This Doctor is Great

Chapter 108: 1st place: Zhou Mo! !

meeting room,

Exams are still in progress.

The 'exam room' was quiet, only the rustling sound remained.

Some frowned, some were full of confidence, and some couldn't help looking around...

Professor Qi looked at this fierce competition and was extremely satisfied.

At this time, Zhou Mo completed the eighth question.

"Evaluation of three markers of myocardial necrosis in myocardial infarction (detailed description)."

Zhou Mo chuckled lightly.

This question could not trouble him.

Brush brush~~ Zhou Mo began to write quickly.

- Troponin I or T: …

- Myoglobin Mb: …

——Creatine kinase isoenzyme CK-MB: …

When Zhou Mo finished writing this question, seven or eight minutes later, Wang Shen finally answered it.

When I saw this topic, I immediately frowned.

He couldn't grasp this question a bit.

Because 'troponin' is the 'gold standard' marker for myocardial necrosis in MI, it is easy to ignore the other two markers.

The other two are myoglobin and creatine kinase isoenzyme, and he also knows the pros and cons, but when does it increase, peak, and return to normal... His memory is a little fuzzy.

"It's a bit difficult..."

...

1 hour after the exam...

Question 9: "Differential diagnosis of cardiogenic pulmonary edema from non-cardiogenic pulmonary edema?"

This is another detail.

Doctors naturally know the difference, but the real difficulty is writing them all.

Question 10: "Indications and contraindications for thrombolytic therapy for acute myocardial infarction."

Again a matter of detail.

It's still hard to really write it all down.

Wang Shen, who has always been confident, is already struggling a bit at this moment.

He spent a lot of time on the last question, and he felt more difficult for this question.

There are a total of 15 questions in the exam, and the time is one and a half hours (just before 2 o'clock for outpatient work). The average question is only 6 minutes. Time is a race.

He subconsciously looked in the direction of Zhou Mo next door.

one look,

"ssssss~~~~"

Seeing that Zhou Mo had finished writing the full paper, he began to cap the pen, put it back in his pocket, got up and left.

"So fast?"

"impossible?"

At this time, Zhou Mo stood up and started to hand in the papers, which caught the attention of all the doctors in the audience.

"Director, hand in the papers."

Go to the front desk and put the filled test papers on the stage.

Huang Yiming exclaimed in his heart: "Sure enough, Mexico is awesome!"

Other medical students: "Wori, do you want to be so perverted?!"

Other doctors: "Fuck, so fast? Fake, right?"

The conference room was turbulent.

Professor Qi was also a little surprised and couldn't help picking up Zhou Mo's test paper.

one look,

Are you full?

So exaggerated?

To be honest, Professor Qi gave 15 questions, thinking that no one can write it in 90 minutes, and he can write as many questions as he can.

As a result, Zhou Mo finished writing in 70 minutes.

Doesn't this guy need to think?

I couldn't help looking at Zhou Mo's answer, the first question, um, yes, the second question, eh, that's right... The eighth question, oh ho, right again, so detailed, so comprehensive... Question 15 ...

After reading,

Professor Qi was shocked.

This answer sheet, the standard answer!

Full marks!

There is no room for deductions at all!

Zhou Mo left the conference room, leaving an 'invincible' back to everyone.

...

90 minutes later, 14:00,

exam is over,

"Ring Ling Ling~~~"

The alarm clock set by Professor Qi rang.

"Let's hand it in..."

Many doctors handed in the papers one after another. Wang Shen, the 'Examination King', had the last half of the question left, but he regretted that he could not finish it, and there was not enough time.

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...

duty room,

"I'm going, Brother Mo, you're awesome, you're done so quickly!"

Huang Yiming delivered his 666 skillfully.

Zhou Mo sighed: "I originally wanted to keep a low profile and get the top 40, but who asked the director to test people with a 2,000 yuan reward? I can't stand this kind of test."

"Let's go, I'll send the patient for CT."

Zhou Mo wanted to get a CT experience.

Talent, add some to me!

10 minutes later, Zhou Mo took the patient Chen Jianxin to the CT room.

Thirty minutes later, patient Chen Jianxin's CT results came out.

Results: The left adrenal gland was a clear solid mass with a small amount of calcification in the center, and the enhancement was obviously enhanced...

CT teacher's opinion: considering the tumor, it is recommended to further check...

Zhou Mo breathed a sigh of relief.

really,

Adrenal gland problem!

As for whether it is a pheochromocytoma, CT cannot accurately determine.

However, the diagnostic criteria for pheochromocytoma are: clinical manifestations and signs dominate!

Obviously, yesterday's patient's urine test for metabolites, metanephrine, norepinephrine, and the patient's blood pressure fluctuated high and low, it was enough to determine a pheochromocytoma.

at this time,

A voice sounded in Zhou Mo's ears:

"Ding... You watched a CT scan of the adrenal glands, you understood the essence 100%, and..."

...

Take the patient Chen Jianxin back to the department,

Zhou Mo found Senior Brother Chen Bing: "Senior Brother, do you have an acquaintance in the Department of Urology? Please invite him to a consultation?"

The last time I asked for a consultation, I waited for 25 hours, which made Zhou Mo a little unbearable.

And today is Friday. If it is delayed until Monday, the patient will simply wait for 3 days in vain.

Brother Chen Bing: "Yes, what's wrong?"

Zhou Mo: "I told you about my 29-bed patient. I suspected it was a pheochromocytoma. I just had a CT scan and it was basically confirmed. I would like to ask the urologist to come and take a look..."

Chen Bing was amused: "That's good, the urology department is eager to have an operation. I guess after I said it, he came running."

Chen Bing picked up the phone and dialed an acquaintance in the urology department.

After working in the hospital for a long time, there are acquaintances everywhere.

really,

In less than 4 minutes, Zhou Mo saw Liang Zheng, a urology doctor, running fast.

Surgery patients, rare!

Hurry up and grab it yourself, or someone else will take it away!

Brother Liang Zheng restrained his excitement: "Where is the patient?"

Zhou Mo took him to the 29th bed.

"Doctor Zhou..." Chen Jianxin and his mother saw Zhou Mo coming, and hurriedly sat and stood up.

"Is there any result from my examination just now?" Chen Jianxin looked nervous.

The mother was even more anxious.

Zhou Mo: "Don't worry... This is Dr. Liang from the Urology Department. I'm here for a consultation to help you take a look..."

"Hello, Dr. Liang."

Liang Zheng nodded, and then began to understand the patient Chen Jianxin's condition under the introduction of Zhou Mo, and at the same time did a physical examination for Chen Jianxin.

Then I read the urine test for metabolites, CT...

At last,

He nodded to Zhou Mo.

"That's right~www.readwn.com~ It should be a pheochromocytoma..."

"what?!!"

"Tumor? Tumor?"

The patient's mother, Chen Jianxin, almost had a heart attack.

Zhou Mo quickly explained while comforting.

"Yes, now your son's adrenal gland has a suspected tumor..."

"Suspected pheochromocytoma..."

"But don't worry, it's generally benign, and it'll be fine if you remove it..."

It was difficult to appease, but the patient and mother were still frightened.

Next,

The male patient needed to be referred to the urology department and then operated on.

Usually "laparoscopic tumor resection"!

...

Next,

Go through the transfer procedure.

Then all the test results of Chen Jinhua's 28 beds came out at this time, and it was finally determined that Chen Jinhua had a problem with rheumatism and immunity, which caused cardiac amyloidosis.

Next, Zhou Mo wrote a doctor's order to adjust the medicine and asked the higher-level doctor to approve, and the patient could be discharged.

There is no cure for this disease, it cannot be cured, it can only be delayed by taking medicine.

...

17:00

Zhou Mo quickly finished his get off work and was ready to get off work.

"Ding dong~~~~~~"

The voice of the large group in the department sounded.

"@all members……"

Professor Qi: "Today's test results have come out, and now is the score ranking link that I like to hear..."

Zhou Mo was startled, I'm going, so fast? How many students did Professor Qi arrest to correct the papers?

Professor Qi: "

"The scores and rankings are as follows:..."