This Doctor is Great

Chapter 17: The 1st department round, case report

Saturday and Sunday,

As a hard-working doctor in charge of the bed, Zhou Mo is undoubtedly unable to rest.

No, to be precise, there is one day off to schedule shifts, but only half a day off, and the remaining half day continues to work.

And this half-day off, Zhou Mo used it to move.

I officially moved to the school staff dormitory from Yupan Square, which is far away. It is 500 meters away from work in the future, which is very convenient, and there is also a school canteen.

In the past two days, the 29-bed grandmother was happily discharged from the hospital. When she was discharged from the hospital, she also gave a fruit basket to the fifth group, and took Zhou Mo's hand to thank her repeatedly.

"It's a pity, my granddaughter is too immature, otherwise I would like to introduce it to you!"

Grandma said with a pity.

Zhou Mo wanted to say something: Grandma, I heard that your house has several suites, and you still have a few shops in Thirteen Lines. Actually, I don't mind...

…

on Monday,

A new week is here!

This is Zhou Mo's second week in the Cardiology Department!

Today is the day of the big rounds in the department, which is very important.

Zhou Mo started to get up at 7:00, then brushed his teeth and washed his face, went to the school canteen to eat, and then walked for seven minutes to the Cardiology Department.

It's cool to live close by, you don't have to squeeze Dead Line 3 to exercise.

"Morning..."

"morning…"

"Have you had breakfast yet?"

"I just went to the dining hall to get the buns..."

As soon as Zhou Mo entered the Cardiology Department, he obviously felt the excitement, like a vegetable market.

Forty or fifty doctors in the general department have all come, and several of them are white-haired professors in their sixties.

Nurses also came a lot.

"Zhou Mo!" Huang Yiming greeted him from a distance.

He is standing with other medical students, Wang Lilong, Huang Xinyi, Chen Sumei, Zhang Wu, Ye Rong...etc.

Zhou Mo walked over.

All the medical students looked at Zhou Mo.

At this time, Zhou Mo is undoubtedly the focus of the 10 medical students, because today Zhou Mo is going to report a case, which is a rare opportunity to show.

Zhang Wu and Ye Rong, who were already in charge of the bed, were envious in their hearts, and at the same time looked forward to when they would be able to board the big stage of this big round of wards.

Huang Yiming patted Zhou Mo on the shoulder: "How are you preparing? Are you nervous?"

Zhou Mo smiled confidently: "It's okay..."

Because the 29th bed was discharged, Zhou Mo took care of one patient, and in the past three days, there was more time left. Then he started frantically piling up various related papers in response to the professors' questions.

Wang Lilong clenched his fists: "Come on!"

Others also shouted: "Come on!"

Cheer for Zhou Mo.

Zhou Mo looked at his watch, it was almost time.

"Go, go to the conference room..."

soon,

meeting room

The projector is turned on,

Numerous doctors, all doctors in the entire department, except those who were on business trips and had special reasons who didn't come, all of them sat here.

The head of the department, that is, Professor Qi, the director of the administrative department, sat in the front and middle position, and the subordinates in the back sat in the order of 'class'.

A big round of wards, naturally it is impossible to run through all the wards.

Instead, first PPT report, electronic ward rounds, and go through all the more special and difficult patients.

Each group, one by one, the current training doctors, residents, and advanced doctors, went up one after another, opened the PPT, and projected the report.

"CCu bed, male, 48 years old, was admitted to hospital mainly due to cardiac arrest. There was no history of cardiovascular disease, family history and drug abuse. After defibrillation, spontaneous circulation was restored. The patient developed pneumothorax due to compression during CPR. After The patient was transferred to CCU for further treatment. CAG showed no obvious coronary stenosis, pulmonary artery CTA showed no signs of pulmonary embolism, and left pneumothorax was seen. UCG showed no abnormal wall motion, no cardiac contusion, and LVEF was 60%. It appeared after 6 hours. Arrhythmia, as shown in the picture, urgent blood test report: serum potassium 1.9mmol/L…”

Professor Qi glanced at it and said sternly: "Go back and consolidate the monism and dualism of hypokalemia. I remember that I summarized the data three months ago... In addition, pay attention to secondary aldosteronism..."

"Yes! Professor!"

The doctor in charge of the bed who reported the report suddenly broke out in cold sweat on his forehead. This was Professor Qi's criticism that his knowledge was not solid enough.

And his superior doctor, the attending doctor, also lowered his head quickly, for fear of being named.

Huang Yiming and several other medical students were immediately frightened.

This chief officer is so strict!

Next doctor's report.

"Bed No. 21, male patient, 33 years old. Mainly because of "chest pain for 4 hours" and was admitted to hospital. Physical examination: general state is normal, hemodynamics is stable. No special medical history. 8 years of smoking history. The electrocardiogram of emergency admission is shown in Figure 1 , after getting Figure 1, it was found that the left and right hands may be reversed, and some special treatments were immediately performed and an ECG was re-created, and then ECG 2 was obtained."

This case is interesting.

Although Figure 1 is reversed, it has a certain reference value, and it has a feeling of interlocking with Figure 2.

Moreover, myocardial infarction at such a young age of 33... is worth discussing.

The chief director and several professors gave comments and suggestions.

The third doctor came to report.

"Bed No. 24, male patient, 35 years old, no special discomfort, abnormal CK-MB was found in physical examination. CK was normal, HBDH decreased, LDH decreased. Thyroid function, liver function, troponin, electrocardiogram, and echocardiography were all normal... 2 The same is true for the 3 re-examinations within a month..."

…

Fourth, it was Zhou Mo's turn.

Zhou Mo took the stage, inserted the USB flash drive into the computer, and started to open his PPT.

"Hello, teachers, today I am reporting a relatively special case, teachers please comment..."

"Patient female, 65 years old, 10 years of refractory hypertension, accompanied by long-term headache, no cause has been found..."

Zhou Mo fluently explained the condition, the process of diagnosis, and the process of treatment.

There was a low humming sound in the conference room...

In the end, Professor Qi nodded: "This case, UU reading www.uukanshu.com everyone can learn, refractory hypertension may not really be refractory, it may just not find the right way..."

Then he looked at Zhou Mo for a while.

Hey, he turned out to be a big handsome boy.

Why haven't you seen it before?

After all, such a handsome boy is always easy to impress.

"What's your name?" Professor Qi was sent justice by Zhou Mo's good looks.

"Hello, Professor Qi, my name is Zhou Mo, a medical student who just arrived..." Zhou Mo played a trick and repeated his "new arrival".

"Hey, just here?" Director Qi was surprised: "I remember the new batch, it's only been less than a week, right? Not only did he manage the bed independently, but he also cured a patient, and he performed well."

And some of the attending doctors around were lively.

"Is he Zhou Mo?"

"I remember that his clinical experience is zero, right?"

"We are all wrong! We thought it was the worst, but it turned out to be the best!"

"He's quite handsome..." (female doctor)

If there is a reputation system,

It is estimated that the prestige of the department +1+1+1 will continue to float from Zhou Mo's head...

And then the prestige title was upgraded from "unknown" to "up-and-coming"...

As for those nine medical students, they were already envious.

A man should be like this · jpg

Zhou Mo was naturally excited.

If you don't show your strength more than once, then the possibility of staying in the hospital will increase by 1%!