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【1241】Academic dispute between the two seniors

Young people who go out to work are lonely and lonely. Such young people may not be much better than the elderly if they get serious illnesses.

Dr. Dong and Sister Xu rushed over and asked Xie Wanying: "Have you done her with an electrocardiogram?"

"I haven't done it yet. The blood test results are not very good, so please come and have a look." Xie Wanying said, holding the results report that had just been released in the laboratory department.

Dr. Dong took the test form from her and felt strange: "You didn't give her an electrocardiogram, why do you suspect that something is wrong with her heart?"

Generally, patients with colds and fever do not need to issue a checklist related to heart disease.

"She has a fever not very high, not very much like tonsillitis. She is not very energetic. I auscultation and found that her heart rate is fast. A fever is a normal physiological phenomenon, but there is a possibility that her apex pulsation point will move downward. I calculated it based on her weight and body shape." Xie Wanying explained her thoughts to the teacher.

Others heard that she seemed to be highly vigilant against young patients with colds, like an old cardiovascular doctor, as if she had seen such patients too many.

As a doctor Dong in the cardiology department, Li Chengyuan, who is outside the heart, couldn't help but meet her eyes. They could hear that she had definitely seen and contacted such a patient.

But she has never studied cardiology or cardiothoracic surgery.

"Have you ever seen such a patient?" Xin Yanjun asked Xie directly.

Teacher Xin suspected that Student Xie had accumulated a lot of clinical experience.

Xie Wanying must clarify this point. She did not have clinical experience in all diseases, because she was not a clinician after all before she was reborn.

"We used to have a neighbor who only had a son. His son had a cold and was not diagnosed with myocarditis at first. He was not diagnosed with heart failure. He found out that it was too late." Xie Wanying said, "This situation seems to be concealed progressive myocarditis."

While expressing his thoughts, he discussed academic research with the seniors in cardiology and cardiac surgery present.

Dr. Dong did not reject her words and said: "Concealed progressive myocarditis is the most troublesome thing. In fact, acute myocarditis generally has a better prognosis, as long as it is detected and treated early."

"The patient's condition she mentioned." Li Chengyuan disagreed with their statement, saying, "It should be dilated cardiomyopathy. As for whether it is dilated cardiomyopathy caused by viruses, this is a question that needs to be explored. Dilated cardiomyopathy and myocarditis are two different things."

"Some patients with myocarditis will eventually become dilated cardiomyopathy." Dr. Dong argued with him and said.

Doctors who are not in the cardiac specialist can only listen to the two of them scramble around silently.

"Who said to you?" Li Chengyuan shook his head at Dr. Dong's words, "It is myocarditis caused by viruses and may also cause dilated cardiomyopathy. It is not about dilated cardiomyopathy caused by myocarditis, so don't confuse it."

"You are just confused. Some patients with myocarditis will experience dilated cardiomyopathy in the end stage. How does this phenomenon come from myocarditis? Dilated cardiomyopathy has natural causes and viral infection factors, and the latter is undoubtedly related to myocarditis, which is also virally infected."

In the debate on academic issues in medicine, it is often the chicken that lays eggs or the eggs. The two of them argued for a long time, and it is obvious that they couldn't find it to be the egg that lays eggs or the chicken that lays eggs.
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