There must be a key point in diagnosing a disease!

Only by discovering this key point can you truly diagnose it clearly.

This is what modern medicine calls: the gold standard of diagnosis!

For example, tuberculosis diagnosis can lead to tuberculosis bacillus in sputum culture, such as cancer diagnosis can find cancer cells in tissues, etc....

but!

Many diseases do not have gold standards.

This requires finding a main clue that can help diagnose the disease!

Once you find this, follow the clues and help diagnose the disease.

Chen Cang took a deep breath, and the eyes of the old man were filled with awe when he looked at him again.

Chen Cang nodded slightly and expressed his gratitude!

The old man just smiled faintly, nodded, and said nothing.

...

...

The old man is amazing, he is amazing here.

But the most amazing one is not only here.

The most powerful thing is the philosophy of dealing with people and things.

He knew that Wu Yushu had a problem, and it might be quite a problem, but he would not say it directly.

He knew this was a hospital and he had to listen to the doctor.

Even if the old man is a famous doctor, no matter how powerful he is, he will not overstep his authority, and will not point fingers to teach Chen Cang how to do it.

However, as a doctor, when he saw some problems with the patient's diagnosis, he did not allow him to stand by.

At this time, Chen Cang's "blood pressure measurement" operation showed a high emotional intelligence.

If the old man asked Chen Cang to give a chest X-ray, an electrocardiogram, or even a color cardiac ultrasound, would the patient be willing?

What do patients think?

Your doctor will not give a diagnosis and ask others to help?

Do patients think that doctors are quack doctors?

I won't even follow the advice to do the checkup.

But blood pressure measurement starts from the patient's perspective. Do you think? How simple is it to measure blood pressure? Anyway, it doesn't cost money, just a simple examination.

First, the patient is not rejected and follows the advice.

Secondly, doctors can also get many useful clues from it.

It can be said that the problem was solved by the calmness of the clouds and winds, which seemed very amazing.

Never underestimate the blood pressure monitor, this thing seems simple.

However, this blood pressure test can find a lot of things.

This is the profound place.

The Qi pulse refers to the phenomenon that the pulse is significantly weakened or even disappeared when inhaling, and the original state appears or returns to its original state when exhaling. Observing the Qi pulse with a blood sphygmomanometer is more intuitive and obvious than palpation with your fingers.

An experienced doctor can feel a lot of things with a slight simulation.

The principle of the occurrence of strange veins is that the pressure in the pericardial cavity increases, which limits the ventricle's dilation and filling. When inhaling, the body's venous return is limited, and the blood circulation in the right ventricle is reduced. The lung circulation is affected by negative respiratory pressure, and the pulmonary vascular dilation causes the blood volume of the pulmonary vein to flow back into the left heart, and the output of the left heart decreases, resulting in a weakening or even disappearing pulse.

The occurrence of strange pulses is common in right heart failure, pericardial effusion and constrictive pericarditis, as well as severe asthma and other diseases.

With this diagnosis, what Chen Cang needs to do next becomes simple and clear.

With the auscultation of the heart just now combined with the strange meridians at this time, Chen Cang now has a good understanding of Wu Yushu's situation.

Ten of the most common is constrictive pericarditis!

However, if you want to be diagnosed, you must have a basis. Thinking of this, Chen Cang carefully observed it. With Wu Yushu's breathing, the angrily vented of the jugular vein in his neck could be seen, but because of his fatness, it was not very obvious.

Chen Cang thought of the fact that after Wu Yushu came just now, he said that his stomach was bloated, indigested, and poor appetite.

He said, "I'll touch your belly."

Wu Yushu cooperated with lifting his legs.

After Chen Cang's abdomen percussion, he became slightly silent. There may be effusion in his abdominal cavity, accompanied by liver enlargement.

At this time, Chen Cang could already make a judgment.

Thinking of this, Chen Cang asked about the disease history and the inducing factors in detail.

Afterwards, Chen Cang looked at Wu Yushu: "Your current performance and my examination of you just now, I feel like you are more like a constrictive pericarditis."

When Wu Yushu heard this, his eyelids twitched and was startled by this professional term.

He has heard of pneumonia and rhinitis, but this is the first time he has heard of pericarditis!

Thinking of this, Wu Yushu's face changed: "What is this pericarditis? What does it mean?"

Chen Cang explained: "Constrictive pericarditis is a disease that causes chronic inflammation of the pericardial body to act on the human body for a long time, leading to thickening of the pericardial, adhesions and even calcification, causing the heart to relax, contraction and constriction, and decreased heart function, causing systemic blood circulation disorders."

"Your breathing pain, chest pain, and stomach bloating are all directly related to this!"

When Wu Yushu heard this, he was frightened to be honest.

He can't get sick...

This is the key.

The heavy burden was on him, how could he dare to get sick?

I dare not rest even if I rest, let alone become sick?

Thinking of this, Wu Yushu asked quickly: "Doctor, am I serious?"

Whether it is serious or not, it is really hard to say, but when Chen Cang saw Wu Yushu's situation, he had to tell the truth:

"To be honest, it is not a simple disease, because if it continues to develop for a long time, it will not only affect the cardiovascular system, but also accumulate diseases of the liver, lungs, etc., and the whole body system."

Wu Yushu felt a thrill in his heart: "Does this... need to be hospitalized? Or should I take some anti-inflammatory drugs?"

In Wu Yushu's mind, inflammation should be cured, right?

But... the inflammation in his heart made him feel unsure.

When Wu Yushu heard Chen Cang's explanation, he seemed to be quite serious and was immediately scared.

Chen Cang couldn't help but shake his head: "For constrictive pericarditis, it is mainly surgical treatment, auxiliary treatment with medication, and the earlier the better. Moreover, the effusion in your abdominal cavity needs to be extracted. My suggestion is to arrange hospitalization as soon as possible."

"After being hospitalized, improve relevant examinations and then give specific diagnosis and treatment."

Chen Cang said everything he should say.

He could see that Wu Yushu seemed to be somewhat resistant to the inspection, but there were only two reasons: one was economic pressure and the other was delaying time.

But when the disease comes, it still needs to be treated.

However, the examination can be done after hospitalization.

In this way, medical insurance can be used to reimburse a large part of the inspection costs.

This is Chen Cang's greatest effort.

Therefore, Chen Cang did not ask Wu Yushu to have a checkup in the outpatient clinic as soon as possible, but hoped that he could be hospitalized as soon as possible.

When Wu Yushu heard Chen Cang's words, he was a little silent and sat there without saying a word.

At this time, Chen Cang treated the elderly.

Seeing the old man, Chen Cang didn't know what to say. After thinking about it, he said: "Old man, what can I do to help you?"

The old man handed over the emergency registration: "I'm a little nervous when I get an electrocardiogram."

When Chen Cang saw the old man's name, his eyes suddenly shrank!

Perhaps most people don't understand this name.

However, in the medical field of Dongyang Province, or the traditional Chinese medicine field, the meaning of this is really different.

Chen Cang also learned this name by chance, but never expected that he would meet this boss!

National medical master: Zheng Sanshui!

ps: Hehe, let’s go through the third update for now. In fact, I will write many interesting stories about the integration of traditional Chinese and Western medicine in the future. Medical care is not just surgery, but also disease diagnosis, treatment, etc.

Qimai is actually a very interesting thing, and I have really encountered it.
Chapter completed!