Doctor Started a Plug-in

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To diagnose a disease, there must be a key point!

Only by finding this key point can the diagnosis in the true sense be clear.

This is what modern medicine says: the gold standard for diagnosis!

For example, tuberculosis can be diagnosed by tuberculosis in sputum culture, such as cancer diagnosis, cancer cells can be found in tissues, etc…

but!

There are no gold standards for many diseases.

This requires finding a main clue that can help diagnose the disease!

Once you find this, you can help diagnose the disease.

Chen Cang took a deep breath, and looking at the old man’s eyes again was full of awe.

Chen Cang slightly nodded gesture, thank you!

The old man was just smiled, nodded, and did not speak.

……

……

The old man is great, it is great here.

But the most powerful is not only here.

The most powerful thing is the philosophy of dealing with others.

He knows that Wu Yushu has a problem, maybe the problem is not small, but he will not speak directly.

He knew it was Hospital, and he had to listen to the doctor.

Even if the old man is a famous doctor and a powerful doctor, he will not exceed his authority, nor will he teach Chen Cang how to do it.

However, as a doctor, seeing Patient’s diagnosis encountered something, his heart did not allow him to stand by.

At this time, Chen Cang’s “measure blood pressure” operation seems to have a high EQ.

If the old man asked Chen Cang to make a chest radiograph, an electrocardiogram, or even a heart Color Doppler Imaging, would the Patient be willing?

What does Patient think?

Your doctor will not give a diagnosis for others to help?

Does Patient think the doctor is a quack!

Not even follow the advice to do the inspection.

The blood pressure measurement is from the perspective of Patient, do you think? Measuring blood pressure, simple things, anyway, no cost, just a simple check.

First, the Patient did not repel his heart and heeded the advice.

2) Doctor can also get many useful clues from it.

It can be said that it is a serene room, which solves the problem, which seems very difficult to deal with.

10000000 Don’t underestimate the sphygmomanometer, this thing seems simple.

However, this blood pressure test can still find many things.

This is where the found is.

Paradoxus Pulsus refers to the phenomenon that the pulse obviously weakens or disappears when inhaling, and then appears or returns to its original state when exhaling. Observing Paradoxus Pulsus with a sphygmomanometer is more intuitive and obvious than palpation with a finger.

An experienced Doctor can feel a lot of things at a glance.

Paradoxus Pulsus occurs due to increased pressure in the pericardial cavity, which limits ventricular diastolic filling, limited systemic venous return during inhalation, and reduced blood volume discharged from the right ventricle into the pulmonary circulation, which is affected by negative respiratory pressure. The dilation causes a decrease in the amount of blood flowing back into the left heart from the pulmonary veins, and a decrease in the left heart output, so that the pulse weakens or even disappears.

The occurrence of Paradoxus Pulsus is common in diseases such as right heart failure, pericardial effusion and constrictive pericarditis, and severe asthma.

With this diagnosis, what Chen Cang needs to do next is simple and clear.

With the heart auscultation sound just now and Paradoxus Pulsus at this time, Chen Cang now has almost all of the knowledge of Wu Yushu in his heart.

most likely is constrictive pericarditis!

However, if you want to confirm the diagnosis, you must have a basis. Thinking of this, Chen Cang carefully observed. With Wu Yushu’s breathing, the neck and jugular veins could be vaguely seen, but because of the obesity, it is not very obvious.

Chen Cang thinks of Wu Yushu’s stomach bloating, indigestion and poor appetite after coming.

Said: “I touch your belly.”

Wu Yushu lifted his legs very well.

After Chen Cang’s abdominal percussion, there was a slight silence. There may be fluid in the abdominal cavity and hepatomegaly.

At this time, Chen Cang was able to judge an almost.

Thinking of this, Chen Cang asked in detail about the history of the disease and the predisposing factors.

Afterwards, Chen Cang looked at Wu Yushu: “Your current performance and my examination of you just now, I feel that you are more like a constrictive pericarditis.”

Upon hearing this, Wu Yushu was suddenly twitched by eyelids and was taken aback by this professional term.

He had heard of pneumonia and rhinitis, but it was the first time he heard about pericarditis!

Thinking of this, Wu Yushu complexion changed: “What is this pericarditis? What does it mean?”

Chen Cang explained: “Constrictive pericarditis is caused by chronic inflammation of the pericardium, which acts on the human body for a long time, causing thickening, adhesion, and even calcification of the pericardium, which limits the relaxation and contraction of the heart, and reduces the function of the heart, resulting in systemic blood circulation disorders. A disease.”

“Your breathing pain, chest pain, and stomach bloating are all directly related to this!”

Wu Yushu was frightened when he heard the truth.

He can’t be sick…

This is the key.

The heavy burden is on him, where does he dare to get sick?

Don’t dare to rest, let alone get sick?

Thinking of this, Wu Yushu quickly asked, “Doctor, am I serious?”

Serious or not, this is really hard to say, but Chen Cang saw Wu Yushu and had to speak frankly:

“To be honest, it is not a simple disease, because long-term development will not only affect the Cardiovascular system, but may also accumulate liver, lung, etc., diseases of the whole body system.”

Wu Yushu groaned in his heart: “Does this… need to be hospitalized? Or can I take some anti-inflammatory drugs?”

In Wu Yushu’s heart, inflammation, should I take some anti-inflammatory drugs?

But… the inflammation in the heart left him unsure.

Wu Yushu heard Chen Cang’s explanation, it seemed quite serious, and he was also terrified.

Chen Cang unable to bear shook the head: “In the case of constrictive pericarditis, surgery is the main method, supplemented by medicine, and the sooner the better, and the fluid in your abdominal cavity needs to be extracted. Of advice is to arrange hospitalization as soon as possible.”

“After hospitalization, improve the relevant examinations, and then make specific diagnosis and treatment.”

Chen Cang said everything that should be said.

He can see that Wu Yushu seems to be somewhat resistant to the inspection. There are only two reasons, one is economic pressure and the other is delaying time.

But when the disease comes, the treatment still needs to be treated.

However, the examination can be done after hospitalization.

In this way, you can take out medical insurance and reimburse a large part of the cost of the inspection.

This is already Chen Cang’s greatest effort.

Therefore, Chen Cang didn’t let Wu Yushu do the examination in OPD as soon as possible, but it was reasonable to hope that he could be hospitalized as soon as possible.

Wu Yushu heard Chen Cang’s words and was a little silent. He sat there without saying a word.

At this time, Chen Cang consulted the elderly.

Seeing the old man, Chen Cang didn’t know what to say. After thinking about it, he said, “Old man, what can I do for you?”

The old man handed over the emergency room registration: “Give me an electrocardiogram and I’m flustered.”

Chen Cang’s eyes shrank suddenly after seeing the old man’s name!

This name may not be understood by most people.

However, in the medical field of Dongyang Province, or in the field of traditional Chinese medicine, the meaning of this is really different.

Chen Cang also learned the name by accident, absolutely didn’t expect, he could actually see this big guy!

National Medical Master: Zheng Sanshui!

ps: hehe, for the time being 3, but actually

Paradoxus Pulsus is actually a very interesting thing, I have really met.

Finally… cheeky begging for votes, cough cough!