When a doctor opened a plug-in

The old man and Wu Yushu entered the consultation room together.

Wu Yushu sat down opposite Chen Cang: "Hello, doctor."

Chen Cang nodded and asked straightforwardly: "Well, hello, why are you uncomfortable?"

Wu Yushu told the truth: "This morning, I felt that my chest was suffocated, and my breathing was a little difficult. I only got better when I sit up. This has happened before, every year, but it will be better after a while."

Having said this, Wu Yushu continued: "I usually smoke a lot, at least one pack of cigarettes, and occasionally two packs. I have been smoking for more than ten years.

When Chen Cang was about to ask, Wu Yushu suddenly said: "By the way, I feel my stomach is bloated recently and my appetite is also very poor. Is it because my stomach motility is not good?"

"Occasionally, there are chest pains, and also uncomfortable here!"

Wu Yushu touched the rib on the right side, near the liver.

There are many patients with various symptoms.

But the main symptom is still breathing difficulties.

After Chen Cang heard it, he felt that it was very similar to old chronic bronchitis and chronic obstructive pulmonary disease.

but……

The Department of Respiratory Distress and Orthodontic Respiratory Diseases is not just about respiratory diseases.

It may also have a lot to do with the heart.

Heart failure can also cause the above symptoms.

Chen Cangdun thought for a moment, picked up his stethoscope, and decided to rule out the disease of the heart system first, so he said to Wu Yushu: "You lie on the bed, I will let you listen."

Wu Yushu nodded.

Chen Cang picked up the stethoscope and listened in several auscultation areas of the heart.

I feel that the first heart sound is somewhat weakened, and there are some murmurs in the second auscultation area of ​​the aortic valve... Extra sound in the early diastole of the third and fourth intercostal space on the left edge of the sternum.

What does this mean?

Chen Cang also did not understand.

Heart auscultation is really a college question.

Chen Cang can only understand some fur.

There must be some problems. Thinking of this, Chen Cang touched the apex of his heart to beat the strongest point, feeling...a bit difficult to reach.

what's going on?

Chen Cang then began to percussion of the heart, and the heart dullness circle was a bit too big.

How to do?

At this time, Chen Cang suddenly had an idea.

Since the patient has a heart disease, it is easy to say.

He is a man with hidden careers in three skill trees: [Cardiology], [Cardiac Surgery], and [Scientific Research].

Clicking on the skill book of Kaixin Internal Medicine, Chen Cang immediately found that in the first level operation, that is, the basic skills column, there are signs of [Heart Auscultation], [Heart Percussion] and many other skills.

Chen Cang was immediately happy.

Choose to redeem [Heart Auscultation] now!

In just that moment, a sudden flow of information flashed through Chen Cang's mind, and countless information and diagnoses about cardiac auscultation appeared in Chen Cang's memory.

Chen Cang felt that he had gone through a baptism and teaching about heart auscultation.

Ding!Cardiac auscultation: master level; passive diagnostic skills.

At this time, when Chen Cang was auscultating again, all kinds of information suddenly appeared in his mind.

Constantly adapt to the patient's situation.

After listening, Chen Cang frowned slightly: "I suggest that we first take an electrocardiogram, and then cooperate to make a chest X-ray."

"Your situation is more complicated now, it may not be a simple breathlessness."

When Wu Yushu heard it, he was taken aback.

"No? Doctor? I still know my condition very well. I know my physique very well. This condition will get better in two days."

"I had this situation before."

Speaking of this, Wu Yushu continued: "I am still going to work now. By the way, I still have a little stomach bloating and have a bad appetite. Is it because my stomach is not motivated?"

"Why don't you get some medicine for me! The medicine that boosts stomach motility."

While talking, the man would get up and stand up.

At this time, the old man put his hand on Wu Yushu's wrist and said, "Young people, don't be so impatient."

Suddenly, the old man frowned: "Why don't you take his blood pressure!"

The man was taken aback, his blood pressure has been normal?

However, it does not matter to take a blood pressure.

And Chen Cang looked at the old man and was taken aback for a while, maybe he took his blood pressure.

Tie the man's cuff, this measurement made Chen Cang dumbfounded!

Blood pressure is relatively low!

And, the most important thing is...

It’s not blood pressure!

It's another matter.

Thinking of this, Chen Cang's expression changed!

He found that the two systolic blood pressures were different, and Chen Cang suddenly became cautious. While watching the man's breathing, he carefully measured his blood pressure.

When he heard the first Korotkoff voice, he quickly remembered the current systolic blood pressure, then carefully observed Wu Yushu's breathing pattern, and then tested it again!

He suddenly found a serious problem!

That is when Wu Yushu inhales, Korotkoff's voice will disappear and appear when he breathes!

A name appeared in Chen Cang's mind: Qimai!

At this time, Chen Cang quickly turned his eyes to the old man who asked him to take his blood pressure.

The eyes were filled with awe!

This is a great man!

Absolutely awesome!

But this is not the time to care about this, Chen Cang needs to continue to perfect the inspection.

With the appearance of Qimai, Chen Cang had to check Wu Yushu again.

What is Qimai?

Qimai is a special pulse condition!

Refers to the phenomenon that the pulse is significantly weakened or even disappears when inhaling, and it appears or returns to its original state when exhaling.

It is not so simple to get this pulse.

Why does Chen Cang think the old man is powerful?

Because the old man said just now: "Go take a blood pressure!"

This sentence can be said to be meaningful!

And it contains a lot of knowledge about being a person and doing things!

First, observe the odd pulse with a sphygmomanometer, which is often more obvious than palpation with fingers.

Any doctor with a little experience can find abnormalities when measuring blood pressure carefully.

Don't underestimate the blood pressure measurement. A small amount of blood pressure can completely discover many peculiar diseases and phenomena.

The odd pulse is not the odd pulse in the eight channels of the odd meridian, but a peculiar pulse condition, also called "inhalation and stopping pulse."

That is, when you breathe in, it stops.

This is a relatively dangerous disease. There are only a few causes, one is a large amount of pericardial effusion with pericardial tamponade, the other is constrictive pericarditis, and a series of diseases of the myocardium. Of course, emphysema And a large amount of pleural effusion may also appear, which requires further diagnosis.

However, no matter what kind of disease, the appearance of Qimai is always not very good!

The old man asked Chen Cang to measure his blood pressure just now, but he didn't expect such a big discovery. Chen Cang couldn't help but feel grateful when he thought of this.

This is a great person!

Absolutely, not only did he feel the odd pulse at once, but also let Chen Cang measure his blood pressure calmly.

A simple sentence directly let Chen Cang find the core element of the diagnosis.