A conduction block occurring below the bifurcation of the atrioventricular bundle branches of the heart.
This is a symptom that usually appears in heart disease, mostly due to organic changes in the heart itself.
Common causes include coronary heart disease, cardiomyopathy, myocarditis, hypertension, rheumatic heart disease, and pulmonary heart disease.
Some are also caused by other diseases, such as electrolyte disorders, neuromuscular diseases, diabetes, etc.
And a very small part is due to normal people.
What really surprised them was that this disease cannot be diagnosed even with a stethoscope, at least an electrocardiogram is required to detect abnormalities.
There are usually two types of conduction block, one is intra-atrial conduction block and the other is intra-atrial conduction block.
If it is atrioventricular block, it is generally divided into type 1, type 2, and type 3 to varying degrees.
After reaching the second type, the change of heart sound can barely be heard through the stethoscope, and the abnormality of the heart can be detected.
But the indoor conduction block can't be detected without the instrument!
"Isn't that an exaggeration? I don't think it's possible."
"Isn't it? Let's go to the instrument and test it to find out."
"Professor Lu, what do you think?"
The other three professors looked at Professor Lu with puzzled eyes.
Although the four of them have some research in basic medicine and clinical medicine, when it comes to the heart, Professor Lu must have the most say.
Because her main focus is on the heart, her judgment will be more accurate than the other three.
"it is good."
Professor Lu nodded upon hearing this.
This kind of disease can't be detected by palpation and interrogation alone.
After finishing speaking, she wanted to cast an inexplicable look at Qin Feng, who was sitting next to her. There was suspicion and surprise in that look.
You must know that it is impossible to accurately judge such a subtle change in the heart by means of traditional Chinese medicine alone, and this disease was not discovered until the emergence of modern medicine.
So she questioned Qin Feng's judgment, and it can even be said that she didn't believe it at all.
Afterwards, several professors got up, took the boy to the nearby instrument room, and began a detailed inspection.
At the same time, it is also responsible for the students' health. If there is a heart disease, it can be detected and treated early.
"Senior Qin, there will be no problem, right?"
Xiao Xiaoxiao, who was waiting on the side, noticed that the four professors were unusual, and she also showed worried expressions on her face.
"It's okay. His illness is not a serious problem. He just needs to have a good rest and take medicine. He will recover after a while."
Hearing this, Qin Feng smiled and shook his head.
Looking at his confident smile, Xiao Xiaoxiao felt less nervous.
She understands that Qin Feng's senior may also be the introduction to this competition because of the conflict between her and Yu Peng about Chinese medicine in the seminar.
If he loses, she will be sad and feel sorry for Qin Feng.
After all, this matter has something to do with her!
Thinking of this, Xiao Xiaoxiao lowered her head, clasped the fingers of both hands tightly, and stared at the door of the instrument room.
However, Qin Feng took out his mobile phone and began to watch things, as if he didn't feel any pressure.
Ding dong!
'Liang Donglai: Qin Feng, are you busy now? '
'It's a little bit, it will be over in a while, what's the matter, Brother Liang? '
'Liang Donglai: I just participated in a consultation, and thought you might be interested, so I wanted to chat with you. '
'Liang Donglai: I'll post two pictures first, you can take a look. '
'Liang Donglai: IPG'
'Liang Donglai: IPG'
When Qin Feng received the picture, he was stunned when he opened it, and quickly enlarged it with his hands.
These are two CT images of the legs. In the light box, there is an obvious shadow at the lower left side of the tibia of the smallest leg.
Moreover, by comparing the two legs, half of the lower part of the fibula of the left calf has disappeared!
The entire leg was swollen almost thicker than the thigh, showing severe mottled lower limbs and cyanosis all over the body.
Seeing the situation on the picture, a rare but terrifying thought suddenly appeared in my mind.
This is not a disease, but a bacterial infection.
'Vibrio vulnificus infection? '
His expression became serious, and he immediately sent Liang Dong a message back and forth.
'Liang Donglai: Sure enough, your eyes are good, you can tell right away! '
'Liang Donglai: It is indeed a marine Vibrio vulnificus infection, just transferred from a subordinate hospital. '
'What's the current situation? '
Qin Feng asked quickly.
"Liang Donglai: The situation is not very good. The blood coagulation disorder has been rescued twice. Because the time is too long, the initial symptoms of organ failure have also appeared. We have just had an MDT consultation. We can only control it first and consider amputation after stabilization. , give priority to life-saving. '
Seeing this news, Qin Feng calmed down.
Once coagulation disorder occurs and the organ fails, it means that the bacteria have spread to the whole body through the blood.
It is very dangerous in this situation. If the amputation had been performed earlier, he could have saved his life, but now he is probably on the verge of dying.
'Liang Donglai: We don't see this kind of disease very often, and you probably haven't seen it before, so I'm sending it to you for a look. '
'Liang Donglai: I'll send you a copy of the case report when I'm done, so I've accumulated experience. '
Seeing that Liang Donglai's tone was relatively relaxed, Qin Feng couldn't help shaking his head with a wry smile.
But there is no way, Vibrio vulnificus is known as the "sea devil" in the medical world.
It is a Gram-negative mesophilic, alkaliphilic, and halophilic marine pathogenic bacteria, and belongs to the same pathogenic Vibrio as Vibrio cholerae and Vibrio enteritidis.
It is usually caused by eating food containing Vibrio vulnificus (especially seafood such as raw oysters, shrimps and crabs), or direct infection from the skin, such as being stabbed by fish, shrimp or crab, and the wound is in contact with seawater.
Moreover, after infection with marine Vibrio vulnificus, necrosis of injured limbs and sepsis will normally occur.
Sepsis caused by Vibrio vulnificus infection is dangerous, progresses rapidly, and has a high fatality rate.
Most died of multiple organ failure within 48 hours!
Therefore, Vibrio vulnificus is also listed as one of the most dangerous bacteria to humans.
For such patients, perhaps the best outcome is amputation to save their lives...
'Okay, thank you Brother Liang. '
'Liang Donglai: You're welcome, hahaha, you go ahead. '
After speaking, he did not reply to the message and put away the phone.
Because at this time, the door of the instrument room has been opened.
The boys came out first, while the expressions of the four professors behind were full of shock!
Especially Professor Lu, even his eyes changed, and he looked at Qin Feng for the first time, with complex eyes in disbelief.
"Student, you're going to the hospital later to prescribe some medicine and pay attention to rest, you know?"
After sitting down, Professor Lu said to the boy with a serious expression.
"Professor, am I really okay?"
"There is no effect now, but I still need to go to the doctor for a systematic examination, so don't delay."
Professor Lu nodded and instructed him carefully.
"Okay, I see, thank you professor."
Hearing this, the boy's face became tense, he nodded quickly, then got up and left.
Seeing this, Xiao Xiaoxiao stood up and walked over, bowing slightly to one of the professors of basic medicine.
"Teacher Chen."
"Xiaoxiao, sit down."
The professor also smiled when he saw her, and waved amiably, then looked at the other three,
"The three professors should all know her, Xiao Xiaoxiao, who majored in medicine and biology."
Several people nodded upon hearing the words, and the expressions on their faces eased a lot.
"Xiao Xiaoxiao, why don't you know, we are the famous campus belle of Xiehe, a top student in medicine and biology, hehehe~"
Professor Bai nodded and said with a smile,
"You won the second place in the National College of Medicine and Biology Competition last year, and you will win a gold medal in two years. Give our school honor! Hahaha~"
"Professor Bai, don't worry."
Hearing this, Xiao Xiaoxiao nodded with a smile, looking quite confident.
Qin Feng heard the words from the side, and a trace of surprise flashed in his eyes. He didn't expect Xiao Xiaoxiao to be a hidden school bully.
In fact, no wonder!
He has only come to Xiehe not long ago, and he spends half of his time in the hospital. He usually leaves after school, and he doesn't understand these things at all.
If we talk about the beauty of the school, Xiao Xiaoxiao's appearance is no less than Liu Yan'er, and it can be said that she is a bit similar to Liu Yan'er three years ago.
They all belong to the extremely pure and pleasant type, but now they have less charm and are too green.
"Professor Zheng, Professor Lu, this diagnosis is up to you, it's not suitable for the old men."
Professor Chen looked at the two female professors and said.
"Okay, hehe, leave it to us."
Professor Zheng immediately agreed, and the two took Xiao Xiaoxiao into the instrument room next to them.
In fact, Xiao Xiaoxiao's illness is very simple, only dysmenorrhea.
After the three of them left, the remaining two professors fixed their eyes on Qin Feng for an instant, and just watched without saying a word.
He has goosebumps all over his body!
"That... two professors, what do you want to ask, I will never hide it."
Qin Feng smiled awkwardly and said quickly.
"Qin Feng, you are really amazing!"
Professor Bai couldn't help but clicked his tongue, "We just want to know, how did you determine the second symptom?"
Professor Chen on the side also nodded again and again, with a curious look on his face.
In fact, when the four of them confirmed in the instrument room that the boy's illness was really heart block, they were all dumbfounded.
It's unbelievable!
How can it be possible to detect diseases that can only be observed with modern instruments by relying on the ancient and antiquated methods of Chinese medicine?
"Professors, I'm actually not sure about this, because I can't feel it from the pulse."
Qin Feng heard the words and immediately explained,
"But I found some abnormal contraction vibrations in the carotid artery, so I used the needle method in acupuncture to puncture the side of his heart artery.
Judging from the frequency of pumping blood and heart beating, it is indeed different from normal people, so it is judged to be conduction block. "
After the words fell, the two looked at each other in dismay, even more shocked!
This is too outrageous!
He directly pricked the heart artery with a silver needle?
If there is a slight deviation in this, it may cause danger or even death!
Thinking of this, the two professors only felt a burst of cold sweat all over their bodies and their scalps were numb.
This Qin Feng is too courageous!
For the sake of winning, you don't even care about the lives of your classmates?
"That, two professors, actually there are requirements for the acupuncture technique, of course I am sure."
Qin Feng saw the psychological fluctuations of the two, and spoke before they opened their mouths.
"How can such a thing..."
Professor Bai's expression turned cold when he heard the words, and he was about to reprimand him when he saw the boy staring at him, so he swallowed the rest of the words back.
These words can't be said in front of other people's patients, otherwise there will be no big trouble?
"You are not allowed to do this in the future, do you hear me?!"
"Understood, thank you professor."
Qin Feng nodded when he heard the words, and an inexplicable smile appeared on the corner of his mouth.
In fact, with his acupuncture method, there are no such risks at all, because the level of precision is even for piercing the wings of mosquitoes.
Of course, this may still be uneasy for other people, after all, in their consciousness, they would rather not do it than make mistakes.
Soon, Xiao Xiaoxiao and the two professors came out and returned to their seats.
"Xiaoxiao, go back and drink more hot water."
"Understood, thank you two professors."
Xiao Xiaoxiao nodded, then turned around and walked back to Qin Feng to sit down.
Soon, the diagnosis results of the four professors came out.
"Qin Feng, here is your medical certificate, take it."
Professor Lu handed him their medical certificate and Qin Feng's diagnosis results together, but his tone was a little low.
Click!
While everyone was waiting anxiously, there was finally a knock at the door.
Qin Feng's handsome figure appeared in the sight of everyone and walked out first.
"Senior Qin has come out!"
"It's finally out! Announce the result!"
"Ahhh! I'm so anxious to wait, who wins?"
"My God, my heart is about to pop out!"
…
Seeing this scene, there were noisy and excited voices among the students waiting outside, and the atmosphere became tense and excited in an instant.
The results will be announced soon!
"Dean Su."
Seeing Qin Feng coming out, Su Heyang also got up and walked forward, and he handed over the two medical certificates in his hand.
Su Heyang took the medical certificate, picked it up and looked at it, his whole body trembled suddenly, and ecstasy burst out in his eyes.
"Students and teachers, the final results are in my hands now, and the four professors have given their final conclusions."
He picked up the microphone and faced the camera, with an uncontrollable smile on his face.
Speaking of this, Yu Peng who was sitting on the side also stood up, shook his tuxedo and straightened his waist.
Looking at Qin Feng, the corners of his mouth curled up confidently.
He believed that with his diagnostic level, he was almost catching up with the equipment, so how could he lose?
The final winner must be me!
"I'm going to declare the winner of this palpation is..."
Su Heyang picked up the medical certificate in his hand and said loudly,
"Qin Feng!"
Before he finished speaking, Yu Peng's raised foot suddenly froze in mid-air, his expression froze.
Wow~
Hearing this result, there was a silence outside the teaching building for two seconds, and then a sky-shattering shout suddenly broke out.
"Win! Qin Feng won!"
"Hahahaha!! Senior Qin is awesome!"
"Qin Feng! Awesome!"
"My God! Really won?"
"Damn it! Is it true or not? Chinese medicine diagnosis beats western medicine?"
"Ahh! The male god is too awesome!"
…
Su Heyang, Qin Feng and the others breathed a sigh of relief after hearing the deafening shouts from inside and outside the School of Imaging.
On the other hand, the frozen smile on Yu Peng's face gradually became indifferent, and finally sullen.
"I do not believe!"
He yelled loudly and walked up to Su Heyang,
"Dean, I don't believe it. How could he beat me based on his rubbish TCM diagnosis?!"
"See for yourself."
With a smile on his face, Su Heyang handed him the result of Qin Feng's joint follow-up visit with the four professors.
Yu Peng looked at it next, and his expression froze immediately!
All the words in Qin Feng's medical certificate add up to less than 20 words?
Each has only one diagnostic result, instead of giving a diagnostic range like him.
Looking at the conclusions of the follow-up consultations of the four professors, each of them pointed directly to Qin Feng's diagnosis results without any deviation.
Most importantly, when he saw the second diagnosis conclusion, his face was already very ugly.
Atrioventricular block?
How could he!
Yu Peng was shocked in his heart and set off a huge wave, only feeling his head buzzing.
How could this disease be detected?
"I don't believe it! I don't believe it! He cheated!"
He was stunned for a long time, his face flushed, and he pointed at Qin Feng and shouted,
"Atrioventricular block can't be detected without electrocardiogram and imaging. You must have colluded in advance!"
Su Heyang's eyes changed when he heard this, and his expression was a little bad.
Said that Qin Feng cheated?
I am a witness of this competition, isn't this slapping the medical school and his face?
"Yu..."
"Dean Su."
Just as he was about to speak, a hand suddenly interrupted him. Qin Feng stepped forward and shook his head, then looked at Yu Peng,
"Senior Yu, you have a liver problem. I advise you not to get so angry."
"You~!"
When Yu Peng heard this, his whole body shook violently, and he was dumbfounded.
"How do you know me?"
A faint smile appeared on Qin Feng's face, and he stood with his hands behind his back,
"If my judgment is correct, you should have moderate liver cirrhosis caused by staying up late all year round and suffering severe exhaustion of energy.
This is the Wangqi in traditional Chinese medicine. Just by looking at your complexion, you can have a basic judgment on some diseases. "
Hearing this, Yu Peng's eyes were full of disbelief, and his expression was stiff.
"Sigh~ Senior Yu, you have been studying cutting-edge medicine overseas for so many years, and you have devoted yourself to it. What is it for?"
Qin Feng sighed, shook his head and asked back.
"Of course it is for the advancement of medicine, to cure diseases and save lives!"
Yu Peng didn't even think about it, and immediately said loudly.
"Then why Chinese medicine, which saved countless lives before Western medicine, is trash in your eyes?!"
As soon as the words fell, he immediately looked awe-inspiring, his eyes were as focused as a knife, and he asked loudly,
Click!
These two sentences, like a thunderbolt, struck hard on the head.
Yu Peng opened his mouth, but couldn't speak, and then his eyes began to dim, and his breath disappeared.
He knew that he really lost.
And it was a complete loss!
Could it be that he was really wrong...