I can see health

Chapter 726 Strange Fracture (Part [-])
For Dong Hao and Lin Shumin, Lu Chen still prefers them.

Although their scientific talents are not high, they are honest and willing to work hard.

This is the researcher Lu Chen wants most now.

If they can really stay in the lab, it will be good news for Lu Chen.

Dong Hao and Lin Shumin were naturally very happy when they heard Lu Chen's promise.

At the dining table, everyone came and went, chatting happily.

Lu Chen also enjoyed it.

Although in a foreign land, with such a group of friends by my side, I don't feel lonely.

This meal, Lu Chen ate quite well.

It's not like yesterday when I ate half of it and was called over for a consultation.

After eating, everyone separated, and Lu Chen returned to the CCU lounge.

……

During lunch break.

Lu Chen received a call from his aunt asking about his cousin Li Huiyan.

As the first doctor of medicine in his family, he patiently explained the situation of thyroid cancer to his aunt.

On the other side of Jiangcheng, Li Huiyan also asked for leave and was admitted to the Affiliated Hospital of Jiangcheng University.

After all, it is the affiliated hospital where Lu Chen's undergraduate degree is located, and he still knows some classmates in this hospital.

In order to prevent his aunt from worrying too much, Lu Chen had to say hello to his classmates in Jiangcheng and ask them to pay more attention to his cousin.

Just as Lu Chen and his aunt finished talking on the phone, they were about to rest.

Wu Si from the emergency department suddenly called him.

"Lu Chen, are you busy? Didn't bother you?"

"Today is okay." Lu Chen smiled.

After the busy work of the previous two days, today I want to relax.

"That's it. Do you remember the patient who was diagnosed with pulmonary embolism in the emergency department a few days ago?" Wu Si asked.

Lu Chen was stunned for a moment, then smiled and said, "Of course I remember, it's not long ago, and we searched for a long time, but couldn't find the cause of the patient. I remember, didn't I go to the ICU for thrombolysis?"

Wu Si's voice was relatively low, "It was transferred to the ICU for thrombolysis. The thrombus was dissolved at that time, but within a few days, a new thrombus appeared in the patient's body."

Lu Chen showed a surprised look, and quickly said, "How could this be?"

Generally speaking, after using thrombolytic drugs, patients should not have another pulmonary embolism.

Unless... there is something specific that caused the pulmonary embolism!
Generally speaking, patients with cancer, long-term bed rest, pregnancy, and oral contraceptives have thicker blood and a higher risk of thrombosis.

Just like the girl yesterday, she had a pulmonary embolism due to oral overdose of contraceptive pills.

Lu Chen was startled, "Has the ICU found the cause of the patient's pulmonary embolism?"

Wu Si shook his head slightly, sighed and said, "A lower extremity arteriovenous ultrasound was performed, and no thrombus was found."

The most common source of thrombus in pulmonary embolism is venous thrombosis of both lower extremities.

But now I haven't found any thrombus, which proves that there are still other predisposing factors!
"We still need to find the cause of the pulmonary embolism!" Lu Chen said in a deep voice, "At present, if the cause is not treated, the hypercoagulable state in the patient's body cannot be relieved."

"We also thought about it in the same way." Wu Si said, "However, it is not easy to find the cause of pulmonary embolism. We studied the entire case carefully, but we still couldn't find it!"

"In this way, please send me a copy of the patient's current case information, and I will help you look at it."

Lu Chen immediately became interested in this difficult case.

"no problem."

Wu Si waited for Lu Chen's words, "I'll send it to you right away."

Compared with doctors in other departments, Wu Si trusted Lu Chen more.

……

After about 5 minutes.

Lu Chen received Wu Si's case information.

At this time, he was like a detective, flipping through the patient's medical records.

In order to form a thrombus, there are generally three factors, blood viscosity, slow blood flow, and vascular endothelial rupture.

Lu Chen was looking for all the information related to this factor, including pulmonary embolism, lung infection, abnormal kidney function and so on.

Suddenly, he saw an unnoticeable result in the patient's CT report.

"Rib fractures!"

Lu Chen frowned, why did the patient suddenly break a rib when he was doing well?

He was in a brainstorm again at this moment.

In the course record, the patient did not have any history of impingement.

I have been in the ICU ward for the past two days, how could I have a broken rib?

Could it be that he has been coughing, and the cough has diagnosed the ribs?

Broken ribs from coughing may sound scary, but it's actually possible.

In some patients with osteoporosis, violent coughing, sneezing, or even sharp twisting of the waist may cause rib fractures, which is not uncommon.

This patient is really unlucky!

Pulmonary embolism, anemia, lung infection, this time added a rib fracture!

Lu Chen remembered the patient's anemia again.

At that time, the family members of the patient said that it was caused by bleeding from hemorrhoids.

Is it all by chance?

Is there no necessary connection?
"Can monism explain all the above anomalies?"

Lu Chen murmured in his heart.

Monism is the use of one disease to explain all symptoms and abnormalities.

If you're just content to cough and break a bone, why not wonder what causes a pulmonary embolism?
Where do blood clots come from?

Why do patients get pulmonary embolism so easily?
……

Thinking of this, Lu Chen's mind raced rapidly, and various possible diagnoses emerged.

Viscous blood, abnormal kidney function, fractures, anemia...

With all the information superimposed, Lu Chen gradually got an idea.

"Could it be multiple myeloma?"

Lu Chen was startled, and this diagnosis flashed through his mind.

Normally, our bone marrow produces many normal plasma cells.

The usual job of plasma cells is to produce immunoglobulin, which protects the body and can be considered as a special soldier.

But in pathological conditions, patients' bone marrows are so disorganized that they produce a lot of abnormal plasma cells.

These abnormal plasma cells also secrete many proteins, but they are not normal immunoglobulins.

They don't have any function of protecting the body, instead they will dominate the latrine and waste food, hindering the development of normal plasma cells
They can erode the patient's bones, leading to osteoporosis and fractures if not careful.

If the bone marrow cannot make blood normally, the components of red blood cells and platelets will be forced to decrease, and the patient will suffer from anemia and thrombocytopenia.

These bad proteins will accumulate in the renal tubules, causing kidney damage and abnormal renal function.

The accumulation of bad protein in the blood will cause the blood to become viscous, and patients are prone to dizziness, vertigo, fatigue, etc.

Severe cases can cause thrombosis, once the thrombus falls off.
It's a pulmonary embolism!
Thinking of this, Lu Chen couldn't suppress the excitement and excitement in his heart.

Is the patient really multiple myeloma?
This disease mostly occurs in middle-aged and elderly people, and the age of patients is also suitable!

　There are three more today

　　
　
(End of this chapter)