Practicing Medical Skills in a Small Clinic novel Chapter 785

Chapter 785: Chapter 366: Tumor Within a Tumor, Mysterious Persistent Fever and Chest Pain

Li Jingsheng carefully examined the patient’s detailed information.

The patient was over fifty years old.

Generally speaking, the older you are, the higher the risk of cancer.

For men over 40, body functions decline significantly, and the risk of cancer increases sharply. This is also why many doctors recommend that men over 45 undergo annual gastrointestinal endoscopies and various screenings for major diseases.

The male patient reported symptoms of coughing and shortness of breath, and sometimes a burning sensation between the chest and back.

The symptoms had lasted for almost three months.

After examination, the attending doctor found the patient had paroxysmal coughing with expectoration of small amounts of white viscous sputum and a low-grade fever of 37.5 degrees.

A persistent low-grade fever is a very bad sign.

Li Jingsheng always felt a bit on edge when encountering such patients.

Because the final diagnosis often turned out poor.

Besides the low-grade fever, the man had another serious issue, losing 4.5 kg in three months.

He also experienced difficulty breathing while eating.

Especially during inhalation, it became particularly difficult, as if someone was choking him.

No wonder Director Lian Tao suspected the man’s esophageal tumor was not benign.

The patient’s pulse was 101 beats per minute, which is considered fast.

In clinical medicine, a heart rate of 98 beats per minute is equivalent to 101 beats in terms of diagnostic criteria. Doctors often diagnose a rapid heart rate.

Rather than dogmatically considering 60–100 beats per minute as normal.

At the same time, the patient’s blood pressure also showed elevated levels.

Systolic pressure was 145 mmHg, and diastolic pressure was 88 mmHg.

This is another borderline blood pressure value.

The textbook definition of hypertension is a systolic pressure exceeding 139 and a diastolic pressure exceeding 90 mmHg.

Although this patient exceeded it by only 6 mmHg, it already falls under the category of mild hypertension.

The ideal blood pressure is 120 systolic and 80 diastolic.

Too high or too low is not a good thing.

The lung sounds examination revealed scattered wheezing sounds.

The heart rhythm was regular.

Li Jingsheng also looked at the patient’s blood routine results; the white blood cell count was as high as 13.4 times ten to the ninth power per liter, significantly above normal.

The liver function of the patient was normal, kidney function showed blood urea nitrogen at 19.7 mmol/L, while other electrolytes, fasting blood glucose, and blood uric acid levels were all normal.

"Was a fiberoptic esophagus check done?"

"Yes! The results should be at the bottom!"

Director Lian Tao replied.

Li Jingsheng checked the endoscopic results, finding a circular mass on the anterior wall at 24 cm from the incisors, roughly three centimeters in diameter. The surface mucosa was smooth, the folds had disappeared, presenting a light red transparency.

The mass could move slightly as the patient swallowed.

The boundary was clear.

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