When a doctor opened a plug-in

As the system prompt sounded, Chen Cang was hungry and thirsty but calmly accepted the task, and looked at Meng Xi lightly.

"Okay."

Meng Xi raised his eyes and handed over the electrocardiogram: "Come on, let's analyze the patient's condition."

The First Hospital of Dongyang University and the Second Provincial Hospital are not at the same level. There are many students here. After all, it is the First Affiliated Hospital of Dongyang Medical University. There are a lot of interns and graduate students!

The emergency department is a special department that must be transferred, so at this time several people around looked at Chen Cang curiously.

Chen Cang took the electrocardiogram and took a look, um, just took a look, walked straight to the patient, watched the stethoscope on the neck and listened to the patient’s chest for a while, then looked at the patient and asked: "Uncle, how do you feel How long have you been holding your chest?"

The man was also very cooperative. He was relieved when he heard that it was not a heart attack.

"It's been three days, and I feel inexplicable. I attended the wedding of a colleague’s son a few days ago. After I came back, I caught a cold, a little fever, and took some medicine. The next day, I felt vaguely uncomfortable in my chest and a little chest pain. Fever, I thought it was a tired cold, so I didn't care."

"But... today I suddenly felt worse. I was worried that it was a myocardial infarction, so I came over. It was chest pain and chest tightness. Now even breathing is a bit strenuous."

After Chen Cang listened and played: "You lie down, I will give you a knock."

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

Ask whether it hurts while buckling.

After coming over for two minutes, Chen Cang finished the percussion on the precordial area and said: "Take a deep breath, right...inhale...exhale..."

The man suddenly said: "Yo-yo, it hurts!"

Slowly, he said slowly, "No, no, it hurts when I inhale!"

Chen Cang looked at the intern on the side: "Where is the test sheet, blood routine, myocardial enzymes."

Gui Peisheng paused, and looked at Chen Cang just like the teacher, respectful, and quickly handed it over.

"Teacher, here!"

Chen Cang didn't care about these details. After opening it, he took a closer look.

Picking up the chest radiograph and looking at it again, everything is clear to the chest.

As a doctor, the most important thing is to diagnose. Chen Cang now has perfect interpretation of chest imaging, perfect electrocardiogram, and perfect clinical interpretation of physiological and biochemical test indicators!

At this moment, Chen Cang estimated that no one knew the patient's condition better than him.

Chen Cang said directly: "The patient has acute onset, accompanied by fever, chills, chest pain, dyspnea, and other symptoms. The pericardial friction sounds are obvious, the blood routine leukocytes are increased, and the nucleus is shifted to the left. The electrocardiogram shows obvious changes in st-segment and t-wave. I looked at the chest radiograph and the X-ray examination showed that the patient’s normal heart contour disappeared and the beating was weak!"

"So, I am now 90% sure that the patient has acute bacterial pericarditis, and there may be purulent fluid in the heart now. Just now I percused and felt that the dullness area has changed."

"Rapid heartbeat and difficulty breathing, this is a manifestation of cardiac tamponade!"

Some words stunned everyone!

Reasonable!

Every sentence makes sense!

And the most important thing is that every student present can understand, Chen Cang's words are simple and easy to understand, and every conclusion is based on it.

It makes people feel that diagnosis is like investigating a case. Each clue points to a cause and what kind of result it leads to.

Seeing a group of medical students around me couldn't help but want to applaud!

That's awesome!

Gangster 666!

A group of medical students are really excited.

Is Meng Xi awesome?

Absolutely cow!

In twos or twos you can see that it is an acute pericarditis.

But everyone will only think it is awesome.

But Chen Cang is different, others explain thoroughly, for students, only this can learn.

This is how clinical knowledge is.

In fact, what this group of students didn't know was that Meng Xi did it intentionally.

After Chen Cang finished speaking, Ge Huai was also slightly startled, he could also see pericarditis, but...maybe not as clear as Chen Cang's diagnosis.

but!

Ge Huai felt that Chen Cang was able to do this because he Meng Xi had already said it was pericarditis, and Chen Cang was a student, and his book knowledge was firmly remembered. A little faster than yourself, but...there is no secret for sewing by yourself.

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, without missing one!

Even the bacterial acute pericarditis may have pericardial tamponade.

A group of students around saw Chen Cang's eyes full of admiration!

However, Meng Xi suddenly asked: "How do you think the patient should be treated now?"

During this period of time, Chen Cang had a bad foundation and had a good theoretical knowledge.

"First, the first step is to remove the cardiac tamponade. The patient now has more fluid in the heart cavity. The first step should be pericardiocentesis."

"At the same time, the nature of the pericardial effusion is tested and blood culture is carried out, looking for pathogenic bacteria, and using sensitive antibiotics according to the pathogenic bacteria."

"Finally, if it cannot be relieved, use a pericardiotomy!"

Meng Xi didn't praise Chen Cang too much, but asked faintly: "Can you succeed in piercing?"

Ding!Pass the test of the mentor Meng Xi and get a +3 favorability degree, Ding!Trigger the second loop of the test task to perform pericardiocentesis on the patient.

Chen Cang's eyes lit up, and it turned out to be a serial mission. What will be the last link?

"Yes!"

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

"Director Meng, here comes!" Wu Peng said hurriedly.

The doctor in the color Doppler ultrasound room has a good relationship with Meng Xi because he often deals with cardiology, and he also knows Meng Xi's personality.

So after seeing Meng Xi, he nodded without talking nonsense, and asked, "Director Meng, what's the patient's situation?"

Meng Xi said: "I suspect that it is bacterial acute pericarditis, and the patient has some signs of cardiac tamponade."

When the doctor listened to the ultrasound, his face changed slightly, and his heart was congested?

This disease is not a joke!

Thinking of this, I quickly started to operate.

Color Doppler ultrasound is still very good for this inspection.

Before long, the result came out!

There is a lot of pericardial effusion, which has compressed the lungs and bronchi, which has a certain impact on breathing, and also has some pressure on the heart.

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

The B-ultrasound doctor frowned: "Director Meng, you have to puncture as soon as possible!"

Meng Xi nodded: "Xiao Chen, come on!"