I Can See Health

Sun Guoguo frowned, then nodded slightly, but said nothing.

Through Lin Cui's words, she could probably guess what just happened.

Ke Yue has been in the department for two months, and she is very aware that this little girl has poor clinical knowledge and skills.

However, although Lin Cui is the deputy director of the department, there is no need to be so aggressive and put a thin-skinned girl in such a difficult position.

What's more, Ke Yue is still a student of Director Li Yao!

Even if you don’t look at the monk’s face, you should still look at the Buddha’s face.

Lin Cui did this because she was totally disrespecting Teacher Li Yao!

Sun Guoguo didn't agree with Lin Cui's approach, but after all, he was a senior physician and the deputy director of the department, so she couldn't say much.

…

As the deputy director of the department, Lin Cui didn't think so much. She was the leader of the department, and it was very common to teach a student a lesson.

"Atrial fibrillation is one of the most common electrocardiograms in our cardiology department." Lin Cui continued, "Everyone must understand the characteristics and treatment methods of atrial fibrillation electrocardiograms! If you don't even recognize this most basic electrocardiogram, then you must Work hard, otherwise you will laugh out loud if you reveal your identity as a cardiology graduate student!"

During this period, Ke Yue kept his head closed, almost burying his head in the floor.

It’s not that she didn’t work hard, it’s just that she fell behind too much!

During the entire fifth year of internship, she spent most of her time reviewing for postgraduate entrance exams and rarely learned clinical knowledge and skills.

Especially for electrocardiograms, you need to rely on a lot of picture recognition to improve your ability!

The electrocardiograms in books are the most standard abnormal electrocardiograms.

But clinically, there are no two identical ECGs.

In addition to relying on talent, you also need to rely on yourself to accumulate more experience in reading pictures.

…

Lu Chen could understand Ke Yue's mood at this time, so he patted her shoulder gently and whispered: "It's okay, just learn slowly, no one knows it at the beginning."

"Yes." Ke Yue responded softly, but her head was still lowered, and Lu Chen couldn't see her expression clearly.

…

At this time, Lin Cui began to interpret the fourth and fifth electrocardiograms.

However, these last two electrocardiograms are not as easy to identify as before.

Lin Cui clicked on several students in succession, but none of them knew the diagnosis of this electrocardiogram.

Even He Sirong was hesitant. After thinking for a long time, he slowly said: "Teacher Lin, in this picture, the ST segment of the inferior leads and leads V4-V6 is depressed, and the ST segment of leads V1-V3 is elevated. It should be Coronary 6+2 phenomenon, consider left main artery occlusion."

When Lu Chen first saw this picture, he considered that the diagnosis was similar to what He Sirong said. It might be coronary heart disease or left main occlusion.

But this picture gave him the feeling that something was wrong, something strange!

But he couldn't tell what exactly was wrong.

Hearing this, Lin Cui shook her head and chuckled, and said: "The fourth picture should be the most difficult one. When this patient first came to our department, many people made wrong judgments, including some senior attending physicians! I I can only give a hint that this disease has nothing to do with primary heart disease!"

Hearing the meaning of Lin Cui's words, He Sirong knew that she had made a mistake in her judgment!

It has nothing to do with primary heart disease...

Lu Chen lowered his head and thought, and suddenly a light flashed in his mind.

If it has nothing to do with primary heart disease, there is only one possibility left!

"Director Lin, I would like to ask, how is the patient's kidney function?"

As the saying goes, the heart and kidneys are inseparable.

This kind of obvious "ischemia" ECG, if it is not a heart problem, it is mostly a kidney problem!

Lin Cui glanced at Lu Chen in surprise.

This boy is a bit unfamiliar. He just came to the department today?

"Well, this is indeed a patient with chronic renal insufficiency."

When Lu Chen heard this, he smiled slightly and already had his own answer in his heart.

Seeing Lu Chen's smile, Lin Cui raised her eyebrows.

"Do you know the answer?"

They all discussed the electrocardiogram for a long time, and finally combined the laboratory indicators to finally confirm the diagnosis!

Is it possible that this boy was diagnosed when he encountered this electrocardiogram for the first time?

"If I guessed correctly, there should be hyperkalemia and hypocalcemia." Lu Chen smiled.

Everyone present showed surprise and confusion.

From coronary heart disease to hyperkalemia and hypocalcemia, the span is huge!

"This picture is indeed very difficult, but it is also very interesting."

Lu Chen smiled and said.

Sun Guoguo, who was giving medical instructions at the side, also turned back curiously.

Electrocardiograms of atrial fibrillation are common in cardiology departments, but "high potassium and low calcium" are extremely rare.

"The R wave increment of chest conduction V1-V3 is poor, UU Reading www.uukanshu.net R wave is slender, which is equivalent to basic loss, T wave is symmetrical, the waist is very thick, and the peak is not obvious, which is very similar to the 6+2 phenomenon. I believe that most of them Most people look at this picture and think it is coronary heart disease, and it may be a disease in the left main trunk or the proximal segment or three branches of the anterior descending artery."

He Sirong nodded slightly. The reason why she judged this was coronary heart disease was based on Lu Chen's description above.

Lu Chen paused and continued.

"But this patient is a patient with chronic renal insufficiency. If we carefully observe the electrocardiogram, it is actually quite consistent with sharp waves, but they are not high. In addition, in the case of sinus tachycardia, the ST segment is significantly prolonged. Based on this, consider this patient Hyperkalemia combined with hypocalcemia.”

"This is a less typical coronary 6+2 phenomenon. It is considered to be caused by the relative ischemia of the coronary arteries caused by this patient's severe renal anemia. In fact, 6+2 is not a patent for coronary artery disease such as left main disease or three-vessel disease. !”

After Lu Chen finished speaking, the students present looked at each other.

These knowledge points completely surpassed what they had learned before.

Only He Sirong, she was the only one among all the students who could understand what Lu Chen said.

Chronic renal insufficiency…

Hyperkalemia, hypocalcemia...

This was something she had not expected at all. Her thinking was still stuck in the fields of coronary heart disease and arrhythmia.

Even though Lin Cui had warned that this picture had nothing to do with "primary heart disease", she still couldn't get around it.

But Lin Cui was silent.

Every word Lu Chen said was correct.

He not only diagnosed hyperkalemia, but even hypocalcemia!

Just this electrocardiogram interpretation has completely covered up all the brilliance of He Sirong before!