I can see health

Chapter 448 Changes
Leave the eighth area of ​​​​the heart.

Lu Chen bought a lunch box in the cafeteria and went back to the dormitory.

Back in the dormitory, while eating, he sorted out the content involved in the National Nature Bid.

He imagined that the premise of multi-center clinical research is to pass the National Natural Science Project!
Once you fail, all the efforts you have made so far will be useless.

"The recent meals in the cafeteria are too little oil and water, and there is no meat at all." Lu Chen took a few bites and put the boxed lunch aside.

At noon, Lu Chen rested for half an hour before going to work.

……

It is winter now, which is the time when respiratory diseases and cardiovascular diseases are at a high incidence.

In the afternoon, Lu Chen admitted three more patients one after another.

Just as he finished writing the course record of the third patient, the fourth patient arrived again!

The first ward of respiratory medicine, the doctor's office.

Wang Defa, an intern in the group, was following behind Lu Chen.

"Junior Brother, let's take in the fourth patient."

"Huh? Well..."

Wang Defa is quite clever, but he is usually unreliable, and he is not very willing to take the initiative to accept patients.

During this period of time, Lu Chen also wanted to give him a hand and teach him well.

Otherwise, after the internship period is over, I will not know anything, and I will not be able to justify it.

……

The two came to the ward.

This is a female patient about 60 years old, with plain clothes and gray hair.

She was followed by a middle-aged woman in her 30s.

However, when Lu Chen first entered the ward and saw this patient, he was stunned.

The life value on the patient's head is displayed as 49 (----).

The changing trend of three minus signs!
This is incredible!

The health is already below the 60 limit, and judging by the trend, it is likely to continue to decline!
Startled, Lu Chen immediately stepped forward to check the patient's condition.

Wang Defa on the side was still a little strange, why did Senior Brother Lu Chen suddenly become nervous?
When he came to the patient, Lu Chen noticed that the patient's mental state didn't seem right.

She was half lying on the bed, her eyes narrowed slightly.

His face and lips were slightly pale, and his breath was more obvious.

"Ma'am!" Lu Chen patted the patient's shoulder lightly.

The patient slowly opened his eyes, saw the doctor in front of him, let out a weak "hmm", and then closed his eyes again.

"Ma'am, what's wrong with you? Do you want to sleep?" Lu Chen felt the patient's pulse, and then motioned to Wang Defa to measure his blood pressure.

"Hmm." The patient murmured without opening his eyes.
Lu Chen immediately frowned, and said to the middle-aged woman beside him, "Who are you a patient?"

"I, I'm her daughter-in-law." The middle-aged woman was a little cautious, and her Mandarin still had a local dialect.

"Is the aunt's mental state always like this?" Lu Chen said.

"No, my mother, she was fine at home before, and she can still work at home." The middle-aged woman said, "Just in the past half a month, for some reason, she often coughs and sputum, and keeps saying that she is very tired. ,Want sleep."

Cough, expectoration, want to sleep?
Lu Chen felt that things were not that simple.

At this time, Wang Defa also finished measuring the blood pressure, "Brother, the blood pressure is around 100/60mmHg."

"Yeah." Lu Chen nodded, "Take another ECG."

Electrocardiogram, blood pressure, these are routinely required for admission.

"Uh, okay." Wang Defa was a little reluctant, but he went to push the electrocardiogram machine over.

Taking advantage of this time, Lu Chen began to ask the patient's family members about their condition.

For emergency patients like this, don't panic.

Inquiring about the patient's condition is a key part. It can understand the patient's condition and draw an impression diagnosis.

"Doctor, my mother stayed in your department two months ago because of pneumonia, and was discharged after staying for a week."

"This time, about half a month ago, my mother coughed and coughed up sputum intermittently. At that time, she saw it in the clinic and thought it might be pneumonia. She took medicine and gave injections. But the effect has not been good, so I came here today. gone."

Hearing the woman's answer, Lu Chen frowned deeply, "It was just pneumonia before? No other illness?"

"This..." The woman looked back at the patient, and said falteringly: "My mother and I didn't live together. She used to be in good health. There should be... There should be nothing wrong with her."

The woman's answer was very hesitant. Lu Chen heard this and asked in confusion, "Where's your husband?"

"He works part-time in Shanghai, he only comes back twice a year, and he's not at home now," the woman said.

At this time, Wang Defa pushed the ECG machine over.

He took an electrocardiogram for the patient, and Lu Chen picked up the stethoscope to examine the patient.

"Moist rales can be heard in both lungs, and cardiac auscultation is normal."

At this time, the electrocardiogram was also done.

Lu Chen glanced at the electrocardiogram, which was also normal.

"Junior Brother, go and call Teacher Fan over." Lu Chen whispered next to Wang Defa's ear, "This patient may be a little serious, so I need him to check on him."

Wang De was taken aback, but he couldn't see anything unusual, so he nodded and walked out of the ward.

……

1 minute later.

Fan Yujing frowned and came to the ward.

"What patient?" Fan Yujing picked up the patient's electrocardiogram.

She was a little curious, Lu Chen admitted so many patients.

Why is this the only one that needs her to check it out in person?
"The family members said that two months ago, the patient was hospitalized in our department because of pneumonia, but this time he came again because of cough and sputum." Lu Chen said, "But I think the patient's mental state is not good, so I asked the younger brother to call you coming."

Hearing Lu Chen's words, Fan Yujing walked to the hospital bed in doubt.

The patient lies in bed with eyes closed and appears to be asleep.

"Ma'am, can you hear me?" Fan Yujing asked softly.

The patient slowly opened his eyes and then closed them again.

"The patient is lethargic!" Fan Yujing was startled,
This mental state is not caused by ordinary pneumonia!

Once a certain disease causes a change in mental state, that's a big deal.

"Call the nurse to bring the ECG monitor." Fan Yujing hurriedly said to Lu Chen.

Lu Chen understood, and immediately walked out of the ward.

Although the patient's current vital signs are stable, they are not guaranteed to change at any time!

The nurse quickly brought in ECG monitoring and connected the whole body of the patient.

The daughter-in-law of the patient on the side was a little dazed.

"Doctor, doctor, you are..." The woman said in amazement, it should cost a lot of money to get this kind of equipment!

Fan Yujing had finished the patient's physical examination, turned her head and said to the woman, "Come out, I'll talk to you about the condition."

……

At this time, Lu Chen returned to the ward.

"The family members of the patient said that they had been hospitalized two months ago, so they should be able to retrieve the medical records!"

He immediately entered the medical record borrowing system, and soon found the patient's medical records from two months ago.

In the course record, the patient did not have any history of other diseases except pneumonia.

However, when Lu Chen saw the chest CT of the patient two months ago, his expression was suddenly startled!
On the chest CT of the patient, it showed that there was a 1cm space occupying in the left lung!
On the CT report, it is recommended to re-examine the chest CT after one month, and further examination if necessary.

Lu Chen continued to look through the patient's medical records, but did not see the reexamination of the chest CT.

In other words, the patient did not come for a follow-up visit.

"If the patient really has no other diseases, the only problem is the lung mass!"

Lu Chen frowned deeply.

"But, in just two months, will the changes be so big?"

　Thanks to the leader for the reward, I owe 10 more.

　　
　
(End of this chapter)