Numbness in the left upper extremity.

It does look like a disease like frozen shoulder.

But I took painkillers.

After more than a dozen hours, it has not yet recovered.

This is rare.

Zhou Zhou thought for a moment and asked the female patient, "Sister, did you have any shoulder and arm pain before?"

Without even thinking about it, the female patient replied, "Never." I do the laundry, cooking, and cleaning at home, and I have never encountered this kind of problem. It was just yesterday that suddenly my arm was not working. ”

Frozen shoulder is generally a chronic disease, and if it hurts so much overnight, it must be the result of accumulation.

It's impossible not to feel a little uncomfortable in the past.

Faced with this strange illness.

On Monday, the cause of the disease could not be speculated for a while.

But he also felt the same way as Su Quan at the moment, this seems to be a shoulder problem, and it is very likely that it is caused by problems in other parts of the body.

Let's go to the A-level secondary scan.

A few minutes later.

The system has results.

And the result came as a surprise to Zhou Yi.

The etiology given by the system is: acute myocardial infarction.

Suggested current treatment regimen: conservative management.

Shoulder pain, resulting in acute myocardial infarction.

This sounds a bit bizarre.

But the system is absolutely infallible.

When I remembered it on Monday, when I was in class, there was indeed a manifestation of the clinical manifestations of acute myocardial infarction that the pain was behind the sternum, and the pain might radiate to the left shoulder.

However, what is more peculiar about this case is that there is no obvious pain in the patient's chest.

On the contrary, there is severe discomfort in the area where the radiation is immediated.

Extremely rare.

It is difficult to judge without extensive clinical experience.

Monday has already determined the cause of the female patient.

Now the condition is much more serious than expected.

Frozen shoulder is a chronic condition that is not life-threatening and can be treated slowly.

But acute myocardial infarction is different.

None of the problems that involve the heart are minor ailments.

The patient must be admitted to the cardiology department immediately for treatment.

Of course, Monday is known through the system the cause of the patient's illness.

It's not convincing to say it now.

You can't say, you're sick, or you're having a heart attack!

Go to the cardiology department.

The patient must first have an electrocardiogram done.

With an electrocardiogram, the cause can be easily identified.

Zhou Yi organized the wording in his mind and said, "Your shoulder hurts, it is very likely that it is not a shoulder problem, I suggest you do an electrocardiogram immediately." ”

As soon as the female patient heard this, she was still sitting on the chair just now, and immediately stood up from the chair as if she had been electrified.

The two eyes were round, and they stared at Zhou Shengsheng angrily.

She said in her heart, sure enough, it was a young doctor. Forget it if you don't have experience, and let me check randomly. Obviously it was a shoulder pain, so I had an electrocardiogram. Although I don't understand the electrocardiogram, it is a heart disease check. This doctor is simply black-hearted!

She didn't hesitate to refuse, "No, I don't do an ECG, I'll look at another one." ”

After saying that, she immediately prepared to leave.

If it is other non-serious disease.

If the patient wants to go, he will not stop him on Monday.

However, the patient's condition is still relatively serious.

And this disease, even if you change it, there is still a high probability that it will be misdiagnosed.

Monday had to find a way to keep her around.

Zhou Zhou said anxiously, "Sister, it's not expensive to do an ECG, it's only a few dozen yuan." I suspect that you have shoulder pain caused by acute myocardial infarction, you have been in pain all day, and now it is time to go to other hospitals, I am afraid that it will not be good for you. ”

The price is not expensive, and the condition is serious.

These two points are the best weapons to deal with patients like the one in front of you who do not cooperate with the examination.

The female patient hesitated.

This is already the second hospital she has seen.

If you go to find another one, it will take a lot of time.

And the outcome of the medical treatment is not yet known.

Although the doctor in front of me is young, he is also a doctor from a tertiary hospital.

More or less understood.

An electrocardiogram of a few dozen yuan is indeed not expensive.

However, she still can't accept that she has a shoulder pain, and now it is going to become a reality of heart disease.

She thought for a moment and said, "I just have a shoulder pain, why did it suddenly become a heart problem?"

Zhou Zhou had long expected that the patient would ask such a question, the manifestations of clinical acute myocardial infarction, he used to learn well in school.

However, the cause can be inferred from the clinical manifestations.

This is difficult. In particular, the clinical manifestations of this patient are very special.

Not to mention young doctors like Su Quan and Zhou Shengsheng.

Even old doctors sometimes misdiagnose.

That's why, we often go to different doctors for the same disease, and the conclusions given are completely different.

Misdiagnosis has never been eliminated.

Not every doctor can bring a system to see people like Zhou Zhou.

But now that the cause is known, it is easier to analyze the clinical manifestations.

The difficulty is directly reduced by several notches.

Zhou Sheng was confident and gushed: "Patients with acute myocardial infarction often have pain in their chests. This is something that everyone knows, but there are also a very small number of patients who do not have chest pain, but have a divergence of pain, such as your current situation, where the pain spreads to the shoulder. ”

The female patient was still puzzled: "What does it mean that the pain is divergent?"

Such a simple question does not need to be explained by Zhou Zhou.

Su Quan is also very clear.

He interjected on the side: "Eldest sister, I'll give you an example that you must know." For example, if you have a toothache, it hurts so badly, not only does it hurt your tooth, but you also feel like your face hurts and your head hurts. This is the pain divergence. ”

Many people have the experience of toothache.

As the saying goes, a toothache is not a disease, it hurts really badly.

This female patient also had the experience of toothache, and she also had the experience of being uncomfortable with half of her head.

It turns out that this is called pain divergence!

Su Quan's explanation is very easy to understand.

Zhou Zhou nodded and continued: "Acute cardiac infarction may not only cause discomfort in the left upper limb, but the pain in some patients may also be located in the upper abdomen. It is misdiagnosed as an acute abdomen such as gastric perforation and acute pancreatitis. Some patients even present with pain in the neck, jaw, pharynx and teeth, which is easily misdiagnosed. ”

When the female patient heard this, Zhou Zhou spoke very professionally.

And this kind of heart disease can actually cause so much pain in the place.

She had to believe it.

"Then let's get an ECG......"

Get!

Monday said to Su Quan: "Give the patient a happy electrogram examination." I'll leave it to you. ”

Su Quan acted immediately......

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