This Doctor is Great

The consultation begins!

Because of patient Li Mei's condition, she went to several hospitals without finding any problems.

Obviously it's the trickier one.

Therefore, Zhou Mo's consultation was extremely detailed!

First of all, the 3-year intermittent chest pain mentioned earlier, with frequent attacks, once or twice a month, gradually increased, accompanied by chest pain and shortness of breath, which became obvious after activity, and complained that the symptoms were relieved after resting for more than 30 minutes.

"Wait, it's obvious after the activity? The symptoms are relieved after resting for more than 30 minutes?"

Zhou Mo said subconsciously.

"yes……"

"Heart infarction?"

It's nothing more than Zhou Mo thinks so, because the typical characteristics of myocardial infarction (myocardial infarction) are cardiac load (exercise, etc.) + angina pectoris + recovery after rest.

Li Mei shook her head: "It's not a myocardial infarction, I know this, the doctor has ruled it out before..."

After a long illness, she has become a good doctor, and Li Mei is also constantly learning related knowledge, and she knows a lot about myocardial infarction.

Zhou Mo: "Have you taken nitroglycerin? Suxiao Jiuxin Pills?"

Li Mei nodded: "I ate nitroglycerin. I always have it. I eat it every time I have an accident, but the effect is not good."

like this……

This week, Mo Zhou can indeed rule out myocardial infarction with a high probability.

Because nitroglycerin is a classic drug for myocardial infarction, if it doesn't work, it should be a symptom.

"In the past three years, have you felt that you haven't slept well? You can't eat well? Or your spirits are not very good. Have you lost or gained weight?"

"No, everything is fine."

"Is there any past medical history? What about hypertension, coronary heart disease, diabetes, infection, surgery... In short, you can tell me everything involved, take your time, I want to know more clearly..."

The patient Li Mei was very grateful for Zhou Mo's careful inquiry, and she also cooperated with her to tell her situation.

The results of the inquiry are: past physical health, no history of chronic diseases such as hypertension, coronary heart disease, diabetes, no history of infectious diseases such as hepatitis, typhoid fever, tuberculosis, no history of trauma, no history of surgery, no history of blood transfusion, unknown history of vaccination, and no drugs. Allergies such as food pollen...

"Do you smoke and drink? Are there any exposure to radioactive substances and toxic substances?"

"No smoking, no drinking, nothing else..."

"What about family history? Genetic diseases or something..."

"Neither. My parents, Chen and Yu's relatives, are not in this situation..."

I asked once,

The patient Li Mei's answer was fluent and distressing.

A long illness becomes a good doctor.

Next, Zhou Mo asked some more questions, but he didn't find anything special.

"Next, I'll give you a physical examination, please cooperate..."

"Okay, okay..."

Lie down obediently.

Extremely cooperative, extremely skilled.

Zhou Mo: "…………"

Zhou Mo also did a detailed physical examination.

Body temperature: 36.2℃

Blood pressure 142/101mmHg

Good health, moderate nutrition, lucid, fluent speech, independent body position, no special face, physical examination cooperation.

Ask the nurse to perform a skin examination on the patient to confirm: the skin and mucous membranes of the whole body: normal color, no rash, no subcutaneous hemorrhage, no liver palm, no spider naevi. The superficial lymph nodes around the body were not enlarged.

Then observe the patient's appearance: no deformity of the head, normal eyelid, normal conjunctiva, no yellowing of sclera, normal cornea (omitted...)

Neck: no sense of resistance, normal carotid artery pulse, normal jugular vein, normal thyroid (omitted...)

Precordial area: no bulge, bilateral respiratory movements are symmetrical (omitted...)

Lungs: clear to percussion, clear breath sounds, no dry or wet rales

Heart sounds: The first heart sound was normal, the second heart sound was normal, there was a grade 3 systolic murmur in the third and fourth intercostal spaces on the left sternum, no extra heart sound, and murmurs were audible on auscultation of each valve.

"??????"

This position made Zhou Mo doubtful.

"Heart valve disease?"

Continue to check other...

Abdomen: normal...

Liver: normal...

Kidney area: normal...

Bar door and exogenous device: normal (female nurse pulls the curtain to check)...

The shape of the spine and limbs: normal...

After checking,

40 minutes have passed.

Because the inspection is too detailed, it takes a lot of time and experience.

This is absolutely impossible to do in the outpatient clinic.

In addition, Zhou Mo recently saw a news that someone had a physical examination, and the physical examination was fine half a month ago, and the result was a late stage cancer after half a month.

Why does this 'big oolong' appear?

On the one hand, the doctor was not serious during the physical examination. On the other hand, it was also because the physical examination did not ask the doctor at this stage. The doctor did not know what happened to the patient, which led to missed diagnosis.

So, don't blindly trust medical examinations.

……

"Have you finished the inspection?"

The patient Li Mei looked tired.

Apparently, she was very tired from such a detailed inspection.

Zhou Mo nodded: "The preliminary inspection is over!"

Li Mei: "Ah? It's just the beginning?"

Zhou Mo: "Don't worry, there aren't many tests left. I'll give you a heart ultrasound later..."

Just now Zhou Mo had auscultation and felt a murmur.

Suspected a heart valve problem.

Therefore, a cardiac ultrasound is needed to take a detailed look.

The patient Li Mei was tired, but she was grateful to Zhou Mo for taking her illness seriously.

"No problem, listen to the doctor's arrangement!"

Zhou Mo said with a serious face: "Before doing the B-ultrasound, I want to tell you one thing...because you need to take off your clothes for the B-ultrasound..."

"Huh? Take off your clothes?"

The patient Li Mei was stunned for a moment, a little hesitant.

"Do you have to take off your clothes?"

"It's not taking off your clothes, but the probe must be in contact with the skin, not through clothes..."

"this……"

"If you mind, you can also go to the B-ultrasound room below, but it will take a few days to schedule..."

"Wait a few days..."

"Of course~www.readwn.com~ Chaofang also has a male doctor..."

"…………"

The patient Li Mei looked at Zhou Mo's handsome face and thought about it. She was 43 years old, what's the point of it?

Zhou Mo added another sentence at this time: "Actually, you don't need to have any psychological burden. The doctor does not distinguish between male and female patients, and there will be a female nurse present later..."

Why should a female nurse be present?

This is the rule of the hospital.

In order not to cause any right or wrong when the time comes, I can't explain it rationally.

(Many people outside are prejudiced against male gynecologists, but except for a few perverted LSPs, other obstetrics and gynecologists are estimated to be numb...)

After some explanation, patient Li Mei finally let go of her psychological burden.

"come on……"

Really lie down!

5 minutes later,

The bedside color Doppler was pushed into the ward by Zhou Mo.

Soon, the female nurse also came.

She drew the curtain and surrounded the hospital bed.

Just when Zhou Mo put on his gloves, adjusted the parameters, and coated the probe with couplant.

"Zhou Mo, I heard that you are going to perform an ultrasound on the patient. Can I learn?"

Wang Lilong's voice came in.

As he spoke, he drew the curtain and prepared to come in.

The patient Li Mei's complexion suddenly changed.

The female nurse, Sister Zhang, was furious on the spot and scolded mercilessly:

"What do you want to do!"

"go out!"

"This is a female patient, what are you doing here as a big man?"

Wang Lilong's hand pulling the curtain stopped for a moment.

His face was red with embarrassment.

Then he ran away in despair.

Originally, he wanted to steal the teacher...

.