This Doctor is Great

While Zhou Mo was preparing for the b-ultrasound,

while thinking.

Common mechanisms of chest pain induced after activity:

1. Increased myocardial oxygen consumption;

Second, the breathing movement is accelerated and increased;

Third, the movement of the chest wall changes or increases in magnitude.

After reading the previous inspections, one of them suspected that there was a valve problem.

There is also a third type of mechanism that can be considered, such as radiculitis, thoracic tuberculosis, or osteoporosis caused by low calcium...

Later, I need to complete the blood test for thyroid function and the CT of the thoracic spine.

"Right! Special types of cervical spondylosis may also cause chest pain!"

At this moment, Zhou Mo thought of cervical spondylosis.

The physical examination was fine just now, but I forgot to ask about occupational diseases.

Zhou Mo asked, "What kind of work do you do?"

Li Mei: "Office cashier..."

Zhou Mo: "Do you usually feel pain in the cervical spine? Soreness and numbness?"

Li Mei shook her head: "No."

Zhou Mo nodded. Although the patient said so, he could consider doing a complete X-ray examination of the cervical spine later.

When encountering such incurable diseases, there may be more inspections to be done, and a lot of money is spent.

Ultrasound is ready,

Zhou Mo began to push the ultrasound probe into the patient's area.

First of all, the question of the heart sound just now,

So Zhou Mo immediately looked at the heart's valves, such as the mitral valve, tricuspid valve, aortic valve, etc...

"Ok?"

"It doesn't seem to be a problem..."

"There is no problem with closing, and there is no big problem with reflux..."

"The heart is a little thick..."

5 minutes later……

"Doctor, are you okay?" Li Mei, the patient, felt that it had been a long time and couldn't bear it.

And the couplant is a bit cold and not very comfortable.

"Wait a minute..."

At this time, Zhou Mo didn't find any problems in his heart, so he changed his mind.

Look at the coronary arteries!

Color Doppler can see things like blood flow, speed, etc. Although it is much more difficult, many doctors cannot. But this couldn't stop Zhou Mo.

After all, Zhou Mo is a talented person!

effort!

Will not let people down!

Why should a coronary artery be checked?

Because he just thought of a disease,

If it's not angina pectoris, then you can consider a relatively rare disease——

"The coronary blood flow is too slow"!

Or another name - Syndrome X!

Also known as "microvascular angina"!

1 minute later...

Zhou Mo smiled!

found it!

It turned out to be "X syndrome"!

Because from Zhou Mo's color Doppler blood flow measurement, its blood flow value was one third slower.

This disease can explain why the patient Li Mei aggravates during exercise, and it also resembles angina pectoris.

The blood flow of the blood vessels is slow and the blood vessels are small. When the exercise is intensified, it is naturally too late to supply the heart, which leads to things like angina pectoris.

"Okay, I probably found the reason."

Zhou Mo put down the probe and smiled.

"Ah? Doctor, have you found the reason?!"

Li Mei looked at Zhou Mo in surprise and sat up suddenly.

Zhou Mo: "I just checked it with a B-ultrasound. Your coronary blood flow rate is a little slower than that of ordinary people. It should be "X syndrome"..."

(Diseases named after syndromes generally have no primary cause.)

Then Zhou Mo introduced to the patient Li Mei what Syndrome X is.

"It turned out to be so!"

Li Mei was a little excited. The X syndrome that Zhou Mo mentioned was too similar to her symptoms, and in the other hospitals she went to, no one had mentioned this disease at all.

Zhou Mo: "However, B-ultrasound is actually not the most accurate. I think you should have a coronary angiography. Only coronary angiography is the real gold standard."

"Do, do whatever you say!" Li Mei's words were firm and unequivocal!

At this time, she can be said to be in a desperate situation. She can get rid of the hat of mental illness and the strange eyes of people around her. Naturally, she will not miss such an opportunity.

Zhou Mo added: "The price of coronary angiography is a bit high, maybe several thousand, you need to ask the CT room for details..."

Li Mei: "I've done this before. It cost more than 5,000 yuan to go to a hospital..."

Zhou Mo: "You're doing it right?"

Li Mei nodded fiercely: "Do it! Naturally do it!"

What is it to spend money, as long as it can cure the disease, it is better than anything else!

Zhou Mo: "Okay, I'll make an appointment for you. There aren't that many people for this inspection, so I guess it can be done tomorrow..."

Zhou Mo took the iPad and clicked on the hospital's system to make an appointment.

Sure enough, there is a seat in the morning the day after tomorrow (Monday), and you can make an appointment.

Click to make an appointment.

"Okay, I made an appointment for you the morning after tomorrow. As long as the results come out, you can judge whether it is Syndrome X."

"Thank you doctor!!"

……

……

Zhou Mo was overjoyed when he dealt with this patient.

It's a great sense of achievement to handle patients independently!

Out of the clinic,

Wang Lilong ran over quickly, with an apologetic expression on his face: "Zhou Mo... I'm sorry just now, I just want to learn more from you..."

Zhou Mo showed a professional smile: "It doesn't matter, as long as the patient doesn't mind."

Wang Lilong hit the snake with the stick: "What happened to the patient just now?"

Zhou Mo: "It should be Syndrome X."

Wang Lilong: "X syndrome?"

After a search in my mind, I realized what kind of disease it was.

Wang Lilong: "Are you sure it's the disease?"

Zhou Mo nodded: "The color Doppler ultrasound can see the flow velocity of the blood vessels. The flow velocity of a certain section of her coronary artery is obviously worse..."

After speaking, go back to the duty room and fill in the admission, case, first journey...

Wang Lilong stood there blankly.

"Coronary Vessel Velocity...Velocity?"

"how can that be?"

"Isn't this an extremely difficult knowledge point?"

at this time,

Mr. Chen from the B-ultrasound walked in quickly from the West District with a portable color ultrasound, similar to a large laptop.

"Hey, little dragon..."

"Mr. Chen...Ms. Chen, you are..."

"A patient wants an ultrasound test..."

"Can I observe and study with you?"

"Okay... let's go..."

soon,

Wang Lilong followed Teacher Chen to one of the wards, bed number 3.

This is a patient with an enlarged heart.

Wang Lilong watched Mr. Chen press the buttons, and the probe kept dangling around the patient's frontal area.

blah blah~~~

Cut out a lot of images...

high speed!

Wang Lilong: "…………"

My head hurts~www.readwn.com~ I can't understand it at all.

Not to mention learning.

Two minutes later, the color Doppler ultrasound examination was over, and Mr. Chen told the doctor in charge of the examination results.

Wang Lilong was beside him, pretending to study hard.

"Let's go, it's done..."

B-ultrasound teacher Chen left the ward with the color ultrasound in his arms.

Wang Lilong followed.

"Teacher... can you ask a question?"

"what?"

"Is it difficult to learn B-ultrasound?"

"B-ultrasound, it's easy to get started, as long as you are proficient in anatomy, it's not difficult to get started with black-and-white ultrasound. You are an eight-year Ph.D. in SYS, and your knowledge is naturally solid. It is estimated that you can master it in a month or two..." Teacher Chen pondered for a while. replied.

Wang Lilong thought of Zhou Mo.

"Then... what about the color ultrasound?"

"Color Doppler ultrasound is an upgraded version of black and white, it will be a lot more difficult, and even more difficult is the small organs..."

"What if you want a color Doppler ultrasound to measure the coronary artery?" Wang Lilong asked.

"Measurement of coronary artery... This is very difficult, and it is already difficult for small organs, let alone blood flow... Without three or four years of specialized research, it is difficult..."

Mr. Chen didn't say a word. The past three or four years were based on the countless operating experience in the B-ultrasound room.

Like the Cardiology Department himself, he has not done so many cases, and he is only able to master this skill now, and it is often inaccurate.

"Three or four years?"

Wang Lilong lost his mind for a while.

He thought of his rhetoric: "Give me 3 days... No, 2 days, I will definitely learn the B-mode ultrasound machine!"

Now it looks like it's a joke!

.