Chapter 1195 Chapter 1198: Professor Chen, Why Don't You Think About It?

Chen Cang simply asked a few words about the patient's condition.

Begin a detailed physical examination of the patient.

to be frank!

Physical exams are addicting things.

As a senior said, there are only two possibilities for physical examinations, no one and countless times!

Of course, dummy models are definitely not as fun as real people!

Especially when touching the lymph nodes and palpation, the dummy can't bring feedback at all!

The patient is different. The lymph node is large and round, and the occasional groaning sound of pain can give the medical examiner an intuitive understanding.

It is because of this that Chen Cang's expression changed suddenly after palpation, and his eyebrows were slightly furrowed.

Whoops?

I go!

Is an assessment so difficult?

While speaking, Chen Cang began to ask about his medical history.

only……

The more Chen Cang asked, the more interesting he felt!

I didn't expect to encounter such a challenging and confusing problem!

For a while, just to be on the safe side.

Chen Cang took the stethoscope again, and first auscultated the heart, then the abdomen...

After some inspection, Chen Cang took a deep breath!

A meaningful look at the patient!

The patient smiled slightly and glanced at Chen Cang with the same deep meaning.

There is quite a battle of wits and courage, and the determination to meet the brave to win.

The three examiners looked at each other at this time, feeling a little puzzled.

Professor Chen like this... is he putting on a show for the camera?

Thus tricking the camera?

Is it necessary to be so serious?

However, at this moment, Chen Cang heard a noise in his abdomen!

Suddenly, Chen Cang's expression changed!

He closed his eyes and started to think again, and he started to ask about the medical history again!

But this time, Chen Cang asked more and more carefully!

The more you ask, the more you find some questions!

"Acute chest pain?"

Chen Cang's brows suddenly became tight.

"How long have you had high blood pressure?"

The man smiled: "It's genetic, it's been 30 years, but I haven't taken medicines properly. This time my heart is suddenly uncomfortable, so I came over quickly."

The patient's mood is not heavy.

After all, he has been hospitalized, and the doctor said that the situation has eased somewhat.

For this intermediate exam to be a model, he also took the initiative to sign up.

You must know that these "model" patients are generally volunteers and have no income, so those who can come here are generally cheerful in character!

The patient's eldest brother, who is nearly forty years old, has a bald head and a short stature. He is a small supervisor of a private company, and his life is also leisurely.

After being hospitalized this time, he even said optimistically that he would not need to travel frequently, and could even take a good rest for a while.

The patient's diagnosis was angina pectoris and high blood pressure. He has been a long-term smoker and drinker with plaque in the carotid artery.

Therefore, the attending doctor is worried that plaque instability may cause a series of troublesome diseases such as cerebral infarction and myocardial infarction.

When Chen Cang asked questions, the patient couldn't tell him the diagnosis, only the symptoms. To put it bluntly, the patient had to "fight wits and courage" with the assessing doctor!

But at this time, Chen Cang suddenly asked:

"Have you had a cold recently? Have a fever, or have a rash on your body!"

The man was suddenly stunned, recalled carefully, and quickly said:

"Yes, yes! This kind of thing happened before I was hospitalized, but because it wasn't obvious, I didn't care. It was mainly because my heart was uncomfortable that I came to the hospital!"

Hearing this sentence, Chen Cang suddenly frowned, and at the same time, his eyes became sharper.

He turned to look at the three examiners: "Give me the latest imaging results and physiological and biochemical tests."

The three were stunned for a moment, and Xu Aiming quickly handed it over.

Chen Cang took out the physiology and biochemistry of blood routine, liver and kidney function, troponin, and infectious disease examination.

Chen Cang looked at the test sheet very quickly. After reading it, he put it down directly.

He found that perhaps the current test has no meaning.

He put down the test sheet and picked up the image results.

Because the test report is real-time data!

What does that mean?

It is your vital signs and various indicators at this moment. Even if you drink a bowl of water or pee, you will have a pulsation, but it will not be as big.

but……

Eating won't change much, what if you take medicine?

He felt that the patient's liver was reacting abnormally.

While talking, he picked up an abdominal ultrasound and a cardiac ultrasound and looked at it. After reading it again, there didn't seem to be much difference, it was basically normal, and there was a little fatty liver, but it didn't matter.

There's no chest x-ray either... no... wait!

Chen Cang stared at the chest X-ray carefully. After taking a few glances, he put it down and took out the chest CT.

After reading it, Chen Cang took a deep breath.

This hospital... is too courageous, and the assessment difficulty is too high!

Chen Cang felt that if he hadn't been aware of the patient's abnormal liver response and abdominal murmur, he wouldn't have been able to detect such hidden signals!

Chen Cang couldn't help shaking his head, it seems that the examination of the attending physician is really very difficult!

Even such a serious and complicated patient was brought to the assessment.

Thinking of this, he seriously wrote in the patient's diagnosis column:

Admission diagnosis:

1. Kawasaki disease?

2. Vasculitis (possible aortitis)

3. Hypertension grade 3 (extremely dangerous group!)

4. Threat of aortic dissection

5. Angina pectoris

6. Liver damage (hepatitis possible)

Brilliantly, Chen Cang wrote six diagnoses!

And each one is more dangerous than the other.

treatment approach:

1. Complete relevant examinations as soon as possible after admission, urgently check liver function, and improve angiography.

2. Special care routine, low-salt and low-fat diet.

...

After writing, Chen Cang handed it to the three examiners and sighed.

This question is so difficult!

I almost didn't make it myself.

At this time, the three examiners suddenly froze after reading it.

The three looked at each other, looked at each other, looked at each other...

He couldn't help but take out the answer in his hand and was stunned for a moment.

This……

It seems that it is different from the diagnosis of the competent doctor!

Thinking of this, Xu Aiming couldn't help but ask, "Professor Chen, why don't you think about it?"

"Yeah! Actually... are you thinking about it?"

"Yes, do you think the patient has other possibilities? For example, it's just normal high blood pressure or something? The treatment plan..."

After Chen Cang heard this, his face suddenly brightened.

Immediately... an embarrassed and polite sigh.

It seems that he has finally gone through the back door!

Thinking of this, Chen Cang added an item to the disposal plan:

"Arrange surgery as soon as possible!"

After writing, Chen Cang breathed a sigh of relief and looked at the patient with respect.

This old man is a great man.

At this point, I still insist on providing a training opportunity for medical staff...

So touching.

but!

Chen Cang looked at the meaningful eyes of several examiners and the wise eyes of the patient, Chen Cang thought for a while.

Could it be... is this a trap?

Should I make a special choice?