When a doctor opened a plug-in

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

Only by discovering this key point can the diagnosis be made clear.

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

For example, tuberculosis diagnosis can find tuberculosis in sputum culture, such as cancer diagnosis, find cancer cells in tissues, etc...

but!

There is no gold standard 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 looked at the old man's eyes again with awe.

Chen Cang nodded slightly to express his thanks!

The old man just smiled faintly, nodded, and said nothing.

...

...

The old man is great, just here.

However, the most powerful is not only here.

The most powerful place is still the philosophy of doing things.

He knew that Wu Yushu had a problem. The problem may not be small, but he would not tell it directly.

He knew that this was a hospital and he wanted to listen to the doctor.

Even if the old man is a famous doctor, what an excellent doctor, he will not go beyond his authority, let alone teach Chen Cang how to do it.

However, as a doctor, seeing the patient's diagnosis encounter something, his heart does not allow him to stand by.

At this time, let Chen Cang's operation of "measure blood pressure" appear to be very high.

If the old man asked Chen Cang to do a chest radiograph, an electrocardiogram, or even a heart color Doppler ultrasound, it would do, but would the patient be willing?

What does the patient think?

Your doctor will not give a diagnosis and ask others to help?

Will the patient think that the doctor is a quack!

Wouldn't even follow the recommendations for inspection.

But measuring blood pressure is from the perspective of the patient, do you think?It’s a simple matter to take a blood pressure measurement. Anyway, it’s a simple check at no cost.

For one thing, the patient did not reject the heart and followed the advice.

Secondly, doctors can also get many useful clues.

It can be said that when the clouds are light and the wind is light, the problem is solved, which is very powerful.

Don't underestimate the sphygmomanometer, this thing seems simple.

However, this blood pressure test can find many things.

This is the deep place.

Odd pulse refers to the phenomenon that the pulse is obviously weakened or even disappears when inhaling, and appears or returns to its original state when exhaling.Observing the odd pulse with a sphygmomanometer is more intuitive and obvious than palpating with fingers.

Experienced doctors can feel a lot of things in a single shot.

The principle of peculiar pulse generation is due to the increased pressure in the pericardial cavity, which limits the diastolic filling of the ventricle, restricts the systemic venous return during inhalation, reduces the blood volume discharged into the pulmonary circulation from the right ventricle, and the pulmonary circulation is affected by negative respiratory pressure, and pulmonary blood vessels expand , Resulting in a decrease in the amount of blood flowing back into the left heart from the pulmonary veins, and a decrease in left heart output, so that the pulse weakens or even disappears.

The occurrence of odd pulses 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 becomes simple and clear.

The heart auscultation sound just now matches the Qimai at this time, and Chen Cang now has a seven-seven-eighth understanding of Wu Yushu's situation in his heart.

In all likelihood, it is constrictive pericarditis!

However, if you want to make a diagnosis, you must have a basis. Thinking of this, Chen Cang carefully observed it. With Wu Yushu's breathing, the neck and jugular veins were faintly visible, but because they were fat, it was not very obvious.

Chen Cang recalled that after Wu Yushu came just now, he said that his stomach was bloated, he could not digest, and had poor appetite.

Said: "I will touch your belly."

Wu Yushu raised his leg very cooperatively.

After Chen Cang percused on the abdomen, he was slightly silent. There may be fluid accumulation in the abdominal cavity and hepatomegaly.

At this time, Chen Cang was already able to make a judgment.

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

Afterwards, Chen Cang looked at Wu Yushu: "Your current performance and the examination I have just performed on you, I feel that you are more like a constrictive pericarditis."

When Wu Yushu heard it, his eyelids suddenly twitched, and he was taken aback by the term.

He has heard of pneumonia and rhinitis, but it is the first time he has heard of pericarditis!

Thinking of this, Wu Yushu's face changed: "What kind of pericarditis is this? 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, limiting the dilation and contraction of the heart, reducing heart function, and causing systemic blood circulation disorders. Kind of disease."

"Your breathing difficulties, chest pain, and stomach swelling are all directly related to this!"

When Wu Yushu heard it, he was frightened to be honest.

He can't get sick...

This is the key.

With a heavy burden on him, where would he dare to get sick?

Do not dare to rest, let alone sick?

Thinking of this, Wu Yushu quickly asked: "Doctor, am I serious?"

Whether it is serious or not, it's really hard to tell, but Chen Cang saw Wu Yushu's situation and had to tell the truth:

"To be honest, it is not a simple disease, because long-term development will not only affect the cardiovascular system, but may also accumulate diseases of the liver, lungs, etc., systemic systems."

Wu Yushu said inwardly, "This...does it need to be hospitalized? Or should I take some anti-inflammatory drugs?"

In Wu Yushu's heart, inflammation should be taken with anti-inflammatory drugs, right?

But... the inflammation on the heart made him feel unsure.

When Wu Yushu heard Chen Cang's explanation, it seemed to be quite serious, and he was immediately scared.

Chen Cang couldn't help but shook his head: "For constrictive pericarditis, surgical treatment is the main treatment, supplemented by drug treatment, and the sooner the better, and the fluid in your abdominal cavity needs to be extracted. My suggestion Arrange to be hospitalized as soon as possible."

"After hospitalization, complete the relevant examinations, and then make specific diagnosis and treatment."

Chen Cang said everything that should be said.

He could see that Wu Yushu seemed to be a little bit resistant to the inspection. There were two reasons, one was economic pressure and the other was time delay.

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 medical insurance and reimburse a large part of the cost of the examination.

This is already Chen Cang's greatest effort.

Therefore, Chen Cang did not ask Wu Yushu to be checked in the outpatient clinic as soon as possible, but hoped that he could be hospitalized as soon as possible.

Wu Yushu was a little silent when he heard Chen Cang's words, and sat there, lingering in silence.

At this time, Chen Cang saw the old man.

Seeing the old man, Chen Cang didn't know what to say. After thinking about it, he said: "Old man, what can I do to help you?"

The old man handed over for emergency registration: "Take me an electrocardiogram, I feel a little flustered."

After Chen Cang saw the old man's name, his eyes suddenly narrowed!

This name may not be understood by most people.

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

Chen Cang also learned of this name by accident, never expected that he would meet this big man!

Master of Traditional Chinese Medicine: Zheng Sanshui!

ps: Hey, for the time being, three more, in fact

Qimai is actually a very interesting thing, I have actually met it.

Finally... cheeky begging for votes, ahem!