Doctor Started a Plug-in

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Wu Yushu was soon received the Department of Cardiothoracic Surgery 19 beds, the tube bed Doctor is Zhang Wenfu, a senior Chief Physician.

Tao Mi intends to teach everyone a case based on a patient.

Many students of constrictive pericarditis are not very familiar with it. Most patients of Department of Cardiothoracic Surgery are Cardiovascular disease, and most of them are valvular heart disease. This kind of pericarditis caused by chronic chronic healing is still relatively rare.

Therefore, Tao Mi thought about it as a teaching round.

……

Qian Lin followed the Post-Graduate around him and looked at the patient curiously, took out the paper and pen, and started taking notes.

Clinical teaching is to cultivate a clinical thinking ability for the diagnosis and treatment of diseases.

Other Doctors and students were behind, and Zhang Wenfu stood in front to ask about the medical history.

Zhang Wenfu is a little nervous!

After all, there were scripts in the teaching rounds before, and the situation of the Patient was memorized in his mind.

This time it was a real fight.

It’s a panic for anyone.

Even more how is a clinically rare patient with constrictive pericarditis!

Thinking of this, Zhang Wenfu murmured, but 10000000 don’t be ashamed…

Behind this is the Doctor in the department and a group of students… The most important thing is that Director Tao Mi is still staring behind him.

What if… but a tragedy!

Thinking of this, Zhang Wenfu began to collect detailed medical history.

It has to be said that Zhang Wenfu is indeed an experienced old Doctor, who is very comprehensive about the collection of Patient information, and quickly got some meaningful clues.

but!

After asking the medical history, Zhang Wenfu became even more anxious…

Because this symptom is more like COPD! (Chronic obstructive pulmonary disease).

Zhang Wenfu was a little flustered. The simple physical examination to detect constrictive pericarditis is still quite difficult. It is a test for a clinical Doctor to grasp the signs of this disease.

Could it be… an emergency doctor’s misdiagnosis?

Thinking of this, Zhang Wenfu eyes shined, after all, there are not many such cases in the clinic, after all, the emergency department is a transfer department, and it is not uncommon for the diagnosis to be unclear.

However, this call to the director personally, the diagnosis should be constrictive pericarditis!

Forget it, just push it according to constrictive pericarditis.

All the signs of constrictive pericarditis constantly appeared in his mind, concentrating, step by step proceeded next to each other.

He will not push backwards, or will he retreat?

Thinking of this, Zhang Wenfu picked up the stethoscope and listened. This sound, um, the heart sounds were a bit abnormal,

Afterwards, there was a heart percussion, which seemed wrong.

Then there is the physical examination…

Until the end, Zhang Wenfu suddenly opened up, which should be a constrictive pericarditis!

At this moment, Zhang Wenfu had to admire the Doctor in the emergency department.

He had some difficulty pushing down on this constrictive pericarditis, but how difficult was it to diagnose?

Thinking of this, Zhang Wenfu unable to bear is curious, which amazing person is it?

Is it Director Li Baoshan?

Zhang Wenfu curiously asked: “Do you know what was wrong before?”

Wu Yushu shook his head: “I don’t know, just as Doctor Chen said, I may have this old problem before, but I haven’t paid attention until Doctor Chen diagnosed me as constrictive pericarditis. I didn’t react.”

Tao Mi is a little curious, how was Little Chen diagnosed?

Thinking of this, Tao Mi asked: “How did the emergency doctor diagnose you?”

Wu Yushu thought about it: “In the morning, there are many patients, then Doctor Chen listened to the heart, then checked the blood pressure, and touched the belly and said I might be constrictive pericarditis… 5 60% clock.”

Everyone around was blinded.

Tao Mi swallowed. What on earth could Meng Xi do to make a person progress so fast?

Tao Mi: “Did you make an ECG?”

Wu Yushu nodded: “Well, no, Doctor Chen said let me come here for a comprehensive examination after hospitalization.”

Tao Mi un’ed: “Little Zhang, please give a doctor’s order, and improve the relevant examination as soon as possible. Continue to discuss this case tomorrow morning.”

Zhang Wenfu nodded, gave the relevant examinations for the Patient, chest radiograph, heart Color Doppler Imaging, abdominal ultrasound, electrocardiogram… and various physiological and biochemical examinations.

……

……

On the 2nd day of the shift, Tao Mi looked at Wu Yushu’s checklists. All the signs showed that Patient was a constrictive pericarditis.

Tao Mi felt some emotions and looked at the crowd and said, “19 beds of Wu Yushu have been diagnosed, which is constrictive pericarditis, but… this is the alarm bell for us.”

“People in the emergency department can clearly diagnose the patient without passing the auxiliary examination, and everyone asks yourself, Wu Yushu, can you be sure by physical examination and consultation alone?”

In a word, silence to everyone.

Zhang Wenfu was also unable to bear blushing for a while. To be honest, if it was not known in advance that it was constrictive pericarditis, could he diagnose it himself?

Not only Zhang Wenfu, but everyone around him is also unable to bear to reflect.

Maybe so…?

Tao Mi looked serious and said seriously: “As a clinical doctor, if you go to the grassroots and go to the countryside, let alone CT and NMRI, even if there is no B-ultrasound or even an electrocardiograph, a person comes Patient, you only have a sphygmomanometer stethoscope, can you make a judgment? Can you give the Patient a relatively accurate answer?”

Speaking of which, Tao Mi even felt a little disappointed.

Many doctors nowadays, and have lost the ability to think independently, rely on instruments and examinations to see a doctor. Who can’t see a doctor like this?

“I’m not saying that everyone is not good enough. I think that every Doctor, since you’ve got a clinic, you must improve yourself. Instrument inspection is a good thing, which can help us better diagnose, but you must not forget some clinics. Basic operations.”

“Otherwise, every patient will laugh at us, leave the equipment, will you see a doctor?”

When talking about the last sentence, Tao Mi’s voice improved a bit!

Everyone’s mind echoed this sentence, and I couldn’t let it go for a long time.

“Are you going to see a doctor without the instrument?”

Each and everyone Doctor unable to bear clenched his fists, this sentence is really like a needle, piercing their hearts.

Absolute silence throughout the office.

Tao Mi looked around, and suddenly loudly said: “Start next week, a small round every week, starting from the auscultation of the heart, I need you to remember, the auscultation sound of each disease!

A stethoscope can tell us a lot of clues. This is all experience. Now look at yourself. How many days do you wear a stethoscope? Some people don’t have a stethoscope on their rounds. Do you still look like an extracardiologist? “

After he finished talking, Tao Mi faced black, and said, “Okay, let’s break up!”

Regardless of everyone, get up and leave.