novelraw Chapter 384 - 195: Successful Diagnosis, An Old Classmate’s Moment of Glory
Chapter 384 - 195: Successful Diagnosis, An Old Classmate’s Moment of Glory
Poor people have cheap lives, this is a very cruel reality.
The woman couldn’t bear to spend money, but she felt sorry for her child, so she only bought a piece of bread for the child to eat. Even if the child left some, she would rather starve than eat it.
"If the child successfully gets admitted to the hospital later, you still need to eat something. The child needs you to accompany and care for him. If you don’t eat and fall ill, no one will be there to take care of the child."
Li Jingsheng said to her.
"Come, let me check the child’s condition."
He first examined the child’s breathing, which sounded obviously heavy and rapid.
The face, needless to say, completely had a sickly appearance.
"Has the child’s breathing always been this heavy?"
Li Jingsheng asked.
"I asked her, and she said the heavy breathing has always existed, it’s just more severe now."
Lian Tao answered for the woman.
Under normal circumstances, a child’s breathing shouldn’t be this heavy.
Only after intense exercise could breathing be this heavy.
First, he observed the child’s nostrils to see if there were any nasal polyps.
The lighting in the square was very dim, so Li Jingsheng had to use his phone’s flashlight function as temporary lighting.
No abnormalities were found in the nostrils.
"Huh, why are the blood vessels in the neck so thick?"
After checking the nose, it was natural to check the neck.
Immediately, he noticed that the veins on the side of the child’s neck were highly protruded. It was like an angry person, with a flushed chest and a thick neck, veins bulging.
At first, he thought it was because the child was resting her head sideways on her mother’s shoulder, making the neck veins appear more prominent.
After straightening the child’s head, the veins remained bulging.
This time, Li Jingsheng could confirm that the child’s jugular veins were definitely abnormal.
"Brother Lian Tao, I’ve never seen a jugular vein bulging like this. Have you?"
"I’ve seen it, it’s often caused by narrowed blood vessels."
Lian Tao, being experienced, leaned over for a closer look and began thinking anew.
Li Jingsheng’s cardiovascular and thoracic diagnostic skills had reached Master Level, but he seemed inadequate when diagnosing such an unprecedented case.
He had accumulated quite a bit of life value recently, initially intending to use it to improve his level experience.
Being stuck at a lower-level attending physician for some time now.
Currently, his level experience was at 1674.5/2000 of a junior attending physician.
Due to participating in several surgeries in the operating room and independently catering to manual reduction clinics, plus the considerable number of patients at Sunshine Clinic, his level experience unknowingly needed just over 300 points to reach the next level.
His current life value balance was 711 points.
Not exactly rich, but still considerable.
He felt that the girl’s jugular vein distension was likely related to her lungs or pericardium.
At this moment, whether to upgrade thoracic diagnostic skills or cardiovascular diagnostic skills was a dilemma.
Thoracic surgery basically doesn’t involve the pericardium.
Biting his teeth, Li Jingsheng ultimately decided to upgrade cardiovascular diagnostic skills.
Spending 387 life points, he successfully increased its proficiency to Minor Achievement.
Cardiovascular Medicine Minor Achievement 500/1000.
At this moment, he already possessed the diagnostic level of a senior attending physician in cardiovascular medicine.
life points remained.
With just two more points, he could upgrade his doctor level by one.
This was not difficult at all.
As long as he diagnosed the cause of the child’s illness, he could gain at least 1 life point.
In fact, life value rewards were never stingy for difficult cases like this.
There were at least 10 points.
Li Jingsheng tried to take the child’s imaging results and diagnose them in conjunction with the child’s actual condition.
If it was indeed jugular vein stenosis, it would undoubtedly have a narrow upper and wide lower effect to cause such distension.
With cardiovascular diagnostic skills at Minor Achievement, many problems were easily solved.
He became increasingly familiar with various cardiovascular causes.
During diagnosis, he became like a battle-hardened old attending physician, knowledgeable and sophisticated.
All related case studies and medical knowledge he had seen before were consolidated and skillfully applied to clinical diagnosis. Analyzing the causes became more thorough and targeted.
"Perhaps measuring her blood pressure will provide new insights."
After some diagnosis, Li Jingsheng deemed it very necessary to measure the child’s bilateral arm venous pressure.
Antecubital venous pressure was very meaningful for diagnosing this condition.
"It’s simple, I’ll get a sphygmomanometer."
Regardless, Lian Tao was unwilling to bring the patient and family to the inpatient department of gastroenterology.
His perspective was understandable.
If the patient refused to leave, it would be very troublesome.
Elder doctors often excelled at self-preservation in this regard.
After bringing over the sphygmomanometer, Li Jingsheng measured the girl’s blood pressure right in the square. Their strange actions had already attracted some onlookers.
Li Jingsheng didn’t mind this.
"Heavens, the child’s antecubital venous pressure is actually as high as 33 cmH2O.
After measuring the antecubital venous pressure, he was directly shocked.
This was far beyond the normal value.
"Brother Lian Tao, I think I may have a preliminary diagnosis of this child’s condition."
"Spit it out already!"
Lian Tao watched eagerly, cardiovascular diagnosis wasn’t his forte.
He was more and more impressed with Li Jingsheng.
Who would have thought that an easily overlooked jugular vein distension would allow Li Jingsheng to successfully solve this difficult case.
"The child’s jugular vein distension, antecubital venous pressure is far above normal levels, coupled with the chest CT showing pericardial thickening and calcification, and the child’s abdominal effusion having no identified cause, I suspect constrictive pericarditis. Just as you initially speculated, the cause is not in the abdomen, not in the digestive tract, but in the thoracic cavity."