Chapter 236 Shorty!

Now the patient's diagnosis is finally clear: it is hypertrophic cardiomyopathy!

The family members felt better after hearing the explanation.

People are most afraid of the unknown!

"Is this disease serious?" the patient's wife suddenly asked.

Lu Chen thought for a while and then said: "The cause of this disease is unknown. It may be related to genetics. In severe cases, heart failure or even sudden death can occur. Many young people die suddenly, or the news says that so-and-so was playing basketball. He died, maybe it was hypertrophic cardiomyopathy.”

Since the patient has had recurring chest pains in the past few years, his cardiac function was not very good after a recent cardiac ultrasound evaluation.

Sun Guoguo said to the patient on the bed: "If you don't control your blood pressure properly, your heart function will get worse and worse."

High blood pressure will increase the load on the heart and further cause myocardial hypertrophy.

When severe heart failure occurs, the patient will be unable to walk.

"Then after my blood pressure drops, can I stop taking antihypertensive drugs?" the patient whispered.

Sun Guoguo looked serious and said sternly: "You can't take antihypertensive medicines if you want to, and don't take them if you don't want to. Antihypertensive medicines must be taken just like eating, and must be taken every day, in order to lower blood pressure stably."

"Doctor, is my hypertrophic cardiomyopathy really incurable?" the patient asked with a grimace.

"How can we cure this disease if we don't even know the cause?" Sun Guoguo spread her hands and said, "Of course, just because it can't be cured doesn't mean it can't be treated."

"We have drugs that can control symptoms. The metoprolol we are giving you now is a better drug. It can make your heart beat slower and relax, and reduce the obstruction."

"Also, you can throw away your nitroglycerin. Taking nitroglycerin for hypertrophic cardiomyopathy may aggravate the condition."

"But sublingual administration would really help with chest pain before." The patient was a little confused.

"It may be that the blood pressure is too high. Nitroglycerin can lower blood pressure and relieve symptoms." Sun Guoguo emphasized, "But no matter what, it is better to use metoprolol in the future and use less nitroglycerin. You do not have coronary heart disease." ”

"What if I take this metoprolol and still have pain?" the patient continued.

"If the medicine is not effective, surgery can be performed." Sun Guoguo continued, "The left ventricular outflow tract of the heart is obstructed. If it worsens, surgery can be performed to remove it."

Lu Chen and Sun Guoguo patiently explained the condition to the patients and their families.

…

"Congratulations, I received +1 gratitude from Luo Ping!"

"Congratulations, I got Zhang Fang's gratitude value +1!"

Lu Chen received two more gratitude points in succession.

However, what surprised Lu Chen was that the system upgrade completion level did not increase!

According to previous practice, for every case diagnosed, the upgrade completion rate will increase by 1%.

However, the patient's diagnosis was already clear, but the system still gave no prompt.

"Is it a system delay?" Lu Chen couldn't help but think, "Or is it a system bug?"

However, after the patient applied metoprolol, his chest pain was indeed relieved!

So Lu Chen didn't care about this.

…

Because of this patient, most of the lunch break was over.

Lu Chen had no choice but to go to the canteen and buy a meal. After eating, he only had ten minutes left.

He then went directly to the eighth area of ​​​​his heart.

The patient with hypertrophic cardiomyopathy this morning made Lu Chen aware of some of his own problems.

For example, the auscultation of the heart is not careful enough!

Cardiac auscultation is the seeing ability of a cardiologist.

The patient has myocardial hypertrophy and left ventricular outflow tract obstruction. Logically speaking, murmurs can be heard in the heart auscultation area.

But Lu Chen subconsciously felt that the patient had a myocardial infarction, so he did not carefully auscultate the heart valve area!

Without careful auscultation, I missed such an important physical sign!

In addition, Lu Chen also realized the importance of cardiac ultrasound in clinical diagnosis.

Especially for patients with such changes in cardiac structure, no matter whether it is electrocardiogram, chest CT, or coronary angiography, it is impossible to diagnose.

Only through cardiac ultrasound can we better understand the morphological characteristics of the heart structure!

Doing a heart ultrasound yourself is a far more intense experience than having someone else do it.

…

After a busy day, I returned to the dormitory at night.

Lu Chen continued training in cardiac ultrasound.

After a real-world exercise, he became more aware of his technical weaknesses.

Based on this, Lu Chen started targeted training!

It is precisely because of the existence of the system's virtual space that he was able to master the entry-level technology of cardiac ultrasound in such a short period of time.

The skill proficiency of cardiac ultrasound increased all the way to 60% and then stopped.

Although this cardiac ultrasound skill card is rudimentary, it still benefits Lu Chen a lot.

…

The next day.

Today Li Yao came to the ward and started the weekly director's ward rounds.

Recently, Li Yao's visits to the ward have become less frequent because she is busy writing national natural tender documents.

"Teacher Li, this patient in bed 10 came yesterday. The echocardiogram showed hypertrophic cardiomyopathy." Sun Guoguo said.

Li Yao stood at the bedside of the 10-bed patient, holding his medical record in his hand and flipping through it.

At this time, the patient's wife suddenly complained: "Director Li, the doctor asked us to lose weight, but look at him, he is fat on his face and stomach, his hands and feet are not fat, if he loses weight again, he will look like a winter melon.

This remark caused laughter.

"Hypertensive patients must lose weight!" Li Yao looked at his test report, "The blood lipids are high, the blood sugar is also high, and the glycosylated hemoglobin is 7.5%, which means that he is very likely to have diabetes, but you just didn't find it before. You have high blood pressure, high blood lipids, and high blood sugar. If you don't lose weight, you will be hospitalized again in the future."

Li Yao said while checking the patient.

She found that the patient was really fat in the head and face and the trunk, and his limbs were not fat, but looked a little thin.

Li Yao pondered for a moment, then sighed, as if she had discovered something unusual.

She turned her head and looked at the people behind her, "What do you think of when you see the patient's body shape? "

Lu Chen had already noticed it.

When the patient's family members said "short and fat" just now, everyone else laughed, but he was the only one who couldn't laugh.

The system upgrade completion rate has not increased, and Lu Chen thinks this may not be a system bug!

He thought of a situation that others may not have thought of, of course, except Li Yao.

No one else in the group spoke.

Seeing this, Lu Chen took over the conversation: "The patient's condition is more complicated, I'm afraid this myocardial hypertrophy is not the main cause."

When this was said, everyone was in an uproar.