This doctor is great

Chapter 62 The female patient's heart is super, avoiding suspicion...

The consultation begins!
Because of the patient Li Mei's condition, she went to several hospitals and found no problem.

Obviously the trickier kind.

So Zhou Mo's consultation was extremely detailed!
First of all, the above-mentioned 3 years of intermittent chest pain, frequent attacks, once or twice a month, gradually increased, accompanied by chest pain, shortness of breath, obvious after activities, complained that the symptoms were relieved after resting for more than 30 minutes.

"Wait, it's obvious after the activity? The symptoms are relieved after resting for more than 30 minutes?"

Zhou Mo said subconsciously.

"Yup……"

"Heart attack?"

It’s nothing more than Zhou Mo thinks so, because the typical characteristics of myocardial infarction (myocardial infarction) are cardiac load (exercise and the like) + angina pectoris + recovery after rest.

Li Mei shook her head: "It's not a heart attack, I know that, the doctors ruled it out before..."

Li Mei has become a good doctor after a long illness, and Li Mei is also constantly learning relevant knowledge, and knows everything about myocardial infarction.

Zhou Mo: "Did you take nitroglycerin? Suxiao Jiuxin Pill?"

Li Mei nodded: "I ate nitroglycerin. I always keep it on hand. I eat it every time something happens, but the effect is not good."

in this way……

This next week, Mo can indeed rule out myocardial infarction with a high probability.

Because nitroglycerin is a classic medicine for myocardial infarction, if it doesn't work, it should be wrong.

"In the past three years, do you feel that you can't sleep well? Can't eat well? Or your spirit is not very good, have you lost or gained weight?"

"No, everything is fine."

"Do you have any past medical history? What about hypertension, coronary heart disease, diabetes, infection, surgery... In short, you can tell me everything involved, take your time, I need to know more clearly..."

The patient Li Mei was very grateful to Zhou Mo for his careful inquiry, and she also cooperated with her to tell her situation.

The result of the inquiry is: previous physical health, no history of chronic diseases such as hypertension, coronary heart disease, diabetes, no history of infectious diseases such as hepatitis, typhoid fever, tuberculosis, no history of trauma, no history of surgery, no history of blood transfusion, unknown vaccination history, and no drugs History of food allergies such as pollen...

"Smoking and drinking? And exposure to radioactive substances and poisonous items?"

"No smoking, no drinking, nothing else..."

"What about family history? Genetic diseases or something..."

"No, my parents, Chen and Yu's relatives don't have this kind of situation..."

asked again,
The patient Li Mei's answer was so fluent that it made people feel distressed.

A long illness becomes a good doctor.

Next, Zhou Mo asked some more questions, but still found nothing special.

"Next, I'll give you a physical examination, and you cooperate..."

"Okay okay..."

Lie down obediently.

Very cooperative, very skilled.

Zhou Mo: "..."

Zhou Mo also did a detailed physical examination.

Body temperature: 36.2℃

Blood pressure 142/101mmHg
Good physical health, moderate nutrition, clear mind, fluent speech, independent posture, no special face, cooperation in physical examination.

Let the nurse do a skin check for the patient, and confirm that: the skin and mucous membranes of the whole body: normal color, no rash, no subcutaneous hemorrhage, no liver palms, no spider nevus.The superficial lymph nodes around the body were not enlarged.

Then observe the patient's appearance: there is no deformity in the head, normal eyelids, normal conjunctiva, no jaundice in the sclera, and normal cornea (omitted...)
Neck: no sense of resistance, normal carotid pulse, normal jugular vein, normal thyroid gland (omitted...)
Precordial area: no distension, bilateral respiratory movement is symmetrical (omit...)
Lung: Voiceless to percussion, clear breath sounds, no wet or dry rales

Heart sounds: the first heart sound is normal, the second heart sound is normal, grade 3 systolic murmurs can be reached in the third and fourth intercostal spaces at the left sternal border, no extra heart sounds, and murmurs can be heard on auscultation of each valve.

"?????"

This position made Zhou Mo suspicious.

"Heart valve disease?"

Continue to check other...

Abdomen: normal...

Liver: normal...

Kidney area: normal...

Bar door and exogenous organs: normal (female nurse pulls the curtain to check)...

The shape of the spine and limbs: normal...

After checking,

40 minute has passed.

Because the inspection is too detailed, it takes time and experience.

This is absolutely impossible in outpatient clinics.

In addition, Zhou Mo saw a news recently. There was a person who had a physical examination. Half a month ago, there was no problem in the physical examination, but after half a month, he was diagnosed with terminal cancer.

Why is there such a 'big oolong'?
On the one hand, the doctor is not serious during the physical examination, and on the other hand, it is also because the physical examination does not have an inquiry stage, and the doctor does not know what happened to the patient, resulting in a missed diagnosis.

So, don't blindly trust the physical examination.

……

"Finished the inspection?"

The patient Li Mei looked tired.

Obviously exhausted by such a detailed inspection.

Zhou Mo nodded: "The preliminary inspection is over!"

Li Mei: "Huh? It's just the beginning?"

Zhou Mo: "Don't worry, there aren't many tests left, I'll give you a heart ultrasound later..."

When Zhou Mo auscultated just now, he felt a murmur.

A heart valve problem is suspected.

So you need a cardiac ultrasound to see it in detail.

The patient Li Mei was tired, but she was grateful to Zhou Mo for taking her condition seriously.

"No problem, follow the doctor's order!"

Zhou Mo said with a serious face: "Before doing the B-ultrasound, I want to tell you one thing... because you need to take off your clothes to do the B-ultrasound..."

"Huh? Undress?"

The patient Li Mei was stunned for a moment and hesitated.

"Do you have to take off your clothes?"

"It's not undressing, but the probe must be in contact with the skin, not through the clothes..."

"This……"

"If you mind, you can also go to the B-ultrasound room below to do it, but it needs to be scheduled, and it may take a few days..."

"Wait a few days..."

"Of course, there are also male doctors in the B-ultrasound room..."

"…………"

The patient Li Mei looked at Zhou Mo's handsome face, and thought about it, he is 43 years old, what should he mind?
Zhou Mo added another sentence at this time: "Actually, you don't need to have any psychological burden. Doctors don't distinguish between male and female patients, and there will be female nurses present later..."

Why is there a female nurse present?
This is the rule of the hospital.

In order to avoid causing troubles in time, it is hard to tell why.

(Many people in the outside world will be prejudiced against male gynecologists, but except for a few abnormal LSPs, other obstetricians and gynecologists are probably very numb...)
After some explanations, the patient Li Mei finally let go of her psychological burden.

"bring it on……"

Really lie flat!
5 minutes later,
The bedside color ultrasound machine was pushed into the ward by Zhou Mo.

Soon, the female nurse also came.

Draw the curtain and surround the hospital bed.

Just as Zhou Mo put on his gloves, adjusted the parameters, and applied couplant to the probe.

"Zhou Mo, I heard that you are going to give patients an Echocardiogram, can I study?"

Wang Lilong's voice came in.

While talking, he also pulled the curtain, ready to come in.

Patient Li Mei's complexion suddenly changed.

Ms. Zhang, a female nurse, was furious on the spot, and she cursed mercilessly:

"What do you want to do!"

"go out!"

"This is a female patient, why are you a big man running in here?"

Wang Lilong's hand pulling the curtain froze for a moment.

His face turned red with embarrassment.

Then ran away in a hurry.

Originally, he wanted to steal the teacher...

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(End of this chapter)