I Spent Those Years In the Operating Room Fighting Monsters
Chapter 67: This is not food poisoning, but poisoning
After Lu Cheng and Mao Lei walked out of the classroom, most of them followed behind, but a few were lacking in interest. Sitting in the original position, he didn't take Lu Cheng's teaching seriously.
Cao Xiaohe was one of those sitting. He was about to stand up and walk out when he was stopped by a person wearing a mask next to him. He said, "This Lu Cheng is very interesting. Did you recognize him before? "
spoke in the tone of a middle-aged person, with a slightly blessed posture, but he didn't mean to stand up to follow out.
Cao Xiaohe was stunned for a while when he heard this. Of course, Lu Cheng knew him. Maybe Lu Cheng didn't know him yet, but he had a deep memory of Lu Cheng. It's just that Lu Cheng entered Teacher Yu's eyes for a time that he didn't have in the morning?
Cao Xiao and the person sitting next to him are not from the Changshi Health System. He is an associate professor in the emergency department of Xiangya Second Hospital. The purpose of his coming here is not to listen to Lu Cheng's class, but mainly for Cao Xiaohe.
But now, Cao Xiao and himself have not yet established a relationship with Teacher Yu. Lu Cheng is better off and aroused the interest of Teacher Yu in advance.
Cao Xiaohe nodded: "I met during the previous consultation. He is a very good young doctor."
Cao Xiaohe felt that he couldn't see through Lu Cheng at all, so he could only use a golden praise.
The middle-aged man nodded slightly and said, "If you want to go out for a visit, go see it together. He is right. A good emergency doctor and basic physical examination are very important. It's just that what you say is what you say. The real kung fu is still in hand."
Cao Xiaohe was silent for a while and asked, "Teacher Yu also wants to go and see?"
"Just go and have a look, there is nothing else to do anyway."
……
After Lu Cheng went to the emergency department, he and Mao Lei and others successively gave four patients a relatively quick and comprehensive physical examination, and then he confirmed the details that Lu Cheng mentioned before in class.
The expressions of everyone were a little startled.
This follow-up confirmation and the initial inference are two different things. Now everyone knows that there is food poisoning. Even a resident will do it if he tries to reverse the symptoms according to this idea.
It is not so simple to draw conclusions from symptoms. It is not that simple to rule out so many other diagnoses in an instant and give the most appropriate, most appropriate, and most realistic diagnosis.
Especially when Dong Yihe is such a classic sign of cerebrovascular disease, so much can be figured out in such a short time, it is really not easy.
This little doctor seems to be young and his level is not low.
Some people thought that Lu Cheng was a coincidence, speculation, and luck, but now they almost don’t think so.
Four patients spent almost half an hour. This time, plus the ten minutes that Lu Cheng talked about before, is close to an hour in total. This time is more appropriate as the length of experience sharing.
Just as the plan was about to end, two legs rushed in from the door of the emergency department, two people, one man and one woman.
The reason for two legs and two people is that the woman was hugged by the man and yelled at the door before registering: "Doctor, doctor, save my girlfriend."
A man and a woman are both twenty-four and five years old. The man's face was full of anxiety, and he hugged the girl in his arms while walking through the entrance passage of the emergency department.
The girl is very delicate, fair-skinned, and her long hair hangs down the man’s princess. The hair is of good quality, floating in the air.
If it weren’t for the girl’s stiff limbs, her hands could not open like chicken feet, her mouth trembling slightly, she wanted to speak but couldn’t speak, the tears in her eyes swirled, dripping from the silkworm to the cheeks on both sides, with pleading expressions in her eyes. Look at a large white coat over here. You might think that these two are here to show your affection.
Seeing two people, everyone's heart sank again. Good fellow, another one. It seems that many people have suffered from food poisoning today.
Very typical hypokalemia, with strong eyes, which can basically rule out cerebrovascular diseases.
But when they saw this girl, Cao Xiao and Yu Youlin next to her brightened their eyes and whispered: "A very interesting patient is here, let's see what Lu Cheng will do."
Cao Xiaohe was taken aback after hearing what Yu Youlin said.
What do you mean, this is not food poisoning?
He looked at Yu Youlin, but Yu Youlin didn't seem to be deciphering it.
A doctor in the emergency department hurriedly greeted him and asked the man to put his girlfriend on the push bed: "What did you eat this morning? Did you eat the powder?"
The man heard that the doctor was still chatting with him, and he became anxious: "My girlfriend fainted all of a sudden, doctor, you can take a look!"
The doctor in the emergency department may feel that he didn’t express it clearly: “Did you faint suddenly after taking Deyuan’s powder, then vomiting and diarrhea? Is this matter? It’s very important. We collected several of them in the morning. Similar patients. This is food poisoning."
The man said excitedly: "De Yuan’s fan? What kind of fan? What is the relationship between my girlfriend’s fainting and eating powder, doctor?"
"I killed her. I shouldn't have quarreled with her. When I quarreled towards Lin'er, I suddenly became speechless, stiffened hands and feet, and almost fell over. I hurriedly sent her over."
"We haven't had time to have breakfast this morning."
After finishing speaking, he quickly comforted Lin'er in his mouth and said: "I was wrong, Lin'er, I promise not to fight with you in the future."
Maybe he thinks this doctor is not very reliable, and then let go of his girlfriend's hand, he directly faces the white coat that is walking towards them, and immediately said: "Doctor, doctor, come and see my girlfriend."
These words made the doctor who received the consultation look slightly unsightly, but it was the director of the emergency department who walked in front of him, and there were many big guests from the outside hospital, so he could only leave temporarily.
Mao Lei quickly said: "Young man, don't worry, and finish talking slowly. What is going on with you and your girlfriend?"
"Huang Xia, Huang Xia, come here." After Mao Lei asked, he quickly called a nurse to come over.
If they want to perform physical examinations on female patients, a female medical staff or family member must be present. Naturally, it is best to have both.
When asked, Mao Lei had already started palpating his abdomen. The other doctors who followed him stood on tiptoes from behind to see what was going on. Although they watched four of them before, there were only a few observation positions for one bed, so no one actually saw them.
The people who watched it also stepped back more gently, letting those who didn't watch it.
The man began to organize language: "I just got up in the morning and quarreled with my girlfriend because of a trivial matter. Later, she talked a little too much, so I quarreled with her. I didn't even quarrel a few words, that's it."
"Doctor, what's the situation?"
After Mao Lei listened to this and palpated, his heart sank suddenly.
Where is food poisoning? This is clearly a seizure!
There is no gastrointestinal type in the abdomen, and there is no food.
Mao Lei hurriedly asked again: "Has the patient had a history of epilepsy before? His current condition is very similar to epileptic seizures."
The boy shook his head after listening, "No, I have been together with my girlfriend for four years, and I haven't heard of it."
Mao Lei thought to himself, it would be strange if you could find out. You have to know, it's probably broken long ago. Epilepsy is a neuropathy, who wants to be with neuropathy? He looked at the girl, who shook her head very stiffly, denying it.
Mao Lei couldn’t believe anything about girls~www.wuxiaspot.com~ and said: “Xiaofeng, quickly get the patient’s head CT, neuroelectromyogram, and call the neurology department for consultation immediately.”
Mao Lei’s words immediately made other people interested. Good guys, I was only looking at food poisoning today. I didn’t expect that in this very similar situation, there are still melons to eat.
But at this moment, after Mao Lei gave the patient a physical examination, Lu Cheng continued to pick it up and did it by himself.
just finished the abdomen and side chest palpation and percussion. The patient is a girl, and the front chest is a special position. If it is not a particularly urgent life-saving time, Lu Cheng certainly does not want to go to the muddy water.
But when Lu Cheng was on the girl's side chest, he diagnosed something that was not quite right.
At this time, Lu Cheng suddenly said to the nurse station: "Teacher nurse, please bring a mask over here!"
The nurse on duty in the emergency department, no matter who called her, he subconsciously pushed the oxygen machine and mask and came over.
Emergency, there are too many deadly times.
Mao Lei heard Lu Cheng shout so, turned around and asked, "Xiao Lu, what do you see?"
Lu Cheng said: "I think this girl is still poisoned. But it is not food poisoning, but alkalosis caused by hyperventilation syndrome. It occurs mostly in girls. The common triggers are excitement and work pressure. The most common cause is boyfriend and girlfriend. Quarrels between husbands and wives are relatively rare."
Lu Cheng remembered the textbook on internal medicine he had just reviewed for the postgraduate entrance examination, and immediately realized that it was this thing.
After listening to this, Mao Lei was taken aback for a while, and then he suddenly realized that his expression was a bit stiff like a girl.
This **** thing, this young man Lu Cheng doesn't speak martial arts, so he trampled him directly in the emergency department!
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