Chapter 315 Chain Missions

With the sound of the system prompt, Chen Cang hungrily but calmly accepted the task, and looked at Meng Xi lightly.

"good."

Meng Xi raised his eyes and handed over the electrocardiogram: "Come on, let's analyze the patient's condition."

The First Affiliated Hospital of Dongyang Medical University and the Second Provincial Hospital are not at the same level. There are many students here. After all, it is the First Affiliated Hospital of Dongyang Medical University. There are many interns and graduate students!

The emergency department is a special department that must be transferred, so at this time, several people around looked at Chen Cang curiously.

Chen Cang took a look at the electrocardiogram first, um, just one look, then walked straight to the patient, looked at the stethoscope on his neck and listened to the patient's chest for a while, then looked at the patient and asked, "Uncle, how do you feel? How long have you been holding your chest tight?"

The man was also very cooperative, and he was relieved when he heard that it was not a heart attack.

"It's been three days, and I feel inexplicable. It was just a few days ago that I attended a colleague's son's wedding. After I came back, I caught a cold and had a little fever. I had a fever, I thought I was tired and had a cold, so I didn't care."

"But... Today I suddenly felt bad. I was worried that it was a myocardial infarction, so I came here. It was chest pain and chest tightness. Now I even feel a little hard to breathe."

After Chen Cang listened to the play: "You lie down, I'll give you a knock."

The man cooperated very well, lying on the bed, Chen Cang began to percussion.

Asking whether it hurts or not.

Two minutes later, Chen Cang finished percussion on the front of the heart and said, "Take a deep breath, yes... inhale... exhale..."

The man suddenly squeaked: "Yoyo, it hurts!"

After slowing down a bit, he said slowly, "No, no, it hurts as soon as you breathe in!"

Chen Cang looked at the intern beside him: "Where are the test sheets, blood routine, myocardial enzymes."

Gui Peisheng paused, and looked at Chen Cang as if he were looking at a teacher. He respected it and hurriedly handed it over.

"Teacher, here it is!"

Chen Cang didn't care about these details. After opening it, he took a closer look.

Picking up the chest X-ray and looking at it again, everything is clear in the chest.

As a doctor, the most important thing is to diagnose. Chen Cang now has perfect chest image interpretation, perfect electrocardiogram, and perfect clinical interpretation of physiological and biochemical test indicators!

At this moment, Chen Cang estimated that no one knew the patient's condition better than him.

Chen Cang said directly: "The patient had an acute onset, accompanied by symptoms such as fever, chills, chest pain, dyspnea, obvious pericardial friction, increased blood leukocytes, and left shift of the nucleus. The electrocardiogram showed significant changes in ST segment and T wave. I took a chest X-ray and the x-ray showed that the normal contour of the patient's heart had disappeared and the pulsation was weak!"

"So, I am now 90% sure that the patient has acute bacterial pericarditis, and now there may be purulent fluid in the heart. I just felt that the dullness area has changed."

"Rapid heartbeat and difficulty breathing are signs of cardiac tamponade!"

A word that stunned everyone!

Justified!

Every sentence makes sense!

And the most important thing is that every student here can understand it. Chen Cang's words are easy to understand, and every conclusion is based on evidence.

It makes people feel like a diagnosis is like a case, each clue points to a cause, which leads to what kind of result.

Looking at a group of medical students around me, I couldn't help but want to applaud!

It's so arrogant!

Boss 666!

A group of medical students are really excited.

Is Meng Xi awesome?

Absolutely awesome!

Three or two times to see that it is an acute pericarditis.

But everyone will just feel arrogant.

But Chen Cang is different. People explain thoroughly and thoroughly. For students, this is the only way to learn something.

Clinical knowledge is just that.

In fact, what these students didn't know was that Meng Xi did it on purpose.

After Chen Cang finished speaking, Ge Huai was also slightly startled. He could also see pericarditis, but... maybe not as clear as Chen Cang's diagnosis.

but!

Ge Huai felt that the reason why Chen Cang was able to do this was because Meng Xi had already said that it was pericarditis, and Chen Cang was a student, so he remembered the book knowledge firmly. It's faster than myself, but... I don't have the density to sew it myself.

Meng Xi looked at Chen Cang's performance just now, and was very satisfied. Basically, Chen Cang used all the diagnostic methods for acute pericarditis, not a single one was missed!

Even bacterial acute pericarditis may have pericardial tamponade.

The surrounding group of students looked at Chen Cang with admiration in their eyes!

However, Meng Xi suddenly asked, "How do you think the patient should be treated now?"

Chen Cang has made up for the basics during this period of time, and has a good theoretical knowledge.

"First of all, the first step is to release the cardiac tamponade. The patient now has a lot of fluid in the cardiac cavity. The first step should be pericardiocentesis."

"At the same time, the nature of the pericardial effusion should be tested and blood cultured to look for pathogenic bacteria, and sensitive antibiotics should be used according to the pathogenic bacteria."

"Finally, if no relief, use a pericardiotomy!"

Meng Xi did not compliment Chen Cang too much, but asked lightly, "Can you succeed in having you pierce?"

【Ding! Pass the test of mentor Meng Xi, get favorability +3, ding! Trigger the second ring of the test task and perform pericardiocentesis on the patient. 】

Chen Cang's eyes lit up, it turned out to be a series of tasks, what will be the last link?

"OK!"

At this time, Wu Peng, a doctor from the emergency department, came back and walked in with the doctor from the ultrasound room pushing a car.

"Director Meng, here we come!" Wu Peng said hurriedly.

The doctor in the color ultrasound room has a good relationship with Meng Xi because he often deals with the cardiology department, and he also knows Meng Xi's character.

So after seeing Meng Xi, without talking nonsense, he nodded and asked, "Director Meng, what's the condition of the patient?"

Meng Xi said: "I suspect it is bacterial acute pericarditis, and the patient still has some signs of cardiac tamponade."

When Mr. B heard this, his face changed slightly, and his heart was tampered?

This disease is no joke!

Thinking of this, I quickly started to operate.

Color Doppler ultrasound is very good for this examination.

It didn't take long for the results to come out!

There is a lot of effusion in the pericardial cavity, which has compressed the lungs and bronchi, which has a certain impact on breathing, and also has some compression on the heart.

On echocardiography of the heart, the ejection fraction of the heart has begun to decline.

Doctor B-ultrasound frowned: "Director Meng, we have to puncture as soon as possible!"

Meng Xi nodded: "Xiao Chen, come on!"