Chapter 365 Expert Advice!

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

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

Chen Cang nodded and asked straight to the point: "Well, hello, why are you uncomfortable?"

Wu Yushu told the truth: "I woke up this morning with a feeling of tightness in my chest and some difficulty in breathing. It was better when I sat up. This happened before, every year, but it got better after a while."

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

Just as Chen Cang was about to ask, Wu Yushu suddenly said, "By the way, I feel that my stomach has been bloated recently, and my appetite is also poor. Is it because my stomach power is not good!"

"Occasionally, there is chest pain, and it's uncomfortable here!"

Wu Yushu touched the right flank, near the liver.

There are many patients with different symptoms.

But the main symptom is difficulty breathing.

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

But……

Dyspnea and Orthopaedics are not just respiratory diseases.

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

Heart failure can also cause these symptoms.

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

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... Additional sounds in the third and fourth intercostal spaces at the left sternal border in the early diastole.

What does this represent?

Chen Cang also did not understand.

Cardiac auscultation is really a college question.

Chen Cang can only understand a little bit.

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

what's going on?

Chen Cang then began to percussion of the heart, and the circle of cardiac dullness was a little too large.

How to do?

At this time, Chen Cang suddenly had an idea.

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

He is a man with hidden occupations in the three skill trees of [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 many skills such as [cardiac auscultation], [cardiac percussion] and so on.

Chen Cang was instantly overjoyed.

Choose to redeem [Heart Auscultation] now!

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

Chen Cang felt that he had undergone a baptism and teaching about cardiac auscultation.

【Ding! Cardiac Auscultation: Masters; Diagnostic Passive Skill. 】

At this time, when Chen Cang auscultated 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 do an electrocardiogram first, and then do a chest X-ray together."

"Your situation is more complicated now, and it may not be a simple breathing difficulty."

When Wu Yushu heard this, he was slightly taken aback.

"Isn't it? Doctor? I still know my own situation very well. I know my physique very well. This situation will be much better in two days."

"I've had this happen to me before."

Having said that, Wu Yushu continued: "I'm still going to go to work. By the way, I still have a little stomach bloating and I have a bad appetite. Is it a lack of stomach power?"

"Otherwise, you can help me get some medicine! The medicine that enhances gastric motility."

While speaking, the man stood 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 stunned for a moment, his blood pressure has always been normal?

However, it doesn't matter if you measure your blood pressure.

And Chen Cang looked at the old man and was stunned for a moment, or he could check his blood pressure.

Fasten the cuff for the man, Chen Cang was dumbfounded by this measurement!

Blood pressure is lower!

And, most importantly...

It's not about blood pressure!

But another thing.

Thinking of this, Chen Cang's expression changed!

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

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

He suddenly discovered a serious problem!

That is, when Wu Yushu inhales, the Korotkoff sound will disappear and appear when he breathes!

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

At this time, Chen Cang quickly turned his attention to the old man who asked him to measure his blood pressure just now.

Immediately, my eyes filled with awe!

This is a bull!

Absolutely beast!

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

The appearance of the odd pulse forced Chen Cang to check Wu Yushu again.

What is Qimai?

Odd pulse is a special pulse condition!

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

It is not so simple to feel this pulse.

Why does Chen Cang think the old man is powerful?

Because the old man just said: "Go and measure your blood pressure!"

This sentence can be said to be meaningful!

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

The first point is to observe the paradoxical pulse with a sphygmomanometer, which is often more obvious than finger palpation.

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

Don't underestimate blood pressure, a small blood pressure measurement can completely discover many strange diseases and phenomena.

The odd pulse is not one of the eight odd meridians, but a peculiar pulse phenomenon, also called "absorption stop pulse".

That is, when you inhale, it will stop.

This is a relatively dangerous disease with several causes, one is massive pericardial effusion with cardiac tamponade, the other is constrictive pericarditis, and a series of myocardial diseases, of course, emphysema and massive pleural effusion may also occur, which requires further diagnosis.

However, no matter what kind of disease, the appearance of odd pulse is not always good!

The old man asked Chen Cang to measure his blood pressure just now. He didn't expect such a big discovery. Thinking of this, Chen Cang couldn't help feeling grateful.

This is a great man!

Absolutely, not only did he feel the odd pulse all at once, but he quietly asked Chen Cang to measure his blood pressure.

In a simple sentence, Chen Cang directly found the core elements of the diagnosis.