Chapter 626: The Great God Is Coming (Supplement 1)
With the help of the nurse, Bai Mingming sat the patient up from the hospital bed.
Then Bai Mingming started from the tip of the lungs, from top to bottom, from the outside to the inside, from left to right, from the front chest to the side chest and back, and the left and right symmetrical auscultation was performed.
Listening carefully to both lobes of the lungs, the sound of the boy's breathing in the lobes showed no signs of abating or disappearing.
Everything is normal, Bai Mingming frowned.
Liu Zhengqing on the side saw something strange from Bai Mingming's expression.
He said in a deep voice, "What's wrong?"
Bai Mingming said: "It sounds like there is no problem with the lungs." ”
Liu Zhengqing didn't believe it, "Let me listen." ”
Bai Mingming gave up his position to Liu Zhengqing.
Liu Zhengqing put on a stethoscope and took a stethoscope.
After a few minutes, he put away his stethoscope and beckoned to the nurse next to him to help the patient lie down again.
Bai Mingming whispered, "How?"
In Liu Zhengqing's mind, he quickly integrated all kinds of current information.
At this moment, he is like a detective, trying to deduce who is the "murderer" who caused the boy's chest pain.
However, this "murderer" is obviously very cunning.
Liu Zhengqing didn't know for a while.
Liu Zhengqing said: "The breathing sound is normal, and spontaneous pneumothorax is unlikely. ”
"Then what is the reason?" Bai Mingming thought for a while, and then gave a possible speculation: "Could it be an acute myocardial infarction?"
Liu Zhengqing thought about it seriously and said, "The location and nature of the patient's pain are very consistent. However, this disease is generally common in middle-aged and elderly patients with underlying medical conditions. When I was young, when I was in the cardiology department, the director of the cardiology department once said that the youngest person he had ever had a heart attack was in his twenties, and this patient was only 19 years old, which didn't look like it. ”
Bai Mingming thought about Liu Zhengqing's words.
When I was in the emergency center, the youngest of the patients I seemed to encounter were nearly 30 years old.
Bai Mingming racked his brains to connect the symptoms he was familiar with with the situation of the patient in front of him. But none of them seem to fit.
What exactly is the disease?
When Bai Mingming racked his brains, he suddenly thought of something very important.
That is when the patient complained, he used to say that at noon, he drank a lot of alcohol and vomited.
The reason why the patient did not come to the hospital immediately after the illness was also because the patient thought that he was uncomfortable because he had drunk alcohol, and he once thought that he would get better when the alcohol was over.
Bai Mingming ignored this at first.
Several ailment-causing diseases have now been ruled out.
Bai Mingming suddenly realized that the boy's illness might have something to do with his drinking.
The condition is urgent.
Although just proposed myocardial infarction was only shot.
But at this time, there is no way to gain or lose.
Bai Mingming immediately came up with a new idea.
"His chest hurts, will it have anything to do with drinking at noon? ”
This idea was immediately recognized by Liu Zhengqing.
"Well, quite possibly. He is only 19 years old and has no underlying medical conditions. Sudden chest pain, I think it may be related to this heavy drinking. ”
With Liu Zhengqing's support, Bai Mingming continued to look for similar cases in his mind. In a moment, he remembered another symptom, "Could it be acute pancreatitis?"
After Bai Mingming raised this condition.
Liu Zhengqing's eyes lit up.
The basic symptoms of acute pancreatitis include epigastric pain and vomiting. In addition, some pain may radiate to the back and ribs.
As for the cause of the disease. That's also varied.
Some are because of trauma, some are because of vascular factors, and some are because of bacterial and viral infections. Another common cause is alcohol.
Long-term drinking is easy to cause pancreatitis, on this basis, if a large amount of overeating, promote a large amount of pancreatic enzyme secretion, resulting in a sudden increase in the pressure in the pancreatic duct, causing the rupture of pancreatic vesicles, pancreatic enzymes into the interstitium between the acinar and promoting the occurrence of acute pancreatitis.
This is very consistent with the patient's chest pain symptoms after heavy alcohol consumption.
"It's possible that it's the disease. Epigastric ultrasound and urine amylase are differentiated. Liu Zhengqing gave a doctor's order.
There is no better way, and the only way to diagnose a disease of unknown etiology is to diagnose it through extensive examination, except for the clinical experience of the doctor.
Just as the nurse is about to get busy again, ready to take the patient for an examination.
Two men in white coats walked into the rescue room.
Bai Ming looked fixedly.
The person who came was none other than Zhou Zhou and Cao Xin.
When the nurse found him earlier, he was in the emergency room of another patient.
And the patient's condition is still relatively serious.
So I can't leave on Monday.
When everything was done, he was still thinking about Bai Mingming's side.
So after just sending off the patient in hand, Zhou Zhou rushed over non-stop.
Of course, as Zhou Yishou's follower, Cao Xin naturally followed.
Monday arrives on Monday.
Liu Zhengqing and Bai Mingming both said hello to him.
Cao Xin is a newcomer, and now he has a critically ill patient.
Liu Zhengqing and Bai Mingming didn't have time to deal with him.
However, Cao Xin did not complain about his experience at all.
Interns are in hospitals, and their status is relatively low.
It's okay not to be scolded, and it is unthinkable to ask others to pay attention to yourself.
Cao Xin thought about the half day after he came to the emergency center, and his situation was relatively good.
At the same time, at this moment, he is also envious of Zhou Sheng.
The two people in front of him are much older than Zhou Yisheng, and they must be much older than Zhou Yiren without asking about their qualifications.
And the attitude of the two towards Zhou Yi was quite polite.
It seems that in the hospital, if you want to be respected, it's very simple, you really have to have two brushes.
Monday was just the time to show up, the patient was still in the hospital bed, and had not yet gone for a check-up.
Since Monday is here.
His condition is unknown.
Bai Mingming must first report the current situation to Zhou Sheng.
Zhou listened carefully and thoughtfully.
For an hour, Bai Mingming and Liu Zhengqing failed to find out the cause.
It seems that the cause of this patient is quite hidden.
The patient's mental state is not particularly good.
The condition can worsen at any time.
Zhou Zhou didn't dare to be careless.
He silently turned on the system's scanning function.
The cause is clinically diagnosed.
The system-assisted check is simply an artifact.
In addition to the very important process of treatment, it is also important to check and determine the cause of the disease.
If you don't know what disease the patient has, then there is no way to start the treatment.
You don't see many cases, and some people often go to many hospitals and places in order to find out the cause of the disease. After months, even years, I couldn't figure out what disease I had.
In addition, even if the results of a hospital are examined, if it is not an emergency, the patient often has to go to several more hospitals for diagnosis.
However, the current diagnostic technology is still relatively limited, and many causes are not so easy to determine.
This is in contrast to Monday's system.
You know how awesome it is.
Not to mention the follow-up treatment, just by virtue of being able to see through the cause of the patient's illness at a glance, Zhou Yi is enough to be proud of the medical world.
The topic returns to this rescue room.
After Bai Mingming finished talking about the current diagnosis.
In the system of Monday Life, the examination of the patient has also been completed......