Gou is practicing medicine in the clinic

Chapter 436 Three causes of stiff neck and new methods of auscultation
Stiff neck is extremely common and can occur in both adults and children.

After a stiff neck, it will be very uncomfortable, and it will be particularly painful when the neck is turned.Out of the instinct of self-protection, the patient will try to keep his neck as still as possible to avoid pain.

This disease is a self-limiting disease. If you go quickly, it will recover on its own within three or two days.

If you take your time, it will heal on its own in about a week.

Most people will choose to go to a clinic or pharmacy to buy a plaster and stick it on their neck.It has a certain effect, can alleviate symptoms, and can also provide a certain psychological comfort.

Li Jingsheng is now famous and has become a famous osteopathic doctor in Jiangli City.

Some patients who develop stiff neck have good financial conditions and are willing to pay for treatment.

Through massage, he can indeed help patients quickly relieve symptoms and significantly shorten recovery time.

It originally takes a week to hurt, but after his treatment, it usually heals the next day.

It is precisely because of the remarkable curative effect after his treatment that more and more people are seeking treatment from him.

This kind of thing can easily spread if it is spread from one to ten or from one to another.

In addition, people often leave messages under his Douyin videos, and then the messages are liked and pushed to the top.

This allows more people to know what bone injuries and bone diseases he can treat.

"Does it hurt now when you turn your neck?"

Li Jingsheng asked.

"Yes! As long as I turn my head this way, my neck will be particularly painful. It's like a knife is cutting my neck. It's really painful."

The patient did not dare to turn his head to demonstrate, but pointed to the right direction with his finger.

"Does it hurt on the left side or on the right side?"

"It seems to be in this location, anyway, this is the area."

The woman pointed to the left side of her neck.

Turning head to right, pain in left side of neck.

It is indeed one of the most common typical symptoms of stiff neck.

"Do you have any other symptoms such as dizziness, nausea, vomiting, etc.?"

Li Jingsheng asked the patient.

"Nothing like that. It's just a bit nodding and uncomfortable."

"Did it start this morning?"

Li Jingsheng carefully asked the patient's medical history.

This is very important for diagnosis.

"It seems that I had a little pain two days ago, but it was not serious at the time. I didn't pay attention to it. After I got up this morning, the pain was particularly severe. I just knew that you can treat this disease. A friend of mine had a stiff neck last time. After the treatment here, I felt less pain that day and completely healed the next day. I hurried over and lined up."

The woman looked very envious when she talked about her friend's treatment experience.

Now her symptoms are very serious and she just wants to be cured as soon as possible.

Because it was too uncomfortable.

"Okay, let me check it for you first. Just sit down and I will check the condition of your neck muscles and bones to see if it is a sprain. As long as I can help you with massage and massage, I will definitely help you treat it. . At that time, there will also be a plaster to soothe tendons and activate blood circulation. After applying it, you can usually recover the next day."

Li Jingsheng's plaster was purchased from Jingui Clinic.

Now Ye Hui has become his apprentice, and Ye Hui is Boss Ye's sister.

With this level of jointness, Boss Ye was particularly friendly to Li Jingsheng.

Li Jingsheng asked her to get medicine for bone injuries and plasters for activating blood circulation and tonifying tendons. She gave priority to supplying them with high quality and quantity.

He tried to check the woman's neck. Because the weather was relatively cold, he did not rush to put his hand on her neck.

Instead, he held it in his arms for a while until it became slightly hot, and then touched her neck.

Although it is only a small gesture, it makes the patient feel very warm.

"Hey, why is there a lump here?"

After Li Jingsheng felt her bones, he found no damage to her cervical spine and her muscles felt fine.

There was no obvious sprain.

Considering that the weather is a bit cold now, she may have suffered a cold in her neck, which caused her stiff neck and pain.

But soon, he denied the diagnosis that the woman had a stiff neck caused by the cold.

Because he felt a mass on the left side of the woman's neck.

If you are not in this field, it would be difficult to find anything unusual.

Li Jingsheng's touch is now very keen, and he can even feel the blood vessels under the skin.

He can feel out whether there are lesions in some superficial blood vessels.

"Is it swollen?"

When the woman heard the mass, she immediately seemed a little nervous.

People nowadays have a high incidence of cancer and various malignant tumors emerge in endlessly.Even doctors are hard to guard against.

Unfortunately, many malignant tumors cannot be cured.

Currently in medicine, most cancers are still an unsolvable medical problem.

When everyone hears lumps and lumps, they first feel a little bit in their hearts, and then they immediately think of the terrible cancer.

"It's not like a simple hematoma or emphysema. Have you noticed any lumps here before when you washed your face or took a shower?"

Li Jingsheng asked the patient to touch it himself.

"I usually don't pay much attention to it! It's just that when I touched this place before, it seemed to be a little painful. I always thought it was a normal phenomenon, so I didn't care about it."

After touching it, the woman touched the other side of her neck and did not find the same lump.

"Is this mass important? Is it causing my neck pain?"

She was obviously a little panicked.

"Don't worry now, I'll give you a good look."

Li Jingsheng will definitely not give any answers before the diagnosis.

This is also responsible for the patient.

He began to make further diagnosis based on the medical history information provided by the patient and the results of the examination. "Siying, check the patient's blood pressure, temperature, and heart rate!"

"Ok!"

Han Siying has studied with Li Jingsheng for so long and gradually matured.

She can perform auxiliary work well in dealing with various diseases.

Li Jingsheng frowned in thought.

There are many causes of stiff neck.

A simple poor sleeping posture generally does not cause stiff neck.

It's because the neck itself already has problems, and poor sleeping posture becomes the trigger, eventually leading to stiff neck.

The most common cause is muscle sprain.

For example, if you sleep in a bad posture at night, the head and neck are excessively deflected for a long time, or the pillow is too high, too low, or too hard, causing the head and neck to be in a state of hyperextension or hyperflexion.

It may cause muscle tension on one side of the neck, leading to distortion of the cervical facet joints.

Static injuries may even occur, resulting in muscle stiffness in the injured area, poor circulation of Qi and blood, and local pain.

Then turning the neck is obviously restricted.

In addition, due to the sudden drop in temperature or not covering the quilt well while sleeping, the neck will feel wind and cold, and then the qi and blood will stagnate in the back of the neck, the muscles will be paralyzed and blocked, and stiff neck will also occur.

Another type is stiff neck disease caused by trauma to the neck, protective muscle contraction, joint twisting, and poor sleeping posture.

Regardless of the cause of stiff neck, Li Jingsheng can detect it.

With his current clinical diagnosis experience, he can tell whether it is a stiff neck just by touching it.

This female patient's neck condition does not belong to any of the causes of stiff neck.

It means it's not a stiff neck.

The location of the mass is exactly where the blood vessels in the neck are most abundant.

"The blood pressure seems a bit high. Her low pressure is 97 and high pressure is 130mmhg. Her heart rate is a bit fast and her body temperature is normal."

Han Siying now has some experience in physical examination.

"Low pressure is high, high pressure is normal. Let me listen to your heart sounds."

When Li Jingsheng heard that the patient had symptoms of high blood pressure, he immediately became highly vigilant about whether the patient had cardiovascular and cerebrovascular diseases.

High blood pressure itself is actually not a big problem.

Its harm is mainly caused by a series of chronic diseases and complications.

Over time, the most important thing is plaque and hardening of blood vessels.

This can further worsen high blood pressure.

Then when blood vessels go wrong, risks such as cerebral infarction, myocardial infarction, and blood vessel rupture may occur.

Li Jingsheng handed the probe to Han Siying with a serious look.

I was so stunned that I didn't dare to take it and press it directly on the chest of the female patient.

Because of this kind of thing, not just one or two doctors were slapped by female patients.

If this woman slaps him in public and calls him a gangster, whether he is justified or not, today's consultation will be seriously affected.Or even stop.

Therefore, he appears to be extremely careful about these details every time.

Especially after being stabbed by a mentally ill patient with a knife, he became more cautious in his medical practice.

After listening to the patient's heart sounds, they were relatively normal.

Generally speaking, low pressure is high and high pressure is normal, indicating that hypertension is still in its early stages.

At this time, as long as you adopt a reasonable and healthy diet, work and rest, and exercise, it is possible to improve high blood pressure and eventually return to normal blood pressure.

It should also be mentioned that high blood pressure in pregnant women is not within the scope of this theory.

Hypertension during pregnancy occurs within a specific period of time.

After giving birth, the condition usually returns to normal on its own.

But high blood pressure during pregnancy is very dangerous, much more dangerous than ordinary high blood pressure.It’s time to take medicine to control it, you must control it.

As pregnancy progresses, high blood pressure becomes more severe toward the third trimester.

If you don’t believe in evil, don’t control your blood pressure, or worry about taking medicine for a lifetime, and then don’t take medicine, in severe cases, the life safety of mother and baby will be directly threatened.The fatality rate is very high.

For example, pregnancy-induced hypertension is most likely to cause eclampsia.

The patient's heart sounds were normal, but he had symptoms of hypertension, and a mass was found in the most vascular part of the neck.

And the texture of the mass is not hard.

Li Jingsheng almost instinctively suspected that the patient might have a hemangioma.

Under normal circumstances, the most common clinical condition is arterial hemangioma.

This is determined by its characteristics.

Cerebral blood vessel rupture caused by high blood pressure is generally an arterial rupture.

"I'll touch it again."

After greeting the patient, he touched the mass on his neck.

It feels like the diameter of this mass should not be particularly large.

This is only relative to tumors.

If it is really an arterial hemangioma, it is most likely an aortic aneurysm.

A rupture of a large artery can cause blood loss in a very short period of time, and the person will die quickly.

There is not even a chance for rescue.

It's just that his clinic does not have examination equipment such as CT, so he cannot directly perform imaging examinations on patients.

If it is a true carotid aneurysm, you should be able to hear some abnormalities through auscultation.

Li Jingsheng's medical skills are getting better and better, his experience is getting richer, and his diagnostic methods are becoming more convenient.

(End of this chapter)