Chapter 452: Ingestion by Mistake? !

Remember [New] in one second!      Lu Chen easily completed the skill test for practicing physicians.

For him, this test was just a small episode in clinical work life.

The next day, Lu Chen returned to clinical work.

After spending a week in the first ward of the Department of Respiratory Medicine, he has gradually become familiar with the work process of the respiratory department and the diagnosis and treatment of common diseases.

Fan Yujing's impression of this student in his group has greatly changed, and his cold temperament has slowly changed.

Moreover, since Lu Chen came, other interns in the group have also begun to work hard.

For example, Wang Defa used to punch in every day and muddle through his days, but now he actively participates in all clinical work. "Brother, do you think it's better for me to study for a master's degree or a professional master's degree?" Wang Defa moved a chair and sat next to Lu Chen.

For today's medical students, a postgraduate degree is just a stepping stone.

Slightly higher-end tertiary hospitals all require a postgraduate degree.

And medical postgraduates are different from other majors. There is a big difference between a master's degree and a professional master's degree.

Lu Chen finished writing the medical records and smiled: "It depends on your personal interests. If you like clinical practice, then choose a professional master's degree; if you like scientific research experiments, then choose an academic master's degree."

"In addition, academic masters are easier to get a doctorate than professional masters."

"Finally, professional masters and academic masters are divided by region. The more economically and medically developed the province is, the more important it is to have an academic master's degree. For example, in Shanghai, more than half of the medical students choose academic masters."

As a "veteran", Lu Chen shared all his experience.

In fact, both professional masters and academic masters are to solve the pain of human diseases, and they have the same goal.

Which path to choose depends on personal choice.

"Thank you, senior brother." Wang Defa heard the words and looked thoughtful.

For most graduates, they may not know the difference between professional masters and academic masters.

Many people choose academic masters or professional masters, which is to follow the trend and be influenced by their seniors.

But now that Wang Defa has the help of Lu Chen, he can follow his heart and choose the future path.

...

Ten o'clock in the morning.

The nurse walked to the doctor's office, and finally a new patient came to the team.

Intern Wang Defa was very proactive now, and Lu Chen didn't need to remind him.

Whenever a new patient came, he would follow Lu Chen directly to the ward to help Lu Chen admit the patient.

...

Lu Chen walked into the ward, and Wang Defa followed closely.

This was a young woman about 30 years old. She had a pretty face, but a melancholy expression, and there seemed to be an unspeakable pain between her brows.

Next to her was a man who was also in his 30s, who seemed to be her husband.

"Are you a patient?" Lu Chen took out the hospitalization certificate, which recorded the patient's brief information, Yuan Wenya, female, 29 years old.

"Yeah." Yuan Wenya nodded slightly.

"Did you feel uncomfortable during this hospitalization?" Lu Chen asked.

On the surface, the female patient did not have any external abnormalities.

The life value on her head was 68, and the trend of change was a minus sign.

"I have been coughing and expectorating recently." Yuan Wenya said softly.

"Coughing and expectoration?" Lu Chen frowned, "Did you catch a cold?"

"No." Yuan Wenya shook her head slightly, "It just appeared suddenly, without any signs. By the way, sometimes there will be fever, and even coughing up sticky phlegm."

"Fever?" Lu Chen raised his eyebrows. The patient described so many symptoms, and it sounded like an ordinary pneumonia.

The only doubt is that there are no signs!

How could a person, who is so young, get "pneumonia"?

"Actually, I went to several hospitals and took films." Yuan Wenya sighed.

As soon as she finished speaking, the man next to her took out the medical records from the other hospital, including two chest CT films.

"What did the doctors from the other hospital say?" Lu Chen took the medical records in one hand and began to check.

"Alas, all the doctors said it was pneumonia." Yuan Wenya said softly, "But I used antibiotics for half a month, but there was no effect! Later, I suspected it was tuberculosis, and I took anti-tuberculosis drugs for a long time, but it was useless!"

Lu Chen's heart tightened. Here comes this kind of patient again!

The old lady before was suspected of bronchial asthma, and there was no effect after symptomatic treatment.

Lu Chen looked through the patient's examination results in the other hospital. There were no abnormalities in hematology, biochemistry, and radiology.

In addition, several tests related to tuberculosis were done, and the results were all negative.

However, because of the film reading skill card, when Lu Chen picked up the chest CT film, he saw the problem at a glance.

"Have you eaten anything by mistake recently?" Lu Chen glanced at Yuan Wenya.

"Nothing..." Yuan Wenya thought about it and shook her head.

"That's strange." Lu Chen murmured.

"Doctor, is there any problem?" Yuan Wenya said hurriedly.

Lu Chen picked up the chest CT film and pointed to the position of the upper right lung.

"See here, there is a shadow."

"Here, I know." Yuan Wenya nodded slightly, "A doctor in the respiratory department told me before, isn't it lung inflammation?"

Lu Chen frowned, put the chest CT film behind the window glass, and continued to check this "negative" through the sunlight.

When Yuan Wenya saw this, she was a little surprised and said: "Doctor, this...isn't this lung inflammation?"

Lu Chen turned around and shook his head: "No! I just asked you if you had eaten anything by mistake. Actually, I just wanted to tell you that this shadowed area should be a foreign object."

Upon further inspection, he discovered that the "shadow" appeared to be an inverted band-like structure located within the bronchial tubes.

"But, I really didn't eat anything by mistake!" Yuan Wenya still shook her head.

Lu Chen was also puzzled.

The patient is not a child and generally does not eat by mistake.

To take a step back, even if I accidentally ate something, I would definitely tell the truth.

"Isn't this some foreign object?" Lu Chen frowned.

For a moment, he had no clue. UU Reading www. uukanshu.net

…

About ten minutes passed.

Lu Chen asked about the medical history in detail again before returning to the doctor's office.

"What patient?" Fan Yujing immediately stepped forward and asked.

"The patient is a 29-year-old female. She has been coughing and sputuming. She went to four hospitals and couldn't find the cause." Lu Chen took out the patient's chest CT image. "The shadow in the upper right corner of the CT image is Plaque, I think something is wrong.”

"Really?" Fan Yujing doubtfully took the chest CT film from Lu Chen's hand and placed it on the reader.

A long while passed.

Fan Yujing came back to her senses and looked at Lu Chen aside, "Lu Chen, are you talking about foreign objects?"

Lu Chen nodded, "This object with a rewind-like structure is already a foreign object, but the patient denied the history of accidental ingestion."

When Fan Yujing heard this, she also frowned.

Both of their diagnoses were contrary to the patient's medical history.