This Doctor is Great

Chapter 77

"I'm coming!"

In the conference room, a group of doctors who scored the scores became excited.

"I'll go, Director Niu is really ruthless, does this mean you don't even give an electrocardiogram?"

"Sudden cardiac arrest is forcing Zhou Mo to find a solution quickly..."

Director Niu laughed: "I set it for 4 minutes. If it exceeds 4 minutes, the patient will die and the assessment will fail."

"Director Niu, 666~~~"

"Wolf extinct!!"

"Okay, let's look forward to how Zhou Mo can break this predicament!"

...

Although Zhou Mo complained, although he felt nervous,

But still reacted quickly, gave the patient cardiopulmonary resuscitation, and then shouted for help.

"The patient is in cardiac arrest, come quickly!"

"4 epinephrine, syringe..."

Looks great.

Then he pressed the heart and asked the patient's wife.

"Your husband, do you usually have a history of heart disease?"

"No……"

"High blood pressure, diabetes?"

"nor……"

"Is there any other medical history?"

"Yes, hyperthyroidism, I usually take hyperthyroidism medicine..."

"Hyperthyroidism? There is hyperthyroidism!"

Zhou Mo was overjoyed.

"Do you usually take medicine? Is it regular?"

"It used to be regular, but this time it's not regular..."

"It's not running, it's this!"

Zhou Mo was overjoyed.

The answer has been found!

Hyperthyroidism, which is hyperthyroidism (which in turn is hypothyroidism, hypothyroidism).

It will release too much thyroid hormone, causing the body's hypermetabolism and sympathetic excitement.

It increases the heart rate and can damage the heart muscle.

called hyperthyroid cardiomyopathy.

After meeting a patient with high blood pressure and chronic nephritis yesterday, Zhou Mo began to pay attention to those cases related to heart disease.

Among them is hyperthyroid cardiomyopathy.

but,

There is a problem, hyperthyroid cardiomyopathy, although severe hyperthyroid crisis can lead to cardiac arrest, but generally does not cause muscle weakness.

Therefore, hyperthyroid cardiomyopathy and hyperthyroid crisis are not considered for the time being.

Therefore, Zhou Mo considered another illness.

Hyperthyroidism - cause hunger - lead to hypokalemia - hypokalemia - hyperthyroidism periodic paralysis.

Hyperthyroid periodic paralysis, what is it?

In layman's terms (non-standard), it means that the thyroid hormone is too high, which causes the body to consume too much, which causes the body to lose important electrolytes, such as potassium ions. Potassium ions are the key to maintaining muscle activity. When hypokalemia occurs, muscles will become weak and even paralyzed. A large loss of potassium ions will naturally cause muscle weakness.

It corresponds to the patient's muscle weakness symptoms.

So why the cardiac arrest?

Because potassium ions are also key to the electrical activity of the heart, hypokalemia can cause serious arrhythmias and even cardiac arrest.

This corresponds exactly to the patient's cardiac arrest.

Answer!

Ready to come out! !

Hyperthyroidism + hypokalemia!

"Nurse, draw arterial blood, check blood gas analysis!!"

Zhou Mo shouted into the air.

Soon, as if the game had triggered the scene, the wife quickly pulled out a report.

Exactly—the blood gas analysis report!

Zhou Mo refrained from complaining, and finally looked at the results of the blood gas analysis:

Potassium ion: 2.1 (normal value 3.5-5.5).

Correspondence on the!

Zhou Mo yelled into the air: "Nurse, please bring potassium chloride (a kind of potassium supplement) here... just give him an IV injection..."

Potassium chloride is a commonly used potassium supplement. It is generally used for drinking. It tastes a bit strange. It is best to drink it with water and take it orally.

If the patient cannot take it orally, then intravenous infusion...

If the intravenous infusion is not fast enough, a bolus injection...

If the bolus injection is not fast enough, puncture the internal jugular vein directly and inject it from the superior vena cava to the heart in one step...

"Forget it, it's too late, just give him an injection in the internal jugular vein!"

"8 mg, diluted 10 times, injected with a micropump..."

At this moment,

The sp patient sat up abruptly.

"Ah~~~I'm saved...Thank you, doctor!"

"You are welcome!"

Zhou Mo 'wiped his sweat', and then exhorted: "In the future, you must take hyperthyroidism medicine regularly, you know? Otherwise, you will die next time."

The patient nodded again and again: "Don't dare, don't dare!"

The patient leaves.

Zhou Mo returned to the table and entered the medical records.

So far,

The assessment is over.

Zhou Mo looked back at Professor Qi.

...

meeting room.

"I'll go! I really found the cause!"

"awesome!"

"How much time did it take?"

"32 seconds..."

"Awesome!"

"This week Mo, evildoer!"

"If you let me come, I don't think he is as fast as him!"

"As expected of the King of Three Weeks!"

"Director Niu, why did you stay for 4 minutes? Are you looking down on our three-week king?"

Director Niu also smiled wryly.

He restrained himself for 4 minutes because he thought Zhou Mo was qualified if he could solve the patient in 4 minutes.

In the end, Zhou Mo actually gave him a surprise!

Only 32 seconds!

It's so far away! !

But this also surprised him even more, showing that Zhou Mo is indeed a very good student!

...

Zhou Mo saluted Professor Qi, then left the mock consultation room and returned to the conference room for medical students.

"How about it?"

Huang Yiming asked curiously.

Zhou Mo smiled wryly and shook his head: "Stop talking, my patients are more wonderful than yours..."

Then tell them in detail.

All the medical students were dumbfounded.

Not only was there an unrelated muscle weakness, no electrocardiogram was given, but a cardiac arrest came directly, and a 4-minute appointment was made...

In comparison, the cases I encountered were as simple as elementary school questions!

Wang Lilong, who was always proud, couldn't help feeling discouraged at this moment.

Treatment, the difference is too much!

He understood that the difficulty of Zhou Mo's questions was deliberately set by those doctors, that is to say, in the eyes of those doctors, Zhou Mo's level was several grades higher than theirs.

Moreover, Wang Lilong replayed the game. If he allowed himself to face Zhou Mo, an sp patient, he might fail!

After all, the 4-minute consultation time, plus cardiopulmonary resuscitation and directing nurses, is actually very short!

"Could it be that rote memorization is really useful?"

"How about? Let me try?"

Wang Lilong looked at Zhou Mo and thought to himself.

...

...

the exam is over,

It is already 16:34 at this time...

It's almost time to get off work.

Eight medical students hurried back to the Cardiology Department and began to work on the bed patients.

"How was it? How was the exam?"

"Is it difficult?"

Zhang Wu and Ye Rong, the trainee doctors who didn't go, looked at Zhou Mo involuntarily.

Others are ignored.

Zhou Mo nodded: "It's okay, it feels quite difficult."

Zhang Wu and Ye Rong became even more curious.

However, everyone is busy with work now, and there is no time to chat at all.

...

19:00...

Zhou Mo finished his work with two patients (Syndrome X, hypertension combined with chronic nephritis) and was ready to leave work.

"Ding dong..."

At this time, everyone's mobile phone rang a voice prompt.

"@全医学生... Today's standardized patient assessment is over... The final results will be announced below..."

.