The man described the onset of the illness.
Five Accumulation Powder is a relatively common Chinese dicinal formula, effective for relieving exterior and warming interior, dispersing cold and eliminating dampness, regulating Qi and activating blood, resolving phlegm and breaking accumulation.
Many older people choose it to treat colds after catching one.
The results are quite good.
Moreover, being a Chinese dicine formula, it has minimal side effects and isn’t very picky about body constitution.
"Co, let listen to your heart and lung sounds. Try to relax and just breathe normally."
Li Jingsheng motioned for the man to unbutton his shirt, exposing his chest, and then pressed the stethoscope probe onto him.
Lung sounds were clear, only slightly coarse, without any dry or wet rales.
However, he heard pericardial friction sounds.
Upon careful auscultation, the pericardial friction sound was a scratching rough sound and was triphasic.
The area... seed to be located in the precordial region.
The patient began to cough at this ti, instinctively leaning forward.
Li Jingsheng heard it even more clearly this ti.
After the patient finished coughing, Li Jingsheng tried percussing the patient’s heart and heard a dull sound.
Moreover, it expanded to both sides.
Master Level cardiovascular dicine diagnosis made him instantly realize the patient wasn’t suffering from a cold but had a problem with the pericardium.
During cardiac percussion, he always felt that his auscultation level and diagnostic ability needed improvent, lacking so key details.
"If it’s not a cold, then what disease could it be?"
Li Jingsheng thought it necessary to assist with that grandfather-class X-ray equipnt for further diagnosis.
It’s now basically certain that the lesion is in the pericardium.
He dared not to treat most serious heart diseases.
So with lower risk factors could be worth a try.
After all, now there’s Minor Achievent level pharmaceutical effects and pharmacokinetics along with Master Level cardiovascular dicine diagnosis, it certainly should be applied to make use of their efficacy.
dical skills beco more refined as they are used.
After simple communication, the patient agreed to undergo an X-ray examination.
To be honest, that grandfather-class X-ray equipnt struggles not just a little when examining the heart. It’s best to have high-quality X-ray equipnt for examining the pericardium and lungs.
He naturally didn’t want to easily lose a business opportunity.
After much effort, he finally got so results.
X-ray chest films showed the heart silhouette expanding to both sides, and the apical impulse was significantly weakened.
At this point, he could basically determine that the patient had pericarditis.
"Are there symptoms of chills?"
"Does that an feeling cold?" the patient asked, puzzled.
"Yes."
"Not really, it’s just that I have a fever all over, my head feels a bit dizzy, and I don’t have much energy."
"Your illness is likely pericarditis. From the onset ti, it should be acute pericarditis. I recomnd you see a large hospital, for a more secure approach."
After discovering the patient had pericarditis, Li Jingsheng, due to limited conditions, couldn’t confirm the type of pericarditis.
If conditions allowed, conducting an echocardiogram, electrocardiogram, blood routine, or even pericardial puncture biopsy would be needed to accurately determine the type of pericarditis.
Then prescribe accordingly.
"Can you treat it here? I know the dical skills here are quite good. If you can treat it, please go ahead, I trust you guys."
A forty-year-old man is really not afraid of death.
He chose to treat it at a small clinic to save so dical expenses.
Of course, this also relates to the good reputation of Sunshine Clinic.
"Hmm... Okay, I’ll prescribe you so dicine to try out. If today’s effect is not noticeable after taking, don’t co back and go to a hospital for treatnt imdiately."
After pondering for a mont, Li Jingsheng actually agreed.
He dared to agree because he had so confidence.
Pericarditis cos in many forms, idiopathic pericarditis being the most common.
Tuberculous pericarditis is usually directly spread from diastinal lymph node tuberculosis, lung, or pleural tuberculosis.
Clinically, there will be tuberculous systemic reactions and pericardial effusion.
This disease generally lacks precordial pain and pericardial friction sound.
Thus, tuberculous pericarditis can be directly excluded.
Remaining is neoplastic pericarditis; this disease generally progresses slowly, with fever symptoms often most common as long-term low fever, also can be excluded.
Then there’s purulent pericarditis, mostly common with pneumonia, empyema, sepsis, pericardial effusion mostly being purulent, long disease course, rarely presents so acutely.
Lastly, there’s a syndro caused by heart injury.
This mostly occurs in patients with high-fall injuries, post-operation, acute myocardial infarction, directly can be ruled out.
Finally, there’s viral pericarditis.
Caused by viral or bacterial infection.
Onset is acute, progressing rapidly.
Highly consistent with many symptoms of this patient.
The patient is now just having difficulty breathing, heart rate and pulse are still quite good. It should be early or mild, Li Jingsheng is confident of curing this illness.
That’s why he agreed readily.
Prescribed the patient with Ibuprofen sustained-release capsules.
Nurofen is mainly to relieve patient’s pain, anti-inflammatory, and reduce fever.
Initially prepared to prescribe Ribavirin, this dicine is quite effective for early treatnt of viral pericarditis.
Ganciclovir also has similar therapeutic effects.
After comprehensive consideration, Li Jingsheng chose the most commonly used Ibuprofen sustained-release capsules.
"Is it enough to prescribe only one kind of dicine?"
The patient asked sowhat incredulously.
"dicine is a three-part poison, not in quantity. Take the dicine ho, follow the dosage, and have a good rest. I believe it will have a good therapeutic effect."
Li Jingsheng said confidently.
dicine is about essence, not quantity.
Truly skilled doctors always choose to use less dicine, but good dicine.
This good dicine doesn’t an expensive, but precise and targeted.
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