The old man and Wu Yushu entered the clinic 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 felt so stuffy when I woke up this morning, and I had some difficulty breathing. It was much better to sit up. This situation was also the case before, every year, but it would be better after a while."

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

Chen Cang was about to ask, but Wu Yushu suddenly said: "By the way, I feel that my stomach has been bloated recently and my appetite is also very poor. Is it because my stomach is not strong enough?"

"Occasionally, there are chest pains and it's not comfortable here!"

Wu Yushu touched the ribs on his right side, close to his liver.

There are many cases of patients and various symptoms.

However, the main symptoms are dyspnea.

After hearing this, Chen Cang felt that this was very similar to old chronic spine and chronic obstructive pulmonary disease.

But……

Respiratory suffering and sitting upright respiratory departments are not just 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 the stethoscope, and decided to rule out the disease of the heart system first, so he said to Wu Yushu: "You lie in the bed, I'll tell you."

Wu Yushu nodded.

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

I feel that the first heart sound is a little weakened, and there are some murmurs in the second atrial area of ​​the aortic valve... The early additional voice of diastolic in the third and fourth intercostal space of the left margin of the sternum.

What does this mean?

Chen Cang didn't understand either.

Heart auscultation is really a big deal.

Chen Cang can only understand some of the fur.

There must be some problems. Thinking of this, Chen Cang touched the strongest point of his heart's pulsation, and felt... it was a bit difficult to touch.

What's the situation?

Chen Cang then started percussion of the heart, and the voiced heart is a bit too big.

what to do?

At this time, Chen Cang suddenly had an idea.

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

I am a man with three skills trees hidden in the hidden professions of [Cardics], [Cardics Surgery], and [Scientific Research].

After clicking the skill book of Kaixin Internal Medicine, Chen Cang immediately discovered that in the first-level operation, that is, the basic skill column, there are many other skills marks such as [cardiac auscultation], [cardiac percussion], etc.

Chen Cang was immediately delighted.

Choose to redeem [Cardous Auscultation] now!

In just a moment, Chen Cang suddenly had a stream of information flowing through his mind, and countless information and diagnosis about heart auscultation appeared in Chen Cang's memory.

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

【Ding! Cardiac auscultation: master level; passive skills in diagnosis.】

At this time, when Chen Cang auscultated again, various information suddenly appeared in his mind.

Continuously adapt to the patient's situation.

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

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

When Wu Yushu heard this, he was slightly stunned.

"No way? Doctor? I still know my situation very well. I know my physique very well. This situation will be much better in two days."

"I've 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 poor appetite. Is it because I lack stomach motivation?"

"Or, please help me get some medicine! That medicine to enhance stomach motivation."

As he spoke, the man was about to get up and stand up.

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

Suddenly, the old man frowned: "Why do you take his blood pressure?"

The man was stunned. His blood pressure was always normal?

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

Chen Cang looked at the old man and was stunned for a moment. It would be fine, take a look at his blood pressure.

Chen Cang was stunned when he tied his cuffs for the man!

Low blood pressure!

And, the most important thing is...

It's not a blood pressure problem!

But another thing.

Thinking of this, Chen Cang's face changed!

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

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

He suddenly discovered a serious problem!

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

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

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

Suddenly my eyes were filled with awe!

This is a great man!

Definitely awesome!

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

The appearance of the strange vein forced Chen Cang to examine Wu Yushu again.

What is the strange pulse?

A strange pulse is a special pulse!

It refers to the phenomenon that the pulse is significantly weakened or even disappeared when inhaling, and the pulse appears or returns to its original state when exhaling.

It is not that simple to find such a pulse.

Why does Chen Cang think the old man is amazing?

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

This sentence can be said to be meaningful!

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

First, using a blood pressure meter to observe strange pulses is often more obvious than palpation of fingers.

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

Don’t underestimate blood pressure. A small amount of blood pressure can completely detect many strange diseases and phenomena.

The strange meridian is not the strange meridian among the eight strange meridians, but a strange pulse pattern, also called "absorbing and stopping meridians".

That is, when you inhale, it will stop.

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

However, no matter which disease, the appearance of strange pulses is always not very good!

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

This is a great person!

It is absolutely true that not only did he find a strange pulse at once, but he also let Chen Cang measure his blood pressure without hesitation.
Chapter completed!