With the help of the nurse, Bai Mingming made the patient sit up from the bed.
Then Bai Mingming started from the apex of the lungs, from top to bottom, from outside to inside, from left to right, from the front chest to the side chest and back, and performed comparative auscultation symmetrically from left to right.
Listening carefully to both lung lobes, the boy's breathing sound showed no sign of weakening or disappearing.
Everything is normal, Bai Mingming frowned.
Liu Zhengqing on the side saw something strange in Bai Mingming's expression.
He said in a deep voice: "What's wrong?"
Bai Mingming said: "It sounds like there is nothing wrong 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 conducted auscultation.
After a few minutes, he put away the stethoscope and called the nurse beside him to help the patient lie down again.
Bai Mingming whispered: "How?"
Liu Zhengqing quickly integrated all the current information in his mind.
At this moment, he was like a detective, trying to deduce who was the "murderer" who caused the boy's chest pain.
But this "murderer" is obviously very cunning.
Liu Zhengqing was still unknown for a while.
Liu Zhengqing said: "The breathing sound is normal, and the possibility of spontaneous pneumothorax is unlikely."
"Then what is the reason?" Bai Mingming thought for a moment and 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 quite consistent. However, this disease is generally seen in middle-aged and elderly people, and is common in patients with underlying diseases. When I was young and in the cardiology department, the director of the cardiology department once said
He said that the youngest person with myocardial infarction he encountered was in his twenties, but this patient is only nineteen years old, so he doesn’t look like it.”
Bai Mingming thought that Liu Zhengqing's words were reliable.
When I was in the emergency center, it seemed that the youngest patients I met with myocardial infarction were nearly thirty years old.
Bai Mingming racked his brains to connect the diseases he was familiar with with the situation of the patient in front of him. But none of them seemed to fit.
What is the disease?
While Bai Mingming was racking his brains, he suddenly thought of something very important.
That was when the patient complained. He once said that he drank a lot of alcohol and vomited at noon.
The reason why the patient did not come to the hospital immediately after he fell ill was because the patient thought that his discomfort was due to drinking. At one time, he thought that he would get better after the alcohol wore off.
Bai Mingming ignored this at first.
Now after ruling out several diseases causing the pain.
Bai Mingming suddenly realized that the boy's illness might have something to do with his drinking.
The condition is urgent.
Although myocardial infarction was just mentioned and shot.
But at this time, we can’t worry about gains and losses.
Bai Mingming immediately came up with a new idea.
"Could his chest pain be related to drinking at noon?"
This idea was immediately recognized by Liu Zhengqing.
"Well, it's very possible. I'm only 19 years old and have no underlying diseases. I have sudden chest pain. I think it may be related to the heavy drinking."
With Liu Zhengqing's support, Bai Mingming continued to search for similar cases in his mind. For a moment, he remembered another disease, "Could it be acute pancreatitis?"
After Bai Mingming raised this disease.
Liu Zhengqing's eyes lit up.
The basic symptoms of acute pancreatitis include upper abdominal pain, vomiting and other symptoms. Some pain may also radiate to the back and ribs.
As for the causes of this disease, they are also diverse.
Some are due to trauma, some are due to vascular factors, and some are due to bacterial and viral infections. Another common reason is alcohol.
Long-term drinking can easily cause pancreatitis. On this basis, if you drink a lot and overeat, it will promote the secretion of pancreatic enzymes, causing the pressure in the pancreatic ducts to rise suddenly, causing the pancreatic alveoli to rupture, and the pancreatic enzymes to enter the interstitium between the acini and promote pancreatitis.
Acute pancreatitis occurs.
This is consistent with the patient's chest pain symptoms after drinking a lot of alcohol.
"It may be this disease. Do upper abdominal color ultrasound and urine amylase identification." Liu Zhengqing gave the doctor's advice.
There is no better way. For diseases with unknown causes, apart from the doctor’s clinical experience, the only way to confirm the diagnosis is through a large number of examinations.
Just when the nurse was busy again, preparing to take the patient for examination.
Two men in white coats walked quickly into the emergency room.
Bai Mingming took a closer look.
The visitors were none other than Zhou Sheng and Cao Xin.
When the nurse found Zhou Sheng earlier, he was treating other patients in the emergency room.
And that patient's condition was even more serious.
So Zhou Yisheng couldn't leave.
When he was done with everything, he was still thinking about Bai Mingming.
So after just sending away the patient on hand, Zhou Sheng rushed over non-stop.
Of course, as Zhou Sheng's follower, Cao Xin naturally followed him.
Monday comes.
Liu Zhengqing and Bai Mingming both said hello to him.
Cao Xin is a newcomer, and now there are urgent and serious patients.
Liu Zhengqing and Bai Mingming had no time to talk to him.
However, Cao Xin did not complain at all about his experience.
Interns have a relatively low status in hospitals.
As long as you don't get scolded, it's unthinkable for others to take you seriously.
Cao Xin thought about the half day since he came to the emergency center and found that his situation was relatively good.
At the same time, he also felt envious of Zhou Yisheng.
The two people in front of me are much older than Zhou Sheng. Needless to say, they are certainly much older than Zhou Sheng.
The two people's attitude towards Zhou Sheng was quite polite.
It seems that in the hospital, if you want to gain respect from others, it is very simple. You really need to have two brushes.
It just happened to show up on Monday. The patient was still in the hospital bed and had not yet been examined.
Now that Monday is here.
His condition is currently unknown.
Bai Mingming must first report the current situation to Zhou Shengsheng.
Zhou Sheng listened carefully and thoughtfully.
For an hour, neither Bai Mingming nor Liu Zhengqing could find the cause.
It seems that the cause of this patient's illness is quite hidden.
The patient's mental state is not particularly good.
The condition may worsen at any time.
I don't dare to be careless in my life.
He silently turned on the system's scan function.
Clinical diagnosis of etiology.
The system auxiliary check is simply an artifact.
When it comes to seeing a doctor, in addition to the very important process of treatment, examination to determine the cause of the disease is also an important part.
Without knowing what disease the patient has, there is no way to start treatment.
You have not seen many cases. In order to find out the cause of the disease, some people often go to many hospitals and places. After several months, or even several years, they finally cannot figure out what disease they have.
Moreover, even if one hospital gets the results, if it is not an emergency, the patient often has to go to several hospitals for diagnosis.
In fact, the current diagnostic technology is still relatively limited, and many causes are not easy to determine.
Compare this with Zhou Sheng’s system.
You will know how awesome it is.
Not to mention the follow-up treatment, Zhou Yisheng can be proud of the medical community just by being able to see through the cause of the patient's disease with just one glance.
The topic returns to the emergency room.
After Bai Mingming finished explaining the current diagnosis situation.
In Zhou Sheng's system, the examination of the patient has also been completed...