Chapter 195 Successful diagnosis, the scenery of old classmates

The life of the poor is cheap. This is a very cruel reality.

The woman was reluctant to spend money, but she felt sorry for her child, so she only bought a piece of bread for her child to eat. Even if the child ate the leftovers, she would rather go hungry than eat it.

"If the child is successfully admitted to the hospital later, you still need to eat something. The child still needs you to accompany him. If he doesn't eat and falls ill, no one will take care of the child."

Li Jingsheng said to her.

"Come, let me check on the child."

He first checked the child's breathing, which sounded obviously heavy and short.

Not to mention his complexion, it looks completely sick.

"Is the child's breathing always so heavy?"

Li Jingsheng asked.

"I asked about it, and she said she had always had heavy breathing, but now it's more serious."

Lian Tao answered on behalf of the woman.

Under normal circumstances, children should not breathe so heavily.

It is possible to breathe so heavily only after doing strenuous exercise.

First, check the child's nostrils to see if there are any nasal polyps or the like.

The lights in the square were very dim, and Li Jingsheng had to use the flashlight function of his mobile phone as a temporary lighting.

No abnormalities were found in the nostrils.

"Hey, why are the blood vessels in this neck so thick?"

After Li Jingsheng looked at his nose, he naturally looked at his neck.

As a result, at a glance, we can see that the blood vessels on the side of the child's neck are very bulging. Like an angry person, the chest is red and the neck is thick, and the blood vessels are bulging.

At first I thought that the child was leaning on his mother's shoulder with his neck sideways, that's why the blood vessels in his neck were so obvious.

After the child's head was straightened, the blood vessels were still bulging.

This time Li Jingsheng was sure that the child's neck veins were definitely abnormal.

"Brother Lian Tao, her jugular veins are dilated. I have never seen this kind of thing. Have you seen it?"

"I've seen it before. Many of these conditions are caused by narrowing of blood vessels."

Lian Tao was well-informed, and after coming over to take a closer look, he had already begun to think again.

Li Jingsheng's cardiovascular diagnosis and thoracic diagnosis have reached a proficient level, but when it comes to diagnosing a case that he has never encountered before, it seems a little inadequate.

He had accumulated a lot of health points recently, which he planned to use to increase his level experience.

I have been stuck as a junior attending physician for some time.

At present, his level of experience has been upgraded to junior attending physician 1674.5/2000.

Because he performed several surgeries in the operating room, worked alone in the manual reduction clinic, and the number of patients in the Sunshine Clinic was also considerable, his level experience was only over 300 points short of being promoted without realizing it.

On to the next level.

His current health balance is 711 points.

Not to mention rich, at least it is quite considerable.

It seems that this little girl's jugular vein distension should be related to the lungs or pericardium.

At this moment, should we upgrade our diagnostic skills in thoracic surgery or cardiovascular medicine? This is a difficult question.

Thoracic surgery basically does not involve the pericardium.

Li Jingsheng gritted his teeth and finally chose to upgrade to cardiovascular medicine diagnosis.

After spending 387 health points, it successfully raised its proficiency to Xiao Cheng.

Cardiovascular Diagnosis Xiaocheng 500/1000.

At this moment, he already has the diagnostic level of cardiovascular medicine at the senior attending level.

There are 324 health points left.

With two more points, you can upgrade your doctor level by one level.

This is not difficult at all.

As long as the cause of the child's illness is diagnosed, at least 1 life point can be gained.

In fact, for difficult cases like this, health rewards have never been stingy.

At least 10 points are required.

Li Jingsheng tried to take the child's film, and then made a diagnosis based on the child's actual condition.

If the jugular vein is really stenotic, if you want to create such a dilated effect, it must be narrow at the top and wide at the bottom.

With the diagnosis of cardiovascular medicine at the junior level, many problems can be easily solved.

Becoming more familiar with various causes of cardiovascular disease.

When making a diagnosis, he is like a veteran doctor who has experienced many battles and becomes more knowledgeable.

The medical knowledge in this area has been integrated through the cases of related diseases that I have seen in daily life, and can be used proficiently in clinical diagnosis. The analysis of the causes has also become more thorough and targeted.

"Maybe taking her blood pressure will reveal something new."

After some diagnosis, Li Jingsheng thought it was necessary to measure the venous pressure of the child's bilateral arms.

The cubital venous pressure is of great significance in the diagnosis of this condition.

"It's easy. I'll just go get a blood pressure monitor."

Even Tao refused to take the patient and his family to the inpatient department of gastroenterology.

Can understand his thinking.

If the patient refuses to leave, it will be very troublesome.

Older doctors often do a good job in self-protection.

The blood pressure monitor was brought over, and Li Jingsheng measured the little girl's blood pressure right in the square. Their strange behavior had already attracted some people to watch.

Li Jingsheng didn't care about this.

"Oh my God, this child's cubital venous pressure is as high as 33cmH2O.

After measuring the cubital venous pressure of the child, he was immediately shocked.

This is far beyond normal.

"Brother Lian Tao, I think the initial diagnosis results of this child's illness have already been obtained."

"That's what you said!"

Lian Tao watched from the side. Cardiovascular diagnosis was not his strong point.

He also admired Li Jingsheng even more.

Who would have thought that a very easily overlooked jugular vein bulge actually allowed Li Jingsheng to successfully solve this difficult case.

"The child's jugular veins are distended and the cubital venous pressure is much higher than normal. In addition, chest CT shows thickened pericardium and calcification. The cause of the child's abdominal effusion has not been found. I suspect constrictive pericarditis. Just like you

As initially speculated, the cause is not in the abdominal cavity or digestive tract, but in the chest cavity."

Li Jingsheng's last words can be regarded as a compliment to Lian Tao.

After all, he is a chief physician, and now that the cause of the disease has been basically diagnosed, Li Jingsheng cannot be the only one to wear the hat.

"It's easy to handle once I have a suspicion. I'll contact the cardiovascular medicine doctor immediately. No, she should be a surgeon, right?"

Lian Tao asked Li Jingsheng.

This is a code word.

Surgery means surgical treatment.

"Yes, it would be better to be hospitalized in the cardiothoracic surgery department."

Li Jingsheng nodded to confirm.

"I think there's no need to call, just take her there directly!"

When Lian Tao said this, his expression was somewhat unnatural.

Li Jingsheng also worked in a large hospital for several years, so he naturally knows the ropes.

It's nothing more than a chain of contempt. Internal medicine looks down on surgery, thinking that surgery can only play with knives. Surgery looks down on internal medicine, thinking that internal medicine can't handle any serious surgery.

The two immediately took the patient and his family to the inpatient department of cardiac surgery.

As for the outpatient clinic, it has already finished get off work.

If you don’t have any acquaintances, seeing a doctor at night and going directly to the emergency room is the most effective way.
To be continued...