$ Chapter 371 Liquid Dark Zone

The patient's vitality is very consistent with diabetic ketoacidosis.

But the changing trend of life value is by no means as simple as diabetic ketoacidosis!

But Lu Chen didn't say anything.

He returned to the office with Gu Xinyue and Lou Jie.

"Lu Chen, we can leave and go to the canteen to eat." Gu Xinyue was about to go to the duty room to change out of her white coat.

Lu Chen said, "Wait a minute."

"Huh?" Gu Xinyue looked confused. He saw Lu Chen suddenly walking towards Teacher Lou Jie.

"Mr. Lou, look at this patient's abdominal CT..." Lu Chen walked up to Lou Jie and said softly.

"Which patient?" Lou Jie looked back.

Hey, isn't this a genius boy from Min Ling's group?

"It's the patient with abdominal distension that you just went to the ward to see." Lu Chen explained, "I just saw his abdominal CT, and why do I feel that the pancreas is not very clear?"

"Really?" Lou Jie was shocked. Could it be pancreatitis?

She quickly opened the computer CT image.

If it is really pancreatitis, then this can be regarded as a mistake in her work!

At this time, Gu Xinyue also returned to the office and was startled when she heard the conversation between the two.

At this time, Lou Jie opened the CT image and took a look at the CT report.

Fortunately, it was just a small amount of pleural effusion and abdominal effusion.

The conclusion on the CT report sheet did not describe pancreatic abnormalities!

However, Lou Jie was still uneasy and enlarged the CT image.

really!

If Lu Chen said it, this patient's pancreas was really unclear!

This kind of unclearness may not be visible if you don't look carefully.

Moreover, this kind of image is not displayed clearly, which is most likely caused by the error of the CT machine, and may not explain any problem.

"Teacher Lou, do you think there is a problem?" Lu Chen continued.

In fact, Lu Chen didn't have any confidence at first.

But when he saw that the patient's health value trend was two minus signs, his inner uneasiness worsened.

There is no way he would let go of any suspicious detail!

"It's true that some of the displays are not clear!" Lou Jie nodded slightly, "Let's do this. Let's do a quick blood and urine amylase test first. After the results come out, if there are any problems, we can consider a follow-up CT scan."

The patient just had an abdominal CT yesterday, and now he is going to have another one. The patient and his family may not be able to understand it.

Moreover, the patient's current symptoms are fair and he has no symptoms of abdominal pain, nausea, or vomiting.

Lu Chen frowned. Blood and urine amylase must be tested!

But if the results come out, the patient's condition may further worsen.

Is there any way to judge the patient's condition in advance?

Lu Chen thought for a while. In addition to amylase and CT tests, another test that can confirm the diagnosis is ultrasound!

"Teacher Lou, do we have an ultrasound machine in our department?" Lu Chen suddenly asked.

"Ultrasound machine?" Lou Jie was stunned, "Why do you want this?"

"I want to use an ultrasound machine to take a look at the patient's abdomen first." Lu Chen said, "If it's pancreatitis, then we should be able to see corresponding changes?"

"You know how to use an ultrasound machine?" Lou Jie was stunned.

This talented boy has too many skills!

Ultrasound technology is actually not difficult, but it does take a lot of time to master it.

Ordinary doctors do not have so much time to study ultrasound technology, so they set up an independent ultrasound department.

"I learned it before when I was in cardiology." Lu Chen nodded.

"But your cardiology department should be looking at the heart, right? You can also look at the abdominal organs?" Lou Jie asked doubtfully.

The anatomy of each organ is different, so the ultrasound doctor will also divide it into different parts.

Some focus on the heart, some focus on abdominal organs, and some focus on blood vessels!

"When I was learning cardiac ultrasound, I happened to learn abdominal ultrasound together," Lu Chen said.

In fact, Lu Chen had never learned abdominal ultrasound.

However, his mind has now entered the system and has been redeemed for the primary skill card of "Abdominal Ultrasound Technology".

This skill card only requires 100 gratitude points.

Lu Chen now had a "huge amount of money" in his hands and redeemed it without hesitation.

When Lou Jie saw this, he was dubious.

If other students had told her this, she would have dismissed it.

But the Lu Chen in front of him was extraordinary!

"Actually... our endocrinology department does have an ultrasound machine." Lou Jie said slowly.

"Really?" Lu Chen looked happy.

"It's just in the endocrinology area two upstairs." Lou Jie said, "I can't leave my post and go upstairs to borrow the machine. How about I call the nurse station in area two and you go up and get it yourself?"

"Okay!" Lu Chen said immediately.

"That's okay." Lou Jie took out his cell phone and called the nurse station in District 2. "The call has been made. You and Gu Xinyue can go together."

She really wanted to see if Lu Chen knew this abdominal ultrasound technology?

If so, then the patient's disease can be diagnosed. Why not?

If not, then wait for the amylase results to come out before making further plans.

…

Lu Chen and Gu Xinyue came to District 2 together.

After talking to the nurse for a long time, Lu Chen wrote a loan note and then went downstairs.

Before that, Lu Chen took the time to enter the system virtual space and seize the time to conduct targeted training on abdominal ultrasound.

Of course, it’s mainly for the pancreas!

Because he had the foundation of cardiac ultrasound technology, Lu Chen learned abdominal ultrasound technology very quickly.

And now under emergency conditions, it was enough for him to learn the method of pancreatic interpretation.

After Lu Chen tried more than a dozen times in the system space, he almost knew the basic pancreatic ultrasound technology.

…

Back to the endocrine area.

Lu Chen and Gu Xinyue pushed the ultrasound machine into bed No. 31.

Lou Jie had already discussed it with the patient.

At first, the patient was a little confused, but after hearing the possibility of severe pancreatitis, he still accepted blood tests and ultrasound examinations.

Lu Chen pushed the ultrasound machine to the patient's bed.

He did not perform the ultrasound examination immediately, but first performed another abdominal physical examination on the patient.

Except for abdominal distension, there were still no other abdominal signs.

After applying the coupling agent, Lu Chen picked up the ultrasound probe and officially started the abdominal ultrasound operation.

"Breathe calmly, then raise your hands and place them on both sides of your head." Lu Chen reminded the patient.

This increases the distance between the ribs, making it easier for the ultrasound probe to check.

Lu Chen continued, "Lie on your right side."

Each position is related to the part to be checked.

Lying on the left side is convenient for checking the liver, gallbladder, right kidney and right adrenal gland, and the portal structure.

Lying on the right side is convenient for checking the spleen, left kidney and left adrenal gland, and pancreatic tail area.

The patient immediately followed his instructions.

Lu Chen placed the probe coated with coupling agent on the patient's abdomen, and a black and white image immediately appeared in the ultrasound machine.

Lou Jie immediately looked at it intently.

Although she could not do ultrasound, she could still read ultrasound images.

Lu Chen's technique was still good, and the images she produced were also relatively clear.

"This... the border of the pancreas is not very clear!" Lou Jie murmured. ＵU看书 www.uukanshu.net

The unclearness here does not mean that Lu Chen's technique is not good.

It means that the pancreas has a lesion, so the displayed image has changed.

Lu Chen nodded: "Yes, the pancreas is slightly larger than normal. In addition, the echo inside the pancreas is uneven, and liquid dark areas can be seen around the pancreas... The most important thing is, Mr. Lou, look here."

Lou Jie looked where Lu Chen pointed, "This is the liquid dark area, is it peritoneal effusion? Why is there so much!"

Lou Jie was shocked.

The amount of peritoneal effusion shown by this ultrasound is much more than that on the abdominal CT scan yesterday!

Yesterday it was at most a small amount, but today it has reached the level of moderate peritoneal effusion!

The three people present were all shocked.

All the evidence currently points to one disease - acute pancreatitis!