Famous Among Top Surgeons in the 90s -
Chapter 959: 【959】Test her
Chapter 959: 【959】Test her
"At the subway station." Xie Wanying said in a low voice, "Seeing that she seemed to struggle a bit while climbing the stairs, I inquired and she admitted that she normally finds it a bit difficult to breathe when climbing stairs."
This Zhu Huicang, a heart surgery doctor himself, hadn’t noticed his pregnant wife’s abnormal panting while climbing the stairs? Fu Xinheng’s brows furrowed deeply. He only knew that once this got out, their cardiac surgery colleagues would probably be the laughingstock.
"Her husband doesn’t know?" It was necessary to ask one more question to confirm.
In response, Xie Wanying spoke up for her senior brother and sister, "The patient’s symptoms likely developed recently and haven’t been noticed in time. After all, some diseases in pregnant women only become apparent when the fetus has grown. Like a cardiac ultrasound, it’s not a routine prenatal screening for pregnant women."
As she spoke in defense of another, a subtle lift of his eyebrows, Fu Xinheng glanced her way.
Xie Wanying got the message—Teacher Fu thought it best that she kept such pointless talk to a minimum.
This robot. Li Xiaobing, who because of her pregnancy didn’t dare to move much, could only stare at the robot speaking with her junior sister, wondering exactly what this emotionless fellow was planning to tell Xiaobing.
"On the phone, you mentioned that her heart function wasn’t very good. Are there any other diagnoses?" Fu Xinheng asked.
The fact that Teacher Fu was asking her this question took her by surprise. After all, the patient was there; an examination would be done, and a diagnosis would soon follow. Could it be that Teacher Fu was deliberately testing her?
Can’t the electrocardiogram provide a diagnosis? Xie Wanying glanced at the ECG machine.
"What, no ideas?" Catching her glance, Fu Xinheng asked again.
Xie Wanying quickly replied, wanting to leave a good impression on the cardiac surgery teacher, "I suspect she has mitral valve prolapse."
"Mitral valve prolapse." Fu Xinheng repeated her diagnosis softly, his eyes narrowed, apparently not expecting her to actually provide an answer.
There are many types of heart disease, and dyspnea from climbing stairs is just one of the symptoms of poor heart function, a symptom shared by many heart diseases. How had she come to suspect this particular condition?
"State your diagnostic reasoning." Fu Xinheng said, his voice as cold as a judge presiding over a case.
With Teacher Fu sounding so stern, Xie Wanying had to be even more cautious. She carefully recounted her diagnostic reasoning, "She has a comparatively lean upper body. Most young females with mitral valve prolapse exhibit similar signs such as a relatively flat thoracic cage. In the case of mitral valve stenosis, facial features are more pronounced, and there’s often a history of rheumatic fever. Mitral valve prolapse, on the other hand, tends to have subtler physical signs, which consequently makes the onset slow, with symptoms that are relatively hidden. Symptoms only start to emerge when the patient’s body undergoes severe and acute changes."
It was somewhat based in fact, but she knew that to reach a diagnosis, certainly more clinical examinations were needed to make an accurate judgment.
Zhou Junpeng came over with the completed ECG printout and handed it to Fu Xinheng.
Bowing his head to examine it, Fu Xinheng’s eyes narrowed, his gaze icy as he asked, "What did the auscultation reveal?"
Zhou Junpeng, who had just examined the patient, replied, "The systolic murmur of the heart is not very distinct. On the ECG, there is only atrial premature beats. There are no particularly obvious abnormal features. We should probably make a judgment in conjunction with other examinations."
"Fine, take her to get an echocardiography," Fu Xinheng ordered the doctor below.
Zhou Junpeng went to call a nurse to bring over a wheelchair.
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