Chapter 741: Turning White to Purple

As a doctor, Lu Chen would not let go of even the smallest clues.

Especially for symptoms with multiple systems like this, we need to be extremely cautious!

Lu Chen is now a senior physician, and his words and deeds affect the treatment plan of the entire team.

Soon, he followed Jin Miao to the ward.

…

On the hospital bed.

An old lady in her sixties was lying on the bed, muttering something in her mouth. Her face was extremely pale, without any color at all.

In Lu Chen's eyes, her health value is 53(---)!

This rate of decline in health basically indicates some serious illness.

Seeing Lu Chen coming, the patient's family members beside the hospital bed quickly stood up.

"Our director is here to see you." Jin Miao said.

The family member looked at Lu Chen in surprise and couldn't help but wonder: "Guanghai Department of Cardiology actually has such a young director??!"

However, he only thought about it in his mind and would not ask questions in public.

When Lu Chen came to the bed, the old lady squinted her eyes slightly and slowly opened them.

"Auntie, what's the main reason for your discomfort now?" Lu Chen tried his best to make his voice soothing.

"Chest tightness." The aunt glanced at Lu Chen, then patted her chest gently.

"What about other things? For example, do you have chest pain?" Lu Chen asked again.

The aunt shook her head, "It's just chest tightness. When I lie down, I feel so tight that I can't breathe out. I sit up and feel better."

Lu Chen nodded slightly.

This is a typical symptom of heart failure.

"I heard just now that you said you had gastritis before? Did your legs and feet feel bad?"

The aunt said noncommittally: "As you get older, you must have some problems. Usually, after eating, your stomach is easily bloated. As for the old cold legs, they were a little bit when I was young. As soon as the weather gets cold, my legs start to ache."

The aunt seems to be quite talkative as well.

After I started talking about my medical history, I couldn't stop.

It was Lu Chen who interrupted slightly before she stopped.

"Have you taken any medicine?" Lu Chen asked.

"If you take medicine..." The aunt thought for a while, then shook her head, "I didn't take any medicine."

The family member of the patient on the side said loudly: "I have eaten. My mother took some painkillers because of knee joint pain some time ago."

The aunt thought about it and nodded quickly.

"Do you know the name of the medicine?" Lu Chen asked doubtfully.

"It seems to be called... stuffed with cloth." The family members thought for a while.

Lu Chen paused and asked, "Celecoxib?"

"That's right." The family members nodded quickly, "That's the medicine."

Celecoxib is a nonsteroidal analgesic drug that is less harmful to the gastrointestinal tract than ibuprofen.

Lu Chen asked the aunt to roll up her trousers and expose her knees.

On the side, Jin Miao was surprised when she saw Lu Chen's actions.

They, cardiologists, rarely see patients’ skin conditions.

Lu Chen's behavior made him feel a little strenuous, but he had to admire Lu Chen's patience.

…

Lu Chen lowered his head and squeezed his aunt's knee.

"Does it hurt?"

"It's okay." The aunt whispered back.

However, when Lu Chen touched the skin of his aunt's knees, he felt that her skin seemed a little rough.

As you get older, your skin will definitely not be as white and tender as when you were young, but it won’t be so hard, right?

Lu Chen said nothing and looked at the skin on the aunt's face and abdomen.

He suddenly discovered that the skin on the aunt's face, abdomen, knees and other parts of the body had thickened and hardened!

"Come and touch it." Lu Chen stood up and said to Jin Miao beside him.

Jin Miao was a little confused, but still did as he was told.

He also reached out and touched the skin of the patient's abdomen and knees, and was stunned, "It's really a little different from normal people. How should I put it? It's a little too hard!"

Lu Chen nodded in agreement, and then said to the patient: "Madam, you should also feel it yourself. The skin seems to have become harder."

"As people get older, it's like a damaged machine. Their skin becomes rougher. Is that normal?" The aunt would not admit her problems.

She was originally asked to come to the hospital, but she agreed to come because she couldn't bear it at home.

Lu Chen frowned slightly. The feel and texture of this skin were obviously different from those of a normal old lady!

At this moment, the family member who had been standing beside the hospital bed said, "Doctor, besides joint pain, my mother has another problem."

"Say." Lu Chen turned to look at the family member.

"It's my mother's hands. Sometimes they turn white and purple."

Hearing this, Lu Chen and Jin Miao were both shocked.

"What is it specifically like? Can you describe it in detail?" Lu Chen asked quickly.

The family member shook his head, "I can't describe it, it's just an abnormal color. By the way, I remember taking a photo."

"Hurry and show us."

Lu Chen said nothing, while Jin Miao was quite excited.

The strange phenomenon of hands turning white and purple is called "Raynaud's phenomenon" in medicine. It is a disease of the immune system.

The family members took out their mobile phones, opened the photo album, and began to search slowly.

Sure enough, after a while.

He actually found a photo.

The photo shows a pair of relatively rough old hands.

As the inter-finger joints of these hands go up, the skin color becomes very white and purple, forming a sharp contrast with the lower part.

"Whenever it gets cold, it becomes like this." The patient himself added.

After seeing this extremely typical photo, Lu Chen and Jin Miao also made up their minds.

"It should be Raynaud's phenomenon." Jin Miao said in a daze.

Lu Chen nodded, but he did not stop thinking about the condition.

Raynaud's phenomenon is just the manifestation of rheumatic autoimmune diseases. Many diseases will have this symptom.

The finger (toe) tip will feel numb and the color will change in sequence after being cold or emotionally excited. First, the color will turn white, then purple, and then red.

The principle may be that in the early stage, it is a local spasm of small arteries. Later, due to the swelling of vascular endothelial cells, tissue ischemia may occur, and fingertip ulcers and scars may appear, and the distal segments of the hands and feet will be necrotic or the soft tissue and phalanges will be absorbed and shortened due to ischemia.

…

The more information about the patient is dug, the more UU看书 www.uukanshu.net there will be.

It seems that the condition is more complicated than before, but in fact, the more information there is, the clearer the patient's condition will be.

After Lu Chen asked again, he got another important clue from the patient, that is, "difficulty in opening the mouth."

The patient began to have difficulty opening his mouth in the past 8 months.

Lu Chen arranged all the symptoms in his mind, hardened skin, difficulty opening the mouth, Raynaud's phenomenon, could it be...

The patient's cardiovascular symptoms are likely not due to primary heart disease, but to some kind of rheumatic disease affecting the heart!

With some guesses in mind, Lu Chen whispered to Jin Miao beside him: "Check! Keep checking! Antinuclear antibodies, antinuclear antibody spectrum, immune set, erythrocyte sedimentation rate, C-reactive protein (CRP), chest CT..."

Jin Miao also understood the intention and took action immediately. 　　16377/10482643