When a doctor opened a plug-in

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

Start a detailed physical examination on the patient.

to be frank!

Things like physical examinations can be addictive.

As a predecessor said, there are only two possibilities for physical examinations, one failure and countless times!

Of course, the dummy model is definitely not as fun as the real one!

Especially when touching lymph nodes and palpating, the dummy can't bring any feedback at all!

The patients are different. The lymph nodes are large and round, and the occasional painful moan of breathlessness can give the medical examiner an intuitive understanding.

It is precisely because of this that after Chen Cang palpated, his face suddenly changed and his eyebrows frowned slightly.

Whoops?

I go!

Does an assessment have such a difficult question?

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

just……

The more Chen Cang asked, the more interesting he felt!

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

For a while, just to be on the safe side.

Chen Cang took the stethoscope again, first auscultated the heart, then the abdomen...

After some inspection, Chen Cang took a deep breath!

Take a deep look at the patient!

The patient smiled slightly and glanced at Chen Cang with the same profound meaning.

Quite a fight of wits and courage, the determination of the brave to win the narrow road.

The three examiners looked at each other at this time, feeling a little puzzled.

Professor Chen is like this... Is he showing it to the camera?

Thus deceiving the camera?

Is it necessary to be so serious?

However, at this moment, Chen Cang heard a noise in his abdomen!

Suddenly, Chen Cang's expression changed!

He closed his eyes and began to think again, and then started asking the medical history again!

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

The more you ask, the more problems you find!

"Acute chest pain?"

Chen Cang suddenly tightened his eyebrows.

"How many years have you been with high blood pressure?"

The man smiled: "Inherited, it has been for 30 years, but I haven't taken any medicine. This time my heart suddenly feels uncomfortable, so I came here quickly."

The patient's mood is not heavy.

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

For this intermediate exam to be a model, he also actively signed 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 forty years old, with a bald head and a short stature. He is a small manager of a private company, and his life is easy.

After this hospitalization, I even optimistically said that I don't need to travel frequently, and I can even recuperate for a while.

The patient's diagnosis was angina pectoris and high blood pressure. After long-term smoking and drinking, he now has plaque in his carotid artery.

Therefore, the attending doctor is worried that the unstable plaque will cause a series of troublesome diseases such as cerebral infarction and myocardial infarction.

When Chen Cang asked a question, the patient could not tell him the diagnosis, but only the symptoms. To put it bluntly, the patient had to "match wits and courage" with the examination doctor!

But at this time, Chen Cang suddenly asked:

"Have you had a cold recently? Have a fever, or is there any rash on your body!"

The man was taken aback for a moment, recalled carefully, and quickly said:

"Yes, yes! This kind of thing happened before hospitalization, but because it's not obvious, I didn't care about it. The main reason was that I came to the hospital because my heart was uncomfortable!"

Hearing these words, Chen Cang suddenly frowned, and at the same time, his eyes became sharp.

He turned to look at the three examiners: "Give me the latest imaging results and physiological and biochemical tests."

The three of them froze for a moment, and Xu Aiming quickly handed it out.

Chen Cang took out the physiology and biochemistry such as blood routine, liver and kidney function, troponin, and infectious disease examination.

Chen Cang read the test sheet very quickly, and after reading it, he put it down.

He found that the current inspection may no longer make any sense.

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

Because the test report is real-time data!

What does that mean?

It is your vital signs and various indicators at this moment, even if you drink a bowl of books or take a pee, there will be a pulsation, but it will not pulsate so much.

but……

The meal will not change much, what about taking medicine?

He felt that the patient's liver was reacting abnormally.

While talking, he picked up the abdominal ultrasound and the heart ultrasound and looked at it. After reading it again, it didn't seem to be much different. It was basically normal, with a little fatty liver, and it didn't affect it.

There is no chest radiograph either...no...wait!

Chen Cang stared at the chest X-ray carefully. After a few glances, he put it down and took out the chest CT.

After reading it, Chen Cang took a deep breath.

This hospital... is too courageous, and the assessment is too difficult!

Chen Cang felt that if he were not aware of the abnormal liver reaction and abdominal murmurs, he would not have discovered such hidden signals!

Chen Cang couldn't help but shook his head. It seems that the attending physician's assessment is really difficult!

To take such a serious and complicated patient for assessment.

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

Admission diagnosis:

1. Kawasaki disease?

2. Vasculitis (possible aortitis)

3. Hypertension Grade 3 (extremely dangerous group!)

4. Aura of aortic dissection

5. Angina

6. Liver damage (possible hepatitis)

Chen Cang wrote six diagnoses!

And one is more dangerous than the other.

treatment method:

1. Complete related examinations as soon as possible after admission, urgently check liver function, and improve angiography.

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

...

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

This question is really difficult!

I almost didn't make it.

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

The three of them looked at each other, glanced at each other, both eyes...

Can't help taking out the answer in his hand, and was taken aback.

This……

It seems to be different from the diagnosis of the physician in charge!

Thinking of this, Xu Aiming couldn't help asking: "Professor Chen, why...you think about it?"

"Yeah! Actually... are you thinking about it?"

"Yes, do you think there are other possibilities for the patient? For example, it's just normal high blood pressure? On the treatment plan..."

After Chen Cang heard this, he was immediately happy.

Immediately... sighed awkwardly and politely.

It seems that he has finally gone through the back door!

Thinking of this, Chen Cang added one to the disposal plan:

"Schedule surgery as soon as possible!"

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

This old man is a great man.

I am at this point, and insist on providing medical staff with a training opportunity...

It's so touching.

but!

Chen Cang looked at the profound eyes of the examiners and the wise eyes of the patients, and Chen Cang wondered in his heart.

Could it be... is this a trap?

Should I make a special choice?