This Doctor is Great

Chapter 93 Strangely Can't Find the Cause u0026amp;

Because the patient might have aortic dissection, Zhou Mo cautiously followed the patient to the imaging department.

In case something happens halfway, I can save people in time by being beside me.

All the way to the CT room,

"Hello, teacher, I'm from the Department of Cardiology, I just said hello..."

Zhou Mo saw Teacher CT and greeted him respectfully.

Teacher CT is a 40-year-old female doctor, after seeing Zhou Mo.

It turned out to be a handsome boy!

+1 for pleasure!

Teacher CT showed a smile on his tired face: "It was the call just now, the one with aortic dissection, right?"

Zhou Mo nodded: "Yes."

CT teacher: "Do you want to do CTA or CT?"

CTA is CT angiography, which is intravenous injection of iodine reagents (with side effects and a burden on the kidneys), and then restores blood vessels throughout the body through a series of techniques.

It is very accurate in the diagnosis of aortic dissection.

However, it is more expensive.

1500 yuan.

Zhou Mo looked at the patient Cheng Wenle: "CTA takes about an hour from the contrast agent injection, which is relatively slow. You can do CT first, and if it doesn't work, then do CTA..."

Zhou Mo was afraid that in case of aortic dissection, he would not be able to hold it for an hour.

Cheng Wenle nodded: "Then let's do CT first..."

soon,

Cheng Wenle was lying down, and the machine was pushed into the round hole.

(Is there a picture of the appearance of the CT machine from the boss? I am shivering~~)

CT is a tomographic scan, which is equivalent to slicing the human body and looking at the cross-sections one by one.

Generally, there are single-row CT, double-row CT, 16-row CT, 64-row CT, 128-row CT, 256-row CT, and 320-row CT. The higher the row number, the clearer the display.

...

After five or six minutes,

The CT machine stopped.

The inspection is over.

Zhou Mo: "Teacher, how are you doing?"

The CT teacher shook his head: "There is no trace of aortic dissection..."

Zhou Mo breathed a sigh of relief, fortunately not, he quickly thanked: "Thank you teacher."

At this time, the voice of the system sounded in his mind.

"Ding dong... You observed "64-slice CT tomography aortic dissection" once, and you comprehended the essence 100%..."

There is an influx of knowledge.

Zhou Mo was pleasantly surprised, and felt that this trip was very fruitful.

CT showed no results. In the end, the patient Cheng Wenle felt that he was not afraid of spending money and asked for another CTA.

Zhou Mo didn't stop it, after all, it was the patient's own wish.

after an hour,

The CTA results are out.

The patient Cheng Wenle did not find traces of aortic dissection.

"Ding dong...you watched "CTA angiography" once, and you comprehended the essence 100%..."

Now,

Can be absolutely sure that there is no aortic dissection!

"Huh~~~"

The patient, Cheng Wenle, breathed a sigh of relief.

Zhou Mo couldn't help feeling relieved.

So far,

Exclude: acute myocardial infarction, aortic dissection, pulmonary embolism, pneumothorax!

The fatal dangers have been ruled out, and Zhou Mo has enough time to think slowly about the rest of the inspection.

...

Back to the cardiology ward.

Zhou Mo continued to meditate,

Then, he carefully performed a comprehensive physical examination and electrocardiogram on the patient again.

An hour and a half ago, the blood troponin test was done, and the results came out, but the value still did not rise.

After doing this, there is still nothing new.

"what is it?"

Zhou Mo couldn't help it, and asked the patient Cheng Wenle some more questions.

More details.

Still haven't found it.

"Isn't it a heart disease?"

"Is it a skin disease?"

Some skin conditions can also cause pain.

Zhou Mo checked the skin on the patient's chest and back again, but found nothing, and there was no rash or anything like that.

"Or rib disease?"

I asked about the medical history, and there was no history of pain in this area.

After all, the ribs are sick, and it is unlikely to progress to this stage all at once.

diagnosed here,

Zhou Mo already felt that the donkey was at the end of his rope.

"correct,"

"There is another layer between the ribs and the heart..."

"Heart bag!"

"Could it be pericarditis?"

Pericardium,

It is a membranous sac that covers the surface of the heart and has two layers.

Equivalent to the jacket of the heart.

If it becomes inflamed, it can also cause chest and back pain.

Its diagnosis can generally be through auscultation. If you have pericarditis, you can hear pericardial friction rub, which is the most typical feature of pericarditis.

The source of the friction sound is the friction between the two layers of the pericardium.

But Zhou Mo had just auscultated the heart twice, with an interval of almost two hours, and found no friction sound.

"Forget it, let's do this first..."

Zhou Mo decided to let the patient go first.

According to the regulations of the hospital, the doctor in charge of the bed is required to diagnose the patient within three days, and if the diagnosis is not made, it must be reported to the superior doctor.

It's three days, so Zhou Mo doesn't need to worry.

Anyway, Zhou Mo has confirmed that the patient Cheng Wenle does not have the four dangerous diseases of acute myocardial infarction, aortic dissection, pulmonary embolism, and pneumothorax, so there is no need to rush to diagnose it immediately...

As for tonight...

Zhou Mo thought for a while, and the patient seemed to have no special symptoms other than chest pain. Breathing is fine, and blood oxygen is fine.

"Give him some painkillers..."

Thinking of this, Zhou Mo prescribed the most commonly used ibuprofen painkiller to the patient.

(It was said earlier that it is a classic antipyretic (anti-inflammatory), and the previous book friend said that it is a painkiller, and it is indeed a painkiller.)

Zhou Mo issued a doctor's order.

Then he reported the condition of the patient, Cheng Wenle, to the brother doctor who was on duty at night.

"So weird?"

After the senior brother on duty heard Zhou Mo's report, although he became interested, he was too busy to check it himself.

Go back to the duty room and write medical records or something.

22:00, get off work.

At this time, Zhou Mo, who was crazy busy, had already forgotten about the school girl.

"Brother Mo, wait for me..."

Huang Yiming and Huang Xinyi ran out together.

"What's wrong?"

"Do you want to eat late at night? Tomorrow you have a rest, it seems..."

"Supper? Good!"

Zhou Mo's eyes lit up, and he felt his entire stomach growling with hunger.

Zhou Mo: "Where to eat?"

Huang Yiming: "How about the pig porridge in Panyu? The one in "The Taste of Lao Guang"..."

grunt~~~

When Zhou Mo and Huang Xinyi heard this, they couldn't help drooling.

"The Taste of Laoguang" is very famous in Guangdong and Guangxi, and it is very down-to-earth. Zhou Mo used to search for it when he had nothing to watch on TV. The rebroadcast rate of provincial TV stations is very high.

In one of the episodes, it talked about a pig miscellaneous porridge shop in Panyu. In the middle of the night, the boss drove directly to the pig slaughterhouse to pick up the goods (fresh pigs that were slaughtered for less than an hour) were immediately transported back to the supper stall. It was sliced and looted by diners (the plot in the show).

I don't know if what the show said is true, but the picture of the pork porridge looks so appetizing.

"Walk!"

"Wait, can you add me?"

Xiao Tong stood up.

He was a little envious of Zhou Mo's small camp.

I really want to join this camp!

This time, I can just break into the interior while eating supper.

As a result, as soon as he finished speaking, other medical students Nie Wei, Chen Sumei, Zhang Wu, Ye Rong, Chen Xiyin, and Wang Lilong shouted again and again:

"I want to eat, too……"

"Together!"

"There are so many people..."

Now,

All 10 people survived.

Xiao Tong: "..."

Tears~~

Failed to enter the camp +1!

A group of people took a taxi and rushed to Panyu.

...

After 40 minutes, everyone arrived at this food stall.

"I'll go, so many people?"

"There are more than 100 tables here? It feels like they are all full."

The crowd came and looked at the dense crowd of diners, their heads were surging, like a vegetable market.

shocked.

Too many people, too busy.

Several people found a big table, sat down, and waited for the boss to bring the pig back into the water.

At this moment,

Huang Yiming started talking about his store.

"I have been to this store 8 times..."

"Before "The Taste of Laoguang" was broadcast, I have been here many times, it is great..."

"Wait, you have to pay attention. As soon as the boss's car arrives, we have to go to the cutoff point to rank up as soon as possible, and grab the front row, otherwise we won't be able to get good things in the back..."

"As for the best thing?"

"Hey hey hey~~~"

"It's pig intestines!"

"Pig intestines smell like feces. When you boil them, oh my god, the taste is so delicious!!"

Close your eyes and enjoy · jpg

Huh~~~~

Everyone in Zhou Mo immediately turned their heads back.

He looked at Huang Yiming with disgust.

...

40 minutes later,

The crowd devoured the fresh goji berry leaf pork miscellaneous porridge.

"Right, I said that pig intestines are delicious, right?"