After more than ten hours, it has not recovered yet.
This situation is rare.
Zhou Sheng thought for a moment and asked the female patient: "Sister, have you ever had shoulder or arm pain before?"
Without thinking, the female patient replied: "Never. I do all the laundry, cooking and cleaning at home. I have never encountered such a problem. It's just that yesterday I suddenly couldn't use my arm."
.”
Generally speaking, frozen shoulder is a chronic disease. If it occurs to the point where the pain lasts a night, it must be the result of accumulation over time.
It's impossible that I didn't feel a little uncomfortable before.
Faced with this strange illness.
On Monday, I couldn't figure out the cause of the disease.
But he felt the same as Su Quan at the moment. This seemed to be a shoulder problem, but it was probably caused by problems with other parts of the body.
Let’s go to A-level auxiliary scanning.
A few minutes later.
The system has results.
And the result surprised Zhou Yisheng.
The cause given by the system is: acute myocardial infarction.
Recommended current treatment plan: conservative treatment.
I had shoulder pain, and it turned out that the cause was acute myocardial infarction.
This sounds a bit weird.
But the system is absolutely error-free.
Zhou Sheng recalled that when he was in class, one of the clinical manifestations of acute myocardial infarction was that the pain was behind the sternum, and the pain might radiate to the left shoulder.
However, what is even more special about this case is that the patient had no obvious pain in his chest.
Instead, severe discomfort occurs in the area where the radiation was irradiated.
Extremely rare.
Without extensive clinical experience, it is difficult to judge.
Zhou Sheng has determined the cause of the female patient's illness.
The current condition is much more serious than expected.
Frozen shoulder is a chronic disease and is not life-threatening. It can be treated slowly.
But acute myocardial infarction is different.
Anything involving the heart is not a minor illness.
The patient must be admitted to the cardiology department immediately for treatment.
Of course, Zhou Yisheng learned the cause of the patient's illness through the system.
Saying it directly now is not convincing at all.
You can’t say you are sick! Or have a heart disease!
Go to the cardiology department quickly.
The patient must first have an electrocardiogram.
The cause can be easily discovered through an electrocardiogram.
Zhou Sheng organized the words in his mind and said: "Your shoulder pain is most likely not a shoulder problem. I suggest you do an electrocardiogram immediately."
When the female patient heard this, she who had been sitting on the chair just now felt as if she had been electrocuted. She stood up from the chair with a loud noise.
The two eyes were round and they stared angrily at Zhou Sheng.
She thought to herself, he is indeed a young doctor. Even if he has no experience, he still asked me to check randomly. It was obviously shoulder pain and he asked me to do an electrocardiogram. Even though he didn’t understand the electrocardiogram, it was to check for heart disease. This doctor is simply evil.
Deadly!
She rejected Zhou Sheng without hesitation, "No! I won't do an electrocardiogram. I'll take another look at another company."
After saying that, she immediately prepared to leave.
If it is other less serious diseases.
If the patient wants to leave, Zhou Yisheng will not stop him.
But this patient's condition is still quite serious.
Moreover, there is a high probability that this disease will be misdiagnosed even if it is changed to another hospital.
Zhou Sheng must find a way to make her stay.
Zhou Sheng said anxiously, "Sister, an electrocardiogram is not expensive, only a few dozen yuan. I suspect that you have shoulder pain caused by acute myocardial infarction. You have been in pain all day, and now you are still delayed in going 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 like this who do not cooperate with the examination.
The female patient hesitated.
This is already the second hospital she has visited.
If you go to another one, it will take a lot of time.
And the outcome of the medical treatment is still unknown.
Although the doctor in front of me is young, he is also a doctor from a tertiary hospital.
More or less understanding.
An electrocardiogram costing several tens of dollars is indeed not expensive.
However, she still couldn't accept that her shoulder pain was now turning into a heart disease.
She thought for a moment and said, "I only have shoulder pain. Why did it suddenly turn into a heart problem?"
Zhou Shengsheng had long expected that the patient would ask such a question about the clinical manifestations of acute myocardial infarction. He had learned well in school before.
It is just a matter of inferring the cause from the clinical manifestations.
This is difficult. Especially the clinical manifestations of this patient are very special.
Not to mention Su Quan, a young doctor like Zhou Sheng.
Even experienced doctors sometimes make misdiagnoses.
This is why we often see different doctors for the same disease and the conclusions they give 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 cause is known, it is relatively simple to analyze the clinical manifestations.
The difficulty is directly reduced by several levels.
Zhou Sheng was confident and spoke eloquently: "Patients with acute myocardial infarction often have chest pain. This is something everyone knows, but there are also a very small number of patients who do not have chest pain, but instead have divergent pain, such as you
As it stands now, the pain radiates to my shoulder."
The female patient is still confused: "The pain is diverging? What does this mean?"
There is no need for Zhou Sheng to explain such a simple question.
Su Quan also knew it very well.
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 does the tooth hurt, but in the end you also feel that your face hurts and your head hurts as well. This is pain divergence.
"
Many people have the experience of toothache.
As the saying goes, toothache is not a disease, the pain is really terrible.
This female patient also had the experience of toothache, the kind of pain that hurt half of her head.
It turns out that this is called pain divergence!
Su Quan's explanation is very easy to understand.
Zhou Sheng nodded and continued: "Acute myocardial infarction may not only cause discomfort in the left upper limb, but the pain in some patients may also be located in the upper abdomen. It is misdiagnosed as gastric perforation, acute pancreatitis and other acute abdomens. Some patients even have symptoms
It causes pain in the neck, jaw, pharynx and teeth, and is easily misdiagnosed.”
When the female patient heard this, she realized that Zhou Shengsheng was very professional.
And this kind of heart disease can actually cause pain in so many places.
She had to believe it.
"Then let's do an electrocardiogram..."
Done!
Zhou Shengsheng said to Su Quan: "Give the patient an electrocardiographic examination. The rest will be left to you."