It's not that hard to open a hospital in another world, right?

Chapter 791 You Are Poisoned, You Can’t Advance Today (Bugfield Leader Plus 1)

"Name?"

"Morey. . . . Morey Kelly."

"gender?"

"Men... Hey! Isn't this obvious!"

"I'm sorry, I'm sorry." Gretel showed a smile like a wolf grandmother, and for a moment, Mr. Knight's anger was suppressed: "I meant to record it for Taring. Alright, age?"

"25 is old."

"Profession?"

"knight."

"grade?"

"Level five."

"How many years to become a knight?"

"A year. . . a year and a half."

After a long series of conversations...or a long list of information entered, Mr. Knight was invited to the floating disc, turned around, and got off.Next is Warrior 1, Warrior 2, Warrior 3, Warrior 4...

After completing five CTs in a row, even the central tower spirit of the mage tower made a buzzing sound—Grete didn't know where it learned the bad habit.Is this cooling off, or is it telling the boss "I'm working"?
Conscience of heaven and earth, he was not the one who taught Ta Ling the hard disk cooling sound effect!
But fortunately, the result of CT is not needed immediately, and it can even be said that it is not necessary for this examination. Gretel can wait slowly.

He summoned the invisible servant to carry the treatment bed, waved to Knight Kelly, and smiled like grandma wolf again:

"Come on, lie down, unbutton your shirt, and lift up your left trousers~~~"

Young soldiers, without a series of diseases such as high blood pressure and high blood fat, are less likely to have cardiovascular organic diseases.

Relatively speaking, electrocardiogram and cardiac color Doppler ultrasound are much more likely to find problems.

Gretel checked them one by one.It should be said that the vast majority of people are normal, at most it can be regarded as myocardial hypertrophy-this makes sense, strenuous exercise requires a strong heart-

What is the differential diagnosis between "athlete's heart" and "hypertrophic cardiomyopathy"?

As soon as the electrocardiogram was displayed, Gretel narrowed his eyes slightly.Well, there is a little change in the T wave, and the sinus rhythm is also slow, indicating that there is an organic change in the heart.

But when he took a look at the CT before, the external shadow of the heart was still normal.So, how the heart is like, we need to see an echocardiogram...

"Master Nordmark, how is my heart?"

He didn't speak for a long time, but Kelly Knight was flabbergasted instead, and couldn't help but tilted from the pillow to ask.Gretel casually poured some glycerin on his chest, and ordered softly:

"Quiet."

Pressing it with one finger, Knight Kelly immediately shut up and lay down on the bed obediently.Gretel closed his eyes slightly, staring at the echocardiogram in the meditation field of vision, doing quick mental calculations, and kept counting:
“心率60次每分钟……左室舒张期内径……55.3……左室收缩期内径……36……左室后壁舒张期末厚度……11……左室后壁收缩期末厚度……16……室间隔舒张期末厚度……10……”

Knight Kelly lay on the bed in a daze, unable to understand, and dared not move.After Gretel finished reporting the data, he grabbed a handkerchief beside him and threw it at him:
"Wipe yourself."

There was a burst of laughter from behind.High and low, crushed and depressing, it is obvious that those soldiers are covering their mouths, and they dare not laugh, but it is really funny:

"It's really like being caught by the Eldest Master... ah..."

"It's just... exactly the same as we were at Rita Hotel..."

"Scum..."

Knight Kelly's face changed, and he really wanted to jump up and roar, but he didn't dare because Gretel didn't give an order.Gretel remained expressionless and turned a deaf ear:
After finishing the B-ultrasound, throwing a piece of paper to let the examinee wipe it off, this kind of scumbag behavior, the doctors have long been ridiculed to the point of immunity.For a surgeon, is this speed considered a car?

"Lie down. I'll check again."

He ordered softly.With a slight hook of the finger, the little snake on the oak stick flew out.Gretel pressed the golden treasure box again, and observed carefully through the eyes of the little snake:

Well, myocardial hypertrophy is evenly distributed. Except for the interventricular septum, the anterior wall, the posterior wall, the inferior wall and the side wall are all hypertrophic, and the degree is relatively similar.Interventricular septal septum, left ventricular posterior wall thickness less than 12 mm, normal wall motion...

It fits the characteristics of an athlete's heart in his memory, and is clearly different from hypertrophic heart disease.OK, the Kelly Knight is fine.Then cover it with mental power and feel the abnormal energy...

No unusual energy reported.

well.

Well, record the structure of the heart, record the ejection fraction, evaluate the heart condition of other people, and the level that needs to be reached after becoming a knight, you can refer to this!
Gretel checked them one by one.Electrocardiogram, echocardiography, blood oxygen saturation, blood potassium, blood sodium, blood calcium.Most of the fighters passed the level happily, but when the 18th fighter was found, Gretel slowly frowned.

"Your situation is wrong."

"What, what's wrong?"

"You have a heart problem." Gretel frowned, staring at the electrocardiogram and cardiac color Doppler ultrasound displayed by Taling, comparing them repeatedly:
The fishhook-shaped ST-T changes and the shortened QT interval in the electrocardiogram suggest that digitalis poisoning may be present.The apex and left ventricular posterior wall are abnormally hypertrophic, with a thickness greater than 16 mm...

"By the way, stretch out your arms."

"What?"

"Blood sampling!"

Throwing down a blood test magic, Gretel frowned even tighter.The blood potassium is relatively low. Although it has not reached the level of hypokalemia, the value is not optimistic.For a man in his early thirties, blood potassium is lower than average, close to the lower limit of normal, which is not right.

He scanned the kidneys, and the color Doppler ultrasound showed that the kidneys were normal, and the adrenal glands had no pathological changes.So……

"Have you eaten anything weird lately?"

"Ah, no, no." The soldier on the treatment bed replied a little stiffly.Beside Gretel, Bishop Umpton took a step forward, frowning deeply:

"Really do not have?"

"Really do not have!"

A brilliance flashed in the bishop's hand.The ground is dark, with blood red, which is obviously the auxiliary magic of the Temple of the God of War.Gretel glanced at him lightly, and asked directly:

"Didn't you use that inferior potion, or the reduced version of your breakthrough potion, to assist in cultivation?"

The warrior flinched.He glanced at the bishop quickly, and shut his mouth tightly—or, did he not dare to lie under the witness of divine magic?Gretel didn't press any further, and nodded to Bishop Umpton:

"He is poisoned. Chronic poisoning, he needs to stop taking the medicine for a period of time to recuperate. He absolutely can't take the potion today, and he can't try to advance."

Well, the main material of the pass-through potion is the potion called "Fox Gloves".Gretel had learned from his teacher, and it looked exactly the same as the foxglove he had seen in his previous life——

The clusters of bell-shaped flowers, the spots inside the flowers, he would never be mistaken!And any emergency doctor, once he has seen foxglove, it is impossible to forget it!

Cardiac glycosides derived from foxglove, such as digoxin and cedilan, have long been loved and hated by emergency physicians.Love it, it is a powerful cardiotonic agent, when heart failure, immediate results;

Hate it, it has a very narrow therapeutic window, and the amount of action varies based on each individual's condition and tolerance.A little lower, a little higher, I'll show you poison...

Well, chronic poisoning hypokalemia, acute poisoning hyperkalemia.Symptoms, manifestations, treatment ideas, and medication are completely different...

Bishop Umpton frowned slowly, changed a spell, and scanned it again.Then, nodding to Gretel:
"You're right. He does have signs of slight poisoning. I haven't found out yet without using spell checks. ——Who told you to take this medicine without authorization? Didn't the fleet say it repeatedly, except for clearing customs, other times are not allowed at any time Do you want to eat?"

At this point, the Temple of the God of War has sufficient experience.The reduced-volume, low-quality version of the level-breaking potion has been sold on the black market, and fighters who have difficulty in advancing often buy it to eat——

Basically, nine out of ten fighters who have touched the threshold of advancement with the reduced version of the potion will die when they officially advance.If they survived by luck, they are probably useless, and they can't even be raised.

However, this kind of knowledge is only known by the temple and the regular army.Most of the wild warriors don't know about it, but fortunately, the potion is also expensive, so they can't afford it easily, so many people won't die...

The soldier's face was ashen.He tremblingly climbed off the treatment bed, plopped, and knelt directly on the ground:

"Let me try it once! Really, let me try it once! I have been waiting for this opportunity for a long time! The last step-up failed, and it took me a year to raise it. All my savings were used to buy medicine food--"

More than half of the knights and warriors present couldn't bear to turn their heads away.Bishop Umpton showed pity and looked away.Only Gretel, with a calm expression, shook his head resolutely:
"No. You have been slightly poisoned. Because of your young age, you can recover after stopping the medicine for a period of time. But now, in order to break through the barrier, take a large dose of medicine, and exercise vigorously immediately after taking the medicine—"

His voice suddenly increased, and everyone present, including the soldiers kneeling on the ground, jumped in fright:
"Death on the spot!"

"Ahem, ahem." Bishop Umpton cleared his throat uncomfortably.What does it mean to die on the spot? You are here, and I am here too. With the strength of the two of us, still can't bring back one person?
Gretel turned to give him the back of the head.He usually abides by the rules honestly, and when he tries his best to pass the level, he understands and is willing to help;

He would never save someone who secretly took banned drugs and made himself to this point!
Hypokalemia and then hyperkalemia, digitalis chronic poisoning superimposed acute poisoning, it is too difficult to save.The myoelectricity of the heart is definitely in a mess. When the time comes to supplement potassium and remove potassium, some need diuretics, and some need to stop diuretic drugs...

Thinking of the rescue process in his previous life, he was only one head and two big, absolutely don't make this trouble for yourself!

Moreover, this guy has already developed hypertrophic cardiomyopathy, which is different from "athlete heart", he is really a disease.Even if the foxglove is metabolized, it is estimated that the success rate of breaking through again will not be high...

The warrior was grabbed by the collar of the leading knight and dragged out.Gretel finished checking one by one, analyzed the CT data, and used a small snake to go deep into the body to see the cardiovascular system, and clapped his hands:

"Okay, everyone else is fine. Adjust one day today, and start advancing one by one tomorrow!"

****
3000 words!
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　Thank you @宇智波研哲 for the reward of 100 starting coins

　　Today's echocardiographic data comes from "Echocardiographic Measurement and Preliminary Analysis of 68 Athletes"

　　There are too many types of athletes, strength group, swimming group, long-distance running group, basketball group, shooting group, badminton group, gymnastics group...

　　I really can't decide which group the Cavaliers should target, so I chose the swimming group blindly...

　　
　
(End of this chapter)