When the Doctor Uses A Hack
Chapter 1196 - 1120: Save Fire Chen

Watching Zhang Peiyi and Hou Liang hurriedly rushing over.

Chen Cang knows them.

They each nod in recognition: "Director Zhang, Director Hou!"

Zhang Peiyi quickly asked, "Professor Chen, what happened?"

Chen Cang took a deep breath, his expression somewhat grave, but instead of stating the diagnosis outright, he asked, "Has the patient recently taken aspirin?"

"Exactly!" Hou Liang nodded immediately, he had seen it in the medical records!

Upon hearing this, Chen Cang nodded firmly: "Then there is no doubt!"

"What do you mean?" Everyone stared at Chen Cang, asking.

They had no idea what implications taking aspirin could have!

Even the patient was somewhat bewildered!

Me... What's wrong with me?

Chen Cang then took out the patient's test results.

"When the patient was admitted, the primary diagnosis was an alarmingly high platelet count at 723, with influenza, infectious diseases, and liver and kidney functions all normal. However, these do not explain the pain in the patient's liver area."

"I reviewed the patient's ultrasound; fatty liver is not enough to cause these anomalies, there must be acute liver damage."

"And the reason? I analyzed the patient's condition, he had significant lymph node enlargement, and before admission, there was acute fever and the appearance of mild rash. Although these seem trivial, they are indeed crucial factors!"

After speaking, Chen Cang stared at the man and directed, "Get on the bed, lie down!"

The patient, puzzled but compelled, got onto the bed and lay down.

Chen Cang began the physical examination: "Look, there's slight congestion in both conjunctivae, no exudate, significant cervical lymph nodes, and a rash on the body!"

"According to the Japanese diagnostic criteria for Kawasaki disease, fever accompanied by the above symptoms is already diagnostic for Kawasaki disease!"

Chen Cang's words sent a chill down everyone's spine!

Zhang Peiyi and Hou Liang exchanged glances, seeing anxiety and fear in each other's eyes!

Large beads of sweat continuously seeped out!

Even their expressions became somewhat panicked.

"The most crucial thing is, the patient's increased platelet count is both a cause of angina and a result of Kawasaki disease!"

"But, what solidifies my thoughts is not actually this!"

"It's the aspirin you administered orally to the patient!"

This statement left the crowd somewhat stunned!

Chen Cang is expert-level at clinical analysis of emergency medications and drug toxicity!

He directly stated: "A meta-analysis in Clinical and Experimental pointed out clearly that aspirin can easily cause severe liver damage during the treatment of Kawasaki disease!"

"So, we now need to urgently check liver functions!"

After hearing Chen Cang's analysis, everyone was stunned!

Fortunately, Zhang Peiyi reacted quickly, promptly calling the head nurse to come and draw blood!

During the wait, they hurriedly conducted a physical examination of the patient.

This series of examinations, made them realize… things might truly be aligning with Chen Cang's insights!

And the patient was baffled!

All this can't really be blamed on the medical staff.

It was the patient who, due to some details, had concealed relevant medical conditions.

He avoided discussing things like the fever, thinking they were minor and unimportant.

In reality, diagnosis often relies on many such seemingly insignificant details.

The patient was now genuinely frightened: "Professor Chen… why did you just say I needed surgery then!"

The surrounding directors were also staring at Chen Cang, unsure of why.

Kawasaki disease doesn't need surgery, right?

Unable to hold back, Chen Cang said, "Look at this photo!"

As he spoke, Chen Cang picked up the chest X-ray and CT images.

"Look, although the patient didn't have comprehensive tests like a CTA to image the blood vessels, look at these two images."

"Actually, it might seem like there isn't much of a difference, but if you look with the underlying condition of Kawasaki disease in mind, look here!"

While speaking, Chen Cang pointed at the patient's major thoracic vessels and couldn't help but ask, "Don't you think the size has some subtle changes?"

"And here..."

While talking, Chen Cang began to point out every subtle change.

As Chen Cang pointed them out, everyone's faces grew grim.

Because... isn't this a bit too terrifying?

"Professor Chen... What do you mean?" Xu Aiming asked directly!

Chen Cang nodded: "Precursors of aortic dissection!"

After Chen Cang clarified his answer, everyone went silent!

Aortic dissection...

Chen Cang explained: "Yes, Kawasaki disease mostly damages the coronary arteries, followed by the aorta, abdominal aorta, carotid arteries, and also the pulmonary arteries!"

"Through the lung CT, we can see some shadowy areas from which we can deduce that the patient might have nodular arteritis, thickened vascular intima, here... and here..."

"I assess that the patient's condition is still very dangerous!"

"At the milder end, it could lead to the formation of coronary artery thrombosis, causing a myocardial infarction!"

"Intimal rupture, direct rupture of the aorta, leading to patient's death!"

"I now judge the patient's vascular intima is in poor condition; surgery should be performed as soon as possible!"

After Chen Cang finished speaking, he himself frowned!

When the patient heard Chen Cang's words, his entire face went pale with fear!

Is it that terrifying?

Thinking this, the patient looked at Chen Cang: "You're scaring me, aren't you? Professor Chen?"

Chen Cang took a deep breath: "I hope my judgment is wrong!"

The patient quickly nodded: "Yes, let's hope..."

Li Hui quietly echoed: "Let's hope..."

However, just as these words were spoken, the lab called at that moment.

"Patient Wang's ALT is now as high as 941, and AST 819!"

With the appearance of these two indicators, everyone's expression changed instantly!

This evidence might prove that Chen Cang's reasoning is correct!

Chen Cang, with a somber expression, said, "Hurry up and perform a CTA!"

Then, he said to the patient, "Quickly contact your family, tell them that you need to prepare for surgery as soon as possible!"

Hearing this, the patient forced himself to calm down.

Now is really not the time to panic, but...

Not panicking is just pretense!

Soon, the patient's CTA angiography results came out. At this moment, multiple damages to the inner walls were present in the patient's aorta and pulmonary arteries, likely forming an aortic dissection, and due to Kawasaki disease, it is very likely to bypass dissection and lead directly to vessel rupture!

Immediately!

The whole office began to bustle with tense, urgent tasks and planning.

No one dared to relax.

At this time, Hou Liang frowned and said, "Professor Chen, we don't possess the capability to perform an aortic replacement surgery, especially this many arteries..."

His words voiced what Zhang Peiyi and others were thinking!

At this moment, Chen Cang nodded and said, "I'll do it!"

Everyone immediately turned to stare at Chen Cang.

Filled with excitement!

Professor Chen really can bring hope in the face of despair!

...

ps: Sorry for the late update.

The meeting ends on the 12th, I will probably resume normal updates on the 13th, six chapters a day...