I Can See Health

At noon, the department packed a lunch.

Lu Chen returned to the dormitory after eating.

In the system panel, there are currently 26 gratitude points in total.

Lu Chen decided to hold his own for the time being and not continue the lottery. He would first digest the heart anatomy skill book he obtained in the morning.

Turn on the computer and collect books on cardiac anatomy.

The knowledge content of most books was relatively scattered. After searching for a long time, he found a more authoritative "Clinical Anatomy - Thoracic Volume" and "'s Cardiac Surgical Anatomy".

Heart anatomy, not only for cardiac surgeons, but also for cardiologists.

In the past, Lu Chen had only scratched the surface of cardiac anatomy and electrophysiology.

This knowledge is too detailed and complex, and few undergraduates cover it. Even many senior doctors have only a passing knowledge of these two fields.

Relying on the super comprehension ability provided by the skill book, Lu Chen quickly learned the knowledge of cardiac anatomy and formed a 3D diagram in his mind.

From the morphological structure of each chamber of the normal heart, heart valves, blood supply and cardiac conduction system; to the pathological anatomy knowledge of various congenital malformations, defects and common variations of the heart.

Lu Chen recalled all the knowledge in the books in his mind!

However, when exploring more advanced knowledge of cardiac anatomy, Lu Chen also found it difficult.

After all, this is just a basic skills book.

For two days on the weekend, Lu Chen stayed in his dormitory, reading books on electrophysiology and cardiac anatomy.

He felt that his knowledge reserve was skyrocketing, but this was all knowledge in books and could only be effective if used clinically.

…

It’s a new week again.

Every Monday, Li Yao will lead everyone in the team to check the ward.

Everyone was trembling, it was time for "interrogation" again.

as expected.

Since the first patient, Li Yao has prepared countless questions and is waiting for everyone to answer them.

Internal medicine ward rounds are very slow.

Especially for this kind of grand round, each patient will be sorted out again from diagnosis, differential diagnosis, to auxiliary examination and treatment.

After about two and a half hours, the room inspection was finally completed.

Everyone in the group breathed a sigh of relief. Finally, they no longer had to face the "one question and three questions" questions.

come back to the office.

Everyone began to revise medical orders and write medical records.

"Lu Chen, you are going to start the night shift this week and get familiar with the night shift process." Li Yao suddenly said, "Well, you will follow Guo Guo first. After the school officially starts in September, the teaching and research office will arrange a formal night shift for you."

Lu Chen was stunned, "Okay."

He thought he would have to wait a few more weeks, but he didn't expect that he would start to arrange night shifts during the second week of clinical practice.

"Junior brother, I am on the night shift tonight." Sun Guoguo smiled, then turned to look at Dong Hao aside, "Today's night shift student seems to be Junior Brother Dong, so the three people in our group are working the night shift together. "

The standard configuration for the night shift is two people, an undergraduate doctor and a rotating student.

Lu Chen is now equivalent to the third person on the night shift. He studies, does odd jobs, and does manual work behind Sun Guoguo and Dong Hao. It is not considered a formal night shift.

"Junior brother, it's your first time working the night shift, don't be too nervous." Dong Hao patted Lu Chen on the shoulder, "When the time comes, follow me and Senior Sister Guoguo, and you'll be there to help."

"OK, all right."

Lu Chen smiled, he was not nervous.

Being able to see the patient's health and determine the patient's priorities is an ability that many doctors dream of!

…

Today, the beds in Li Yao's group are full and there are no new patients admitted.

Lu Chen was writing medical records in the office and handling the medical records of discharged patients.

"Lu Chen, teach me how to read an electrocardiogram." Ke Yue walked to Lu Chen holding a copy of "Bingbaibai Electrocardiogram" and said, "Senior Sister Guoguo is busy with her thesis. I don't understand something well and would like to ask for advice. you."

Ke Yue has been immersed in electrocardiogram books these days. Whenever she recalls what happened to Teacher Lin Cui that day, she feels ashamed.

Although Ke Yue is usually submissive and doesn't speak too loudly.

But the quieter the person, the stronger his self-esteem.

Today, Ke Yue not only wants to ask some questions about electrocardiograms, but also to show the results of these days of hard work.

Lu Chen had just finished writing all the patient's medical records.

"Okay, no problem."

He still remembered that after agreeing to teach Ke Yue how to read an electrocardiogram last time, he got some gratitude points from her.

Being a teacher is one of the ways to gain gratitude points!

But where to start?

Lu Chen knew Ke Yue's basic knowledge of electrocardiogram and didn't know atrial fibrillation electrocardiogram. It could be said that he was not even at the entry level.

However, fortunately, he obtained the "Basics of Electrocardiography" skill book, and his understanding of the basics of electrocardiography is already very deep.

No matter which aspect he teaches, he can do it with ease.

"First of all, you know the meanings of the P, QRS, and T waves of the electrocardiogram, right?"

Ke Yue nodded like a chicken pecking at the rice.

During this time, she went back to study the basic knowledge of electrocardiogram.

"Well, then take a look at this electrocardiogram first."

Lu Chen took out four electrocardiograms from the medical record folder.

This is the electrocardiogram of a patient he recently admitted.

Ke Yue frowned and looked carefully.

"This is... ventricular tachycardia..."

"Is ventricular tachycardia as regular as P waves?

Ke Yue wondered: "Could it... be P wave?"

Lu Chen smiled: "Of course it is. Are you stupid? This is supraventricular speed transmission. Look at the second electrocardiogram."

Ke Yue hesitated: "This should be... atrial fibrillation..."

Since he didn't recognize the electrocardiogram of atrial fibrillation last time, UU Reading www.uukanshu.net After Ke Yue returned, he recited the characteristics of atrial fibrillation electrocardiogram by heart.

"Probably?" Lu Chen raised his eyebrows.

? Ke Yue frowned and said: "Although the heart rate is uneven in this picture, there are no small F waves. Doesn't atrial fibrillation have small F waves?"

"Really? Then look at lead V2. Isn't that the f wave? Look at the third electrocardiogram."

"Lu Chen, don't make fun of me. This electrocardiogram is...no problem. It's a normal electrocardiogram!"

?"Look at the QRS wave in lead II. Can the QRS wave in lead II of a normal person point downward? II, III, and aVF are all rS type. This is left anterior fascicular block."

?Ke Yue:......

?Lu Chen smiled: "Look at this last electrocardiogram."

Ke Yue looked at it for a long time and then said:

"This should be first-degree atrioventricular block, and the PR interval is prolonged."

"Did you read the book carefully? The book specifically said that the PR interval of the elderly can be extended to 0.22 seconds. The upper right corner of this electrocardiogram indicates that the patient is 82 years old, so this is a normal electrocardiogram."

Ke Yue:......

She raised her head and glanced at Lu Chen, feeling that she had been hit again.

At this time, Lu Chen also received a prompt from the system.

"Congratulations, I received a +1 thank you from Ke Yue!"

"Congratulations, I received a +1 thank you from Dong Hao!"

"Congratulations, I received a +1 thank you from Yao Jie!"

"Congratulations, I received a +1 thank you from He Qingdong!"

Lu Chen was stunned when he saw the system prompt.

What's going on?