Doctor Peerless

Chapter 571
Left upper extremity numbness.

It does look like a frozen shoulder or something.

But I took painkillers.

After more than ten hours, it has not recovered.

This situation is rare.

Zhou Sheng thought for a while, and asked the female patient, "Sister, did you ever suffer from pain in your shoulders or arms?"

Without even thinking about it, the female patient replied: "Never. I do the laundry, cooking, and cleaning at home by myself. I have never encountered such a problem. It was just yesterday that my arm suddenly became weak. .”

Generally speaking, frozen shoulder is a chronic disease. If it occurs to such a degree of pain overnight, it must be the result of accumulation over time.

It was impossible not to feel a little discomfort in the past.

with this strange disease.

Zhou Sheng couldn't guess the cause of the disease for a while.

But he also felt the same as Su Quan at the moment. This seemingly shoulder problem was probably caused by problems with other parts of the body.

Let's go to the A-level auxiliary scan.

After a few minutes.

The system has results.

And this result surprised Zhou Sheng.

The cause given by the system is: acute myocardial infarction.

Recommended current treatment options: conservative treatment.

Shoulder pain, the cause was acute myocardial infarction.

This sounds a bit unbelievable.

But the system is absolutely infallible.

Zhou Sheng recalled that when he was in class, regarding the clinical manifestations of acute myocardial infarction, there was indeed a manifestation that the pain was located behind the sternum, and the pain might radiate to the left shoulder.

But what is more special about this case is that the patient had no obvious pain in the chest.

Instead, severe discomfort occurs in the irradiated area.

extremely rare.

Without extensive clinical experience, it is difficult to judge.

Zhou Sheng has determined the cause of the female patient.

The condition is now more serious than expected.

Frozen shoulder is a chronic disease, and it is not life-threatening. It can be treated slowly.

But acute myocardial infarction is different.

Nothing involving the heart is a minor ailment.

The patient must be hospitalized immediately in the cardiology department for treatment.

Of course, Zhou Sheng knew the patient's cause through the system.

Saying it directly now is not convincing at all.

You can never say that you are sick!Still a heart attack!

Go to the cardiology department now.

The patient has to have an EKG done first.

The cause can be easily detected by electrocardiogram.

Zhou Sheng organized his words in his mind, and said: "Your shoulder hurts, it's probably not a shoulder problem, I suggest you take an electrocardiogram immediately."

When the female patient heard this, she, who was still sitting on the chair just now, immediately felt as if she had been electrocuted. She groaned and stood up from the chair.

The two eyes were rounded, staring directly at Zhou Sheng angrily.

She thought to herself, it really is a young doctor.It doesn't matter if you don't have experience, and let me check randomly.It was obviously a shoulder pain, so I had to do an EKG.Although I don't understand the electrocardiogram, it is to check for heart disease.This doctor is so black-hearted!

She rejected Zhou Sheng without hesitation, "No! I won't do an electrocardiogram, I'll have another look."

After speaking, she was ready to leave immediately.

If it is other less serious diseases.

If the patient wants to leave, Zhou Sheng will not stop him.

But the patient's condition is still serious.

And this disease, even if you change another family, there is still a high probability that it will be misdiagnosed.

Zhou Sheng had to find a way to get her to stay.

Zhou Yisheng said anxiously, "Sister, it's not expensive to have an EKG, it's only a few tens of dollars. I suspect that it's your shoulder pain caused by acute myocardial infarction. You've been in pain all day, and now it's too late to go to other hospitals." Time, I’m afraid it’s not good for your health.”

The price is not expensive and the condition is serious.

These two points are the best weapons to deal with patients who do not cooperate with the examination like the one in front of us.

The female patient hesitated.

This is already the second hospital she has seen.

If you go to find another one, you will waste a lot of time.

And the results of the medical treatment are still unknown.

Although the doctor in front of him was young, he was also a doctor from a tertiary hospital.

More or less understandable.

An electrocardiogram worth tens of yuan is indeed not expensive.

But she still can't accept that she has a shoulder pain, and now it will become a reality of heart disease.

She thought for a while and said, "I just have a shoulder pain, why did it suddenly become a heart problem?"

Zhou Yisheng had long expected that the patient would ask such a question. He had learned the clinical manifestations of acute myocardial infarction well in school.

Only from the clinical manifestations, infer the etiology.

This is difficult.In particular, the clinical manifestations of this patient are very special.

Not to mention young doctors like Su Quan and Zhou Sheng.

Even old doctors sometimes misdiagnose.

This is why, we often go to different doctors for the same disease, and the conclusions given are completely different.

Misdiagnosis has never been eliminated.

Not every doctor is like Zhou Sheng, who can treat people with a system.

But now that the etiology is known, it is relatively simple to analyze the clinical manifestations.

The difficulty is directly reduced by several grades.

Zhou Yisheng was confident, and he eloquently said: "Patients with acute myocardial infarction often have chest pain. This is something everyone knows, but there are also very few patients who do not have chest pain, but instead have pain divergence. For example, you In the current situation, the pain spreads to the shoulder."

The female patient was still puzzled: "The pain spreads? What does this mean?"

There is no need for Zhou Sheng to explain such a simple question.

Su Quan is also very clear.

He interjected from the side: "Sister, let me give you an example that you must know. For example, you have a toothache, and the pain is severe. Not only the toothache, but also your face and head also hurt. This is the spread of pain. "

Toothache experience, many people have.

As the saying goes, toothache is not a disease, it hurts like hell.

This female patient also has the experience of toothache, and she also has the experience that half of the head is uncomfortable.

It turns out that this is called pain divergence!

Su Quan's explanation is very easy to understand.

Zhou Sheng nodded, and continued: "Acute heart attack may not only cause discomfort in the left upper limb, but some patients may also have pain in the upper abdomen. It was misdiagnosed as gastric perforation, acute pancreatitis and other acute abdominal diseases. Some patients even showed It is pain in the neck, jaw, pharynx and teeth, and it is easy to misdiagnose."

When the female patient heard it, Zhou Sheng spoke very professionally.

And this kind of heart disease can actually cause pain in so many places.

She had to believe it.

"Then do an EKG..."

Get it!

Zhou Sheng said to Su Quan: "Give the patient an electrocardiogram examination. Then I will leave it to you."

Su Quan acted immediately...

(End of this chapter)