I can see health

Chapter 504 Shock

Chapter 504 Shock
Liu Han was taken aback for a moment, then looked at Lu Chen suspiciously.

She didn't know why Lu Chen said that suddenly.

I just analyzed the cause of chest tightness for most of the day, didn't I come to any conclusion?
"Senior sister, I used to take turns in the dermatology department." Lu Chen said slowly, "Your skin is a very characteristic expression."

Liu Han blinked and looked at Lu Chen nervously.

Just listen to Lu Chen say: "Skin itching, red or pale wheals of different sizes appear on the itching area, round, oval or irregular, can be isolated or enlarged and fused into pieces, the skin surface is uneven, similar to Orange peel-like appearance, often accompanied by a red halo around it."

Liu Han was taken aback, the characteristics of the wheal on his neck were indeed exactly the same as what Lu Chen said.

"This, what is this?"

"Urticaria!" Lu Chen looked at Liu Han's neck and said every word.

Liu Han was a little surprised when he heard this, but he still asked, "Does hives cause chest tightness?"

"Yes!" Lu Chen nodded affirmatively.

In the acute stage of urticaria, a lot of inflammatory mediators will be released, causing vasodilation and increased vascular permeability, smooth muscle contraction and increased gland secretion, leading to a series of local or systemic allergic symptoms such as skin, mucous membranes, respiratory tract and digestive tract.

"In simple terms, it may cause laryngeal edema, and in severe allergic reactions, it may even cause airway obstruction, with a risk of suffocation."

The reason why Lu Chen was impressed by the symptoms of urticaria was because he encountered a similar case when he was in the emergency department.

At that time, a middle-aged male patient got urticaria, because he happened to be away on a business trip, and his medical insurance was also out of town, so he could only wait for the rest time and see a doctor after returning home.

Unexpectedly, on the car home, the patient suddenly became ill, his throat was edematous, his airway was blocked, and he died of suffocation.

"Then I have to take anti-allergy medicine?" Liu Han said.

She glanced at Lu Chen, feeling a little more fond of Lu Chen.

This junior brother is really amazing!

After a simple physical examination, I immediately diagnosed the cause of my symptoms.

"Yeah." Lu Chen nodded slightly, "Tomorrow is the last time to see the dermatology department, and let the teacher of the dermatology department make another diagnosis."

"it is good."

"Senior Sister, wait for a while." Lu Chen said suddenly, and then walked out of the doctor's office.

Liu Han froze for a moment, and looked at Lu Chen strangely.

Why did the junior brother suddenly run out again?

She looked out the clear glass window of the doctor's office.

Lu Chen ran to the nurse's station and was talking to a night shift nurse.

After a while, Lu Chen walked back with a smile on his face.

He also held a box in his hand, which seemed to be medicine.

"Senior sister, this is a medicine that is always available at the nurse's station in the CCU ward." Lu Chen handed Liu Han a loratadine tablet.

"This...isn't that good." Liu Han hesitated. Although she felt her neck was getting more and more itchy now, the medicine was from the CCU ward after all.

"It's okay, Senior Sister, this is the medicine prepared by CCU." Lu Chen smiled, "Just return a box when you come back tomorrow."

"That's fine."

Liu Han took the medicine box with a smile, and scratched his neck as he spoke, "It's really itchy."

"Senior Sister, try not to scratch." Lu Chen said, "The more you scratch, the more itchy."

"Oh, good."

Liu Han narrowed his eyes and smiled.

She gave a glass of water and took a tablet of loratadine.

Although the body was "injured", it was not a particularly bad thing to be comforted by the junior brother in time.

"Congratulations, I received a thank you value of +5 from Liu Han!"

Lu Chen was also a little surprised. He received 5 thank you points at once. This senior sister is really not ordinary!

……

After the episode, the night continued.

It was just nine o'clock in the evening, and Lu Chen had admitted two patients, and dealt with the changes in the condition of many patients in the ward.

"Doctor, bed 46 has been relieved of black stool!"

The nurse trotted over again.

Seeing Lu Chen in the doctor's office, the little nurse repeated: "Doctor Lu, go and see bed 46."

"Okay!" Lu Chen nodded immediately, grabbed the stethoscope, and walked to the ward behind.

The CCU ward is divided into three areas.

The front twenty wards are in the first area, while the back twenty wards are near the CCU cath lab.

Before reaching bed 46, Lu Chen smelled a strange smell.

To be more precise, it should be the smell!
Lu Chen frowned, and squeezed the mask tightly, but he continued to walk towards the No. 46 hospital bed without any pause.

Just walked up to bed 46.

Lu Chen saw the nurse cleaning up the patient's stool.

"Doctor, come and help!"

Seeing Lu Chen's arrival, the nurse quickly waved.

Lu Chen looked intently.

The patient was an old woman about seven or eighty years old, lying on her side on the bed.

The life value on the old woman's head is only 46 (——).

Suddenly, Lu Chen saw that the old woman released a big puddle of stool again!

The color of this stool is no longer black, but accompanied by bright red blood!
This is not to defecate again, but to dissolve blood again!
The nurse wore gloves and pressed the patient's anus with her bare hands.

Seeing this, Lu Chen immediately put on his gloves, found a paper diaper, put it on the patient's buttocks, and helped the nurse to press together.

But just pressing can't solve any problems.

Lu Chen hurriedly said: "I'll do the compressions, you go and inform Mr. Huang, you may need to consult the gastroenterology department!"

"it is good!"

The nurse also knew that the situation was urgent, and after she let go, Lu Chen took her place.

Lu Chen pressed the side of the patient's buttocks with his left hand, and pressed his right hand against the anus, tightly grasping the orifice, trying to suppress the bleeding place as much as possible.

But this is just a drop in the bucket!
At this time, all of Lu Chen's senses were mobilized.

Although a stench came over his nostrils, Lu Chen resisted the physical discomfort.

"Beep beep..."

The bedside ECG monitor was "screaming" frantically.

The old woman moaned and moaned in pain, and the life value on her head was also dropping rapidly.

As soon as Huang Hanlin heard the news, he rushed over with Cheng Liangli, Liu Han and others.

"Hurry up, notify the gastroenterology department and general surgery department for emergency consultation!"

"Balanced salt water, rehydration at full speed!"

Lu Chen's forehead was already covered with fine sweat, and because his hands were in the air, it took more effort!

"Thanks for your hard work."

Huang Hanlin patted his shoulder lightly.

"Leave the rest to us."

"Yeah." Lu Chen didn't try to be brave, he should have done everything he could.

Huang Hanlin looked at Lu Chen in front of him and sighed in his heart.

It is not easy to persist under such harsh conditions!
This smell is unbearable for most people.

What's more, it's such a close contact.

Lu Chen was able to persist for such a long time without being afraid of getting dirty at all. With this, he has already surpassed most people.

If Lu Chen's performance before brought him amazement, then what he did now made him feel a little bit shocked!

For a doctor, the most important thing is to maintain a benevolent heart, followed by medical skills.

(End of this chapter)

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