120 The emergency doctor was slightly ashamed.

"If you have a cold, just diagnose myocarditis? Go back quickly." Meng Qingfei waved his hand and drove him away impatiently.

"Doctor Meng." The 120 emergency doctor took a look at Meng Qingfei's badge and said embarrassedly, "Tell me what the result is."

After saying that, he left a contact number.

Meng Qingfei did not refuse, and wrote down the phone and started to check his body.

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

I complained that I had a meal with my colleague at 12 noon. After drinking half a cup of white wine, I developed chest pain, chest tightness and discomfort, vomiting, and the vomit was a stomach content without a coffee-like object.

Physical examination: Heart rate 102 times/min, blood pressure                                                                                                                      �

The patient was in poor spirits while lying in bed. Although his vital signs were stable, he did have major problems.

After Meng Qingfei asked about his medical history and physical examination, he stood beside the patient and didn't speak. Ji Xiang noticed that his right finger was constantly pinching like a fortune teller.

The thumb is quickly pointed to other fingers. If the other hand is paired with a peach wood sword and chanting in his mouth, the smell will come.

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

Although the patient felt uncomfortable, he was not too anxious, so Ji Xiang did not go to the system operating room.

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

"Teacher Meng, can you disturb you?" Ji Xiang asked.

"You said." Meng Qingfei's fingers were still lit.

"You are..."

"Differential diagnosis," Meng Qingfei said, "The patient had chest pain for nearly 12 hours, and the pain was so obvious, and it was likely that there was an organic problem."

"Differential diagnosis one, aortic dissection.

Generally, patients with chest pain and increased blood pressure must first rule out the aortic dissection.

However, the blood pressure of the patient's left and right upper limbs is not large, and the pain in the dissection is generally torn or cut. The relevant examination of the large abdominal vessels can be improved first to eliminate it. If necessary, the thoracic and aortic CTA examination will be performed.

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", and his right thumb kept lit on other fingers, as if he had a differential diagnosis every time he clicked.

But he hasn't found the correct answer.

Soon, the emergency serum troponin rewards were reported, indicating negative, and viral myocarditis and acute myocardial infarction can be temporarily ruled out.

Meng Qingfei was even more confused now.

Ji Xiang also thought the patient was very strange and went to the system operating room in a concentrated manner.

Meng Qingfei's lips had already started to move. He muttered and focused on making differential diagnosis.

His level is pretty good. The patients in the emergency department are generally simple, unlike the patient in front of him whom he doesn't even know who to consult.

"Teacher Meng, I want to go and see the patient." Ji Xiang suddenly said.

"I just finished checking." Meng Qingfei replied casually, "What do you think?"

"When you just checked your body, the patient didn't look at the armpits on both upper limbs."

"Oh, indeed, but not all..." Meng Qingfei used 80% of his mind to do differential diagnosis, and originally wanted to tell Ji Xiang casually that not all places should be checked.

It's like chest pain when you look at your lower body, you will be beaten to death by the patient and the patient's family.

Even if you are not beaten to death, if you are posted on the self-media by a pervert, you will most likely die in a society.

However, Ji Xiang's words only started with the beginning, and Meng Qingfei thought a lot.

"You mean there might be something wrong with mediastinum?!"

Ji Xiang's words opened up Meng Qingfei's thoughts.

"It's okay to see other places for the time being, all that is missing is the armpit." Ji Xiang replied frankly.

Meng Qingfei's eyes suddenly lit up. He strode out, went to the emergency room and opened the patient's clothes, and told the patient to lift his arm.

When his hand touched his armpit, a slight sense of snow was transmitted. Meng Qingfei looked carefully and found that he did have an atypical sense of snow.

"Damn it, it's really not a matter of internal medicine. Go and check the emergency ct." Meng Qingfei hurriedly said to the nurse, "The patient's condition has some problems. I'll send the patient to the examination. Some patients asked the internal medicine doctor Lao Li to help me take a look first!"

After saying that, he hurried out to prepare for the order. He remembered something and turned around and said, "Call Puxie and ask them to prepare a bed."

Ji Xiang really admires Meng Qingfei.

Chest pain, armpits are not a must-check, and spontaneous mediastinal accumulation is also extremely rare.

He mentioned it himself, Meng Qingfei was like a good person and listened to it.

He was really like a stream, like the water of the Yellow River, overturning all his previous ideas.

His not-stubborn thinking is amazing, and his mind is very fast, only a little slower than the system NPC.

"Xiao Ji, stay. If a patient looks at the internal medicine department, don't let me go, wait for me to come back to see you." Meng Qingfei said in a hurry and pushed the patient all the way.

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

"Xiao Meng's diagnosis is pretty good, but he's a little impatient." The doctor was already called up and stood in the corridor. Seeing Meng Qingfei disappearing, he gave a gentle comment.

Ji Xiang was a little regretful, and he also wanted to know the patient's final diagnosis, but Ji Xiang did not say no, but stayed according to Meng Qingfei's wishes.

"You are Ji Xiang, I heard that you broke the record for so many years in the competition." Dr. Li, an internal medicine doctor, looked at Ji Xiang and asked.

"It happened." Ji Xiang smiled.

"Little Mengte likes you, by the way, it is said that you also diagnosed the patient who was infected with tetanus a while ago?"

"happen."

Dr. Li from the internal medicine department took a deep look at Ji Xiang. One thing can happen, and something must be wrong one after another.

"What did that patient diagnosed just now?" asked Dr. Li, an internal medicine doctor.

"I don't know either. I said something casually, and Teacher Meng seemed to have a diagnosis." Ji Xiang pushed him and said he didn't know no matter what others asked.

"This is our internal medicine disease, but...ah." Dr. Li sighed and suddenly smiled again. "Everyone knows that Xiao Meng's diagnosis is good. A nurse from a patient who came to the outside hospital for consultation directly looked for Xiao Meng. Well, we are worry-free."

"Xiao Meng looks like she is lazy, but she is actually quite good. You are also very good. There are so many doctors in the emergency department, so you have a crush on Xiao Meng. I think you always follow him on duty."

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

Ji Xiang smiled.


Chapter completed!