"At the subway station." Xie Wanying also spoke in a low voice, "I saw that she seemed to be a little out of breath when climbing the stairs. After asking her, she admitted that she usually had difficulty breathing when climbing stairs."
Zhu Huicang, a cardiac surgeon, didn't he notice his pregnant wife breathing abnormally when climbing the stairs? Fu Xinheng frowned. He only knew that if this matter got out, people outside the hospital would probably be laughed at.
"Does her husband not know?" I had to ask one more question to make sure.
In this regard, Xie Wanying said a few words on behalf of her seniors: "The patient's symptoms must have occurred recently and there was no time to detect them. After all, some diseases of pregnant women can only be manifested when the fetus grows bigger. For example, cardiac ultrasound is not a routine prenatal examination item for pregnant women."
Hearing her words sound like she was defending someone else, Fu Xinheng raised his eyebrows and glanced at her.
Xie Wanying received it, and Teacher Fu thought she should stop talking such nonsense.
This robot. Li Xiaobing, who was lying on the sickbed, didn't dare to move because of her pregnancy, and could only stare at the robot talking to her junior sister. She wondered what this emotionless guy was going to say to her junior sister.
"You said on the phone that her heart function is not very good. Is there any other diagnosis?" Fu Xinheng asked.
She was surprised that Teacher Fu asked her this question. Because the patients were already here, they could just do the examination and the diagnosis would be out soon. Was Teacher Fu testing her on purpose?
...
...
Can't the electrocardiogram produce a diagnosis? Xie Wanying looked at the electrocardiogram machine.
"What? No ideas?" Fu Xinheng asked again after noticing her eye movements.
Xie Wanying quickly responded, wanting to leave a good impression on the cardiac surgery teacher, and said, "I suspect she has mitral valve prolapse."
"Mitral valve prolapse." Fu Xinheng repeated the disease she mentioned in a low voice and narrowed his eyes. He didn't expect that she would really give him an answer.
There are many types of heart disease, but shortness of breath when climbing stairs is just one of the symptoms of poor heart function, which is a common symptom of many heart diseases. How did she suspect a specific disease?
"Tell me the basis for the diagnosis." Fu Xinheng said, his tone as cold as a judge hearing a case.
The teacher's tone was stern, so Xie Wanying had to be more cautious. She thought carefully about the diagnostic ideas in her mind and said, "She is thin in the upper body. Most young women with mitral valve prolapse have similar physical signs as a relatively flat chest. If it is mitral valve stenosis, the facial features are more obvious, and most of them have a history of rheumatic fever. Mitral valve prolapse is just the opposite. It is always difficult to find clues from the patient's physical signs. Therefore, the onset is slow and the symptoms are relatively hidden. Unless the patient's body undergoes more severe and drastic changes, some symptoms will begin to appear."
There is some basis for this, but to make a diagnosis, more clinical examinations are definitely needed to make an accurate judgment.
Zhou Junpeng came over with the finished ECG chart and handed it to Fu Xinheng.
Looking down at the electrocardiogram, Fu Xinheng narrowed his eyes, his gaze like ice, and asked, "How's the auscultation?"
After listening to the patient, Zhou Junpeng replied: "The systolic murmur of the heart is not very obvious. The electrocardiogram only shows premature atrial beats. The abnormal features are not obvious. It should be judged in combination with other tests."
"Okay, push her to do a cardiac ultrasound." Fu Xinheng instructed the doctor below.
Zhou Junpeng went to ask the nurse to push the wheelchair over.
Continue read on readnovelmtl.com
