I can see health

Chapter 211 Strange wheezing sound

The system prompt also confirmed Lu Chen's diagnosis.

In fact, Yin Xinhua also thought of pheochromocytoma.

As an attending physician in the Department of Cardiology, the blood pressure fluctuates rapidly, accompanied by corresponding symptoms of dizziness and palpitations. The first reaction is pheochromocytoma.

However, this diagnosis was made by Lu Chen first, and she was still considering 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.

"Wait until the patient's condition is stable, and then go to complete the abdominal examination tomorrow." Yin Xinhua said.

Although he made a mistake in diagnosis, Yin Xinhua corrected it in time.

Patients with pheochromocytoma usually undergo surgery after diagnosis.

……

The night hasn't started yet.

One patient has had a change in condition.

Yin Xinhua had to doubt his luck tonight.

"Doctor Fan, are you hot on the night shift?" She quietly looked at Fan Zhiping who was at the side.

"How should I put it, we are on duty, and there are not many serious patients." Fan Zhiping said, "But new patients are admitted every night, so it is quite busy."

Yin Xinhua nodded, and she looked back at Lu Chen.

Lu Chen is on the first night shift today, so it shouldn't be him who is angry, and it is probably because of Fan Zhiping.

It seems that there must be a reason for Lu Chen to bring Fan Zhiping back to the dormitory.

After half an hour.

Yin Xinhua slowly walked to Lu Chen's side.

Lu Chen is improving the course records and communication records of the suspected "pheochromocytoma" patient just now.

When Yin Xinhua communicated his condition before, he had informed him of the possibility of intubation and cardiopulmonary resuscitation.

The family members also signed, but the doctor's signature has not yet been signed, and it is time to make up the signature.

Yin Xinhua leaned down and said in a low voice, "Brother Lu Chen, you...let Dr. Fan go back to the dormitory later, our place is fine, we don't need so many people."

"Well, okay." Hearing this, Lu Chen stopped what he was doing and nodded immediately.

With Fan Zhiping beside him, he felt a little uncomfortable.

Let's find out some reason later, let Fan Zhiping go back to the dormitory first.

……

The doctor's office was quiet again.

Yin Xinhua and Fan Zhiping chatted aside.

They are both doctors in the cardiology department, one is in a provincial top tertiary hospital, and the other is in a grassroots hospital. They still have a lot of discussion points.

Unknowingly, Fan Zhiping talked about Lu Chen.

"Doctor Yin, are the graduate students of Jinghua Second Hospital all so good? Endotracheal intubation, radial artery puncture, etc. are all easy to do."

Yin Xinhua quickly waved his hand, and glanced at Lu Chen who was 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 Chenhui! No one else knows it."

Fan Zhiping breathed a sigh of relief when he heard that.

If young people are like Lu Chen, then these old guys will have no room to live.

"Why is Lu Chen so good? I just saw his operation technique, and he is too skilled. It can't be done just once or twice." Fan Zhiping said.

He has seen doctors in the county hospital intubate, and he may not be as proficient as Lu Chen.

Yin Xinhua smiled, "It's not once or twice. Lu Chen participated in the National Medical Skills Competition and won No.1! He is very proficient in various operations!"

"National Medical Skills Competition?" Fan Zhiping was taken aback, "Still number one?!"

He had heard about this competition, but he didn't expect Lu Chen to win the first place in the country!

There can be more than one skill in the national competition. To be able to get the first place is to emphasize the overall strength, not the first place in a single event.

Fan Zhiping looked back at Lu Chen who was writing the course record, and his evaluation of "Professor Lu Chen" was a little higher in his heart.

……

Lu Chen is supplementing the course record.

Fan Zhiping and Yin Xinhua were talking in the corner of the ward. Lu Chen could only hear a faint voice, 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. He leaned on the door frame with his right hand, his face was slightly pale, and he was panting heavily.

"Doctor, I, I'm not feeling well."

"You go back to the ward first, and I'll come to see you right away." Yin Xinhua stood up quickly and said.

The man shook his head slightly, the uncomfortable feeling of chest tightness and panting had made him speechless.

Lu Chen was the closest to the man, seeing that he was not in the right condition, 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.

"Both lungs can make obvious wheezing sounds." Yin Xinhua put away his stethoscope and said.

Lu Chen nodded, the patient's wheezing sound was obvious.

Even without a stethoscope, many wheezing sounds can be heard close to the patient.

"You go back to the ward first, we need medication immediately!"

There are many reasons for the wheezing sound, 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 the 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 suffered from severe wheezing in the last three months, which is evident after activities.

I went to the community health station to get an injection today, but the effect was not very good, so I went directly to the hospital.

The patient had a history of asthma in the past, and denied hypertension, diabetes and other diseases.

The outpatient doctor's diagnosis, in addition to asthma, does not exclude coronary heart disease, so he received a cardiology department.

……

Yin Xinhua came to the ward.

The patient's wheezing did not improve and he was sweating profusely.There was diffuse wheezing in both lungs on auscultation, and there was a situation where he could not speak.

"First use dexamethasone 5mg static push!" Yin Xinhua ordered the nurse beside him.

About 2 minutes after static injection of dexamethasone.

The patient's self-reported improvement was obvious, and the lungs were auscultated again, and the wheeze disappeared!
"What the hell is this? It's all over so quickly?" Yin Xinhua was quite surprised.

The asthma that I usually encounter, after using hormones, it is impossible to get better so quickly!

"How long have you had asthma?" Yin Xinhua asked doubtfully.

"Fifty-eight years."

"Has been controlled with medication?"

"Smoke albuterol once in a while!"

"Well, that's fine! You take a break." Yin Xinhua nodded, then looked at Lu Chen, "The patient should have asthma, and the recent weather changes may be affected by environmental factors."

After the questioning, Lu Chen and the others prepared for the doctor's office.

At this time, the door of the ward slammed and was pushed open.

A middle-aged woman came, with short hair, dark and burly, and walked aggressively to the patient's bed.

"Why are you calling me? You can't fight, why are you calling me!"

The woman's voice was unusually loud, with strong penetrating power, and a thick voice.

Lu Chen was two meters away from her, still feeling deafening.

A woman feels like Lu Zhishen is reborn!
Hearing her voice, before Yin Xinhua got up to stop her, other family members of the patients said directly, "Slow down your voice, you scared me."

Even so, the woman continued to question.

Lu Chen noticed that the patient on the hospital bed suddenly became speechless again.

He immediately auscultated the patient's lungs with a stethoscope.

"Wheezing, low breathing!"

This just ran out of ground rice, relieved.

It happened again so soon?
Yin Xinhua said in a deep voice, "Push another piece of ground rice."

As soon as the words fell, the patient pointed at the woman.

"Go, you, you go!"

The woman was obviously angry, she turned and opened the door, and left.

The woman is out of everyone's sight.

Lu Chen turned to look at the patient. Surprisingly, his condition was obviously better!
Get out your stethoscope and auscultate your lungs...

The patient's bilateral lung wheeze disappeared again!
(End of this chapter)