This Doctor is Great

"Our Department of Gastroenterology ranks ninth in the country and second in South China. It is a department with great advantages and characteristics!"

"When you come to the gastroenterology department, please put away your 'proud' and 'satisfied' attitudes! Because you are competing with students and doctors who are better than you!"

"Our gastroenterology department is different from other departments. There are 190 beds, and 230 extra beds can be added. Each medical student has to be assigned a tube bed, and there may be 5 beds!"

"Also, our gastroenterology department has an atmosphere that is more competitive with other departments. Every time the rounds are rounded, the teacher will randomly check and ask questions. If you can't answer, points will be deducted!"

"Also, in addition to studying more clinically, you should also perform more in papers!"

"If you don't work hard, I will retire early, and go back wherever I came from!"

During the entrance training, Professor Liu, the administrative director of the department, appeared in person and gave Zhou Mo and other medical students a big blow.

with a wooden face,

The aura is amazing!

Incomparable majesty!

Zhou Mo thought that the Department of Cardiology was already competitive enough, but it turned out that the Department of Gastroenterology became more competitive.

It is indeed a department that ranks higher than the Department of Cardiology.

But Zhou Mo was happier on the contrary, because the positive department atmosphere is more pure,

It is beneficial to people like Zhou Mo who are "hardworking and talented".

Professor Liu glanced at everyone, and finally focused on Zhou Mo: "Of course, there is also a great benefit to coming to our Department of Gastroenterology-"Modern Digestion and Interventional Diagnosis", a national core journal of science and technology, is the journal of our Department of Gastroenterology. Your paper is of good quality and I will consider it for publication.”

As soon as this remark came out,

Several gods of learning were beaten up on the spot!

Zhou Mo also became excited.

...

Entrance training is over,

grouping.

A stern-faced hostess walked in, holding a list and shouting: "Zhou Mo, Huang Zhichao, Li Dongmei..."

"Here!" X3

Zhou Mo and another man and woman came out.

The hostess said with a wooden face: "Starting from today, within two months, the three of you will enter my second group, and I will be your teacher——Zhang Luojia."

"Hello, Teacher Zhang!" X3.

Beside him, Huang Yiming wailed for a while.

She didn't get separated from Brother Mo, what a pity!

Teacher Zhang Luojia was expressionless: "The three of you are all experienced in managing beds. I won't say much about the others. Starting today, you will start managing beds. Each of you has 5 beds."

The three of Zhou Mo: "..."

Zhou Mo was shocked.

I go,

Just five beds, why not be so cruel!

Moreover, with new departments, naturally new learning content, the knowledge of cardiology is not available here.

A lot of knowledge of gastroenterology is required.

Moreover, with 5 beds, I am afraid that the doctor's order will be written to death just by writing the course of the discharged case.

On the one hand, I have to cram knowledge, and on the other hand, I have to manage five beds. How can I have time to write a thesis? !

Zhou Mo was under pressure in an instant.

However, Zhou Mo was even more excited.

Disaster?

Sorry, I'm hanging up! !

Li Dongmei, another member of the same group, also became excited.

Zhou Mo took a look and muttered in his heart:

"Presumably, this person must be the student god of SYS' eight-year program."

Teacher Zhang Luojia said coldly at this time: "In the first three days, I will give you time to adapt and take you to study. After three days, I will let you go and you manage the bed yourself..."

...

soon,

Zhou Mo was divided into five beds.

No. 76-80,

There are currently 4 patients in the hospital bed, and one bed is empty.

The four patients were 1 upper gastrointestinal bleeding, 1 acute gastritis, 2 liver cirrhosis...

When introducing the condition of the patient with 'Upper Gastrointestinal Bleeding', Teacher Zhang Luojia glanced at Zhou Mo and the others,

Habitually began to "killing serial questions".

Let me start with an appetizer, a quick question.

Zhang Luojia: "Zhou Mo, please answer, what is upper gastrointestinal bleeding?"

This question is too simple, the foundation of the foundation.

Zhou Mo has already memorized 'internal medicine', and some basic knowledge of gastroenterology, all of which are 'talented'.

Zhou Moqing: "It refers to the bleeding caused by lesions of the digestive tract above the 'Qushi's ligament', including the esophagus, stomach, duodenum, or pancreatobiliary... In addition, bleeding from jejunal lesions after gastrojejunostomy also belongs to this category. A range. (Figure)"

Zhang Luojia: "What is the index to measure whether there is heavy bleeding?"

Zhou Mo: "The blood loss exceeds 1000 milliliters or 20% of the circulating blood volume within a few hours."

Li Dongmei, on the other hand, is full of confidence in these two issues.

So hold your head high, as if to say again: "This kind of simple question, ask me quickly, ask me quickly!"

On the other hand, Huang Zhichao, with a tense face, quietly took half a step back: "Don't ask me, don't ask me."

I'm most afraid of asking life-threatening serial questions.

At this time, Zhang Luojia began to deepen the problem.

One slammed on the brakes and ran to another problematic runway.

"A large amount of blood is lost for fluid replacement. In our Department of Gastroenterology, what patients cannot receive blood from the blood bank? Why?"

Huang Zhichao and Li Dongmei were stunned for a moment.

Frowning, thinking hard.

Zhou Mo did not hesitate: "Patients with liver cirrhosis cannot be transfused with banked blood. As for the reason, because the banked blood has high ammonia content, it is easy to cause hepatic encephalopathy."

Huang Zhichao and Li Dongmei clapped their hands.

Yes, that's right, that's the answer!

Zhang Luojia: "What is hepatic encephalopathy?"

Hepatic encephalopathy is also a disease of gastroenterology.

Zhou Mo answered fluently: "Hepatic encephalopathy (HE), also known as hepatic coma, refers to a syndrome of central nervous system dysfunction caused by severe liver disease and based on metabolic disorders. The main clinical manifestations are disturbance of consciousness, Behaving erratically and comatose."

Zhang Luojia was satisfied now.

There was a series of questions suddenly, and there were jumps, but Zhou Mo answered them easily, obviously he was already prepared for gastroenterology.

She was most afraid of being the kind of medical student who came to the Department of Gastroenterology and didn't understand anything, and had to spend a month reviewing slowly. That would be a waste of the teacher's precious time.

Current score: Question and answer session, Zhou Mo scored 95 points!

satisfy!

As expected of a medical student with a very high evaluation in the Department of Cardiology!

Then, Zhang Luojia looked at Li Dongmei who was eager to try.

She is looking forward to whether the performance of the SYS eight-year student god can overwhelm Zhou Mo.

Zhang Luojia asked Li Dongmei: "Please answer, why are patients with liver cirrhosis complicated by upper gastrointestinal bleeding prone to death and induced hepatic encephalopathy? What does it have to do with liver cirrhosis?"

Li Dongmei thought for a few seconds before answering fluently: "Bleeding from the upper gastrointestinal tract causes a large amount of hemoglobin to enter the intestinal tract, which is decomposed by bacteria in the intestinal tract to produce a large amount of ammonia. After being absorbed into the blood, the blood ammonia concentration increases... and after liver cirrhosis, Liver failure and portal-vena cava shunt cause collateral circulation, causing blood ammonia to be directly transported to the brain without liver detoxification, and induce hepatic encephalopathy."

(Big brother, give me a picture?)

Zhang Luojia nodded, expressing satisfaction. Li Dongmei had completely explained the mechanism of hepatic encephalopathy.

Then,

Zhang Luojia turned his head and looked at Huang Zhichao.

"..."

Huang Zhichao's heart trembled suddenly!

panic!

Don't come here!

.

I have something to do today, only this update tonight, sorry~~