Doctor Started a Plug-in

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The old man entered the clinic with Wu Yushu.

Wu Yushu sat down across from Chen Cang: “Doctor, hello.”

Chen Cang nodded, asked straight away: “Well, hello, why are you uncomfortable?”

Wu Yushu speak frankly: “This morning I felt that my chest was suffocating and I had difficulty breathing. It was better to sit up. This has happened before every year, but it will be better after a while.”

Speaking of which, Wu Yushu continued: “I usually smoke a lot, at least one pack of cigarettes, and occasionally 2 packs of cigarettes, for more than ten years.

Chen Cang was about to ask, and Wu Yushu suddenly said, “Oh, by the way, I feel bloated recently and have a poor appetite. Isn’t the stomach motility bad?”

“Occasionally, there is chest pain, and there is also uncomfortable here!”

Wu Yushu touched the right flank, close to the liver.

Patient has more cases and various symptoms.

But the main symptom is mainly dyspnea.

After Chen Cang heard it, he felt it was very similar to old chronic bronchitis and chronic obstructive pulmonary disease.

but……

Department of Pulmonology is not just a disease of the respiratory system.

It may also have a great relationship with the heart.

Heart failure can also cause these symptoms.

Chen Cang thought for a moment, picked up the stethoscope, and decided to rule out the disease of the heart system first, so he said to Wu Yushu: “You lie in bed, I will 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 somewhat weakened, and there is some murmur in the second auscultation area of ​​the aortic valve… The left side of the sternum 2rd 3th intercostal space early diastolic extra sound.

What does this mean?

Chen Cang also did not understand.

Cardiac auscultation is really a university question.

Chen Cang can only understand some fur.

There must be some problems. Thinking of this, Chen Cang has touched the strongest point of the apex, feeling… a little difficult to touch.

What’s happening here?

Chen Cang next started the percussion of the heart, and the voiced heart of the heart was somewhat larger.

How to do?

At this time, Chen Cang suddenly got a chance.

Since Patient is a disease of the heart, it’s easy to say.

But he is a man with [Department of Cardiology], [Department of Cardiothoracic Surgery], [Scientific Research] 3 major skill trees to hide occupations.

Click on the Department of Cardiology skill book, Chen Cang immediately found that in the first level operation, that is, the basic skill column has [sound auscultation], [heart percussion] and many other skills.

Chen Cang was very happy.

Choose to redeem [heart auscultation] now!

It was only for a moment that Chen Cang suddenly passed a stream of information across his mind, and countless information and diagnoses about cardiac auscultation appeared in Chen Cang’s memory.

Chen Cang felt like he had gone through baptism and teaching about cardiac auscultation.

[Ding! Cardiac auscultation: Master Level; Passive diagnostic skills. 】

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

Keep matching with the situation of Patient.

After listening, Chen Cang slightly frowned: “I suggest we first make an electrocardiogram, and then cooperate to make a chest radiograph.”

“Your situation is more complicated now, it may not be a simple breathing difficulty.”

When Wu Yushu heard it, he was slightly surprised.

“No way? Doctor? I still know my situation very well. I know my physique very well. This situation is much better after 2 days.”

“I have had this situation before.”

Speaking of which, Wu Yushu continued: “I’m still going to work now. By the way, I still have a little bloating and poor appetite. Isn’t the gastric motility insufficient?”

“Otherwise, please help me get some medicine! That medicine that enhances gastric motility.”

While speaking, the man will get up and stand up.

At this time, the old man reached out and put his hand on Wu Yushu’s wrist, saying, “Don’t be so anxious, youngster.”

Suddenly, the old man frowned suddenly: “Why don’t you measure his blood pressure!”

Suddenly, the man’s blood pressure has been normal?

However, it doesn’t matter what blood pressure is measured.

While Chen Cang looked at the old man, he was stunned for a while, or he could take a look at his blood pressure.

Fasten the cuff to the man, this measurement, Chen Cang suddenly dumbfounded!

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 complexion changed!

He found that the two systolic blood pressures were different. Chen Cang suddenly became cautious. He watched the man’s breath while measuring blood pressure cautiously.

When he heard the first Korotkoff sound, he quickly remembered the current systolic blood pressure, and then cautiously observed Wu Yushu’s breathing pattern, and then checked again!

Suddenly he found a serious problem!

That is, when Wu Yushu inhales, Korotkoff’s voice will disappear and appear when he breathes!

A name appeared in Chen Cang’s mind: Paradoxus Pulsus!

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

Suddenly his eyes were filled with awe!

This is an amazing person!

Absolutely amazing person!

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

The appearance of Paradoxus Pulsus made Chen Cang have to check Wu Yushu again.

What is Paradoxus Pulsus?

Paradoxus Pulsus is a special pulse!

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

It is not that simple to find out this kind of pulse.

Why does Chen Cang feel that the elderly are powerful?

Because the old man just said: “Go and measure your blood pressure!”

This sentence can be said to be meaningful!

And it contains a lot of knowledge about doing things and doing things!

First, observing Paradoxus Pulsus with a sphygmomanometer is often more obvious than palpation by finger.

Any doctor who has some experience can detect abnormalities when measuring blood pressure carefully.

Don’t underestimate the blood pressure, a small amount of blood pressure can completely discover many peculiar diseases and phenomena.

Paradoxus Pulsus is not Paradoxus Pulsus in Eight Extraordinary Meridians, but a peculiar pulse, also known as “suck and stop pulse”.

When inhaling, it will stop.

This is a relatively dangerous disease, and there are several causes, one is a large amount of pericardial effusion with pericardial tamponade, one is constrictive pericarditis, and 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 Paradoxus Pulsus is always not very good!

The old man just asked Chen Cang to take his blood pressure. Didn’t expect such a big discovery. Thinking of this, Chen Cang is grateful.

This is a great person!

Absolutely, not only was Paradoxus Pulsus figured out all at once, but Chen Cang was also calmly measured his blood pressure.

In a simple sentence, Chen Cang directly found the core element of diagnosis.