Chapter 574: Strange Involved Pain

Remember [New] in one second!     Electrophysiological examination is an invasive surgical operation after all.

Lu Chen could understand the patient's resistance.

On the other hand, Lu Chen was going to recheck the patient's electrocardiogram and cardiac ultrasound.

The examination levels of different hospitals vary greatly.

Especially in terms of cardiac ultrasound, ordinary hospitals can only see the size of each chamber of the heart, and nothing else can be seen.

The ultrasound department of some top hospitals can perform cardiac ultrasound and even diagnose cardiomyopathy, valvular disease, congenital heart disease, etc. through ultrasound examination.

In order to be on the safe side, Lu Chen still rechecked Li Wenqian, so that he would feel more at ease.

…

Back to the doctor's office.

Lu Chen asked Su Rui to write the medical record, and he was responsible for giving medical advice.

The division of labor between the two can save a lot of time.

This is also the first time that Lu Chen has experienced the joy of being a senior doctor!

Finally, someone can help write medical records or give medical advice.

In the past, Lu Chen didn't dare to ask his junior brothers and sisters in the group to write the medical history. Besides, he was also a student, and he always ordered his junior brothers and sisters, which was not the case.

Now he is in charge of the bed independently, and Su Rui is equivalent to his first student!

"Su Rui, in addition to autonomic nervous system disorder, what other diseases do you think this patient should consider?"

Lu Chen began to ask questions.

This habit is also the inheritance of Li Yao's "fine tradition".

When he was rotating in the eight areas of the heart, he was also tortured by Li Yao's questions for several months.

Su Rui pursed her lips, and there was a lot of confusion in her small eyes.

No matter how much of a top student she is, she is just an undergraduate intern after all, with little clinical experience, almost none.

"Brother Lu, I can't think of it for the time being." Su Rui secretly glanced at Lu Chen.

Although this brother in front of her is not from the Kyoto University School of Medicine, she dare not have any contempt for him.

On the contrary, after she heard about Lu Chen's relevant deeds, she felt an incomparable admiration in her heart.

Lu Chen smiled, "Actually, there is such a principle in our cardiology department."

"When young people say they feel uncomfortable in their heart, they should think of stomach problems."

"When old people say they feel uncomfortable in their stomach, they should think of heart disease!"

Su Rui blinked, "Brother, but the symptoms described by the patient don't seem to have anything to do with stomach problems. She clearly pointed out that it was heart discomfort..."

Lu Chen smiled, "Many times the symptoms are not described accurately, or there is radiating pain. When my roommate had kidney stones before, it also involved testicular pain."

After saying this, Lu Chen felt that something was wrong.

After all, Su Rui was still a young female intern, unlike those mature and experienced nurses.

"Ahem." Lu Chen coughed lightly to cover up his embarrassment.

Su Rui blushed, "Brother, you, what kind of roommates are these?"

"You'll see them if you get a chance." Lu Chen scratched his head and could only betray Wang Zihao, "Actually, what I mean is that the esophagus and the heart are very close. Some patients may have gastroesophageal reflux, which causes heart discomfort, so they describe it as heart symptoms."

Because the innervation of visceral nerves is relatively complicated, there is often overlapping innervation.

For example, a nerve may innervate several organs, which may interfere with the brain. In fact, it is a problem with a, but the brain sometimes thinks it is a problem with b, so it will subjectively manifest as pain in b.

The typical pain of kidney stones is pain in the kidney area and waist. Ureteral stones can also cause renal colic or ureteral colic, and can also radiate to the testicles and labia.

Su Rui listened to Lu Chen's story while recording it in her notebook.

"Congratulations, I received a thank you from Su Rui +1!"

The system panel popped up another prompt, Lu Chen smiled slightly and continued: "So, don't rush the patient's electrophysiological examination. I plan to try to give gastric protection treatment first, and complete the gastroscopy if necessary. After excluding gastric diseases, I will do electrophysiological examination."

Lu Chen's overall thinking was completely displayed in front of Su Rui.

He had no place to hide anything. As for how much Su Rui could understand and comprehend, it depends on her understanding.

"Brother Lu, is there a possibility that the patient has coronary heart disease?" Su Rui said again.

Lu Chen smiled, "Don't consider it, because the patient is young and has no high-risk factors for coronary heart disease (hypertension, diabetes, smoking, etc.), so coronary heart disease is not considered. Of course, if the patient is worried about coronary heart disease, you can complete the coronary CTA examination."

"Yes." Su Rui nodded and wrote down what Lu Chen said in the notebook.

……

Intracardiac area 1, in the ward

Li Wenqian was lying on the bed, still thinking about the electrophysiological examination that Lu Chen had just mentioned.

After thinking for a long time, she decided to look for relevant information about electrophysiology on the Internet.

At this moment, the nurse came in, pushing a treatment cart with several bottles of medicine on it.

"Do I still need an injection?" Li Wenqian asked in confusion.

"Excuse me, are you Li Wenqian in bed 25?" The nurse picked up the infusion form for comparison.

"Yes." Li Wenqian nodded.

"That's right, this is the medicine prescribed by the doctor in charge." The nurse said.

"What medicine?" Li Wenqian frowned. She didn't feel any discomfort now, so did she need to take medicine?

"Medicine to protect the stomach."

"What? Stomach protection medicine?" Li Wenqian immediately stopped the young nurse from giving me an injection, "I don't have a stomach problem! Don't give me an injection first!"

After saying that, Li Wenqian took out her mobile phone again, glanced at the name of the liquid on the infusion form, and then began to search online.

After a while.

"It's really a medicine to protect the gastric mucosa!" Li Wenqian frowned even deeper, "Why did this young doctor prescribe stomach protection medicine for me? Does this medicine have a high commission?"

Isn't this messing around? She couldn't be given an injection like this for no reason.

Li Wenqian quickly found the doctor's office.

Lu Chen was explaining the patient's condition to Su Rui. UU Reading www.uukanshu.net

"Doctor Lu..." Li Wenqian called softly.

Lu Chen looked back, "What's the matter with you?"

"It's like this, why do you give me stomach protection medicine?" Li Wenqian stared at Lu Chen closely, trying to get a satisfactory explanation from him.

"Oh, that's it. I was just about to go find you." Lu Chen then explained his thoughts to Li Wenqian.

"You said my heart discomfort is actually caused by stomach problems?" Li Wenqian's eyes were full of disbelief.

She could still distinguish between heart discomfort and stomach problems.

"We just have this consideration." Lu Chen said, "So we are going to give you some stomach-protecting drugs as a diagnostic treatment measure."

Li Wenqian still didn't quite believe it. She paused, "Then prescribe some stomach-protecting drugs for me. I don't want to get an injection."

"That's fine." Lu Chen nodded slightly and prescribed pantoprazole capsules and gastric mucosal protective agents for Li Wenqian.