Chapter 176: Cardiac Auscultation
When the man heard that he might be disfigured, he was immediately frightened and did not dare to move, as if he was a different person.
Seeing this scene, Wu Xiangdong shook his head and pressed his hand directly on the bridge of the man's nose.
"Does it hurt here?"
"And here..."
"here……"
Wu Xiangdong asked while inspecting, and his fingers even pinched the man's displaced nose bridge.
This time the man even wanted to die. Originally, this unforgettable pain had already made him break out in a cold sweat, but now Wu Xiangdong actually made it worse, pinching the bridge of his nose non-stop. The heartbreaking pain made the man burst into tears.
It's almost flowing out.
"Okay, I understand."
Although the man did not answer Wu Xiangdong's question, the location of the dislocated nose bridge could be analyzed based on his pain facial expression score.
This is a method suitable for young and old children and patients with low education, poor expression and cognitive dysfunction.
For pain assessment, it divides faces into six different expressions from happy to sad and crying.
The observer or narrator can make effective and intuitive selections by face.
"Okay, no problem."
At this moment, a sudden sentence made the man's expression stunned. He looked at Wu Xiangdong in confusion, only to find that the latter suddenly raised his hand.
"??!"
Before the man could react, the latter slapped him in the face.
"Ahhh!"
The screams of a slaughtering pig instantly rang out in the consulting room, and everyone was frightened by this sudden scene.
"What is he doing? Isn't he trying to cure a disease? How come he just punches him?"
"I don't know either. Anyway, we can't afford to offend the person in front of us. We really just got into a fight over a disagreement, and there's not even room for negotiation."
"Just now, only the left half of my face was swollen. Now it's gone. The right half of my face is also swollen."
Just when everyone was talking about it, a cold voice sounded from the scene.
"What are you calling? Why don't you get out of here when your nose is healed?"
As soon as these words came out, the originally noisy clinic suddenly became quiet, and everyone was shocked by the scene in front of them.
I saw that the man's originally displaced nose bridge was now restored to its original state. Although his face looked swollen and miserable, his facial features were straight and without any problems.
"Hey, can I talk now?"
At this time, the man woke up as if from a dream. He was surprised to find that the originally blocked nasal cavity had been opened. Although it was painful, the outside air could already enter the trachea along the nose and mouth, allowing his lungs to receive oxygen instantly.
"Huhuhu..."
The man stared with his eyes wide open and gasped for air. His mouth was like a suction cup, as if he was trying to suck all the air around him into his lungs.
As the burning sensation in his lungs lessened, and even the pressure in his throat disappeared, the man felt for the first time how lucky he was to be free from illness and disaster.
"I'm sorry, it was my fault. I shouldn't have driven you away just now."
At this moment, the man finally understood the pain of illness and how desperate and helpless the girl's suffering was.
Perhaps this is what the saying goes, don't persuade others to do good unless they have suffered.
Seeing the man's sincere apology at this time, Wenjie's mood was somewhat complicated. He moved his lips, but ultimately said nothing.
"Brother Dong, let's go." Wenjie said to Wu Xiangdong standing aside.
But at this time, Wu Xiangdong's attention was entirely focused on Wen Di, who was following Wen Jie.
At this time, her face was still bruised and there was no trace of blush at all. Although her condition was better than before, as time went by, the situation might worsen again at any time.
Wu Xiangdong combined Wen Di's systemic symptoms just now, including clubbing fingers, resting in a squatting position, bruising and difficulty breathing, and immediately reminded him of a very serious and difficult congenital heart disease.
"Brother Dong, what's wrong?" Wenjie felt his heart skip a beat when he saw Wu Xiangdong's expression was serious and he kept looking at his sister without speaking.
Following his inquiry, Wu Xiangdong came back to his senses and said with his usual expression: "It's nothing, I just want to see how she is doing."
After hearing this, Wenjie took his sister's hand and said to her: "Xiao Di, Brother Dong is a doctor in the hospital, the most powerful one. Can you let him check your body?"
"I know." Facing the inquiry, Wen Di nodded sensibly and said, "He saved me in the compound before, of course I believe him."
As a child over four years old, Wendi's brain development has basically taken shape, so she naturally has an impression of Wu Xiangdong.
"Come on, can you let uncle listen to your little heart first?" Wu Xiangdong squatted in front of Wendi and pointed to the position of his heart with his finger.
"Okay, uncle."
Perhaps because she has experienced many such inspections, Wendi didn't have the slightest fear and cooperated very well with Wu Xiangdong's inspection.
Just when she was about to unfold her clothes and let Wu Xiangdong listen to her heart, the latter stopped her.
"You don't need to take off your clothes. It would be a big problem if you accidentally catch a cold."
You should know that for patients with heart disease, a small cold may kill them.
Wu Xiangdong brought the stethoscope and rubbed the palms of his hands, using the heat generated by friction to warm the cold stethoscope before placing it on Wen Di's chest area.
Due to the anatomical structure of the heart, cardiac auscultation is generally divided into five regions.
There are five areas: mitral valve auscultation area, pulmonary valve auscultation area, aortic valve first auscultation area, aortic valve second auscultation area and tricuspid valve auscultation area.
Based on his own conjecture, Wu Xiangdong placed the stethoscope first on the apex of Wen Di's heart in a counter-clockwise order, which is where the heartbeat fluctuations are strongest in the fifth intercostal space at the left midclavicular line.
Plop, plop...
Suddenly, Wen Di's strong and powerful heartbeat was transmitted to Wu Xiangdong's ears through the stethoscope again and again.
"Apical elevation fluctuation." When Wu Xiangdong heard such a good heart beat, his face gradually became serious.
After all, the girl in front of her was only five years old, so it was logically impossible for her to have such a strong heartbeat.
You must know that apical lifting pulse refers to a slow and powerful beating in the apex area of the heart.
Its characteristic is that the fingers placed on the apex of the heart can be raised as the heart continues to beat.
With the emergence of apical lifting pulse, it means that the range of apical pulse gradually increases, which is a symptom of left ventricular hypertrophy and is an abnormal heart manifestation.
Then, Wu Xiangdong moved the stethoscope and placed it in the second intercostal space on the left edge of Wen Di's sternum. This is the pulmonary valve auscultation area and the most important place for this auscultation.
Puff, puff...
Sure enough, the heart that should have been beating vigorously was like a deflated rubber ball in this area.
Especially when the heart is contracting and ejecting blood, the sound it makes is like someone deliberately opening their mouth and spraying gas into Wu Xiangdong's ear.
"A blowing-like jet murmur during systole, accompanied by tremors."
Wu Xiangdong immediately determined the type of heart sound. This murmur was caused by the stenosis of the pulmonary artery orifice.
For patients with severe pulmonary artery stenosis, such murmurs almost disappear.
Later, Wu Xiangdong moved the stethoscope to the remaining three heart auscultation areas. After a few minutes of inspection, he took the stethoscope away from Wendi's body.
"Brother Dong, how are you?"
Wenjie's expression was very nervous at this time, and you could even see the beads of sweat on his forehead.
When Wu Xiangdong started to examine Wendi, Wenjie, as his brother, had been observing the changes in Wu Xiangdong's facial expressions.
Others may not have noticed the solemn look in his eyes, but Wenjie, who knew how to read words and emotions, accurately captured the meaning, and his heart suddenly became heavy.
If even Wu Xiangdong can't do anything, maybe my sister really wants to...
Just when Wenjie was thinking wildly, Wu Xiangdong's words came over.
Chapter completed!