Doctor Started a Plug-in

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With the sound of the system hint, Chen Cang was hungry and thirsty but still received Mission, looking at Meng Xi lightly.

“Okay.”

Meng Xi raised his eyes and handed over the electrocardiogram: “Come, let’s analyze Patient’s condition.”

Eastern University First Hospital and Provincial Second Hospital are not at the same level. There are many students here. After all, it is the first affiliated Hospital of Dongyang Medical University. Whether it is an intern or Gui Peisheng Post-Graduate, there are many!

The lack of emergency department is a special mandatory department, so at this time several people around looked at Chen Cang curiously.

Chen Cang took a look at the electrocardiogram first, um, just a glance, went straight to the Patient, looked at the stethoscope on the neck and listened to the Patient’s chest for a while, then looked at the Patient and asked, “uncle, you feel How long have you held your chest tight?”

The man is also very cooperative, it is not myocardial infarction, but also relaxed.

“For 3 days, I felt unfathomable mystery. I was at the wedding of a colleague and son a few days ago. When I came back, I had a cold, a little fever, and took some medicine. On the 2nd day, I felt uncomfortable and a little chest pain. Fever, I thought it was a tired cold, I didn’t care.”

“But… I felt suddenly worse today. I was worried about my heart attack, so I came here. It was chest pain and tightness. Now I feel a little strenuous even breathing.”

After Chen Cang listened: “You lie down, I will give you a knock.”

The man was very cooperative and lying on the bed, Chen Cang began to percuss.

Ask the pain while buckling.

Over the next two minutes, Chen Cang said after perturbing the anterior heart area, “Take a deep breath, inhale…exhale…”

Suddenly the man yelled, “Yoyo, it hurts!”

Slowly, then slowly said: “No, no, it hurts when you inhale!”

Chen Cang looked at the trainee on the side: “Where is the test sheet, blood routine, myocardial enzyme.”

Gui Peisheng paused. Looking at Chen Cang is just like watching Teacher. He is very respectful and hastily handed it over.

“Teacher, give!”

Chen Cang didn’t care about these details. After turning it over, he took a closer look.

Picked up the chest radiograph and glanced again, everything understands clearly in the mind.

As a Doctor, the most important thing is diagnosis. Chen Cang now has perfect chest image interpretation, perfect electrocardiogram, and perfect clinical interpretation of physiological and biochemical test indicators!

At this moment, Chen Cang estimates that no one knows Patient’s condition better than him.

Chen Cang directly said: “Patient has an acute onset, accompanied by fever, chills, chest pain, dyspnea and other symptoms. The pericardial friction sound is obvious, the blood routine leukocytosis is accompanied by left nuclear shift, and the electrocardiogram shows obvious changes in st segment and t wave. I looked at the chest radiograph and the results of the x-ray examination showed that the normal outline of the Patient’s heart disappeared and the pulse was weak!”

“So, I am now 100/90 sure that Patient is acute bacterial pericarditis, and now my heart may have purulent fluid. I just percussed that the voiced area changed.”

“Heartbeat speeds up and breathing is difficult. This is a sign of cardiac tamponade!”

A word, stunned everyone!

Justified!

Every sentence makes sense!

And most importantly, every student here can understand, Chen Cang’s words are easy to understand, and every conclusion is based.

It makes people feel that diagnosis is like investigating a case. Each clue points to a cause, which leads to a result.

Looking at a group of medical students around you who want to applaud!

Too awesome!

Gangster 666!

A group of medical students are really overwhelmed by emotions.

Meng Xi awesome?

Absolutely cow!

3 2 I can see that it is an acute pericarditis.

But everyone will only feel awesome.

But Chen Cang is different. The explanations are thorough. For students, this is what they can learn.

This is the case with clinical knowledge.

In fact, what this group of students do not know is that this is intentional by Meng Xi.

After Chen Cang finished speaking, Ge Huai was also slightly startled. He could also see pericarditis, but…may not be as clear as Chen Cang’s diagnosis.

but!

Ge Huai thinks that Chen Cang can do this because he has said that it is pericarditis, and Chen Cang is a student, and the book knowledge is strong, so this is the same as the original Suture, he Suture is a little faster than himself, but… there is no close stitch.

Meng Xi looked at Chen Cang’s performance just now and was very satisfied. Basically Chen Cang used all the diagnostic methods for acute pericarditis.

Even for bacterial acute pericarditis, there may be a pericardial tamponade.

A group of students around looked at Chen Cang’s eyes full of worship!

However, Meng Xi suddenly asked: “Patient what do you think should be treated?”

Chen Cang’s base of evil supplements during this time is very good for theoretical knowledge.

“First of all, 1st Step releases the cardiac tamponade. Patient now has more effusion in the heart cavity. What 1st Step should do is pericardial aspiration.”

“At the same time, testing the nature of pericardial effusion and blood culture, looking for pathogenic bacteria, using sensitive antibiotics according to the pathogenic bacteria.”

“Finally, if there is no relief, use pericardiotomy!”

Meng Xi did not praise Chen Cang too much, but asked indifferently: “Can you succeed by letting you puncture?”

[Ding! Through the test of instructor Meng Xi, you get a favorite impression degree of +3, Ding! triggers the second round of the test Mission, and performs a pericardial puncture on the Patient. 】

Chen Cang eyes shined, even a serial Mission, what will be the last link?

“Yes!”

At this time, Doctor Wu Peng from the emergency department came back and walked in with the doctor in the ultrasound room pushing the car.

“Director Meng, here!” Wu Peng said hurriedly.

The Doctor in the Color Doppler Imaging room has frequent dealings with the Department of Cardiology and has a good relationship with Meng Xi. He also knows Meng Xi’s personality.

So after seeing Meng Xi, there was no nonsense, nodded directly, and asked: “Director Meng, what about the Patient?”

Meng Xi said: “I suspect that it is bacterial acute pericarditis, and the Patient has a sign of cardiac tamponade.”

When B-Doctor heard it, his face changed slightly, and his heart was congested?

Isn’t this disease a joke?

Thinking of this, I quickly started the operation.

Color Doppler Imaging is still very good for this inspection.

It didn’t take long for the results to come out!

A lot of fluid in the pericardial cavity has compressed the lungs and bronchi, which has a certain effect on breathing, and also has some compression on the heart.

Under the echocardiogram of the heart, the ejection fraction of the heart has begun to decline.

B ultrasound doctor frowned: “Director Meng, puncture as soon as possible!”

Meng Xi nodded: “Little Chen, come on!”