As the system prompted the sound, Chen Cang received the task as hungry but calmly, looking at Meng Xi faintly.

"good."

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

Dongyang Medical University First Hospital is not at the same level as the Provincial Second Hospital. There are many students here. After all, they are the first affiliated hospital of Dongyang Medical University. Whether they are interns or graduate students, there are many!

The lack of emergency department is a special required department, so at this time, several people around looked at Chen Cang curiously.

Chen Cang took the electrocardiogram and took a look first. Well, just one glance, and 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 long have you been feeling chest tightness?"

The man cooperated very well, and when he heard that it was not a heart attack, he breathed a sigh of relief.

"It's been three days, and I feel inexplicably. I attended a colleague's son's wedding a few days ago. After I came back, I caught a cold and had a fever. After taking some medicine, I felt a little uncomfortable with my chest and a little chest pain the next day. I also had a fever. I thought it was a cold that was tired, so I didn't care."

"But... I suddenly felt so aggravated today. I was worried that it was a heart attack, so I came over, just chest pain and chest tightness. Now I feel a little hard to breathe."

After listening to the play, Chen Cang said, "Lying down, I'll knock you."

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

Ask me whether it hurts.

After coming here for two minutes, Chen Cang finished his percussion in the front of the heart and said, "Take a deep breath, and... inhale... exhale..."

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

After a little slow down, he said slowly: "No, no, it hurts as soon as he inhale!"

Chen Cang looked at the intern beside him: "Where is the test form? It's blood-regular, myocardial enzyme."

The student of the Gui Pedal paused, and looked at Chen Cang as respectfully as the teacher, so he quickly handed over.

"Teacher, give it!"

Chen Cang didn't care about these details. After opening it, he looked carefully.

I picked up the chest xx and took a look again, and I understood everything.

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

At this moment, Chen Cang probably no one knows the patient's condition better than him.

Chen Cang said directly: "The patient's acute illness is also accompanied by symptoms such as fever, chills, chest pain, and difficulty breathing. The pericardial friction sound is obvious, the blood is routinely leukocytes, and the left nuclear movement is accompanied by the electrocardiogram. The electrocardiogram shows obvious changes in the st segment and the T wave. I looked at the chest X-ray. The results of the x-ray showed that the normal contour of the patient's heart disappeared and the pulse was weak!"

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

"The heartbeat is faster and breathing is difficult, which is a sign of heart tampering!"

After a few words, everyone was stunned!

It is reasonable and well-founded!

Every sentence makes sense!

And most importantly, every student here can understand it. Chen Cang's words are easy to understand, and every conclusion is based on it.

It makes people feel that the diagnosis is like a detective, with each clue pointing to a cause and what kind of result it will lead to.

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

Too awesome!

Big Boss 666!

A group of medical students was really excited and excited.

Is Meng Xi awesome?

Absolutely awesome!

It was obvious that it was acute pericarditis in just a few seconds.

But everyone will only think it is awesome.

But Chen Cang is different. People explain it thoroughly, and for students, they can learn something.

This is how clinical knowledge is.

In fact, what this group of students didn’t know was that Meng Xi was intentional.

After Chen Cang finished speaking, Ge Huai was slightly stunned. He could also see pericarditis, but... it may not be as clear as Chen Cang's diagnosis.

but!

Ge Huai felt that the reason why Chen Cang could do this was because Meng Xi had already said that it was pericarditis, and Chen Cang was a student, and he remembered the knowledge of the book firmly. This is the same as the sewing method at the time. He sewed it a little faster than himself, but... it was not as dense as he sewed it himself.

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, without missing any of them!

Even bacterial acute pericarditis may have caused pericardial tamponosis.

The group of students around him 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 his basics during this period and has excellent theoretical knowledge.

"First, the first step is to relieve cardiac pressure. The patient now has a lot of fluid in the heart cavity. The first step should be pericardial puncture and fluid extraction."

"At the same time, the properties of pericardial effusion are tested and blood cultured to find pathogenic bacteria, and sensitive antibiotics are used according to the pathogenic bacteria."

"Finally, if it cannot be relieved, use a pericardiotomy!"

Meng Xi did not praise Chen Cang too much, but asked lightly: "Can you succeed if you let the pierce you?"

[Ding! Pass the test of the instructor Meng Xi, gain favorability +3, Ding! Trigger the second ring of the test task and perform pericardial puncture on the patient.]

Chen Cang's eyes lit up. It was actually a chain of tasks. What would be the last link?

"OK!"

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

"Director Meng, here you are here!" Wu Peng said hurriedly.

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

So after seeing Meng Xi, he didn't say nonsense, nodded directly, and asked, "Director Meng, what's the patient's situation?"

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

When Doctor B heard this, his face changed slightly, and his heart was blocked?

This disease is not a joke!

Thinking of this, I quickly started to operate.

Color ultrasound is still very effective for this test.

Not long after, the result came out!

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

Under the echocardiography of the heart, the heart ejaculation fraction seen has begun to decline.

Dr. B Chao frowned: "Director Meng, you need to puncture as soon as possible!"
Chapter completed!