I can see health

Chapter 546 Diagnosis
Jinghua Second Hospital, Department of Cardiology.

Today's outpatient department of cardiology is very special.

Because many students came to the clinic to see a doctor because of problems found in the physical examination of the college entrance examination.

Among them, Jinghua Experimental Middle School has the most students!
Sitting in the consulting room of the general outpatient department of the Cardiology Department, Li Qinghua had already received four third-year students.

They were all due to problems in the physical examination of the college entrance examination, so the parents took the physical examination form and found the outpatient clinic of the Cardiology Department of Jinghua Second Hospital.

And the name of the person who signed the form was "Lu Chen"!
Li Qinghua put down the form in his hand, and said to the parents in front of him: "Well, I heard that the child's heartbeat frequency is indeed irregular, and it is most likely a kind of arrhythmia, premature beat."

"Premature beat?" The parents asked doubtfully.

Li Qinghua nodded and explained patiently: "The heart of a normal person beats at the same interval, but your child's heart beats earlier than expected. This is premature beat."

"Is it serious?" the parent asked again.

"It depends on the number of premature beats and the nature of the premature beats. That's why the doctor who gives your child a physical examination will suggest dynamic electrocardiogram and echocardiography." Li Qinghua said.

"Then, wouldn't it be enough to just do an ordinary EKG?" The parent was puzzled, "Why do you have to carry this EKG on your body for 24 hours? Now that the child is reviewing, one day can't be wasted!"

Li Qinghua was a little tired, his mouth was dry.

However, the relationship between doctors and patients is an extremely unequal information relationship. He still patiently explained: "Ordinary electrocardiograms can only see the heartbeat at this moment."

"And the dynamic electrocardiogram is to look at the heart condition throughout the day, so we can find out how many premature beats there are in a day, so we can prescribe the right medicine.

"Secondly, carrying this dynamic electrocardiogram on your back will not affect your daily study and life."

"Is it necessary to do it?" the parents of the students frowned.

"It must be done!" Li Qinghua nodded slightly.

"Since you have said so, let's do it!" Hometown nodded.

Later, Li Qinghua gave the parents a checklist of cardiac ultrasound and dynamic electrocardiogram.

The parents took their children and left.

……

In the outpatient room, Li Qinghua felt a little strange.

The parents and students who came today seemed to have signed the forms in their hands by Lu Chen!
This means that they are all students who Lu Chen found to be problematic during the physical examination of the Experimental Middle School.

"Students with arrhythmia, why did they come to Lu Chen's place?" Li Qinghua was quite surprised, he was interested in seeing the forms signed by other doctors.

Just then, there was another knock on the door.

"Please come in." Li Qinghua withdrew his thoughts and cleared his throat.

The door of the outpatient room was pushed open, and a father and son walked towards them.

Looking at the lineup, Li Qinghua wondered in his heart: "Could it be another student for the college entrance examination?"

Looking at the form in the man's hand, Li Qinghua knew that he had guessed correctly.

"Doctor, my child has a problem with the physical examination for the college entrance examination, so the school asked me to come to the cardiology clinic of Jinghua Second Hospital." As soon as Jin Huafang entered the door, he went straight to the point, "Please help me to see what's wrong."

Li Qinghua took the form handed over, and the signature on it was still Lu Chen!

However, this time the form, the diagnosis above has changed!

It is no longer the previous "arrhythmia", but has become "hypertrophic cardiomyopathy!"

Li Qinghua was startled, how powerful is Lu Chen?
Inquiry plus physical examination, two simple steps, can find out the patient's "hypertrophic cardiomyopathy"?
"A murmur can be heard on the left edge of the sternum, and the symptoms are relieved when squatting down, and the murmur is also relieved!"

After seeing what Lu Chen wrote, Li Qinghua immediately picked up the stethoscope in his hand and said to Jin Huafang, "I need to listen to the students now."

"Okay." Jin Huafang nodded, and then let his son Jin Miao expose his chest.

Li Qinghua frowned deeply, and asked Jin Miao to come to him, and he began to check.

……

After half an hour.

Li Qinghua put away his stethoscope, his expression full of amazement

Sure enough, the situation was exactly the same as what Lu Chen described in the form!
Moreover, when the patient squatted down, the murmur at the left edge of his sternum was indeed weakened!

"Doctor, how is my son's condition?" Jin Huafang asked quickly, "What is the disease?!"

"Didn't the doctor who did the physical examination tell you?" Li Qinghua frowned.

"Tell me a little bit about hypertrophic cardiomyopathy." Jin Huafang whispered, "I mainly want to see if your diagnosis is the same as his."

"Then let me tell you now, it's the same!" Li Qinghua said, "But these are preliminary diagnoses, and your son still needs an echocardiogram and an electrocardiogram."

Naturally, Jin Huafang would not leave so easily for an examination, and he asked Li Qinghua many questions.

For example, what is hypertrophic cardiomyopathy?
Is hypertrophic cardiomyopathy serious?What are the treatment methods?

Li Qinghua was really going to be stunned by him.

In the end, Jin Huafang left the consulting room with the echocardiography sheet prescribed by Li Qinghua.

"Huh..." Li Qinghua looked at the backs of the father and son leaving, and couldn't help saying, "Lu Chen, this kid is really fierce! How did he find out about these students' anomalies?"

When others go, they all go to make up for the mixed meals.

But Lu Chen went there for the real purpose of seeing a doctor!
Moreover, he was able to quickly diagnose any kind of disease among many students. Li Qinghua could only admire this ability in his heart.

……

Jinghua Second Hospital, outpatient echocardiography room.

Jinhuafang met other parents who also came from Jinghua Experimental Middle School.

"Did you all have problems in the physical examination?" Jin Huafang didn't expect so many people.

"Yes, what about arrhythmia, let us check the ultrasound and electrocardiogram."

"I have to do a 24-hour dynamic electrocardiogram."

"Yes! However, there are hundreds of dynamic electrocardiograms and hundreds of echocardiograms..."

Finally it was Jin Huafang's turn. He took his son Jin Miao into the echocardiography room and handed the examination sheet to the sonographer.

Doctors in the ultrasound department also saw Li Qinghua's description in the checklist.

Hypertrophic cardiomyopathy under investigation?

This surprised the sonographer!
Generally, few clinicians directly diagnose hypertrophic cardiomyopathy. Hypertrophic cardiomyopathy is only discovered after routine echocardiography.

The sonographer immediately perked up.

Ultrasound diagnosis of hypertrophic cardiomyopathy is also very difficult, and it may be difficult for ordinary sonographers to draw such conclusions.

half an hour.

The results of the echocardiography came out: hypertrophic cardiomyopathy!

(End of this chapter)