Chapter 293 Complex Diseases
After the two finished their meal, they returned to the office. Just as they were about to take a break, something happened again.
Because Wei Ping's phone rang again.
It was Han Wei from the cardiology department who called.
"Director Han, what's the matter?" Wei Ping asked in confusion.
"I have a difficult case here. Are you free now? Come over and take a look."
"Okay, I'll go there now!" Wei Ping stood up.
Yang Ke asked at this time: "What's wrong?"
"Director Han has a case. I'll go take a look."
"I'll come with you!"
Yang Ke demanded.
Xiao Xia and the others also stood up.
"Brother Wei, let's come too."
"Okay, let's do it together."
So, everyone in the office went to the cardiology department together.
When they arrived, Han Wei was chatting with a male patient in the office.
I could vaguely hear the patient say, "Director Han, thank you for letting Dr. Wei come along for the treatment."
"Your illness is quite special. I'm not sure if it's what I'm thinking of, so we need a consultation!"
"I believe you, Director Han."
…
"Director Han!"
At this time Wei Ping appeared.
He saw two people inside, one of whom was a man in his forties who was breathing oxygen.
He looks very haggard, and the situation doesn't look optimistic.
Generally speaking, patients who receive oxygen have lung problems.
The lungs cannot transport oxygen well, so pure oxygen support is needed.
"Xiao Wei, you're here, come and sit down!" Han Wei said when he saw Wei Ping.
Wei Ping also sat down.
The patient looked at Wei Ping with great respect.
"This is my friend and also my patient," Han Wei introduced.
No wonder the two of them can chat like friends.
"Hello!"
Wei Ping greeted him.
Then he asked, "What happened to him?"
"I reported having a cold for a month with no improvement. My main symptoms were a sore throat, fatigue, chills, and finally nausea and vomiting."
"Um."
"We did a series of tests, including blood tests and a chest CT scan. We only saw mild inflammation on the chest CT scan, but no fever, cough, sputum, or chest pain, so we ruled out pneumonia."
"Where else do you feel uncomfortable?" Wei Ping asked again.
"I'm just tired and have no strength in my body." The man said again.
Han Wei gave Wei Ping a report showing an extremely low platelet count of 20x10E9/L, compared to a normal range of 100-300.
So in this case, is there bleeding somewhere?
Platelets are a key factor in the coagulation system. If there are too few platelets, the human body may bleed continuously.
"The platelet count is low. Is there any bleeding?"
"No, I checked, and there's nothing."
"I had lung cancer before, but it was removed through surgery."
"Yes, I had lung cancer before, and I recovered very well in recent years," the patient added.
"Well, I see you're on oxygen. Are you feeling chest tightness or shortness of breath?"
"Yes, I always feel short of breath and it's difficult to go to the toilet. Director Han treated me for a week, but there was no improvement. I was so worried," said the patient.
If it were any other patient, he would have been transferred to another hospital long ago.
The patient still believes in Han Wei's medical skills.
And there is also a Wei Ping in this hospital.
"Is there anything wrong with your heart?"
"No, we did an electrocardiogram, and everything was normal. At first, we thought it wasn't myocardial arrest. Later, the blood test, cardiac enzymes, troponin, liver and kidney function tests were all normal. But one value was a little high."
Han Wei said, and Wei Ping also discovered it at this time.
He stated that he did not have high blood pressure, diabetes, or heart disease.
However, the level of brain natriuretic peptide rose very high.
Han Wei then continued, "Dyspnea for most people is mostly caused by heart or lung problems. I've had a chest CT scan before, and it was an enhanced CT scan, which only showed mild pneumonia, not severe pneumonia, pulmonary embolism, or atelectasis or pneumothorax. So it's unlikely that the dyspnea is caused by lung disease. That leaves only heart disease. With such high brain natriuretic peptide levels, I think of heart failure."
The survival rate of acute heart failure is low. For chronic heart failure in the elderly, the one-year survival rate is around 70%, and the five-year survival rate is around 40%.
And looking at the patient's condition, it is not optimistic.
If it is heart failure, the prognosis is very poor.
But when Han Wei said this, Wei Ping knew that his diagnosis of heart failure must have been wrong again.
Otherwise, he wouldn't have come to talk to me about this.
Sure enough, he saw a series of inspections below.
He had a cardiac ultrasound and everything was normal. However, the sound detected through the stethoscope was that his lungs were full of moist rales, which was a typical symptom of heart failure.
Therefore, heart failure cannot be completely ruled out, it is at most suspected.
As for other conditions, even myocarditis was ruled out.
But it all really has to do with the heart.
After all, all the patient's symptoms are strongly related to heart problems.
I didn't think it might be some other disease.
What kind of disease could that be?
Han Wei fell silent. He couldn't figure out what the disease was.
When they talked about this, the intern behind Wei Ping and Yang Ke were both confused.
They also tried their best to think, so what is this disease?
My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!
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