I can see health

Chapter 800 PPD Positive?
"I always thought that only the elderly with myocardial infarction needed a stent, but I didn't expect our daughter to have a stent too."

outside the ward.

The patient's parents exclaimed.

Dr. Hua explained, "Her disease was not myocardial infarction caused by coronary heart disease, but the result was similar. The blood vessels in the heart were very narrow. Putting a stent is to save the heart, but the stent alone cannot solve the problem, because the disease is Blood vessels throughout the body may be involved."

"Do I need to do any more tests?" said the patient's parents.

"Enhanced CT of Arterial Large Vessels."

"Do it, do it all!"

The patient's parents nodded quickly.

Subsequently, the patient was scheduled for chest CTA.

Chest CTA results showed that the lesion involved the aortic arch, bilateral upper extremity arteries, and coronary arteries.

Therefore, the patient's pulse in both upper limbs was weakened or even unable to be felt, but she always thought it was due to weakness and general fatigue.

In addition, the blood test results came back, and the erythrocyte sedimentation rate and CRP were very high, and the anti-aortic antibody was positive.

A rheumatologist and immunologist came for consultation and agreed with Lu Chen's diagnosis of "Takayasu arteritis".

……

in the ward.

Lu Chen said to the girl: "It is said that this disease is an autoimmune disease. Due to various factors such as the environment, immunity, and infection, the immune system in the body causes immune disorders. The immune system specifically attacks the blood vessels in your body, especially the large blood vessels. Inflammation, which narrows or even occludes the walls of blood vessels."

"How to treat it?"

The patient was lying on the bed, looking much better than before.

Lu Chen said: "The only way to treat this disease is to suppress immunity and use hormones."

On the one hand, hormones can be anti-inflammatory, and on the other hand, they can inhibit hormones, so they are the best guarantee drugs.

Cardiac stents are an emergency treatment, not a permanent cure. In the end, it depends on the long-term management of hormones and immunosuppressants.

The patient can understand it, but it is completely unacceptable.

She started Baidu on the Internet again.

If you take hormones for a long time, you will get fat, you will get a lot of acne, and even your aunt may stop coming, which will affect your fertility.

"Can I stop taking hormones and take other medicines?" The patient asked the doctor cautiously, expressing his worries.

Lu Chen frowned, "Why, are you married? Are you planning to get pregnant?"

"Not yet, not married yet."

"Then why are you in a hurry? When the disease is under control, if you have a chance to stop taking the medicine and hormones, you can still have a baby and it will get better." Lu Chen said with a smile, also amused by her.

Now that the heart stent operation is completed, the remaining hormones will be taken care of by the rheumatologist and immunologist.

"Transfer to the rheumatology department." Lu Chen smiled and warned, "But remember to take anti-platelet drugs for a long time, and remember that there is a stent in your heart."

"Ah."

The patient was quickly transferred to the Department of Rheumatology and Immunology.

……

Return to the talent apartment at night.

Gu Xinyue was sitting on the sofa, eating fruit, and watching TV dramas.

"You're so laid back." Lu Chen put down his bag, "When do you still like to watch this kind of love soap opera?"

Gu Xinyue smiled, "I've read too many documents, so relax."

"Why, going out on a date with Xu Shan went well?"

"Ahem." Gu Xinyue coughed softly, "It's not a date, it's just discussing scientific research in another place."

"Really?" Lu Chen glanced at Gu Xinyue with a faint smile.

"Hmm." Gu Xinyue took a sip of water.

Lu Chen shook his head slightly, this Lao Gu was increasingly running counter to Gao Leng.

"Are you still resting tomorrow?" Lu Chen asked.

"Well, take another day off." Gu Xinyue said, "It's hard to find this time, so you have to make good use of it."

Lu Chen sat beside Gu Xinyue, "What's wrong, rest with Xu Shan, isn't there enough time?"

"You don't understand." Gu Xinyue glanced at Lu Chen.

"I don't understand?"

Gu Xinyue nodded, "You are single, how do you understand?"

Lu Chen shrugged his shoulders, "Well, anyway, I don't understand your cold jokes."

"You are jealous." Gu Xinyue said flatly.

"Why are you jealous?" Lu Chen said while pouring himself a cup of tea.

"I'm jealous that Xu Shan can understand my cold jokes."

Lu Chen: "..."

Alright, Lu Chen returned to his room with his teacup in hand.

As Gu Xinyue said, life and work have to be combined with work and rest.

Today, Lu Chen didn't continue to read literature, or practice surgical skills, but went to bed early.

The next day.

Just as Lu Chen woke up, Gu Xinyue was already up.

"So early, where are you going?" Lu Chen wondered.

"Go around the neighborhood." Gu Xinyue said, "By the way, I heard that your National Natural Science Project has been suspended."

Lu Chen nodded, "You are quite well informed."

Gu Xinyue spread her hands, "I heard what Xu Shan said. She also voted for National Nature this year, but the online review failed."

"Oh." Lu Chen nodded, "Why don't you worry about your project?"

"Oh, you're all dead. I'll go to review again, isn't this a waste of time?" Gu Xinyue curled her lips, "Let me start with the provincial and departmental projects first."

"That's fine, I like you." Lu Chen smiled and patted Gu Xinyue on the shoulder.

"Hehe, then I'll go first, you go to work."

After speaking, Gu Xinyue closed the door and left.

……

After Lu Chen finished washing, he could only go to work alone.

Came to the cafeteria, ate a bowl of noodles, and then came to the department.

"Hello Director Lu."

"Hello, Teacher Lu."

Along the way, the nurses, doctors, and graduate students in the department all smiled and greeted Lu Chen.

"Well, hello." Lu Chen responded with a smile.

This feeling is really good.

Because Gu Xinyue went to rest, Lu Chen continued to help him with the ward rounds.

This is a group of graduate students and regular trainees under his command, so he is worried.

Director Lu has to ask again!
However, Lu Chen was very happy.

The question-and-answer session is his favourite.

The boy who slayed the dragon turned into a dragon in the end!

After checking the room, everyone finally breathed a sigh of relief.

At this time, Doctor Hua suddenly ran towards Lu Chen.

"Director Lu, have you finished checking the room?"

Lu Chen looked back, "What's wrong? I just finished checking the room."

"The patient with Takayasu arteritis before has a problem." Dr. Hua said.

"Huh?" Lu Chen was taken aback, "What's going on?"

"That's right." Dr. Hua said slowly, "After the patient was transferred to the Department of Rheumatology and Immunology, he underwent many examinations, including some examinations for tuberculosis. Among them, the tuberculin test (PPD test) was strongly positive."

"PPD positive?" Lu Chen frowned.

Clinically, a strong positive PPD test is of great significance.

It is generally believed that the presence of tuberculosis bacteria in the body and the stimulation of immunity will lead to a strong positive test.

Dr. Hua continued: "The rheumatologist said that hormones should not be used first."

If you have tuberculosis, you need anti-tuberculosis treatment.

Use hormones after controlling the disease, otherwise, once hormones are used, immunity will be suppressed, and tuberculosis may spread, which may be fatal.

(End of this chapter)