Chapter 1194

After Chen Cang simply asked about the patient's condition.

Start a detailed physical examination of the patient.

tell the truth!

Physical examination is addictive.

As an elder said, there are only one physical examination and countless times!

Of course, dummy models are certainly not as fun as real people!

Especially when touching lymph nodes and palpation, the dummy can't bring feedback!

The patients are different. The lymph nodes are large and round. An occasional painful groan can give the physical examination doctor an intuitive understanding.

Because of this, after Chen Cang palpated, his face suddenly changed and his eyebrows frowned slightly.

Ouch?

what the hell!

Is there such a difficult question in an examination?

While talking, Chen Cang began to ask about the medical history.

Just

The more Chen Cang asks, the more interesting he feels!

I didn't expect to encounter such a challenging and confusing problem!

For a while, to be on the safe side.

Chen Cang took the stethoscope again, first auscultate the heart, and then the abdomen

After some inspection, Chen Cang took a deep breath!

Took a deep look at the patient!

The patient smiled and looked at Chen Cang with the same deep meaning.

Quite a battle of wits and courage, the brave meet on a narrow road and have the determination to win.

The three examiners looked at each other and felt a little confused.

Professor Chen... Is he making a show for the camera?

To deceive the camera?

Is it necessary to be so serious?

However, at this time, Chen Cang heard a murmur in his abdomen!

Suddenly, Chen Cang's face changed!

He closed his eyes and began to think again. He turned back and asked about the medical history!

But this time, Chen Cang asked more and more carefully!

The more you ask, the more you find some problems!

"Acute chest pain?"

Chen Cang immediately frowned.

"How many years have you had high blood pressure?"

The man smiled and said, "it's hereditary. It's been 30 years, but I haven't taken medicine well. This time, my heart suddenly felt uncomfortable, so I hurried over."

The patient's heart is not heavy.

After all, he has been hospitalized, and the doctor said the situation has eased somewhat.

For this intermediate examination to be a model, he also took the initiative to sign up.

You know, these "model" patients are generally volunteers and have no income, so those who can come here are generally very cheerful in character!

The patient's eldest brother is nearly 40 years old, bald and short. He is a small supervisor of a private enterprise, and his life is not slow.

After being hospitalized this time, I even said optimistically that I don't need to travel often, and I can even have a good rest for a period of time.

The patient's diagnosis is angina pectoris and hypertension. He has been smoking and drinking for a long time. Now he is also a child with carotid plaque.

Therefore, the attending doctor is worried about a series of troublesome diseases such as cerebral infarction and myocardial infarction caused by unstable plaque.

When Chen Cang asks questions, the patient can't tell him the diagnosis. He can only say the symptoms. To put it bluntly, the patient has to "fight wisdom and courage" with the assessment doctor!

But at this time, Chen Cang suddenly asked:

"Have you caught a cold recently? Have you got a fever, or have you got a rash?"

The man was suddenly stunned, recalled carefully, and hurriedly said:

"Yes, yes! There was such a thing before I was hospitalized, but it was not obvious, so I didn't care. I came to the hospital mainly because my heart was uncomfortable!"

Hearing this sentence, Chen Cang suddenly frowned. At the same time, his eyes were sharp.

He turned and looked at the three examiners: "give me the recent imaging results and physiological and biochemical tests."

The three were stunned, and Xu aiming quickly handed it out.

Chen Cang took out physiological and biochemical tests such as blood routine, liver and kidney function, troponin and infectious diseases.

Chen Cang read the test sheet very quickly. After reading it, he put it down directly.

He found that the current test may have no meaning.

He put down the test sheet and picked up the image results.

Because the test report is real-time data!

What do you mean?

It's your vital signs and various indicators at the moment. Even if you drink a bowl of books and take a bubble of urine, you will have a pulse, but it won't beat so much.

But

Eating won't change much. What if you take medicine?

He felt that the patient's liver had an abnormal reaction.

While talking, he picked up abdominal ultrasound and cardiac ultrasound and looked at it. After reading it again, it seemed that it was not much different. It was basically normal. It was a little fatty liver and did not affect it.

No chest film... No... wait!

Chen Cang stared at the chest film carefully. After a few eyes, he put it down and took out the chest CT.

After reading it, Chen Cang took a deep breath.

This hospital... Is too bold, and the assessment is too difficult!

Chen Cang felt that if he was not aware of the abnormal response of the patient's liver and abdominal noise, he could not find such hidden signals!

Chen Cang couldn't help shaking his head. It seems that the assessment of the attending doctor is really difficult!

Such a serious and complex patient should be assessed.

Thinking of this, he carefully wrote in the column of patient diagnosis:

Admission diagnosis:

1. Kawasaki disease?

2. Vasculitis (possible arteritis)

3. Hypertension grade 3 (extremely dangerous group!)

4. Omen of aortic dissection

5. Angina pectoris

6. Liver injury (possible hepatitis)

Chen Cang wrote six diagnoses!

And one is more dangerous than the other.

Treatment:

1. After admission, improve relevant examinations as soon as possible, urgently check liver function and improve angiography.

2. Special care routine, low salt and low fat diet.

……

After writing, Chen Cang handed it to the three examiners and sighed.

This problem is really difficult!

I almost didn't do it myself.

At this time, the three examiners were suddenly stunned after reading it.

The three people looked at each other, looked at each other, two eyes

I couldn't help but take out the answer in my hand and was stunned.

This

It seems different from the diagnosis of the competent doctor!

Thinking of this, Xu aiming couldn't help asking, "Professor Chen, why don't you... Think about it again?"

"Yes! Actually... Are you thinking about it?"

"Yes, are there any other possibilities for the patient? For example, it's just ordinary hypertension? On the disposal plan..."

After hearing this, Chen Cang immediately looked happy.

Immediately... She sighed awkwardly and politely.

It seems that he has gone through the back door after all!

With this in mind, Chen Cang added a clause to the disposal plan:

"Arrange the operation as soon as possible!"

After writing, Chen Cang breathed a sigh of relief and looked at the patient with respect.

The old man is a great man.

I have reached this point, and still insist on providing medical personnel with a training opportunity

It's so moving.

however!

Chen Cang looked at the meaningful eyes of several examiners and the wise eyes of the patient. Chen Cang thought about it in his heart.

Is... This a trap?

Should I make a special choice?