has coronary heart disease at such a young age?" Lu Chen smiled.

"Ah?" Yao Jie shook her lower lip, "Is it an aortic dissection?"

"The pain of dissection is generally difficult to relieve. The patient's pain relieved itself without taking any medicine. Are you sure it's a dissection?" Lu Chen said.

"Is that a pulmonary embolism?" Yao Jie muttered carefully.

This senior brother is so bad!

He looks quite handsome, but he asks too many questions, just like Mr. Sun.

"Junior sister, don't be affected by my thinking." Lu Chen said with a smile, "Just follow your own ideas and consider what the preliminary diagnosis of this patient is?"

Lu Chen smiled. This junior sister was quite smart. Without any confidence, she mentioned several diseases related to chest pain.

Yao Jie thought for a long time and answered.

"Coronary heart disease?"

"Yeah." Lu Chen nodded, "I also think it's coronary heart disease."

As soon as Lu Chen finished speaking, the young man on the bed immediately became anxious.

"Doctor, don't talk nonsense! How can I have coronary heart disease at such a young age?"

"I searched Baidu before coming to the hospital. Coronary heart disease is a disease that only affects people in their 60s and 70s."

"The Internet said that my chest pain may be caused by pleurisy, or it may be caused by not paying attention to it."

Lu Chen glanced at the anxious man on the hospital bed.

"Based on your current symptoms, electrocardiogram, and usual bad living habits, the initial diagnosis is coronary heart disease. The final diagnosis can only be made after the results of blood tests and other auxiliary examinations are completed."

Hearing this, the young man still shook his head.

"You're a doctor who's too young and inexperienced. Let me tell you, I just need a good rest. If I get tired when I go out to pull bamboo shoots, I just need to rest for two days. UU Reading www.uukanshu.net "

"Of course I would rather you are tired and have no other problems." Lu Chen said lightly, "But you'd better quit smoking and drinking, don't stay up late, and control your blood sugar."

The young man raised his eyebrows and rested his hands on the back of his head, looking indifferent.

"Junior sister, we are going back to write medical records."

After asking about the medical history, Lu Chen pushed the electrocardiograph and turned to leave the ward.

Yao Jie nodded and followed closely.

Back in the office, Lu Chen finished all the medical orders, asked Dong Hao to review them, and finally clicked to upload the orders.

This time, Liu Mei's voice did not come from the nurse's station. It must be that the wrong doctor's order was not given.

"Junior brother, this patient's electrocardiogram is normal. Are you still considering coronary heart disease or angina pectoris?"

Sun Guoguo frowned as she took the electrocardiogram of the young man just now.

Although the medical history was taken by Lu Chen, Sun Guoguo, as the superior doctor, would check all the patients in case there were any missed medical orders or auxiliary examinations.

"Judging from the symptoms he described himself, including chest pain after activity, accompanied by cold sweats, and his irregular daily routine, coronary heart disease is more likely," Lu Chen said.

Sun Guoguo shook his head.

"I am only 30 years old. I feel that the probability of coronary heart disease and angina pectoris is low. It may be coronary spasm caused by long-term smoking. When the patient's test results come out, let's make an appointment for him to have a coronary CTA first."

"Yeah, okay." Lu Chen nodded.

…

Half an hour later.

Lu Chen was writing medical records when a pop-up window suddenly popped up in the computer laboratory system.

"The critical value of the test, please accept it!"

Lu Chen's eyelids twitched, and he suddenly had a bad premonition in his heart.