Doctor’s Life Simulator

Qin Lang is not an ordinary rookie. In the treatment center of the burn department, under Wei Guoqiang, which doctor does not respect him, respect him, plus dozens of simulations, Qin Lang has long cultivated the temperament of a superior doctor field.

Regarding Dr. Liu's self-righteousness, Qin Lang shook his head and insisted: "Dr. Li, I don't think the patient is a simple appendix perforation combined with peritonitis, so I still need to invite a physician from the gynecology group to come over for consultation and do a peritoneal puncture examination at the same time."

"Because appendix perforation peritonitis is the most common disease, we need to be cautious and careful, especially for female patients. I think in addition to the general medical history, we should seriously do auxiliary examinations according to their physiological characteristics. I will go to ask them now. The gynecological group doctor came for consultation.

After Qin Lang finished speaking, he left the consultation room and looked at the back of Qin Lang leaving.

Physician Liu frowned, a little helpless. Today's junior doctors are so assertive, so rigid?

When I was a rookie, a senior doctor said a word, and I didn't even dare to put a fart.

"I don't believe it, you can really check out something by going to a gynecological consultation and having a peritoneal puncture.

Dr. Liu sighed. After all, he was a resident in the burn department, and he couldn't control it himself. Young people know modesty when they hit a wall.

After a while, Peng Yun returned to the consulting room after rounding the ward. Doctor Liu thought about it, but he was still worried:

"Doctor Peng, you are watching here. I will go to the observation room to see. There is a patient with perforated appendix combined with peritonitis. I will check again."

Dr. Liu was going to check again in person, lest Qin Lang's nonsense would delay the patient's opportunity for surgery.

Soon, Dr. Liu came to the observation room. The little girl was still in pain. She was lying on the hospital bed and looked pitiful.

When Dr. Liu saw this scene, he was also a little puzzled, why Qin Lang would ask such excessive words, a seventeen or eighteen-year-old girl, who has perforated her appendix, can still ask her about her niche life history, whether Abnormal leucorrhea, this is what people do? Qin Lang, I'm afraid there is no special hobby, Dr. Liu shook his head and walked over.

When Dr. Liu was about to perform an examination on the patient himself, a figure who made him a little frightened walked in outside the observation room.

Doctor Liu turned around and called out respectfully, "Director Zhuang, why are you here?"

The person who came was the chief director of the emergency department, Zhuang Tong, and Director Zhuang was in the emergency department, and he was also a fierce person who covered the sky with one hand.

Therefore, when I saw Director Zhuang, Dr. Liu, a small resident doctor, his legs trembled a little.

Director Zhuang was unhappy when he saw Liu Peichun's quail-like appearance, but he didn't express it: "What's the condition of this patient?"

Liu Peichun said with some lack of confidence: "It is suspected that it is a perforated appendix complicated by peritonitis."

Zhuang Tong was a little dissatisfied with Liu Peichun's hesitant attitude: "I'll watch from the side, and you will have a good examination." Dr. Liu responded, then turned around to examine the patient again, and at the same time asked the patient's condition again. .

When Dr. Liu asked, Zhuang Tong listened carefully.

The patient saw so many doctors, after all, she was only a seventeen-year-old girl, and she was a little scared and weakly replied: "Yesterday I had a fever at first, and then I started to have abdominal pain. The first abdominal pain was here, here. "

The little girl pointed to her lower abdomen, the suprapubic area.

Dr. Liu began to palpate and pressed the patient's lower abdomen, and the patient screamed.

Looking at the patient's reaction, which confirmed his own thoughts again, Dr. Liu looked back at Director Zhuang:

"The patient has obvious signs of peritonitis, and the lower abdomen is tender. I think it is peritonitis complicated by appendix perforation." After all, Director Zhuang is not comparable to Dr. Liu. Although it is very similar to appendix perforation, he can still distinguish a slight difference. It was the exit and asked, "Are you sure it was the fever first and then the pain in the abdomen?"

Seeing Director Zhuang's aura so strong, the patient was also a little timid, so he nodded honestly: "Yes." Then when you started to have pain, did you experience pain in the lower abdomen, upper abdomen, or around the navel?'

The little girl recalled and shook her head: "Before, I vomited a few times, and my abdomen was distended, but there was no pain in the upper abdomen." Director Zhuang has a general idea. Indeed, this symptom is too similar to appendix perforation combined with peritonitis, indeed Error-prone. Even when he was young, he made this mistake, so when he encounters this kind of patient again, he will pay more attention, especially this kind of female patient, he said to Dr. Liu:

"Peichun, although the patient does have abdominal pain and fever, the clinical manifestations are very similar to those of perforated appendix peritonitis, but your subtle distinction is still somewhat different. Think again?"

Hearing Director Zhuang's words, Dr. Liu's face changed greatly. It really wasn't appendicitis. What was that?

Dr. Liu's mind was completely blank. Suddenly, with a flash of inspiration, he thought of some of Qin Lang's previous operations, and then bit his head and said tentatively:

"Because the patient is a woman, in addition to the general medical history, should an auxiliary examination be done seriously for physiological characteristics? And some questions, such as the contact history of the niche, the secretion examination, or even a preoperative abdominal puncture?"

Hearing Physician Liu's thoughts, Director Zhuang was a little surprised. He had underestimated him before, but being able to think of this shows that his thoughts are still very broad and he has deep accumulation.

The most rare thing is that it seems that it can be cultivated to break the habitual thinking of emergency physicians.

Zhuang Tong's expression softened a little, and he praised him in a rare way: "You can teach me, like this, you can ask the doctor on duty from the gynecology group to come over for consultation."

Zhuang Tong stepped forward in person and looked at the little girl with a serious face and a tough tone:

"The following questions I ask must be answered truthfully, otherwise there will be major mistakes in judging your condition. After thinking about it, answer me. Have you had a history of contact with unclean students recently, or have a boyfriend, has a boyfriend? Travel history."

Qin Lang had already asked this question before, but now, such an old doctor, after asking this question again, the little girl finally understood that it seemed to her that this abdominal pain was inseparable from the few people who were friends with Bao before.

The little girl nodded honestly: "Yes. The day before yesterday, last Wednesday, last Monday night, last Monday at noon...

Dr. Liu on the side had a tingling scalp. The question asked by Director Zhuang was exactly the same as that asked by Qin Lang.

Director Zhuang had expected this. He had seen many little girls like this. Although they were young, they were not clean at all, and there were even some with special occupations.

Director Zhuang continued to ask: "Then have you had abnormal leucorrhea or odorous secretions from the ear canal these days?"

When Dr. Liu heard this question again~www.readwn.com~, he gasped again. It turned out that he had really blamed Dr. Qin before. Just how did he know?

For Director Zhuang's cross-examination, the little girl finally broke down and cried and said:

"Well, there have been a lot of leucorrhea these days, and the secretions are still pus and smelly. Also, when urinating, some urethra burns. I thought it had nothing to do with abdominal pain, humming..."

Listening to the little girl's explanation, Director Zhuang has basically determined the results, and now it is necessary to ask for a gynecological consultation for an examination. Turning his head, he looked at Dr. Liu who was still standing there, and reminded him, "Go to the gynecology group soon and find a doctor on duty for consultation."

Doctor Liu smiled wryly and said a little ashamedly:

"Actually, Dr. Qin has asked all the questions you just asked, and he has already asked for a gynecological consultation. He also suggested a paracentesis.

When Liu Peichun's voice fell, Qin Lang walked in with Tan Yuexin, the attending physician of the gynecology department.