I Can See Health: Chapter 211 strange wheezing sound
Chapter 211 Strange Wheezes
The system prompt also confirmed Lu Chen's diagnosis.
Actually, Yin Xinhua also thought of pheochromocytoma.
As an attending physician in the Department of Cardiology, the blood pressure fluctuated rapidly, accompanied by corresponding symptoms of dizziness and palpitations, and the first reaction was pheochromocytoma.
However, this diagnosis was first mentioned by Lu Chen, and she was still thinking about acute myocardial infarction.
This is a bit, ahem, slap in the face.
However, Yin Xinhua also knew that Lu Chen was different from other graduate students.
"When the patient's condition is stable, I will go to complete the abdominal examination tomorrow." Yin Xinhua said.
Although he had a diagnosis error, Yin Xinhua corrected it in time.
For patients with pheochromocytoma, surgery is generally required after diagnosis.
…
The night has not yet begun.
One patient has already experienced a change in condition.
Yin Xinhua had to doubt his luck tonight.
"Doctor Fan, are you on the night shift?" She quietly looked at Fan Zhiping beside her.
"How can I say that, we are on duty, and there are not many serious patients." Fan Zhiping said, "But every night, new patients are admitted, so it is quite busy."
Yin Xinhua nodded, she looked back at Lu Chen.
Lu Chen is the first night shift today, so it shouldn't be because of him, so it's probably because of Fan Zhiping.
It seems that there is a reason for Lu Chen to bring Fan Zhiping back to the dormitory.
After half an hour.
Yin Xinhua walked slowly to Lu Chen's side.
Lu Chen is perfecting the disease course record and communication record of the suspected "pheochromocytoma" patient just now.
When Yin Xinhua communicated his condition before, he had already informed about the possibility of intubation and cardiopulmonary resuscitation.
The family members also signed, but the doctor's signature has not yet been signed, and now it is time to sign up.
Yin Xinhua leaned down and whispered, "Junior Brother Lu Chen, you...let Dr. Fan go back to the dormitory later. We're fine here, we don't need so many people."
"Well, alright." Hearing this, Lu Chen stopped what he was doing and nodded immediately.
Fan Zhiping was beside him, and he was also a little uncomfortable.
Wait and see what reason, let Fan Zhiping go back to the bedroom first.
…
The doctor's office is calm again.
Yin Xinhua and Fan Zhiping chatted aside.
Both are cardiologists, one is in the provincial top three hospitals, and the other is in a primary hospital. They still have a lot of discussion points.
Unconsciously, Fan Zhiping talked about Lu Chen.
"Dr. Yin, the graduate students of the Second Jinghua University are all so good? Tracheal intubation, radial artery puncture, etc. are all easy to do."
Yin Xinhua hurriedly waved his hand and glanced at Lu Chen not far away: "Doctor Fan, don't make a mistake. This is just a special case, oh no, this is a special case, that is Lu Chen meeting! No one else can."
Fan Zhiping was relieved when he heard the words.
If young people are like Lu Chen, then these old guys have no room to live.
"Why is Lu Chen so powerful? I just saw his technique, and he's very skilled. It can't be done once or twice." Fan Zhiping said.
He had seen the doctors in the county hospital intubate, and he was probably not as skilled as Lu Chen.
Yin Xinhua smiled, "It's really not once or twice, Lu Chen participated in the national medical skills competition and won the first place! He is very skilled in all kinds of operations!"
"National Medical Skills Competition?" Fan Zhiping was stunned, "Or the first?!"
He had heard about this competition, but he didn't expect Lu Chen to win the first place in the country!
There is more than one skill in the national competition. To get the first place, the emphasis is on comprehensive strength, not the first place in a single event.
Fan Zhiping looked back at Lu Chen, who was writing a medical record, and his evaluation of "Professor Lu Chen" was a little higher.
…
Lu Chen is making up the course record.
Fan Zhiping and Yin Xinhua were talking in the corner of the ward. Lu Chen could only hear faint voices, but he couldn't hear what they said.
bang bang bang...
At this time, there was a knock on the door of the doctor's office.
Lu Chen turned his head to look.
A middle-aged man stood at the door of the doctor's office, with his right hand resting on the door frame, his face paled slightly, and he was breathing heavily.
"Doctor, I, I'm not feeling well."
"You go back to the ward first, and I will come to see you right away." Yin Xinhua quickly stood up and said.
The man shook his head slightly, the uncomfortable feeling of chest tightness and panting made him unable to speak.
Lu Chen was the closest to the man. Seeing that his state was not right, he immediately helped him in.
Yin Xinhua also noticed something was wrong.
She hurried forward, picked up the stethoscope, and auscultated the patient's chest.
"There is a clear wheezing sound in both lungs." Yin Xinhua put away the stethoscope and said.
Lu Chen nodded, the patient's wheezing was obvious.
Even without a stethoscope, a lot of wheezing can be heard near the patient.
"You go back to the ward first, we need medication immediately!"
There are many reasons for wheezing, and Yin Xinhua still doesn't know the patient's condition.
But the wheezing sound of the lungs has already indicated that the situation is very urgent.
Lu Chen immediately took the patient back to the ward.
…
Yin Xinhua took time to look at the patient's medical records.
The patient, a 43-year-old male, suffered from chest tightness and wheezing for half an hour.
He has been wheezing badly in the last three months, which is obvious after activities.
I went to the community health station for an injection today, but the effect was not very good, so I went directly to the hospital.
The patient has a history of asthma and denies hypertension, diabetes and other diseases.
The diagnosis of the outpatient doctor, in addition to asthma, does not exclude coronary heart disease, so I received a cardiologist.
…
Yin Xinhua came to the ward.
The patient's wheezing did not improve, and he was sweating profusely. Auscultation revealed diffuse wheezing in both lungs and inability to speak.
"First, use dexamethasone 5mg intravenously!" Yin Xinhua instructed the nurse beside him.
About 2 minutes after bolus of dexamethasone.
The patient complained that it was significantly improved, and the wheezing sound disappeared after auscultation of both lungs again!
"What the **** is this, it'll be over so soon?" Yin Xinhua was quite surprised.
Asthma that I usually encounter is unlikely to get better so quickly after using hormones!
"How old is asthma?" Yin Xinhua wondered.
"21 years."
"Have you been using medication for control?"
"Occasionally smoke salbutamol!"
"Well, that's fine! You take a rest." Yin Xinhua nodded, then looked at Lu Chen, "The patient should have developed asthma. The recent weather changes may be affected by environmental factors."
After the inquiry, Lu Chen and others prepared the doctor's office.
At this moment, the door of the ward banged and was pushed open.
A middle-aged woman with slender hair, dark and burly came, and walked to the patient's bed aggressively.
"Why did you call me? You can't quarrel, so why call me!"
The woman's voice is exceptionally loud, her voice is extremely penetrating, and her voice is thick.
Lu Chen was two meters away from her, still feeling deafening.
The woman has the feeling of Lu Zhishen's rebirth!
Hearing her voice, before Yin Xinhua got up to stop it, the family members of the other patients said directly, "Keep your voice down, you scared me."
Even so, the lady continued to question.
Lu Chen noticed that the patient in the hospital bed suddenly couldn't speak again.
He immediately took a stethoscope to auscultate the patient's lungs.
"Wheezing, low breathing!"
This just ran out of ground rice, relieved.
Another attack so soon?
Yin Xinhua said solemnly, "Push another rice."
As soon as he finished speaking, the patient pointed at the woman.
"Go, you, you go!"
The woman was obviously angry, she turned around and opened the door, and left.
The woman leaves everyone's sight.
Lu Chen turned to look at the patient. Surprisingly, his condition was obviously better!
Take out the stethoscope and auscultate the lungs...
The patient's bilateral lung wheezing disappeared again!
(end of this chapter)