Doctor of Healing

Chapter 302
The 120 emergency doctor was a little ashamed.

"Diagnosing myocarditis just because of a cold that doesn't heal? Go back quickly." Meng Qingfei waved his hand and pushed him away impatiently.

"Doctor Meng." The 120 emergency doctor glanced at Meng Qingfei's badge, and said embarrassedly, "Let me know the result."

After speaking, he left a contact number.

Meng Qingfei didn't refuse. He wrote down the phone call and started the physical examination.

The patient is a 32-year-old male, 176cm, about 65kg.

He complained that he had dinner with his colleagues at 12 o'clock noon, and after drinking half a glass of white wine, he developed chest pain, chest tightness and discomfort, and vomited.

Physical examination: heart rate 102 beats/min, blood pressure 154/103mmHg, and no positive signs were found in other physical examinations.

The patient was in poor spirits lying on the bed. Although his vital signs were stable, he seemed to have a serious problem.

After Meng Qingfei asked about the medical history and had a physical examination, he stood beside the patient and did not speak. Ji Xiang noticed that his right hand fingers were constantly pinching like a fortune teller.

The thumb quickly taps on the other fingers. If the other hand is equipped with a mahogany sword and the mouth is chanting, the taste will come.

Ji Xiang was very curious about what Meng Qingfei was doing.

Although the patient looked uncomfortable, he was not in a hurry, so Ji Xiang didn't go to the operating room of the system.

After calling for other tests, Meng Qingfei briefly left the emergency room and returned to the consulting room to meditate.

"Mr. Meng, can I bother you?" Ji Xiang asked.

"Tell me." Meng Qingfei's fingers were still pointing.

"You are..."

"Differential diagnosis." Meng Qingfei said, "The patient has had chest pain for nearly 12 hours, and the pain is so obvious, there is a high probability that there is an organic problem."

"Differential diagnosis one, aortic dissection.

In general, patients with chest pain accompanied by elevated blood pressure should first rule out aortic dissection.

However, the difference in blood pressure of the left and right upper limbs of the patient is not large, and the dissection pain is generally tearing or knife-like. It can be ruled out by completing the relevant examinations of the abdominal great vessels, and performing a CTA examination of the thoracoabdominal aorta if necessary.

Now that the enhanced CT is off work, I can't check it, so I won't consider it for the time being. "

"Second, viral myocarditis..."

"Third, spontaneous pneumothorax..."

"Fourth, acute pancreatitis..."

"Fifth, myocardial infarction..."

Meng Qingfei "talked to himself", his right thumb kept pointing at the other fingers, as if he made a differential diagnosis every time he clicked.

But he never found the right answer.

Soon, the emergency serum troponin was reported negative, and viral myocarditis and acute myocardial infarction could be ruled out temporarily.

Now Meng Qingfei was even more puzzled.

Ji Xiang also felt that the patient was weird, so he went to the operating room of the system attentively.

Meng Qingfei's lips had already started to move, he muttered, concentrating on the differential diagnosis.

His level is not bad. Generally speaking, the patients in the emergency department are relatively simple, unlike the patient in front of him who doesn't even know who to consult.

"Mr. Meng, I want to see the patient." Ji Xiang said suddenly.

"I finished the investigation just now." Meng Qingfei replied casually, "What do you think?"

"During your physical examination just now, the armpits of the patient's upper limbs were not visible."

"Oh, indeed, but not all of them..." Meng Qingfei spent [-]% of his time making differential diagnoses, and originally wanted to casually tell Ji Xiang that not all places should be checked.

It’s like having chest pain and you go to see the lower body, and you have to be beaten to death by the patient or the patient’s family.

Even if it is not beaten to death, if it is posted on the self-media by a good-for-nothing, there is a high probability that it will be a social death.

However, what Ji Xiang said was only the beginning, and Meng Qingfei thought of a lot.

"You mean there might be a problem with the mediastinum?!"

Ji Xiang's words opened Meng Qingfei's mind.

"Other places are fine for the time being, only the armpits are missing." Ji Xiang replied frankly.

Meng Qingfei's eyes lit up all of a sudden, and he strode out to the emergency room, opened the patient's clothes, and told the patient to raise his arms.

When the hand touched the armpit, a slight snow-holding sensation was transmitted. Meng Qingfei checked carefully and found that there was indeed an atypical snow-holding sensation.

"Damn it, it's really not about internal medicine, go get an emergency CT scan." Meng Qingfei hurriedly said to the nurse, "There is something wrong with the patient's condition, I will send the patient for an examination, and some patients will ask Old Li of the internal medicine department to take a look for me first! "

After finishing speaking, he hurriedly went out to make an order, then remembered something, turned around and said, "Call Pu Chest and ask them to prepare a bed."

Ji Xiang really admired Meng Qingfei.

Chest pain, armpits are not mandatory, and spontaneous pneumomediastinum is extremely rare.

Mentioned by himself, Meng Qingfei listened to the goodness of others.

He is really flowing, like the water of the Yellow River, overturning all his previous assumptions.

His unobtrusive thinking is impressive, and his brains are extremely fast, only a little slower than the system NPC.

"Xiaoji, stay here. If there are any patients, please take a look at the internal medicine doctor first. Don't let them go, wait until I come back to see." Meng Qingfei hurriedly finished, pushing the patient all the way.

The oxygen bag on the flat car almost fell off, and Meng Qingfei disappeared around the corner with the oxygen bag under his arm.

"Xiao Meng's diagnosis is not bad, but he is a little impatient." The physician had already been called up, and stood in the corridor, seeing Meng Qingfei disappearing, he gave a soft comment.

Ji Xiang felt a little regretful, he also wanted to know the patient's final diagnosis, but Ji Xiang didn't say no, but stayed according to Meng Qingfei's wishes.

"You are Ji Xiang, right? I heard that you broke the record for so many years in the martial arts competition." Dr. Li from the internal medicine department looked at Ji Xiang and asked.

"Coincidentally." Ji Xiang smiled.

"Little Monte likes you. By the way, it is said that you were the one who diagnosed the tetanus patient a while ago?"

"happen."

Dr. Li from the Department of Internal Medicine took a deep look at Ji Xiang. One thing can happen by chance, and if one happens one after another, there must be something wrong.

"What did the patient diagnose just now?" Doctor Li asked.

"I don't know either. I just said something casually, and it seems that Mr. Meng has a diagnosis." Ji Xiang pushed it all the way, no matter what others asked him, he said he didn't know.

"This is our internal medicine problem, but... alas." Dr. Li sighed, and suddenly smiled again, "We all know that Xiao Meng's diagnosis is good, and patients and nurses from other hospitals come to see Xiao Meng directly. That's okay, we It's peace of mind."

"Xiaomeng looks like he's doing nothing, but he's actually pretty good. You're also pretty good. There are so many doctors in the emergency department, so you've taken a fancy to Xiaomeng. I think you always follow him on duty."

"Ms. Meng's words are interesting. When I first came to the regular training, Mr. Meng told me that the bathroom in the emergency department had been opened, and patients with urinary stones were willing to go to the toilet here."

Ji Xiang laughed.

(End of this chapter)