Doctor Started a Plug-in

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When Chen Cang returned to the ward, the Patient did not smoke anymore.

Meng Xi took over the medical record folder handed over by Chen Cang and opened the laboratory test report and image result report.

Then bent over and said to the Patient: “I will give you a check. You lie flat and straighten your hips and knees.”

Holding Meng Xi’s upper ankle in his left hand, he took out a pen from his pocket, and with a blunt tip, quickly flicked from the outside of the plantar to the base of the little finger from the back to the front, and then turned to the side of the big toe.

I saw Patient’s hallux dorsiflexion, and the remaining 4 toes were fanned apart.

Chen Cang was shocked, was Babinsky’s disease positive? !

Meng Xi’s mouth is slightly raised. Although he has not been diagnosed yet, he almost has an idea in his heart.

Patient also seemed to be a little uneasy: “Doctor … what’s wrong with me? How did the hands and feet start to twitch well?”

Meng Xi reassured: “It’s okay, don’t worry, I’ll wait for Doctor Ge to bring the test sheet.”

Meng Xi can actually give a conclusion now, but for the sake of insurance, it is still necessary to wait for the test sheet to come out.

A group of Post-Graduate Gui Peisheng walked into the ward wearing white clothed and holding a notebook with a face of a turtle. They also wanted to see what heart disease can cause convulsions?

After coming in, each and everyone obediently and honestly stood in a row next to the wall, letting out the aisle on the 2nd side of the bed. After all, they knew that the Patient could not help themselves if there was any situation. The bed 2 side and the aisle were C position, prepared for the big brother.

They just quietly watch the big guy show operation!

It didn’t take long for Ge Huai to trot in with a long list of tests, but it was too late to tear them apart.

“Director Meng, you see, this is a laboratory test.”

Meng Xi took the test sheet, shua~ shua~ shua~ flipped it over, relaxed, and it really was.

Meng Xi asked Ge Huai: “What medicine are used in these 2 days?”

Ge Huai froze for a moment: “The digitalis preparations used now are mainly diuretics, which are mainly used to prevent heart failure.”

After hearing it, Meng Xi frowned immediately and turned to ask: “How do you consider the treatment plan after Patient enters the ward.”

The room was accompanied by questions from Meng Xi, and the atmosphere suddenly became serious!

Ge Huai was asked dumbly by Meng Xi: “Patient electrocardiogram showed ST prolongation and low T wave, while echocardiogram can clearly see enlarged ventricular cavity, thickened ventricular septum, decreased pulsation, plus 2 cusp valve closure Incomplete, the pericardial effusion is obvious, so I consider the main treatment of the heart, after all…the test results have not yet come out.”

Meng Xi didn’t wait for Ge Huai to explain, and directly said: “Now the results come out, let’s see, what situation do you consider?”

Ge Huai blushed, and on the way he came to see how he could not understand: “This should be the combined effect of low calcium and magnesium at the bottom of the blood, the excitement of myocardial fibers caused by the contraction of the European Union, and low calcium affects the electrophysiology of myocardial cells. Characteristics, and induced arrhythmias.”

“Patient’s long-term hypocalcemia should be the main cause of abnormal limb sensation or muscle cramps and even hand and foot convulsions.”

The surrounding Post-Graduate suddenly realized.

So that’s how it is !

Meng Xi didn’t make any comment and turned to look at Chen Cang: “How much blood calcium should be normal? What is the specific use?”

Chen Cang was shocked, and you forced me to show off…

My physiology and biochemistry indicator is based on Fang Yonglin Old Mister, which is the only Perfection Level skill in my body!

Chen Cang almost without any pause, blurted out: “Normal adult blood calcium is 2.25~2.75mmolL. Blood calcium has important functions in the human body. First, it is an important component of the human skeleton and teeth. Second, it maintains the function of nerves, muscles, and heart muscles. Normal, and finally involved in blood clotting.”

Meng Xi looked sideways, looking at Chen Cang with a calm face, a little surprised.

The Post-Graduate around him is unimaginable, has this big guy rehearsed in advance!

It must be!

Since the shift today, you have shown off 3 times.

Nothing but 3… Are you going too far in this way?

You look like this group of Post-Graduates are stupid…

You have absolutely memorized the information, or you have rehearsed in advance, today’s cliff is an acting.

The students have some tears in their eyes. Isn’t it how we feel when you show off like this?

How much can normal blood calcium remember? We are still carrying blood routines, do you all begin to charge ion?

Back index is one of the basic qualities necessary for clinical medical students. In the emergency department, it should be familiar with some common laboratory tests.

Meng Xi handed the test form to Chen Cang: “Then look at what information you can get through the test form.”

Chen Cang took the test sheet and read it at random, suddenly frowned!

This may not be a simple heart disease.

Chen Cang raised his head slightly: “Teacher Meng, this may be a parathyroid hypothyroidism!”

When he heard this sentence, Meng Xi couldn’t help it.

And a group of students around looked at each other in blank dismay not knowing what to do, eyes exchanged quickly!

“What is this?”

“Don’t look at me, where can I know what this thing is!”

“I know the parathyroid glands, and I know the heart disease, why don’t I recognize them when they are piled together?”

“Look at what, look at me and I will be able to meet?”

After watching it for half a day, everyone reached a final consensus!

This guy wants to pretend to be a big comparison!

It’s bigger than the first three!

Are a few of our Post-Graduate really going to be hit by a small Undergraduate student’s promotion? ? ?

Thinking of this, the lonely sandbar was cold for a while…

When Ge Huai heard what Chen Cang said, he suddenly recalled the term!

An extremely rare disease!

First hesitated for a while, then quickly received the test order, took a closer look, and pondered for a moment, thinking of all the performances of the Patient, the more the more the more clear, the more the more shocked!

Finally realized!

correct!

How do you didn’t expect yourself?

This kid is so good!

Chen Cang was a little stunned. He found that no one cares about himself. Does Chen Cang think the audience is lacking?

Shouldn’t you have a bit of doubt?

When I show off like this, I have to give me a lover who slapped my face.

After waiting for a few seconds and discovering that no one was speaking, Chen Cang was disappointed.

This time show off, 5 points… failed!

However, Chen Cang still feels that he should finish his sentence: “Patient may have idiopathic hypoparathyroidism. This kind of disease is rare, but it is mostly sporadic and related to immunity. It can be clearly seen through laboratory indicators The ratio of patient lymphocytes is normal, but this ratio is very similar to the idiopathic parathyroid lymphocyte Patient.”

“Patient blood calcium is only 1.9, blood phosphorus rises to 1.59, and serum immunoreactive parathyroid hormone is basically undetectable.”

“The decrease in Patient’s PTH can affect myocardial contractility, and as Teacher Ge said, hypocalcemia and hypomagnesium affect the contraction of myocardial fibers, so I guess it is parathyroid hypothyroidism.”

“And when the calcium is low, the excretion of sodium ions is reduced, and the retention of water and sodium can increase the load on the heart. The new function of the Patient itself is incomplete, so… In this way, Teacher Ge treatment is no problem.”

“But if you are supplementing with some calcium, such as oral Vitamin D3, or Luogai ossification 3 alcohol capsules, the effect may be better, and even heart failure may be relieved!”

After Chen Cang said this in one breath, unable to bear sigh, show off without face slap, would be meaningless…

Chen Cang tone barely fell!

The applause of pa pa pa came from outside the door.

“Good! Good! Good!”

I saw Xia Gaofeng walked in from the outside with a look of excitement, and his eyes were filled with joy and joy. It was really an amazing talent. It was really a Ferghana Horse picked by ten thousand li!

To be honest, Xia Gaofeng has not met such a student with such spirituality ability for a long time.

This is not an exaggeration.

The first is extremely hands-on ability, with good Suture skills, and now the analysis of diseases, especially the analysis of physiological and biochemical indicators, the analysis can be said to be extremely detailed.

These several capabilities, combined with an analysis, can completely see a person’s clinical thinking and surgical innate talent!

Thinking of this, Xia Gaofeng looked at Chen Cang with satisfaction: “Yes! The analysis is very reasonable!”

By Xia Gaofeng this realm, many diseases were obvious at a glance, too much to see, and the rare disease of hypoparathyroidism was not too rare for him.

But for Ge Huai, it may indeed be very rare.

What are you afraid of?

Fear of synthesis!

Once a group of diseases are piled together, it is difficult to prepare to identify the real disease of the Patient.

But Chen Cang was able to analyze the hypoparathyroidism heart disease in the Department of Cardiothoracic Surgery’s laboratory.

It is really commendable!

Hey……

The thought of such students is not their own, it is heartache!