This Doctor is Great

Chapter 11: Marfan syndrome is here...

Seeing Teacher Huang's curious eyes,

Zhou Mo explained: "It's like this. I met him on the subway the day before yesterday, and I saw that he had long fingers, and he was tall and thin, and he was short-sighted, so I initially suspected that he had " Marfan syndrome"...but I'm not sure, so let him come here and take a look"

"Marfan syndrome?"

Teacher Huang Li was in a trance for a moment.

After thinking for a while, I remembered exactly what Marfan syndrome is.

This Marfan syndrome is rare, and generally patients with this disease do not realize that they have this disease, so it is relatively rare in outpatient clinics. Once it is serious, you may not come to the outpatient clinic, but go directly to the emergency room or ward.

Marfan syndrome, also known as Marfan syndrome, is a hereditary connective tissue disease with autosomal dominant inheritance. Systemic abnormalities, especially associated heart valve abnormalities and aortic aneurysms. The disease may also affect other organs, including the lungs, eyes…

The main hazard of Marfan syndrome is cardiovascular disease, especially the combined aortic aneurysm, which should be detected and treated early.

According to Mardoch et al., 1/3 of Marfan syndrome patients died before the age of 32, and 2/3 died at the age of 50. In 1995 SilvermanJL reported that the average age was only 40 years.

According to clinical manifestations: three main signs of skeletal, eye, cardiovascular changes and family history can be diagnosed.

Those who have all three main signs are called complete type.

Those with only two items are called incomplete.

"Sit down, I'll show you..."

Teacher Huang said to the young Ma Fang with a serious face.

Young Ma Fang quickly sat down, feeling a little uneasy. Through Teacher Huang's expression, he realized that his illness seemed to be quite serious.

"Has anyone in your parent's and parent's family ever suffered from a disease similar to yours?"

"this…"

Young Ma Fang thought about it carefully. In his father's line, there seem to be two or three people who are taller and have longer fingers. He still remembers when he was in school when his grandparents proudly said that his fingers were the same as those of his uncle, with slender fingers and a talent for playing the piano.

"It seems to have…"

"Pick up your clothes and show me..."

Young Ma Fang lifted up his clothes according to the words.

When I squeezed it, it was obvious that it was very thin. Although the texture of the skin was not as rough as that of the elderly, there was already a sense of 'wrinkles'.

Moreover, there is no muscle, less fat, and it is like pinching a layer of skin.

Wrinkles, aged skin, no muscle, no fat…

Much like Marfan syndrome.

But no spine curvature etc...

"Are you short-sighted?"

"Yes... I just wear contact lenses..."

"how many degree?"

"More than 600 degrees..."

Teacher Huang nodded.

Marfan syndrome, high myopia, cataract, retinal detachment and other possibilities…

"How has your breathing been? How about running?"

"If you exercise, it won't work if it's too intense, you'll be out of breath..."

"it is good…"

Dr. Huang Li asked a few more questions...

Then check...

Mr. Huang has basically confirmed that the patient in front of him is indeed - "Marfan syndrome"!

Very typical.

Bone, heart, eyes, all have problems...

The one who has all the three main signs!

Complete Marfan syndrome!

However, further examination is required.

"Let's do an echocardiogram..."

"After you're done, go back to the hospital for a diagnosis and re-examination..."

The so-called "echocardiography" is a non-invasive technique of choice for examining the anatomical structure and functional status of the heart and great vessels by using the special physical properties of short-wave ultrasound.

The main concern of Marfan syndrome is vascular disease, so echocardiography is the first choice.

"Doctor... My disease, what is it? Is it serious?" The young Ma Fang felt uneasy in his heart.

"Don't worry, you still need to make a final diagnosis..." Mr. Huang said.

"Can you tell me what the disease is called?" Ma Fang youth asked.

Teacher Huang pondered, and finally said: "The initial suspicion is "Marfan syndrome", you can go back and check the information..."

"Marfan syndrome..."

Young Ma Fang chanted the name, then picked up the checklist, got up and left the clinic.

…

Teacher Huang watched the young Ma Fang leave, and then looked at Zhou Mo.

"You were in the subway and found out that he has Marfan syndrome?"

Zhou Mo nodded: "Yes, because when I was on the subway, I was reading documents, and I was looking at some incurable diseases in the cardiology department. When I saw his appearance, I thought of Marfan syndrome..."

Mr. Huang nodded with satisfaction: "That's right... I don't forget to study in the subway... It's much better than those medical students who just brush Douyin when they have time..."

Huang Yiming behind him: "..."

I feel that the teacher is talking about me.

Teacher Huang looked at Huang Yiming behind him: "Please answer, what is Marfan syndrome..."

The series of life-threatening questions came unexpectedly!

"Ah~~~"

Huang Yiming screamed, a little flustered and guilty.

He really didn't know what Marfan syndrome was. UU reading www. uukanshu.com

Teacher Huang looked disappointed, why is there such a big gap between people? Although Zhou Mo had the worst education, and was disliked by many doctors when the 10 medical students were grouped, including himself, he was the last remaining medical student to be selected.

But in terms of clinical performance, Zhou Mo's performance was many times better than that of all other medical students: he managed the bed on the first day, and performed well, and successfully diagnosed a patient with refractory hypertension, and today's outpatient performance is even better good.

And what about Huang Yiming? SYS's doctoral master, but clinically in a mess.

"keep working hard…"

"is teacher…"

Huang Yiming bowed his head in shame, a little frustrated in his heart, why does Zhou Mo understand everything, but he seems like a fool who doesn't understand anything. Who is the scholar?

at this time,

A third patient came in.

Teacher Huang suddenly asked Zhou Mo, "Can you use the outpatient system?"

Zhou Mo shook his head: "No..."

Teacher Huang: "I'll teach you, wait for you to write the medical records..."

Zhou Mo Yixi: "Can I do it?"

This is to feed the experience package!

Teacher Huang smiled: "Of course!"

Zhou Mo was overjoyed: "Thank you, teacher!"

The two exchanged seats, and Huang Yiming behind him felt that he was an outsider.

Looking at Zhou Mo's busy back, his heart drooled with envy.

It was agreed that we would rush into the street together and become a dog, but he quietly made it out.jpg