Doctor Peerless

Chapter 626 The Great God Is Coming (Supplement 1)
With the help of the nurse, Bai Mingming made the patient sit up from the hospital bed.

Then Bai Mingming started from the tip of the lung, from top to bottom, from outside to inside, from left to right, from the front chest to the side chest and back, and performed symmetrical auscultation.

Listening carefully to both lung lobes all the way, the breathing sound of the boy's lung lobes showed no sign of weakening or disappearing.

Everything is normal, Bai Mingming frowned.

Liu Zhengqing at the side saw something strange from Bai Mingming's expression.

He said in a deep voice, "What's wrong?"

Bai Mingming said: "It sounds like there is no problem with the lungs."

Liu Zhengqing didn't believe it, "Let me listen."

Bai Mingming made room for Liu Zhengqing.

Liu Zhengqing put on a stethoscope and auscultated.

After a few minutes, he put away the stethoscope and at the same time beckoned to the nurse beside him to help the patient lie down again.

Bai Mingming whispered, "How?"

In Liu Zhengqing's mind, all kinds of current information were quickly integrated together.

At this moment, he is like a detective, trying to deduce who is the "murderer" who caused the boy's chest pain.

But this "murderer" is obviously very cunning.

Liu Zhengqing didn't know for a while.

Liu Zhengqing said: "The sound of breathing is normal, and the possibility of spontaneous pneumothorax is unlikely."

"Then what is the reason?" Bai Mingming thought for a while, and then gave a possible guess: "Could it be acute myocardial infarction?"

Liu Zhengqing thought about it carefully, and said: "The location and nature of the patient's pain are very consistent. However, this kind of disease is generally common in middle-aged and elderly patients with underlying diseases. He said that the youngest heart attack he ever encountered was in his 20s, but this patient is only 19 years old, it doesn’t look like it.”

Bai Mingming thought Liu Zhengqing's words were reliable.

I am in the emergency center, and it seems that the youngest myocardial infarction patients I have encountered are nearly 30 years old.

Bai Mingming racked his brains to connect the illness he was familiar with with the condition of the patient in front of him.But it doesn't seem to be suitable.

What kind of sickness is this?

When Bai Mingming was racking his brains, he suddenly thought of something very important.

That's when the patient complained. He once said that he drank a lot of alcohol and vomited until noon.

The reason why the patient didn't come to the hospital right away after he got sick was also because the patient thought that his discomfort was due to alcohol. At one point he thought that he would get better after the alcohol passed.

Bai Mingming ignored this at first.

Now after ruling out several diseases that cause the pain.

Bai Mingming suddenly realized that the boy's illness might have something to do with his drinking.

The condition is urgent.

Although the myocardial infarction just brought up was shot.

But at this time, you can't worry about gains and losses.

Bai Mingming immediately proposed a new idea.

"His chest pain may have something to do with drinking at noon."

This idea was immediately approved by Liu Zhengqing.

"Well, it's very possible. I'm only 19 years old, and I have no underlying diseases. Sudden chest pain, I think it may be related to this heavy drinking."

With Liu Zhengqing's support, Bai Mingming continued to search for similar cases in his mind.After a while, he thought of another illness, "Could it be acute pancreatitis?"

After Bai Mingming brought up the disease.

Liu Zhengqing's eyes lit up.

The basic symptoms of acute pancreatitis include upper abdominal pain, vomiting and other symptoms.And some pain will radiate to the back and ribs.

As for the cause of this disease.That too is varied.

Some are due to trauma, some are due to vascular factors, and some are due to bacterial and viral infections.Another common cause is alcohol.

Long-term drinking can easily lead to pancreatitis. On this basis, if you overeat a lot, it will promote the secretion of a large amount of pancreatic enzymes, causing the pressure in the pancreatic duct to rise suddenly, causing the rupture of the pancreatic vesicles, and the pancreatic enzymes entering the interstitium between the acini and triggering pancreatitis. Acute pancreatitis occurs.

This fits well with the patient's chest pain after heavy drinking.

"It may be this disease. Do upper abdominal color Doppler ultrasound and urine amylase for identification." Liu Zhengqing gave the doctor's order.

There is no better way. For diseases of unknown etiology, apart from the judgment of doctors based on clinical experience, the only way to confirm the diagnosis is a large number of examinations.

Just when the nurse was about to start busy again, preparing to take the patient for examination.

Two men in white coats hurried into the emergency room.

Bai Mingming took a closer look.

It was none other than Zhou Sheng and Cao Xin.

When the nurse found Zhou Sheng earlier, he was seeing other patients in the emergency department.

And the patient's condition is more serious.

So Zhou Sheng couldn't leave.

When he was done with everything, he was still thinking about Bai Mingming's side.

So after sending away the patient just now, Zhou Sheng hurried over without stopping.

Of course, as Zhou Sheng's follower, Cao Xin naturally followed.

Monday arrives.

Both Liu Zhengqing and Bai Mingming greeted him.

Cao Xin is a newcomer, and now he has an acute patient.

Liu Zhengqing and Bai Mingming had no time to talk to him.

But Cao Xin didn't complain at all about what happened to him.

The status of interns in the hospital is relatively low.

It is enough not to be scolded, but it is unthinkable for others to value themselves.

Cao Xin thought about the half a day after he came to the emergency center, and his situation was relatively good.

At the same time, at this moment, he was also envious of Zhou Sheng.

These two people in front of them are both much older than Zhou Sheng, needless to ask about their qualifications, they must be much older than Zhou Sheng.

And the attitude of the two of them towards Zhou Sheng was quite polite.

It seems that in the hospital, if you want to be respected by others, it is very simple, you really have to have two brushes.

Zhou Sheng appeared just right, the patient was still on the hospital bed and hadn't been checked yet.

Now that Monday is born.

The condition is unknown now.

Bai Mingming must first report the current situation to Zhou Sheng.

Zhou Sheng listened carefully and thoughtfully.

For an hour, neither Bai Mingming nor Liu Zhengqing could find out the cause.

It seems that the cause of this patient is quite hidden.

The mental state of the patient is not particularly good.

Conditions can worsen at any time.

Zhou Sheng didn't dare to be careless.

He silently turned on the scanning function of the system.

Clinically diagnosed etiology.

The system auxiliary check is simply an artifact.

In matters such as seeing a doctor, in addition to the very important process of treatment, it is also important to check to determine the cause of the disease.

If you don't know what disease the patient has, there is no way to start the treatment.

Don't you see many cases, some people often go to many hospitals and places in order to find out the cause of the disease.After months, or even years, it is finally clear what disease I have.

What's more, even if a hospital checks out the results, if it is not an emergency, the patient often has to go to several hospitals to confirm the diagnosis.

In fact, the current diagnostic techniques are still relatively limited, and many etiologies are not so easy to determine.

This is compared with Zhou Sheng's system.

You just know how awesome it is.

Don't talk about the follow-up treatment, just relying on the fact that he can see through the patient's cause at a glance, Zhou Sheng can also look down on the medical world.

The topic returns to the rescue room.

After Bai Mingming finished all the current diagnosis.

In Zhousheng's system, the patient's examination has also been completed...

(End of this chapter)