I Can See Health

  Chapter 376 Liquid Dark Zone

   The patient's health 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 went back to the office with Gu Xinyue and Lou Jie.

   "Lu Chen, we can go and eat in the cafeteria." 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 puzzled when he saw Lu Chen suddenly walking towards Mr. Lou Jie.

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

   "Which patient?" Lou Jie looked back.

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

   "It's the bloated patient you just went to the ward to see." Lu Chen explained, "I just saw his abdominal CT, 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 her work mistake!

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

   At this moment, Lou Jie opened the CT image and glanced at the CT report.

  It's okay, just a small amount of pleural effusion and ascites.

  The conclusion of the CT report sheet did not describe the abnormality of the pancreas!

   However, Lou Jie was still not at ease and enlarged the CT image.

   Sure enough!

  If what Lu Chen said, the pancreas of this patient is really unclear!

   This kind of unclear, if you don't look carefully, you may not be able to see it.

   In addition, this kind of image display is not clear, it is most likely caused by the error of the CT machine, and it may not explain any problems.

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

   Actually, at the beginning, Lu Chen was not sure.

   But when he saw that the patient's health was trending with two minus signs, this unease in his heart was aggravated.

   He couldn't have let go of any suspicious detail!

   "It's really unclear!" Lou Jie nodded slightly, "Well, let's check a blood and urine amylase first. After the results come out, if there is any problem, consider a CT scan again."

   The patient just had an abdominal CT yesterday, and now he will do another one, and the patient and his family may not be able to understand.

   Moreover, the patient's current symptoms are acceptable, and there are no symptoms of abdominal pain, nausea and vomiting.

  Lu Chen frowned, blood and urine amylase must be done!

   But in case the results come out, the patient's condition may further aggravate.

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

  Lu Chen thought about it, in addition to amylase and CT examination, another test that can confirm the diagnosis, that is ultrasound!

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

   "An ultrasound machine?" Lou Jie was startled, "Why do you want this?"

   "I want to use an ultrasound machine to show the patient's abdomen first." Lu Chen said, "If it is pancreatitis, then you should be able to see the 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.

  General doctors don’t have so much time to study ultrasound technology, so they set up ultrasound department independently.

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

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

  The anatomy of each organ is different, so the doctors of the ultrasound department will also divide it into each part.

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

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

   Actually, Lu Chen had never studied abdominal ultrasound.

   However, his current thoughts have entered the system, and he has exchanged for the primary skill card of "abdominal ultrasound technology".

   This skill card only needs 100 thanks.

  Lu Chen now holds the "big money" and exchanges it without hesitation.

  Lou Jie was dubious when he saw this.

   If other students told her this, she would definitely dismiss it.

   But the Lu Chen in front of him is unusual!

   "Actually... our endocrinology department really has an ultrasound machine." Lou Jie said slowly.

   "Really?" Lu Chen looked happy.

   "It's just upstairs in the second area of ​​endocrinology." Lou Jie said, "I can't leave my post and go upstairs to borrow the machine. Well, I'll call the nurse station in the second area, and you can pick it up yourself?"

   "Okay!" Lu Chen said immediately.

   "That's okay." Lou Jie took out his mobile phone and called the nurse station in the second district, "I've got in touch, you and Gu Xinyue can go together."

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

  If yes, then the patient's disease can be diagnosed, so why not do it?

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

  …

  Lu Chen and Gu Xinyue came to the second district 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 time to enter the virtual space of the system, and seized the time to conduct targeted training on abdominal ultrasound.

   Of course, mainly for the pancreas!

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

   And now, under emergency conditions, it is enough for him to learn how to interpret the pancreas.

   After Lu Chen tried more than a dozen times in the system space, he was almost able to master the technical methods of basic pancreatic ultrasound.

  …

   Back to the endocrine area.

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

   Lou Jie has already discussed with the patient.

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

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

   He did not immediately perform an ultrasonography and had the patient re-examined the abdomen first.

   Apart from bloating, there are still no other abdominal signs.

   Started to apply the couplant, Lu Chen picked up the ultrasound probe and officially started the abdominal ultrasound operation.

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

   This increases the rib spacing and facilitates the inspection of the ultrasound probe.

  Lu Chen continued: "Lie down on the right side."

  Each body position is about what part to check.

  The left lateral position is convenient for examining the liver, gallbladder, right kidney and right adrenal gland, and the structure of the hepatic hilum.

   The right lateral position is convenient for inspection of the spleen, left kidney, left adrenal gland, and tail of the pancreas.

   The patient heard the words and immediately followed suit.

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

   Lou Jie looked at it immediately.

  Although she can't do an ultrasound, she can still see the ultrasound images.

  Lu Chen's technique is still good, and the images produced are relatively clear.

   "This... the border of the pancreas is not very clear!" Lou Jie murmured.

   The lack of clarity here is not because Lu Chen's skills are not good.

   means that the pancreas has lesions, so the displayed image has changed.

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

   Lou Jie's line of sight followed Lu Chen's pointing, "This is a dark liquid area, is there ascites? Why so much!"

   Lou Jie looked surprised.

   The volume of ascites shown by this ultrasound is much more than that on the abdominal CT yesterday!

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

   The three people present were all shocked.

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

   (end of this chapter)