This Doctor is Great

Chapter 114 First Place: Zhou Mo! !

meeting room,

Exams are still in progress.

The 'examination room' was quiet except for the rustling.

Some people frowned, some were full of confidence, some couldn't help but look around...

Professor Qi looked at the fierce competition and was extremely satisfied.

At this time, Zhou Mo reached the eighth question.

"Evaluation of three markers of myocardial necrosis during myocardial infarction (detailed description)."

Zhou Mo chuckled.

This question is hard for him.

Swipe, swipe, swipe~ Zhou Mo began to write quickly.

- Troponin I or T: ...

- Myoglobin Mb: ...

——Creatine kinase isoenzyme CK-MB:...

When Zhou Mo finished writing this question, after seven or eight minutes, Wang Shen finally answered this question.

Seeing this topic, he immediately frowned.

He couldn't grasp this question.

Because 'troponin' is the 'gold standard' marker of myocardial necrosis in myocardial infarction, it is easy to ignore the other two markers.

He is sure that the other two are myoglobin and creatine kinase isoenzymes, and he knows their pros and cons, but when they rise, peak, and return to normal... his memory is a bit fuzzy.

"It's a bit difficult..."

...

1 hour after the exam...

Question 9: "Differential diagnosis between cardiogenic and non-cardiogenic pulmonary edema?"

This is another question of detail.

Doctors naturally know the difference, but the real difficulty is to write it all.

Question 10: "Indications and contraindications of thrombolytic therapy in acute myocardial infarction."

Another question of details.

It is still difficult to really write the whole thing.

Wang Shen, who has always been confident, is already struggling a bit now.

He spent a lot of time on the last question, and he felt even more strenuous about this one.

There are a total of 15 questions in the exam, and the time is one and a half hours (just at 2 o'clock when the outpatient office goes to work), and the average time for each question is only 6 minutes. It is a race against time.

Subconsciously, he looked in the direction of Zhou Mo next door.

one look,

"Hiss hiss~~~~"

I saw that Zhou Mo had finished writing a full paper, began to cap the pen, put it back in his pocket, got up and left.

"So fast?"

"impossible?"

At this time, Zhou Mo stood up and started to hand in the paper, which attracted the attention of all the doctors in the audience.

"Director, hand in the paper."

Go to the front desk and put the full test paper on the stage.

Huang Yiming shouted wildly in his heart: "Sure enough, Brother Mo is awesome!"

Other medical students: "Wori, do you want to be so perverted?!"

Other doctors: "Fuck, so fast? Fake?"

There was a turmoil in the conference room.

Professor Qi was also a little surprised, couldn't help picking up Zhou Mo's test paper,

one look,

Answered?

so exaggerated?

To be honest, when Professor Qi came up with 15 questions, he thought that no one could finish writing in 90 minutes, and he could write as much as he could.

In the end, Zhou Mo finished writing in 70 minutes.

Doesn't this guy need to think?

I couldn't help but look at Zhou Mo's answers. The first question, um, yes, the second question, hey, yes... The eighth question, oh, yes again, so detailed and comprehensive... Question 15 ...

After reading,

Professor Qi was shocked.

This answer sheet, the standard answer!

Full marks!

There is no room for deductions at all!

Zhou Mo left the meeting room, leaving everyone with an 'invincible' back.

...

90 minutes later, at 14:00,

the exam is over,

"Ring ring ring~~~"

The alarm clock set by Professor Qi rang.

"Hand in the paper..."

Many doctors handed in the papers one after another, and Wang Shen, the 'King of the Examination', left the last half of the questions. He regretted not being able to finish it, and there was not enough time.

...

duty room,

"I'll go, Brother Mo, you're awesome, I finished the answer so quickly!"

Huang Yiming skillfully delivered his 666.

Zhou Mo sighed: "At first, I wanted to keep a low profile and just get in the top 40, but who asked the director to test people with a reward of 2,000 yuan? I can't hold on to this kind of test."

"Let's go, I'll send the patient for CT."

Zhou Mo wanted to get a CT experience.

Talent, give me some points!

Ten minutes later, Zhou Mo arrived at the CT room with the patient Chen Jianxin.

Thirty minutes later, the CT results of patient Chen Jianxin came out.

Results: The left adrenal gland was a clear solid mass with a small amount of calcification in the center, and the enhancement was obviously enhanced...

CT teacher's opinion: considering the tumor, further examination is recommended...

Zhou Mo breathed a sigh of relief.

really,

Adrenal glands are in trouble!

As for whether it is pheochromocytoma, CT cannot accurately judge.

However, the diagnostic criteria for pheochromocytoma are: clinical manifestations and signs dominate!

Obviously, yesterday's patient's urine test metabolite test for methoxyepinephrine and norepinephrine, together with the patient's blood pressure fluctuating up and down, is enough to determine the pheochromocytoma.

at this time,

A voice sounded in Zhou Mo's ear:

"Ding... You observed a CT scan of the adrenal glands, comprehended the essence 100%, and..."

...

Taking the patient Chen Jianxin back to the department,

Zhou Mo found Senior Brother Chen Bing: "Senior Brother, do you have any acquaintances in the Department of Urology? Ask him for a consultation?"

The last time I asked for a consultation, I waited 25 hours, which made Zhou Mo a little unbearable.

And today is Friday, if it is delayed until Monday, it will simply make the patient wait for 3 days in vain.

Senior Brother Chen Bing: "Yes, what's the matter?"

Zhou Mo: "My 29-bed patient, I've reported it to you. I suspect it's a pheochromocytoma. I just had a CT scan and it's basically confirmed. I'd like to invite a doctor from the Department of Urology to take a look..."

Chen Bing laughed: "That's great. The urology department is eager to have an operation. After I said it, he probably came running here."

Chen Bing picked up the phone and dialed an acquaintance in the Department of Urology.

I have been working in the hospital for a long time, and there are acquaintances everywhere.

really,

In less than 4 minutes, Zhou Mo saw the urology doctor Liang Zheng running quickly.

Surgical patients, rare!

Grab it yourself quickly, or be snatched away by others!

Brother Liang Zheng restrained his excitement: "Where is the patient?"

Zhou Mo took him to bed 29.

"Doctor Zhou..." When Chen Jianxin and his mother saw Zhou Mo coming, they quickly sat and stood up.

"Is there any result from my examination just now?" Chen Jianxin looked nervous.

Mother is even more disturbed.

Zhou Mo: "Don't worry... this is Dr. Liang from the Department of Urology, come here for a consultation and help you take a look..."

"Hi Doctor Liang."

Liang Zheng nodded, and then began to understand the patient Chen Jianxin's condition under Zhou Mo's introduction, and at the same time did a physical examination for Chen Jianxin.

Then I looked at the urine metabolites, CT...

at last,

He nodded to Zhou Mo.

"That's right, it should be a pheochromocytoma..."

"What?!!"

"Tumor? Tumor?"

The mother of the patient Chen Jianxin almost had a heart attack from fright.

Zhou Mo hurriedly explained while comforting.

"Yes, now your son's adrenal gland has been checked for a suspected tumor..."

"Suspected pheochromocytoma..."

"But don't worry, it is usually benign, and it will be fine if you remove it..."

It was hard to appease the patient, but the patient and mother were still terrified.

Next,

The male patient needs to be transferred to the Department of Urology for surgery.

Generally, it is "laparoscopic tumor resection"!

...

Next,

Go through transfer procedures.

At this time, all the examination results of Chen Jinhua in bed 28 came out, and it was finally determined that Chen Jinhua had a problem with rheumatic immunity, which caused cardiac amyloidosis.

Next, Zhou Mo wrote the doctor's order for drug adjustment and asked the superior doctor for approval, and the patient could be discharged from the hospital.

There is no cure for this disease. It cannot be cured. It can only be delayed by taking medicine.

...

17:00

Zhou Mo finished his work quickly and was ready to leave work.

"Ding dong~~~~~"

A large group of voices sounded in the department.

"@all members……"

Professor Qi: "Today's test results have been released, and now it's the popular score ranking..."

Zhou Mo was startled, I'm going, so fast? How many strong students did Professor Qi arrest to correct their papers?

Professor Qi: "

"The scores and rankings are as follows:..."

"First place: Zhou Mo, 100 points!"