This Doctor is Great

"Our gastroenterology department ranks ninth in the country and second in South China. It is a department with great advantages and characteristics!"

"When you come to the Department of Gastroenterology, please put away your 'proud' and 'complacency' attitude! Because you are competing with students and doctors who are better than you!"

"Our gastroenterology department is different from other departments. There are 190 beds, and we can add up to 230 beds. Each medical student needs to be assigned a tube bed, maybe 5!"

"Also, our gastroenterology department has a more competitive atmosphere with other departments. Every time the ward rounds, the teacher will randomly check and ask questions. If you can't answer it, you will lose points!"

"Also, in addition to studying more in clinical practice, you must also perform more in papers!"

"If you don't work hard, I will clear out in advance, and go back where you come from!"

During the training, Professor Liu, the chief administrative officer of the department, appeared in person and gave Zhou Mo and other medical students a big blow.

with a wooden face,

Amazing atmosphere!

Incomparably majestic!

Zhou Mo thought that the cardiology department was already competitive enough, but the gastroenterology department was even more competitive.

It is indeed a department that ranks in the forefront of the Department of Cardiology.

However, Zhou Mo was happier, because the positive atmosphere of the department was purer.

It is beneficial to people like Zhou Mo who are 'hard-working and talented'.

Professor Liu glanced at everyone, and finally set his eyes on Zhou Mo: "Of course, coming to our gastroenterology department also has a great advantage - "Modern Digestion and Interventional Diagnosis and Treatment", the national core journal of science and technology, is our journal of gastroenterology, if you The quality of the paper is good, and I will consider publishing it."

As soon as this word comes out,

Several academic gods were beaten on the spot!

Zhou Mo was also excited.

…

Enrollment training is over,

grouping.

A cold-faced hostess walked in, holding the list and shouting, "Zhou Mo, Huang Zhichao, Li Dongmei..."

"To!" X3

Zhou Mo and another man and a woman walked out.

The hostess said with a sullen face: "Starting today, in two months, the three of you will enter the second group where I am. I am your teacher, Zhang Luojia."

"Hello Teacher Zhang!" X3.

Beside him, Huang Yiming wailed.

It's so miserable that I didn't get separated with Mexico!

Teacher Zhang Luojia was expressionless: "You three have experience in managing beds. I won't say much about the rest. From today, you will start managing beds, each with 5 beds."

Zhou Mo and three people: "..."

Zhou Mo was shocked.

I go,

Just five beds, how cruel is it?

Moreover, the new department, naturally new learning content, the knowledge of cardiology is not useful here.

Requires a lot of knowledge of Gastroenterology.

Moreover, with 5 beds, I am afraid that just writing the doctor's order for the course of the discharge from the hospital will be written on the dead person.

On the one hand, it is necessary to supplement knowledge, and on the other hand, to manage 5 beds, how can there be time to write papers? !

Zhou Mo's pressure came instantly.

However, Zhou Mo was even more excited.

Disaster?

I'm sorry, I'm hanging up!

And Li Dongmei, another member of the same group, was also excited.

Zhou Mo glanced at it and muttered in his heart:

"Presumably, this person must be an eight-year student of SYS."

Teacher Zhang Luojia said coldly at this time: "In the first three days, I will give you time to adapt and take you to study. After three days, I will let go and you will manage the bed..."

…

soon,

Zhou Mo was assigned five beds.

No. 76-80,

There are currently 4 patients on the hospital bed, and one is empty.

The four patients were 1 upper gastrointestinal bleeding, 1 acute gastritis, 2 liver cirrhosis…

When introducing the condition of the patient with 'upper gastrointestinal bleeding', Teacher Zhang Luojia glanced at Zhou Mo and the others,

Habits began to "deadly ask questions".

Let’s start with an appetizer, simple question.

Zhang Luojia: "Zhou Mo, please answer, what is upper gastrointestinal bleeding?"

This question is too simple, the foundation of the foundation.

Zhou Mo had already memorized the "internal medicine", and some basic knowledge of digestive internal medicine had been "talented".

Zhou Moqing: "It refers to the digestive tract above the 'Tor's ligament', including bleeding caused by lesions of the esophagus, stomach, duodenum, or pancreas and gallbladder... In addition, bleeding from jejunal lesions after gastrojejunostomy also belongs to this category. Range. (Picture

Zhang Luojia: "What is the indicator to measure whether there is heavy bleeding?"

Zhou Mo: "Blood loss of more than 1000ml or 20% of circulating blood volume within a few hours."

And Li Dongmei is full of confidence in these two issues.

So hold your head high, as if to say, "Ask me, ask me this simple question!"

On the other hand, Huang Zhichao, his face tightened, quietly took a half step back: "Don't ask me, don't ask me."

The most afraid of life-threatening serial questions.

At this time, Zhang Luojia began to deepen the depth of the problem.

A slam on the brakes drifted off to another problematic runway.

"There is a lot of blood loss for rehydration. In our gastroenterology department, are there any patients who cannot receive blood from the blood bank? Why?"

Huang Zhichao and Li Dongmei were stunned for a moment.

He frowned, thinking hard.

Zhou Mo did not hesitate: "Patients with liver cirrhosis cannot transfuse blood bank blood. As for the reason, because the ammonia content of blood bank blood is high, it is easy to cause hepatic encephalopathy."

Huang Zhichao and Li Dongmei clapped their hands.

Yes, that's right, that's the answer!

Zhang Luojia: "What is hepatic encephalopathy?"

Hepatic encephalopathy is also a disease of gastroenterology.

Zhou Mo answered fluently: "Hepatic encephalopathy (HE), also known as hepatic coma, refers to a syndrome of central nervous system dysfunction caused by severe liver disease and based on metabolic disorders. Its main clinical manifestations are disturbance of consciousness, Behavioural disturbances and coma."

Zhang Luojia is now satisfied.

There were a series of sudden questions, and they jumped, but Zhou Mo answered them easily. Obviously, he was well prepared for gastroenterology.

She is most afraid of the kind of medical students who come to the Department of Gastroenterology, do not understand anything, and spend a month reviewing slowly, which is a waste of the teacher's precious time.

Current rating: Question and answer session, Zhou Mo 95 points!

satisfy!

As expected of a medical student with a very high evaluation in Cardiology!

Then, Zhang Luojia looked at Li Dongmei who was eager to try.

She is looking forward to whether the performance of the SYS eight-year academic **** can overwhelm Zhou Mo.

Zhang Luojia asked Li Dongmei: "Please answer, why is it that patients with liver cirrhosis complicated by upper gastrointestinal bleeding are more likely to die and induce hepatic encephalopathy? What does it have to do with liver cirrhosis?"

Li Dongmei thought for a few seconds and replied fluently: "Bleeding in the upper gastrointestinal tract causes a large amount of hemoglobin to enter the intestinal tract, and is decomposed by bacteria in the intestinal tract to produce a large amount of ammonia. Failure and portal-vena cava shunt cause collateral circulation, which leads to the direct transport of blood ammonia to the brain without liver detoxification, which induces hepatic encephalopathy."

(Big guy give a picture?)

Zhang Luojia nodded, expressing satisfaction, Li Dongmei had completely explained the mechanism of hepatic encephalopathy.

Then,

Zhang Luojia turned his head and looked at Huang Zhichao.

"..."

Huang Zhichao's heart suddenly trembled!

Horrified!

Don't come here!

.