I Can See Health

   Chapter 373 He is that Lu Chen! (One update today, will be added tomorrow)

   Such a small child with such high blood pressure?

   Lu Chen's first impression was that it wasn't that the blood pressure monitor was broken.

  Normal mode of thinking, after ruling out the diagnosis of the disease, and after multiple measurements, can consider the damage of the instrument.

   In Lu Chen's eyes, the little girl's HP is 63.

   Behind 63, is a "-" symbol.

   He hurriedly asked the little **** the hospital bed.

   "Anything wrong?"

The little girl did not look back cowardly, and a middle-aged woman in her forties stood beside her, who should have been her mother, and said, "It's fine now, but in the past week, she has always complained of headaches, nausea, and sometimes And vomiting."

  With such a high blood pressure, of course you will have a headache!

   At this time, the nurse took another blood pressure monitor and measured the blood pressure on both sides of the little girl.

   The results are all above 200/100mmHg!

   The blood pressure meter is not broken, the "bad" is the little girl in front of me.

   The nurse was frightened by her blood pressure. If it is a middle-aged and elderly person with such a high blood pressure, that's fine.

   But the girl in front of me is only in her teens!

   "At this moment, is there anything uncomfortable?" Lu Chen continued to ask.

   The little girl shook her head slightly and whispered, "No...no."

  Lu Chen felt a little at ease, the reason why he kept asking the little girl if she felt any discomfort.

   This is mainly to judge the treatment of high blood pressure.

   If the blood pressure is high, but there are no related symptoms and target organ damage, oral antihypertensive drugs can be used.

   However, if high blood pressure causes severe headache, vomiting, and damage to target organs, it is necessary to use intravenous antihypertensive drugs to lower blood pressure as soon as possible.

   At present, the little girl has no symptoms for the time being, and can use oral drugs to lower blood pressure first.

   However, there must be an internal reason for such a small girl with such high blood pressure!

  Lu Chen immediately concentrated and began to ask about his medical history.

   Patient female, 13 years old, student.

  Height: 163cm, Weight: 76kg, BMI Index: 28.60.

   A year of weight gain of 30kg, headache and nausea for 1 week.

   The patient developed a headache after catching a cold one week ago, with persistent pain, fever, nausea, and vomiting acid water. No chest pain, palpitation and other symptoms.

   At that time, his body temperature was measured at 38°C and Bp180/85mmhg at school. After symptomatic and supportive treatment, his fever symptoms improved.

   But in the past week, the patient's symptoms not only did not decrease, but also tended to worsen, so he came to Jinghua Second Hospital.

The reason    came to the Department of Endocrinology was because the outpatient doctor considered that the patient had high blood pressure, obesity, and a series of endocrine system diseases such as metabolic syndrome, so he was admitted to the Department of Endocrinology.

   In addition, the patient's parents were healthy and denied a family history of hypertension.

   Her menarche was 12 years old and her cycles were irregular, with 2 menses per month or prolonged periods.

  Lu Chen also did an electrocardiogram for the little girl, and the electrocardiogram result was normal.

   After asking the medical history, the most important thing at present is blood pressure!

  …

   Back to the doctor's office.

  Min Ling has come back after seeing the patient.

   "Lu Chen, what's the condition of the patient you're seeing?" Min Ling asked immediately.

  Lu Chen briefly recounted the patient's medical history.

   "13 years old, high blood pressure, what do you think?" Min Ling heard the words, looked at Lu Chen and asked for his opinion.

  Lu Chen paused, and then slowly said: "The most important thing is to find the cause of the patient's hypertension, mainly to rule out the secondary hypertension factor, and the second is the patient's obesity. Is there any possibility of metabolic syndrome?"

   "Well, very good." Min Ling nodded slightly, "You come to write the course of the disease and give the doctor's order."

   "Okay." Lu Chen said.

  Min Ling's move shocked Lou Jie next to him.

   Let a freshman write the course of the disease and give the doctor's order?

  Min Ling was not such an imprecise person before!

   Not to mention a freshman in the first grade, even the second and third grade students, she couldn't let go like this.

   I saw that Lu Chen didn't refuse or hesitate.

   He found a free computer and began to make doctor's orders.

   First and foremost, three antihypertensive drugs.

   Followed by blood draws and some imaging tests.

   Blood is drawn, mainly to check some routine items and secondary hypertension factors.

  Lu Chen quickly finished the whole set of doctor's orders.

  …

Lou Jie on the side of    was secretly shocked, this freshman looks pretty good!

   He must have relevant clinical work experience before, otherwise it is impossible to be skilled!

   Lou Jie pretended to inadvertently click on the doctor's order that Lu Chen had just given.

   When she saw the computer screen in front of her, her pupils shrank slightly.

  Lu Chen has given all the doctor's orders.

   The routine blood draws at the hospital are all done. In addition, there are **** hormones, thyroid function, catecholamines, cortisol, aldosterone, etc. Lu Chen has done it without any leakage!

   The most important thing is that there are no mistakes!

  Doctor's order is one of the carriers that can best reflect a doctor's clinical thinking.

   "This first-year graduate student is not easy!" Lou Jie raised his brows, "His name is... Lu Chen..."

   She felt the name was familiar, but she couldn't remember where she heard it.

   However, she was more careful about Min Ling's student.

  …

   After making the doctor's order, Lu Chen began to write his medical history.

   He is also very fast in writing his medical records.

  In less than 20 minutes, the first journey, major medical records, and corresponding communication records were all written.

  Lu Chen's speed was astonishing Lou Jie again.

   She clicked on the disease course record written by Lu Chen again.

   for a long time.

   "This..." Lou Jie raised his head and said in surprise, "Can't find the slightest mistake?!"

   Freshmen who have just entered the clinic, the course of the disease written is generally full of loopholes.

   But Lu Chen's is different.

  From the patient's chief complaint, current illness history, current history, etc., Lu Chen's medical history was written in a very standardized and organized manner.

   While Lu Chen went out to sign the documents with the patient, Lou Jie finally couldn't help but leaned over to Min Ling and asked, "Sister Xiaoling, is your student... Really a freshman in the first grade?"

   "Yes." Min Ling nodded, "What's wrong?"

   "I don't think he's a freshman!" Lou Jie said in surprise, "I've read all the doctor's orders and the course of the disease written by him, and there is almost no need to revise it. I've never seen such a powerful freshman."

  Min Ling covered her mouth and smiled, "What's this, if you knew about Lu Chen's other things, you wouldn't be surprised."

   "Other things?" Lou Jie looked at Min Ling suspiciously.

   "Yes, the school issued a notice last week, you should have read it too." Min Ling said, "Everyone should have seen it!"

   Lou Jie was taken aback for a moment, did he make a notice last week?

   She immediately recalled in her mind...

  Lu Chen……

   "Could it be him... that Lu Chen?"

   Lou Jie suddenly thought of a person, and immediately looked at Min Ling beside him.

  I saw Min Ling nodded slightly.

   It's actually him!

   Lu Chen, from the Cardiology Department, won the sixth place in the national electrocardiogram finals!

   No wonder Lou Jie thinks this name sounds familiar, because the Second Hospital kept promoting Lu Chen's deeds some time ago.

  Although she doesn't pay much attention to these, she still knows that there is such a number one person.

   Night shift tonight, so I can only make up for one shift tomorrow! Everyone go to bed early.

   (end of this chapter)