"The main issue is that this lady seed overly emotional. If it were really coronary heart disease causing such agitation, her complexion wouldn’t look like this. Plus, she said her pain is irregular. There are many causes for chest pain. Given her weakness, and even so symptoms of diabetes, she might be overweight, physically weak, sick, tired, and emotional, causing intercostal neuralgia. Anyway, I feel coronary heart disease is definitely the first to be ruled out."
Zhang Lingchuan remarked at this mont.
He was certainly not troubled by the reasoning.
However, purely Western dical reasoning presents a bit of a challenge.
So he mixed a reason involving both Chinese and Western dicine.
"So this is how you made your judgnt. I have to say, your judgnt surprisingly aligns with mine. We can then check if this lady’s condition matches our hypothesis."
Huang Xiangning was slightly expecting this feeling of revealing the results.
At the sa ti, she looked at Zhang Lingchuan with a more appreciative gaze.
Although his approach combines Chinese and Western thods...
As long as the prognosis is correct and the patient’s illness can be treated, who cares about the approach.
The primary goal is to heal and save people.
"I feel we can wait. It shouldn’t take long to find out."
Zhang Lingchuan smiled.
The contrast agent would certainly show an allergy.
If it shows an allergy, they won’t perform a cardiac angiogram on this lady.
In that case, they will opt for the more convenient coronary CTA.
If nothing is found...
They’d inevitably look for the cause of chest pain. The cardiologists should also suspect intercostal neuralgia.
"Alright, let’s move to the next patient."
Huang Xiangning nodded and pressed a button.
"Will patient number 18, Liu Hongjiang, please proceed to room 8 for consultation."
The speaker announced.
Soon, a man wearing a hat, with tanned skin, who looked like a fitness enthusiast, was wheeled in.
"Hello, doctor. My husband’s foot is sprained, and now we don’t know what’s going on. He can’t stand or touch it, and there’s even a rupture in the skin. Look at this yellow stuff; we don’t know what it is."
Speaking was a simply dressed woman in her thirties, looking quite anxious.
Initially, she wanted to visit the specialized orthopedics departnt, but there were too many people, so she ca to the Ergency Departnt experts for an examination to determine the cause first.
"Alright, alright, you’re Mr. Liu Hongjiang, correct? When did this injury occur?"
Huang Xiangning ca over for a closer look and imdiately frowned.
Zhang Lingchuan also looked puzzled.
Undoubtedly, this person’s head had a yellow label.
But coming to the ergency room, starting with yellow is not unusual.
It’s just that usually with a foot sprain, swelling and redness are normal, but skin rupture and even yellow discharge are unjustifiable.
[Detected the host conducting a consultation, the system-assisted scan is in progress...]
[Precise Detection... 5 tis remaining.]
[Ordinary Detection... 1 ti remaining today.]
[Activating Precise Detection... Precise Detection was rejected...]
[Launching Ordinary Detection, please wait...]
So as he crouched down to examine, he also activated the system’s ordinary scan.
"Hello, doctor. I am Liu Hongjiang. My profession is a fitness enthusiast. I usually spend most of my ti in the gym. I’ve sprained my foot often, but normally when I work out, the pain subsides. However, I didn’t expect that recently the pain in my foot has intensified. Today, I couldn’t even get out of bed, so my wife brought to the ER to find out the reason. Everything was normal during workouts, so why has this sprain beco like this? I’ve never encountered this situation before."
Sitting in the wheelchair, Liu Hongjiang indeed looked like a fitness enthusiast.
He was explaining his situation to Huang Xiangning.
As a fitness enthusiast, it’s common to have foot pain from frequent exercise.
However, once ward up, the pain usually disappears, which has been the case for the past year or two.
Unexpectedly, this ti the pain was so severe that he couldn’t walk, accompanied by swelling and yellow fluid.
At first, he thought it was a shoe injury, but now it’s clear that’s not the case.
After all, he had blistered before from shoe friction.
"So you’ve had this foot pain all the ti. Mr. Liu, do you have any symptoms of gout?"
After observing for a while, Huang Xiangning began asking about his dical history.
Gout can also cause ankle swelling and redness.
And many fitness enthusiasts take protein powder.
In fact, that can also cause gout.
Hence, so people, after building muscles, believe they’re very healthy and free from ailnts, only to be struck by gout later on.
"No, no, I don’t take those protein powders. I’ve had checkups before, and my tabolism is fine, never had gout."
Liu Hongjiang shook his head.
He maintained a healthy body.
And his muscles were genuinely hard-earned.
He never took protein powders.
"I see..."
Huang Xiangning nodded.
An understanding look on her face.
"So, Dr. Xiaochuan, the distinguished apprentice of the National dical Master’s orthopedic team, what have you concluded after observing for a while?"
She then turned, looked at Zhang Lingchuan with a teasing smile.
She knew he hadn’t studied dicine from the old expert, likely just read so of their books.
However, as many people online called him that, she joined in the fun.
After all, they were all on the sa team.
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