I really don't want to be a doctor

Chapter 173 Emergency Room

Central Hospital Emergency Department, Outpatient Clinic.

Jing Xiaoran was on the first shift in the emergency department, from [-]:[-] am to [-]:[-] pm, he had to stay in the emergency room the whole time.

His job is mainly to prescribe medical orders for teachers who make outpatient visits, and then conduct routine physical examinations on patients.

Jing Xiaoran came to the emergency room of internal medicine very early, and he needed to be familiar with the computer outpatient system in advance.

The current outpatient system is different from the previous life. The operation of the client system is very cumbersome and has very few functions.

"Are you the student on duty with me today?"

Not long after Jing Xiaoran arrived, the visiting teacher arrived.

The teacher who visited today is a female doctor, about 35 years old, tall and thin, wearing glasses, with a always cold expression, and seems to have no good looks towards anyone.

Her name is Deng Ying, Jing Xiaoran knows her, and she is very familiar with her.

Because in her previous life, Deng Ying was the director of the emergency department of the Central Hospital.In other words, in the next few years, Deng Ying will be promoted from the current deputy chief physician to the head of the department.

A female doctor can become the director of the emergency department. Deng Ying relies not only on the network resources behind her, but more importantly, on her outstanding clinical skills and scientific research achievements.

In this regard, Jing Xiaoran admires Deng Ying very much, it is rare to find people who can do both clinical and scientific work well.

"Hi teacher, my name is Jing Xiaoran."

Jing Xiaoran stood up and said.

The decoration in the emergency room is very simple, with a computer on a table and two wooden chairs in front of the computer, that's all.

There is also a single bed on the right side of the door of the emergency room, which is used for physical examination and is separated by a blue screen.

"Well, can you use a computer system to prescribe medical orders?" Deng Ying asked.

Jing Xiaoran said: "Teacher, I have tried several times, it's quite simple, it should be possible."

"That's fine, you can write a doctor's order for me later, and you can prescribe it on the computer for whatever I say."

Deng Ying nodded slightly, then sat in front of the computer and began to wait for the emergency patient to arrive.

Jing Xiaoran sat next to Deng Ying, continuing to familiarize himself with the computer's operating system.

Before waiting for 2 minutes, the first patient arrived.

This is a little girl walking into the emergency room on the arm of her mother.

The girl was around twelve or thirteen years old, with a pale complexion and half-opened eyes, leaning against her mother, looking very weak.

"What's the matter with this child?"

As soon as they walked in, Deng Ying frowned.

"My daughter has been having a fever and coughing since six o'clock in the morning." The girl's mother said, "It was supposed to rest at home today, but she suddenly said that she was weak and wanted to vomit all the time!"

Deng Ying nodded and pointed to the bed in the emergency room, "The family members move the patient to the bed, and those who know the patient's condition can come to me and briefly talk about the patient's condition."

After the girl's mother moved the child to the bed and lay down, she sat in front of Deng Ying.

At this moment, Deng Ying turned her head to Jing Xiaoran and said, "Take the stethoscope, and you go and perform a physical examination on the patient."

"it is good!"

Jing Xiaoran immediately agreed, then picked up the stethoscope and came to the hospital bed to start the physical examination.

Deng Ying also began to inquire about the patient's condition.

"When did your daughter get sick, did she cough up sputum, and what color is the sputum?"

"Have you ever had a similar situation before? Are there any other symptoms, such as chest pain or tightness?"

The girl's mother responded quickly one by one.

……

Jing Xiaoran's first impression of this girl was that she was too thin, in a state of malnutrition, it would not be an exaggeration to describe it as skinny.

The little girl was lying on the bed with her legs curled up, maintaining the standard posture for physical examination.

First is inspection.

The abdomen of normal people is flat and symmetrical; diffuse full abdominal distension is seen in ascites, flatulence, or huge ovarian cysts; local distension is seen in masses or enlarged organs; abdominal depressions such as boat-shaped ones are seen in cachexia and severe dehydration; limitations Depression is seen in surgical scar shrinkage.

Although this girl is thin, her abdomen is slightly raised.

"Does it hurt here? Little sister, tell me when you feel pain."

Jing Xiaoran began to palpate the abdomen to see if the patient had abdominal tenderness, which was mainly to identify some acute abdomen.

"No, it doesn't hurt..."

"Then I'll take my hand away later. When I take my hand away, you can feel the pain carefully."

This is mainly to identify whether there is rebound tenderness, usually patients with perforation and peritonitis will have rebound tenderness.

Normal people have no tenderness and rebound tenderness. When the abdominal viscera inflammation does not involve the parietal peritoneum, there is only tenderness. If the parietal peritoneum is involved, rebound tenderness can be caused. The triad of peritonitis includes increased abdominal muscle tension, tenderness and rebound pain.

"It doesn't hurt..." The little girl shook her head lightly.

"Mr. Deng, the patient has no abdominal tenderness or rebound pain."

Jing Xiaoran turned to Deng Ying and said.

"Okay. You remember to listen to her heart and lungs, pay attention to whether there are dry and wet rales and heart murmurs, and then use a cotton swab to look at the throat."

Deng Ying reminded from the side.

"Got it." Jing Xiaoran said.

However, to auscultate the lungs, it is necessary to listen to the front chest and back, and compare the dry and wet rales from the front, back, left, and right.

Jing Xiaoran then helped the girl up and let her sit beside the bed.

Gently lifted the corner of the little girl's clothes, and was about to auscultate the little girl's heart and lungs, but unexpectedly, the girl reached out and grabbed Jing Xiaoran's hand holding the stethoscope.

Jing Xiaoran was taken aback, looked up at the little girl, and found that her eyes were tightly closed, her face was still pale, her lips were trembling constantly, and her breathing rate was very fast.

"What's wrong?" Jing Xiaoran asked quickly, could it be that the little girl was shy?

The little girl didn't speak, she still looked weak and weak.

"Little sister, let me listen to your heart and lungs, and it will be fine in a while."

Jing Xiaoran whispered to the little girl.

The little girl swallowed her saliva, her voice was very weak: "Brother doctor, I just have no strength to sit, so I can only hold your hand."

"Okay, then you take my hand."

Jing Xiaoran nodded, and then let the little girl hold his other hand, while he auscultated the little girl's lungs and heart like this.

In less than a few minutes, the results are quickly available.

"Teacher, a small amount of wet rales can be heard in the patient's lungs, but no murmurs are heard in the heart."

Jing Xiaoran shouted.

"Okay, I see. Take another look at his throat to see if there is inflammation of the tonsils."

"Ok!"

Jing Xiaoran found a disposable cotton swab and slowly inserted it into the little girl's throat.

"vomit……"

The little girl was already weak, but she immediately had a big reaction when she was stimulated, and her hands tightened on Jing Xiaoran.

"Teacher, there is no inflammation!"

"Ah."

Deng Ying finished asking about the medical history and completed the examination.

"My family member, your daughter needs to get blood now, then have an electrocardiogram and a chest X-ray."

"Okay, thank you doctor!"

The girl's mother helped the child and left the ward quickly.

(End of this chapter)