This Doctor is Great

Not long after,

Zhou Mo's life has come to an end.

Brother Chen Bing, who was on duty, walked into the duty room and shouted to Zhou Mo.

"Zhou Mo, when a patient comes over, you can accept it."

"What disease?"

"The one from the outpatient clinic has not been confirmed yet. After taking X-rays, the left and right ventricles are enlarged..."

"it is good…"

Zhou Mo pondered for a while.

"What is the disease of left and right ventricle enlargement?"

"Left ventricular enlargement is usually seen in hypertensive heart disease and coronary atherosclerotic heart disease."

"And right ventricular enlargement is common in cor pulmonale."

"The left and right sides are enlarged, and there is a high probability that it may be "dilated cardiomyopathy". "

With these basic judgments,

Zhou Mo's mind began to call up some information on these types of diseases.

Not long after, the patient came.

Patient, male, 38 years old, his name is Qin Xiong.

It was his younger brother who came to go through the formalities and **** him.

The nurse went through the admission procedures, and then Zhou Mo also assisted.

…

After half an hour...

28 beds.

"28 beds, Qin Xiong, hello, I'm your bed doctor, just call me Doctor Zhou in the future..."

"Hello Doctor Zhou..."

Qin Xiong sat on the bed, panting a little, his face was slightly pale, and he felt that it was difficult to breathe.

His hair was shaved and he felt a little fierce, but at this time he had turned into a sheep.

Qin Xiong's younger brother looked at Zhou Mo: "Doctor, I must cure my brother..."

Zhou Mo nodded: "I will definitely try my best..."

Then it's time for consultation.

"Now, what's wrong with you?"

"My chest is a bit suffocated, even if I try to breathe, it doesn't seem like it's enough..."

"When did it start? Did you get sick at that time?"

"It started half a month ago. At that time, I had a fever, and then it became like this in the next few days."

Speaking of this, Qin Xiong's face hurts and he has a fever. As a result, it seems that there is a problem with his heart. It's a big pit!

"Apart from chest tightness, are there any other symptoms?"

"It's hard to breathe, but I'm already breathing heavily..."

"A little dizzy..."

"It seems, there is nothing else..."

Zhou Mo nodded.

The dyspnea, chest tightness, and big mouth breathing described by the patient actually all mean the same thing: the heart power has deteriorated.

Reduced blood pumping power.

Zhou Mo: "Did you have an electrocardiogram done in the outpatient clinic?"

Qin Xiong's younger brother: "Yes, yes..."

Then he took out a file bag from his schoolbag, which contained the case and examination report.

And an X-ray.

Zhou Mo first looked at the X-rays. The left atrium and right atrium above were nothing special.

But the left ventricle and right ventricle below did enlarge.

Then Zhou Mo unfolded an electrocardiogram drawing that was more than 1 meter long.

Extensive ST-T changes, left ventricular high voltage, pathological Q wave, and low voltage in each lead.

at this time,

The nurse brought an ECG monitor and placed it at the head of the hospital bed.

Then connect it to the patient.

Soon, all the data from the ECG monitor came out.

- Blood pressure: 98/68

- Heart rate: 113

—Blood oxygen: 94%

Heart rate is a bit fast; blood pressure is a bit low; blood oxygen is not good, in the critical range…

These are all within Zhou Mo's expectations.

"You lie down first, I need to do a physical examination for you..."

"Okay, okay..."

Brother Qin Xiong awkwardly began to shake the head of the bed.

The patient Qin Xiong lay down.

Zhou Mo took the noble 3m stethoscope and began to listen to the patient's heart and lungs.

The first is the lungs.

After listening to the left and right lungs, there was a little wet rales at the bottom, but it was fine, only slightly.

Zhou Mo was relieved, and then placed the stethoscope on his heart.

The stethoscope is constantly moving around the precordial area.

First of all, the first heart sound at the apex can be heard, which is somewhat weakened, and is accompanied by a systolic murmur.

I also heard the third and fourth heart sounds... Under normal circumstances, the third and fourth heart sounds cannot be heard.

heard here,

Zhou Mo has already made some judgments.

99% are dilated cardiomyopathy.

The heart sound characteristics are very consistent.

What is "Dilated Cardiomyopathy"?

It roughly means that the left ventricle, right ventricle (single, or two), is dilated.

picture

It is a primary myocardial disease of unknown cause. Possible causes include infection, genetics, and cellular immunity.

Zhou Mo suddenly asked, "Has your family ever had such a disease? A history of heart disease."

Brother Qin Xiong, looked at each other.

"Have you heard of it?"

"Maybe not…"

"I've never heard of an elder suffering from such a disease..."

Zhou Mo nodded.

"Pull up your trousers and show me..."

Brother Qin Xiong quickly pulled up his brother's trouser legs.

Zhou Mo put on gloves and pressed the patient Qin Xiong's ankle.

Sag!

Don't bounce back!

Obviously, this is edema.

It is also one of the symptoms of "dilated cardiomyopathy".

"Show me your neck..."

Open the neck and collar.

Everything is normal.

Some patients with dilated cardiomyopathy have distended veins in the neck.

Then check the abdomen, there is no ascites. Ascites is also one of the symptoms of dilated cardiomyopathy.

at this time!

Zhou Mo had a headache.

Because the clinical manifestations and auxiliary examinations of "dilated cardiomyopathy" lack specificity. Its symptoms, other heart diseases may also have this symptom.

Moreover, different patients with dilated cardiomyopathy may have very different symptoms.

so,

It can only be diagnosed by excluding other diseases (diagnosis of exclusion), and finally based on clinical manifestations and auxiliary examinations.

kind of hard.

"Let's do various inspections first..."

Zhou Mo can only do this.

Blood biochemistry, thyroid function, immune antibodies, myocardial enzymes…

And an echocardiogram…

It is estimated that many patients, UU reading www.uukanshu.com see so many examinations, they will shout:

"Black-hearted doctor! Pit the money!"

It took 40 minutes,

After checking the room.

…

…

Back to the duty room,

Zhou Mo received a bank account receipt reminder.

"[Guangfa Bank] You received RMB 800.00 from the last card number 7483 at 13:50 on the 20th (online banking). Account balance: RMB 1394.14."

Zhou Mo was overjoyed.

The subsidy has arrived!

But look at the balance.

emmmmm~~~~

4 digits!

It's just too embarrassing!

"Senior brother, how can I make more money?"

The impoverished Zhou Mo asked Brother Chen Bing for advice.

"If I knew, I wouldn't have to buy a house yet..." Senior Brother Chen Bing looked at Zhou Mo speechlessly.

"Oh, yes, you are also quite poor." Zhou Mo sighed.

Senior Brother Chen Bing: "..."

I really appreciate your emphasis!

Senior Brother Chen Bing: "You can ask Senior Brother Huang Li, he is investing in stocks. It is said that he has not lost any money in the past two years."

Zhou Mo was surprised: "Didn't lose money? This is awesome!"

Senior Brother Chen Bing: "So, this is a master... I heard that I made a little bit of money."

at this time,

Dr. Huang Li walked into the duty room with a stinky face, holding a mobile phone in his hand, cursing.

"This new attack is really poisonous. It cost me tens of thousands of dollars twice in a row!"

"If I'm new in the future, I'll be a dog!"

.