Chapter 364

The old man and Wu Yushu went into the clinic together.

Wu Yushu sat down opposite Chen Cang: "Hello, doctor."

Chen Cang nodded and asked straight to the point, "well, Hello, why are you uncomfortable?"

Wu Yushu told the truth: "when I got up this morning, I felt suffocated in my chest. I had some difficulty breathing. I was much better when I sat up. This situation also existed before, every year, but it would be better after a period of time."

Speaking of this, Wu Yushu continued: "I usually smoke a lot, at least one pack of cigarettes, occasionally two packs, for more than ten years.

When Chen Cang was about to ask, Wu Yushu suddenly said, "by the way, I feel my stomach has been bloated recently and my appetite is also very poor. Is my stomach power bad?"

"Occasionally, there is chest pain, and it's uncomfortable here!"

Wu Yushu touched the right flank, near the liver.

There are many patients and various symptoms.

But the main symptom is dyspnea.

After hearing this, Chen Cang felt that it was very similar to old chronic bronchitis and chronic obstructive pulmonary disease.

But

Respiratory distress and sedentary breathing are not just respiratory diseases.

It may also have a lot to do with the heart.

Heart failure can also cause these symptoms.

Chen cangdun thought for a moment, picked up the stethoscope and decided to rule out the diseases of the heart system first, so he said to Wu Yushu, "you lie in bed and I'll listen to you."

Wu Yushu nodded.

Chen Cang picked up the stethoscope and listened in several auscultation areas of the heart.

I feel that the first heart sound is weakened, and there is some murmur in the second auscultation area of the aortic valve... Early diastolic extra sound in the third and fourth costal space at the left edge of the sternum.

What does that mean?

Chen Cang also doesn't understand.

Heart auscultation is really a great knowledge.

Chen Cang can only understand some fur.

There must be some problems. Thinking of this, Chen Cang touched the strongest point of heart beat. He felt... It was a little difficult to touch.

What is this?

Chen Cang then began the percussion of the heart. The voiced boundary of the heart was somewhat larger.

What should I do?

At this time, Chen Cang suddenly had an idea.

Since the patient is a heart disease, it's easy to say.

He is a man who hides his career with three skill trees of [cardiology], [cardiac surgery] and [scientific research].

After reading the skill book of Kaixin internal medicine, Chen Cang immediately found that there are many skill marks such as [cardiac auscultation], [cardiac percussion] in the primary operation, that is, the basic skill bar.

Chen Cang was immediately delighted.

Select [heart auscultation] now!

Just for a moment, Chen Cang suddenly had a stream of information brushing his mind. Countless information and diagnosis about heart auscultation appeared in Chen Cang's memory.

Chen Cang felt that he had been baptized and taught about cardiac auscultation.

[Ding! Cardiac auscultation: Master level; diagnostics passive skill.]

At this time, when Chen Cang auscultated again, all kinds of information suddenly appeared in his mind.

Constantly fit with the patient's situation.

After listening, Chen Cang frowned slightly: "I suggest we do an ECG first, and then cooperate to do a chest film."

"Your situation is more complicated now. It may not be a simple dyspnea."

Wu Yushu was stunned.

"No, doctor? I still know my situation very well. I know my constitution very well. This situation will be much better in two days."

"I've had this before."

Speaking of this, Wu Yushu continued: "I'm still going to work now. By the way, I still have a little bloated stomach and poor appetite. Is my stomach lack of power?"

"Why don't you get me some medicine! The medicine to enhance gastric motility."

While talking, the man would get up and stand up.

At this time, the old man put his hand on Wu Yushu's wrist and said, "young people, don't be so anxious."

Suddenly, the old man frowned: "why don't you take his blood pressure!"

The man was stunned. Has his blood pressure been normal?

However, it doesn't matter to take a blood pressure.

Chen Cang looked at the old man and was a little stunned. It's good to take his blood pressure.

Tie the man's cuff. Chen Cang was stunned by this measurement!

Blood pressure is relatively low!

And the most important thing is

It's not about blood pressure!

It's another thing.

Thinking of this, Chen Cang's face changed!

He found that the two systolic blood pressure were different. Chen Cang immediately became cautious. He carefully measured his blood pressure while watching the man's breathing.

When he heard the first Korotkoff sound, he quickly remembered the current systolic blood pressure, carefully observed Wu Yushu's breathing form, and then tested again!

He suddenly found a serious problem!

That is, when Wu Yushu inhales, Korotkoff's voice will disappear and appear when breathing!

A name appeared in Chen Cang's brain: Qimai!

At this time, Chen Cang quickly turned his eyes to the old man who had just asked him to measure his blood pressure.

Suddenly his eyes were filled with awe!

This is a cow!

Absolutely a cow!

However, this is not the time to worry about this. Chen Cang needs to continue to improve the inspection.

The appearance of strange veins forced Chen Cang to check Wu Yushu again.

What is a strange pulse?

Strange pulse is a special pulse!

It refers to the phenomenon that the pulse weakens or even disappears obviously when inhaling, and appears or returns to its original state when exhaling.

It's not so easy to feel this pulse.

Why does Chen Cang think the old man is powerful?

Because the old man just said, "take your blood pressure!"

This sentence can be said to be meaningful!

And it contains a lot of knowledge to be a man and do things!

First, the observation of odd pulse with sphygmomanometer is often more obvious than finger palpation.

Any experienced doctor can find abnormalities when measuring blood pressure and carefully testing it.

Don't underestimate blood pressure measurement. A small blood pressure measurement can find many strange diseases and phenomena.

Strange pulse is not one of the eight strange meridians, but a strange pulse, also known as "sucking and stopping pulse".

That is, when you inhale, it stops.

This is a relatively dangerous disease. There are several causes. One is a large amount of pericardial effusion with pericardial tamponade, the other is constrictive pericarditis, and a series of myocardial diseases. Of course, emphysema and a large amount of pleural effusion may also occur, which requires further diagnosis.

However, no matter what kind of disease, the emergence of strange pulse is always not very good!

The old man just asked Chen Cang to measure his blood pressure. He didn't expect to make such a big discovery. Chen Cang was grateful to think of it.

This is a great man!

Absolutely, not only did he suddenly feel the strange pulse, but also quietly asked Chen Cang to measure his blood pressure.

In a simple word, Chen Cang found the core elements of diagnosis.