Chapter 1528: 1481 Asymptomatic Cardiac Tamponade

While gossiping about something, the patient returned with the glycerin suppository.

"Zheng Lao Ban, Yun Ge'er, have a seat, wait for me a moment." Zhou Litao said, "I'll go teach the patient how to use the glycerin suppository."

Having said that, Zhou Litao was about to take the patient out when he almost bumped into a woman coming the other way.

The woman was tall; wearing flat shoes, she was just a bit taller than Zhou Litao.

She had shoulder-length hair, fair skin, a busty chest, and a slim waist; just looking at her figure, she was a standard beauty.

But upon closer look, she seemed a bit strange.

Her makeup pushed shadow theory and various bizarre cosmetic techniques to their extreme.

Her looks should be decent, but you can't tell now.

Zheng Ren felt that with a flash, she would look great, but under ordinary daylight, staring directly at her seemed somewhat strange.

Zhou Litao almost hit the beauty; his soul nearly flew out.

But he was holding the glycerin suppository, and the patient was still waiting anxiously at the door—this is a classic case of bad luck.

He felt torn inside, but finally gritted his molars and said, "Zheng Lao Ban, help me take a look."

Having said that, he took the patient to the treatment room.

It always brings tears to the eyes of heroes.

Ill fortune has brought us to this point.

"Where do you feel uncomfortable?" Zheng Ren asked casually.

"Doctor, I've had chest tightness and chest pain for a week," the woman said.

Her voice was sweet and cloying, hoarse.

In an instant, Zheng Ren felt allergic.

"Su Yun, come here." Zheng Ren said.

Having said that, he stepped back a few steps and sat on a chair beside the examination bed.

Su Yun glared at Zheng Ren.

Encountering a woman, this guy knows to let himself go up.

"How long have you had chest tightness and chest pain?" Su Yun asked.

"Wasn't it a week?" the woman said, her attitude toward Su Yun somewhat unpleasant, which surprised Zheng Ren.

Su Yun also rarely encountered such a case, and instead became interested. After careful observation and a detailed interview, he figured out the patient's condition.

It turned out she had left-sided chest wall pain that appeared a week ago, which she hadn't paid attention to. But over the past two days the pain worsened, and worried she might have lung cancer, she came to the hospital for a check.

Her medical history is simple; Su Yun said, "Let's do an ECG first to rule out myocardial infarction."

"Myocardial infarction? I'm only 26, how could I have one?" the woman said unhappily.

"I've seen senile dementia in 33-year-olds in journals; myocardial infarction at 26 is common." Su Yun's words were sharp, but his expression when speaking was gentle and likable.

If it were an ordinary girl, her cheeks would already be flushed and she'd be bashful.

Unfortunately, today's female patient is a bit off.

"No." The woman said firmly, "My friend said the hospital has cameras; if I have to undress for an ECG and someone sees me, what then? Absolutely not!"

"How could there be cameras in the ECG room?" Su Yun also felt helpless.

This person's gaze toward me is off—no enthusiasm at all; one guess and it'll be tricky, and indeed it is.

Su Yun thought to himself.

"Left-sided chest wall pain definitely requires ruling out myocardial infarction; just doing a chest X-ray or lung CT is absolutely insufficient." Su Yun said.

The two reached an impasse instantly.

After a few seconds, seeing the female patient refuse to budge no matter what, Su Yun sighed and said, "You don't want to go for an ECG; may I listen to your chest instead?"

I had thought the patient would refuse, but unexpectedly the female patient nodded and said, "Don't take advantage of the situation."

"It won't happen, rest assured." Su Yun broke into a gentle smile.

Zheng Ren knew this guy was surely about to explode inside, and was doing his final suppression.

Otherwise, when had he ever seen him smile so gently?

Usually it's that kind of mocking smile.

Su Yun took out the stethoscope, placed it on his ears, pinched the metal head with his right hand, and carefully avoided touching the female patient's skin.

He also specifically explained this to the patient to avoid unnecessary misunderstanding.

The female patient was very satisfied, letting Su Yun's hand holding the stethoscope go inside.

Zheng Ren knew that at times like this, he absolutely could not leave.

The patient might have an issue—perhaps she's truly unaccustomed, or perhaps she has some other psychological condition.

In short, when facing a patient who might cause trouble, having more people means more witnesses, which is a good thing.

On the system panel, Zheng Ren saw only one diagnosis: intercostal neuralgia.

Generally speaking, for chest wall pain, one must rule out myocardial infarction, shingles, lung cancer, etc.; most cases turn out to be intercostal neuralgia.

There's nothing noteworthy about it, and this condition lacks effective treatment.

Some reports claim electrotherapy works, but Zheng Ren considers it pseudoscience.

Getting rid of bad habits, intercostal neuralgia will improve quickly… Zheng Ren had just thought of this when he suddenly saw Su Yun pull out his hand, and his face instantly turned grim.

This is……

"Manager Zhou, prepare for resuscitation!" Su Yun shouted.

I go…… the Big Pig Trotter broke?

Zheng Ren knew that someone shouting loudly at the door must be a critical case in dire straits.

Although Su Yun is willing to talk back to people, in medical matters his attitude is very serious.

Especially when it comes to cardiac diagnosis, Zheng Ren trusts Su Yun even more.

Zhou Litao's patient probably hasn't even taken off his pants yet, still explaining the correct use of the enema to the patient; hearing Su Yun's shout, he immediately poked his head out and asked, "Doctor Su, what's wrong?"

"The heart sounds are low and distant, consider cardiac tamponade!" Su Yun said without hesitation.

MD! Big Pig Trotter really broke down!

Zheng Ren silently cursed to himself.

Big Pig Trotter is really unreliable, how could such a serious condition be missed?

But the patient…… doesn't look like cardiac tamponade at all.

Although her makeup is heavy, making her complexion hard to read, she speaks with full vigor, and her self-reported symptoms don't match what Su Yun said.

But Zheng Ren can be sure, Su Yun's auscultation—low and distant heart sounds—is absolutely correct.

If even this can be misheard, where would he get the face to claim he's the rising star of Di Du's Cardiothoracic Surgery?

Although Cardiothoracic Surgery no longer has a tomorrow……

The female patient was also startled, she asked in disbelief, "What's wrong?"

"Have you suffered any external trauma?" Su Yun's voice was very urgent, her expression losing the previous gentle, evasive manner.

"No."

"Any chronic heart or kidney disease?"

"No, I haven't even had an anti-inflammatory injection before." The female patient was also stunned; seeing Su Yun's expression, she knew something major had happened, and it was definitely not just a scare.

"Wheelchair!" Su Yun shouted at the door.

The accompanying medical staff immediately pushed the wheelchair over.

"Move slowly, rise gently." Su Yun lowered her voice, afraid to frighten the patient.

An arrhythmia plus severe cardiac tamponade could kill the patient right before our eyes.

The female patient stared blankly, also at a loss.

She slowly stood up and sat down in the wheelchair.

I was fine just a moment ago, even jumping around, how did I suddenly become a critical patient?