I Can See Health

   Chapter 75 Hypercholesterolemia

   "Lu Chen, this is the patient's heart ultrasound done in the morning."

   Jiang Qingyan handed over a color echocardiography report.

  The Ultrasound Department of Jinghua Second Hospital is very strong.

   Ranked in the top ten in the country all the year round, which is comparable to the National Cardiology Department of Jinghua Second Hospital.

   Therefore, the reports issued by the ultrasound department are generally accurate.

  Lu Chen looked at the report of the cardiac ultrasound.

   "Left ventricular systolic function was normal. Mitral valve prolapse was seen leading to moderate mitral regurgitation and mild left atrium dilatation."

  Congenital heart disease has been denied based on the results of echocardiography alone.

  Lu Chen fell into thought again.

  Myocarditis, vasculitis, rheumatic immune diseases…

   These don't seem right!

   What would it be?

   After about ten minutes, Sun Guoguo returned to the office.

   "The family agreed to intervene in the treatment, and Junior Sister Jiang and I sent the patient down. After the rest of you have finished your work, go back to the dormitory to rest."

   "Okay." Everyone agreed.

   After Sun Guoguo finished speaking, they pushed the hospital bed to the CCU on the fourth floor together with Jiang Qingyan.

  …

   At this time, Lu Chen still had no idea about this case.

   He suddenly realized that this young patient had a disease he had never encountered before.

  This has a high probability of being a rare disease!

   It is definitely not recorded in undergraduate internal medicine books.

   Therefore, based on his current accumulation of knowledge, it may not be possible to diagnose this case at all.

  Lu Chen was lost in thought.

   Now, the only thing that can make him break through.

   That was the "Literature Reading" skill book that he had drawn earlier.

   Perhaps with the super-high comprehension ability given by the skill book, he was able to find some clues and ideas from the document library.

  Lu Chen quickly finished writing the disease course record of the critical value report, and then finished other things in the morning.

   "Ke Yue, tell Senior Sister later, I'll go back to the dormitory first."

   "Huh? Okay." Ke Yue nodded in surprise.

   Usually Lu Chen is the last to leave the department, why did he leave so early today?

  …

   Quickly return to the bedroom.

turn on computer.

  Lu Chen entered the medical paper review website.

   "Heart disease, tendon xanthoma, mitral valve prolapse, intermittent claudication in young patients..."

   Brings all patient information together.

   is divided into symptoms, signs, and auxiliary examination information.

  Lu Chen began to search for relevant papers.

   Checking papers is also a technical activity.

   The search range is large, the targets are scattered, and the workload is large.

   The search scope is small, and it is very likely that many diseases have been missed.

  Lu Chen started with the classification of young coronary heart disease.

   Then add qualifications like tendon xanthoma, intermittent limping, etc.

   checked the Huaxia Papers Archives.

   Nothing!

   There are few rare disease-related case reports in China.

   Even if there is, it is mostly electrophysiology and coronary intervention, which is very utilitarian.

  Lu Chen can only expand his search target to foreign language archives.

   In this way, the workload has increased several times.

   This is still under the condition of having the "Literature Reading" skill book.

  If there is no skill book, it will take half a day just to translate the words.

  …

   "Hey, Lu Chen, what are you doing?"

   Roommate Wang Zihao suddenly put his head close.

   "Check some literature." Lu Chen smiled.

   "I see that you are all in English, so powerful." Wang Zihao said in surprise.

   These are all medical English, not regular English like CET-4 or CET-6.

   "I'll just browse the abstracts of some literature, there's not much content." Lu Chen smiled, "It's not very difficult, you can do it if you like."

   Wang Zihao curled his lips, but he didn't listen to Lu Chen's fooling.

  Go on him, he can't.

   "Lu Chen, we will have a group activity in the dormitory this weekend. Let's go together?" Wang Zihao smiled and said.

   "Okay, what activity?" Lu Chen looked up at Wang Zihao.

   "Real CS." Wang Zihao smiled, "There is a real CS shop nearby. I know the boss very well and gave me a few coupons. We can go play for a day, and there is everything to eat and play."

   "Yes." Lu Chen nodded.

   It is better to take part in this kind of group activity to avoid being out of the group.

   After all, Lu Chen still has to live in the dormitory for three years.

   "Then it's settled, next Saturday, the real CS." Wang Zihao smiled, "Lu Chen, if you have other friends, you can come and play together, I have a lot of coupons."

   Wang Zihao is a native of Jinghua.

   Undergraduate is also in Jinghua Medical University, he is more familiar with the nearby food, drink and entertainment.

   "Okay." Lu Chen nodded.

   He thought about it, maybe he could be called Zhou Wei, for a deep game fan, the allure of this live-action CS is definitely not small.

  …

   After chatting with Wang Zihao a few words, Lu Chen continued to bury his head in checking the literature.

   "Young heart disease...probably congenital heart disease, cardiomyopathy, myocarditis, vasculitis, etc."

   "Intermittent claudication...vasculitis obliterans."

  …

   Checked hundreds of casereports, but still did not find any disease related to this girl.

   1.50pm.

   There are ten minutes before work.

   All three roommates got up one after another.

  Lu Chen stood up, stretched, and was about to turn off the computer.

Sudden.

   He glimpsed at the bottom of the interface, there was an article about a case of xanthoma in a young girl.

Lu Chen clicked in.

   This is a 15 year old girl.

   The xanthomas in this child were also distributed along the tendon.

  Introduced in the paper:

   "Painless xanthoma, consider congenital xanthoma (homozygous familial hypercholesterolemia). The patient also has symptoms of intermittent claudication, and lipid deposition is considered to cause lower extremity atherosclerotic occlusion."

  Lu Chen looked stunned for a moment, then showed ecstasy.

  It is mentioned in the article that the possible clinical manifestations of familial hypercholesterolemia include painless xanthoma and white ring at the corneal edge.

   This patient also has symptoms of intermittent limping!

   The only difference is that the patient in this paper does not have any heart disease.

   However, it is mentioned that lipid deposition caused by familial hypercholesterolemia may cause systemic atherosclerotic occlusion.

   If there is accumulation of blood vessels in the lower extremities, it is intermittent claudication.

   Accumulation of blood vessels in the heart may lead to myocardial infarction.

   Accumulation of blood vessels in the brain will cause cerebral infarction!

   As for why mitral valve prolapse occurs, it is the rupture of the mitral chordae tendineae caused by myocardial infarction, or the dysfunction of the ** muscle!

   Seeing this, Lu Chen's stunned!

   This is all because of high blood lipids!

   "Lu Chen, you're going to be late for work, won't you leave?"

   Wang Zihao shouted to Lu Chen before going out.

   "You go first, I'll go out immediately." Lu Chen replied without raising his head.

   He has to hurry up and download this article to his phone.

   At this time, the system panel also popped up a prompt.

   "Congratulations, the completion of the system upgrade has increased, and the current progress is 2%."

   (end of this chapter)