When the Doctor Uses A Hack
Chapter 1194 - 1194: Article 1198: Professor Chen, why don't you give it some good thought?

After briefly inquiring about the patient's condition,

Chen Cang began a detailed physical examination.

To tell the truth!

Physical examination is addictive.

As a predecessor once said, there's only the first and countless times for physical exams!

Of course, mannequins definitely aren't as fun as real people!

Especially when palpating lymph nodes or performing palpation, mannequins provide no feedback at all!

Patients, however, are different. With lymph nodes that are large and round, occasionally a whimpering sigh of pain gives the examining physician an intuitive understanding.

It was for this reason that after palpating, Chen Cang's face changed, and his brows furrowed slightly.

Ouch?

Holy moly!

Would an assessment actually present such a difficult question?

While speaking, Chen Cang started to inquire about the medical history.

But...

The more Chen Cang asked, the more intrigued he became!

He didn't expect to encounter such a challenging and misleading problem!

To be safe,

Chen Cang picked up the stethoscope again, first auscultating the heart, then the abdomen...

After the examination, Chen Cang took a deep breath!

He looked meaningfully at the patient!

The patient smiled faintly, returning the gaze with equal intent.

They both seemed to possess a determination that showed in a contest of wits, the courage of the one who dared to face off on a narrow path would prevail.

At this point, the three examiners looked at each other, feeling somewhat puzzled.

Is Professor Chen showing off for the cameras?

To deceive the camera?

Is it necessary to be this serious?

However, at that moment, Chen Cang heard some noise in the abdomen!

Instantly, his expression changed!

He closed his eyes and began to ponder again, then turned back to ask about the medical history!

But this time, Chen Cang was more meticulous in his questioning!

The more he inquired, the more problems he found!

"Acute chest pain?"

Chen Cang's brow suddenly tightened.

"How many years have you had high blood pressure?"

The man smiled, "It's hereditary, been 30 years. I never took medication seriously, but this time my heart felt uncomfortable all of a sudden, so I rushed here."

The patient's mood was not too heavy.

After all, he had been hospitalized, and the doctors said his condition had somewhat improved.

He had volunteered to act as a model for this intermediate examination.

You see, these "model" patients are typically volunteers and unpaid, so generally, those who come here are quite cheerful by nature!

The patient, nearing forty, bald, with a stocky build, was a minor manager in a private company, living a life neither rushed nor leisurely.

After being hospitalized, he even optimistically said that he no longer needed to travel on business frequently and could even take some time to rest properly.

The patient was diagnosed with angina, hypertension, and he was a long-term smoker and drinker, now with plaques in his carotid arteries.

Therefore, the attending physician was concerned about the instability of the plaques leading to complications like cerebral infarction, myocardial infarction, and other troublesome diseases.

When Chen Cang asked questions, the patient was not allowed to reveal his diagnosis, only his symptoms—in essence, it was a match of wits between the patient and the examining doctor!

But then, Chen Cang suddenly asked:

"Have you had a cold recently? Fever, or any sort of rash on your body?"

The man was momentarily stunned, recalled carefully, and hurriedly said:

"Yes, there was! Before hospitalization, I had such symptoms, but because they weren't very pronounced, I didn't pay much attention. Mainly, it's because my heart felt uncomfortable that I came to the hospital!"

Hearing this, Chen Cang's brows furrowed, and at the same time, his gaze sharpened.

He turned to look at the three examiners: "Give me the recent imaging results and physiological biochemistry tests."

The three were startled, and Xu Aiming quickly handed them over.

Chen Cang picked up the complete blood count, liver and kidney function, troponin, infectious disease tests, and other physiological biochemistry.

Chen Cang read through the test results rapidly, and afterwards, he put them aside.

He found that the current tests might no longer have any meaning.

He put down the lab report and picked up the imaging results.

Because lab reports represent real-time data!

What does that mean?

It means your current vital signs and various indicators, even drinking a bowl of water or taking a pee, could fluctuate, just not by a huge margin.

But...

Eating wouldn't make too much of a difference, but what about taking medicine?

He felt that there was an abnormal reaction in the patient's liver.

In the midst of speaking, he picked up the abdominal ultrasound and cardiac ultrasound to take a look; after one review, there seemed to be no significant difference – basically normal, with a bit of fatty liver that didn't have an impact.

The chest X-ray also showed nothing... wait... hold on!

Chen Cang stared intently at the chest X-ray, glanced at it several times, then set it aside and took out the chest CT.

After finishing, Chen Cang took a deep breath.

This hospital... is really bold, and the assessment difficulty is too high!

Chen Cang felt that if he hadn't noticed the patient's abnormal liver reaction and abdominal noises, he wouldn't have detected these hidden signals!

Chen Cang couldn't help but shake his head, thinking indeed the attending physician's assessment was really challenging!

To use such a severe and complicated patient for the assessment.

With this in mind, he seriously wrote in the diagnosis column for the patient:

Admission diagnosis:

1. Kawasaki disease?

2. Vasculitis (possible aortitis)

3. Hypertension stage 3 (extremely high-risk group!)

4. Premonition of aortic dissection

5. Angina pectoris

6. Liver injury (possible hepatitis)

Chen Cang wrote down six diagnostics, one by one!

And each one was more dangerous than the last.

Treatment measures:

1. Complete related tests as soon as possible after admission, urgently check liver function, and complete angiography.

2. Top-level nursing routine, low-salt, low-fat diet.

...

After writing, Chen Cang handed it over to the three examiners with a sigh.

This question is really tough!

He almost didn't make it.

At this moment, after the three examiners finished reading, they suddenly froze.

The three exchanged glances, looked at each other, with bewilderment in their eyes...

They couldn't help but take out the answer in their hands and were taken aback.

This...

Seems to differ from the attending physician's diagnosis!

With this thought, Xu Aiming couldn't help but ask, "Professor Chen, could you... perhaps reconsider this?"

"Yes! Actually... why not think it over again?"

"Right, are there any other possibilities for the patient? Like just ordinary hypertension or something? And as for the treatment plan..."

After hearing this, Chen Cang immediately brightened up.

He sighed with awkward graciousness.

It seemed that he had indeed leveraged backdoor influences!

With that in mind, Chen Cang added one more line to the treatment plan:

"Arrange for surgery as soon as possible!"

After writing, Chen Cang breathed a sigh of relief, looking at the patient with utmost respect.

This guy is impressive.

To insist on providing a training opportunity for medical personnel despite being in this condition...

It's really touching.

But!

Chen Cang looked at the examiners' meaningful gazes and the patient's sagacious eyes, Chen Cang pondered internally.

Could this be... a trap?

Should he make a special kind of decision?

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