Practicing Medical Skills in a Small Clinic novel Chapter 328

Chapter 328: Chapter 176: Treating Pericarditis, So-Called Finishing Touches (2)

The man described the onset of the illness.

Five Accumulation Powder is a relatively common Chinese medicinal formula, effective for relieving exterior and warming interior, dispersing cold and eliminating dampness, regulating Qi and activating blood, resolving phlegm and breaking accumulation.

Many older people choose it to treat colds after catching one.

The results are quite good.

Moreover, being a Chinese medicine formula, it has minimal side effects and isn’t very picky about body constitution.

"Come, let me listen to your heart and lung sounds. Try to relax and just breathe normally."

Li Jingsheng motioned for the man to unbutton his shirt, exposing his chest, and then pressed the stethoscope probe onto him.

Lung sounds were clear, only slightly coarse, without any dry or wet rales.

However, he heard pericardial friction sounds.

Upon careful auscultation, the pericardial friction sound was a scratching rough sound and was triphasic.

The area... seemed to be located in the precordial region.

The patient began to cough at this time, instinctively leaning forward.

Li Jingsheng heard it even more clearly this time.

After the patient finished coughing, Li Jingsheng tried percussing the patient’s heart and heard a dull sound.

Moreover, it expanded to both sides.

Master Level cardiovascular medicine diagnosis made him instantly realize the patient wasn’t suffering from a cold but had a problem with the pericardium.

During cardiac percussion, he always felt that his auscultation level and diagnostic ability needed improvement, lacking some key details.

"If it’s not a cold, then what disease could it be?"

Li Jingsheng thought it necessary to assist with that grandfather-class X-ray equipment for further diagnosis.

It’s now basically certain that the lesion is in the pericardium.

He dared not to treat most serious heart diseases.

Some with lower risk factors could be worth a try.

After all, now there’s Minor Achievement level pharmaceutical effects and pharmacokinetics along with Master Level cardiovascular medicine diagnosis, it certainly should be applied to make use of their efficacy.

Medical skills become more refined as they are used.

After simple communication, the patient agreed to undergo an X-ray examination.

To be honest, that grandfather-class X-ray equipment struggles not just a little when examining the heart. It’s best to have high-quality X-ray equipment for examining the pericardium and lungs.

He naturally didn’t want to easily lose a business opportunity.

After much effort, he finally got some results.

X-ray chest films showed the heart silhouette expanding to both sides, and the apical impulse was significantly weakened.

At this point, he could basically determine that the patient had pericarditis.

"Are there symptoms of chills?"

"Does that mean feeling cold?" the patient asked, puzzled.

"Yes."

"Not really, it’s just that I have a fever all over, my head feels a bit dizzy, and I don’t have much energy."

"Your illness is likely pericarditis. From the onset time, it should be acute pericarditis. I recommend you see a large hospital, for a more secure approach."

After discovering the patient had pericarditis, Li Jingsheng, due to limited conditions, couldn’t confirm the type of pericarditis.

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