Chapter 443: Changes (Thanks to Xuan Tengluo for the Reward)
Leave the eighth area of the heart.
Lu Chen bought a box lunch in the cafeteria and returned to the dormitory.
Back in the dormitory, he ate while sorting out the contents involved in the National Natural Science Project bid.
The premise of the multi-center clinical research he envisioned was to pass the National Natural Science Project!
Once it failed, all the efforts made so far would be in vain.
"The food in the cafeteria recently has too little oil and water, and there is no meat at all." Lu Chen took two bites and put the box lunch aside.
At noon, Lu Chen rested for half an hour and went to work.
…
It is winter now, when respiratory diseases and cardiovascular diseases are prevalent.
In the afternoon, Lu Chen received three more patients one after another.
Just as he finished writing the medical record of the third patient, the fourth patient arrived!
Ward 1 of the Department of Respiratory Medicine, doctor's office.
Wang Defa, an intern in the group, was following Lu Chen.
"Junior brother, let's go get the fourth patient."
"Ah? Okay..."
Wang Defa is quite smart, but he is not very reliable at ordinary times. He is not very willing to take the initiative to get patients.
During this period, Lu Chen also wanted to help him and teach him well.
Otherwise, it would be unreasonable to say that he would not know anything after the internship period.
...
The two came to the ward.
This is a female patient about 60 years old, dressed simply, and her hair is a little gray.
Beside her is a middle-aged woman in her thirties.
However, when Lu Chen just walked into the ward and saw this patient, he was stunned.
The life value above the patient's head showed 49 (---).
The trend of three minus signs!
This is incredible!
The life value is already below the limit of 60, and judging from the trend of change, it is very likely to continue to decline!
Lu Chen was shocked and immediately stepped forward to check the patient's condition.
Wang Defa on the side was a little surprised. Why did Senior Brother Lu Chen suddenly get nervous?
When Lu Chen came to the patient, he noticed that the patient's mental state seemed to be a little off.
She was half lying on the bed, her eyes slightly squinting.
Her face and lips were slightly pale, and her wheezing was obvious.
"Auntie!" Lu Chen gently patted the patient's shoulder.
The patient slowly opened her eyes, saw the doctor in front of her, and said "hmm" weakly, then closed her eyes again.
"Auntie, what's wrong with you? Do you want to sleep?" Lu Chen felt the patient's pulse, and then motioned to Wang Defa to measure her blood pressure.
"Hmm." The patient didn't even open her eyes and muttered.
Lu Chen immediately frowned and said to the middle-aged woman next to him: "Who are you to the patient?"
"I, I'm her daughter-in-law." The middle-aged woman was a little reserved, and her Mandarin was still mixed with local dialect.
"Has Auntie's mental state always been like this?" Lu Chen said.
"No, my mother, she was fine at home before, and she could still work at home." The middle-aged woman said, "It's just that in the past half month, I don't know why, she often coughs and expectorates, and always says she is very tired and wants to sleep."
Coughing, expectorating, wanting to sleep?
Lu Chen felt that things were not that simple.
At this time, Wang Defa also measured the blood pressure, "Brother, the blood pressure is about 100/60mmhg."
"Yeah." Lu Chen nodded, "Do another electrocardiogram."
Electrocardiogram and blood pressure are routine procedures for admission.
"Uh, okay." Wang Defa was a little reluctant, but still went to push the electrocardiogram machine over.
Taking advantage of this time, Lu Chen began to ask the patient's family about the condition.
For emergency patients like this, do not panic.
Inquiring about the condition is a very critical link, which can understand the patient's condition and make an impression diagnosis.
"Doctor, my mother was hospitalized in your department two months ago because of pneumonia. She was discharged after one week."
"This time, about half a month ago, my mother coughed and sputum intermittently. I went to the clinic and thought it might be a recurrence of pneumonia. I took medicine and got an injection. But the effect has not been good. She came here today."
Hearing the woman's answer, Lu Chen frowned, "Was it just pneumonia before? No other diseases?"
"This..." The woman looked back at the patient and hesitantly said, "My mother and I don't live together. She used to be in good health. She should... There should be nothing wrong."
The woman's answer was very hesitant. Lu Chen heard it and asked in confusion, "Where is your husband?"
"He works in Shanghai and comes back twice a year. He is not at home now." The woman said.
At this time, Wang Defa pushed the electrocardiogram over.
He did an electrocardiogram for the patient, and Lu Chen picked up the stethoscope to examine the patient.
"Wet rales can be heard in both lungs, and the heart auscultation is normal."
At this time, the electrocardiogram was also completed.
Lu Chen glanced at the electrocardiogram, which was also normal.
"Junior brother, go call Teacher Fan over." Lu Chen whispered in Wang Defa's ear, "This patient may be a little serious, let him check it."
Wang Defa was stunned, but he couldn't see anything abnormal. He nodded and walked out of the ward.
...
One minute later.
Fan Yujing frowned and came to the ward.
"What patient?" Fan Yujing picked up the patient's electrocardiogram.
She was a little curious. Lu Chen had accepted so many patients.
Why did she need to check this one in person?
"The family said that the patient was hospitalized in our department two months ago because of pneumonia, and this time he came back because of coughing and expectoration." Lu Chen said, "But I think the patient's mental state is not very good, so I asked my junior brother to call you over."
Hearing Lu Chen's words, Fan Yujing walked to the bed in confusion.
The patient lay on the bed with his eyes closed, looking like he was asleep.
"Auntie, can you hear me?" Fan Yujing said softly.
The patient slowly opened his eyes and then closed them again.
"The patient is sleepy!" Fan Yujing was shocked.
This mental state is not caused by ordinary pneumonia!
Once a certain disease causes a change in mental state, things will be serious.
"Hurry up and ask the nurse to bring the ECG monitor." Fan Yujing hurriedly said to Lu Chen.
Lu Chen understood and immediately walked out of the ward quickly.
Although the patient's current vital signs are stable, there is no guarantee that they will change at any time!
The nurse quickly brought the ECG monitor and connected it to the patient's whole body.
The patient's daughter-in-law on the side was a little confused.
"Doctor, what are you doing..." the woman was surprised. It must cost a lot of money to use this kind of equipment!
Fan Yujing had finished the physical examination of the patient and turned back to the woman and said, "Come out, I'll talk to you about the condition."
...
At this time, Lu Chen returned to the ward.
"The patient's family said that he was hospitalized two months ago, and the medical records should be retrieved!"
He immediately entered the medical record borrowing system and quickly found the patient's medical records two months ago.
In the medical records, the patient did not have any other medical history except pneumonia.
However, when Lu Chen saw the patient's chest CT two months ago, his expression was suddenly stunned!
The patient's chest CT showed a 1cm space-occupying mass in the left lung!
The CT report suggested that the chest CT be rechecked one month later and further examinations should be conducted if necessary.
Lu Chen continued to look through the patient's medical records and did not see the rechecked chest CT.
In other words, the patient did not come for a follow-up visit.
"If the patient really has no other diseases, the only problem is this lung mass!"
Lu Chen frowned.
"But, in just two months, will the changes be so big?" 16377/9915408