This Doctor is Great

"The electrocardiogram in the emergency department didn't show any problems for the time being, but the frequency was a bit fast..."

"In addition, I also had a color ultrasound of the heart. I haven't done it yet. When the room is checked, I will send it for a color ultrasound..."

Zhou Mo was a little sleepy at first, but now there is a new disease monster, Zhou Mo couldn't help but want to fight the monster and upgrade to get the patient.

"What is the disease?"

"I'll take a look!"

Zhou Mo came to the ward with excitement.

at this time,

The patient Li Haiyan is lying on the hospital bed, has been connected to the ECG monitor, and has non-invasive breathing...

Huang Mao's boyfriend was busy with the admission procedures and was holding the patient's Li Haiyan's hand by the bedside.

Zhou Mo walked into the ward, and the yellow-haired boyfriend immediately stood up and said respectfully, "The doctor is amazing, please help my girlfriend to see what's the problem..."

Zhou Mo nodded: "I will try my best... Now I want to ask some questions, I hope you can cooperate as much as possible..."

Huang Mao's boyfriend nodded again and again: "Definitely! Definitely!"

Zhou Mo looked at the ECG monitor:

Blood pressure: 88/57mmhg

·Blood oxygen: 95

Heart rate: 90

Breath: 27

This is very numerical, and there is a problem!

Blood pressure is low, a little lower than normal.

And there is also a problem with blood oxygen. In the case of adding oxygen, it is only 95. Obviously, there is a problem with itching. Lung problems?

In addition, the heart rate is fast, the ideal heart rate of a normal person is 55-70 beats/min, and the normal heart rate is 60-100 beats/min.

In addition, the breathing is also high, and the general breathing is 12-20 times per minute.

To sum up, if there is a problem with the heart and lungs, the most likely one is itching, or pumping blood...

Zhou Mo began to ask the doctor: "Do you have chest pains?"

The patient Li Haiyan looked uncomfortable: shaking his head slightly)..."

Zhou Mo: "What about chest tightness?"

Patient: Nodding slightly)..."

Zhou Mo: "After having a fever, did you take any medicine?"

Next to Huang Mao "Doctor, I know, I took pictures of all the medicine..."

Then he took out his mobile phone and dragged a few pictures of drug boxes to show Zhou Mo.

Zhou Mo took a look. Antipyretics + antibiotics, nothing special...

Then he asked other questions,

Nothing was found.

Zhou Mo took out the stethoscope and began to listen.

The first is the lungs.

Upon hearing it, it was obvious that there were tiny moist rales in both lungs...

What is wet rales? In layman's terms, it is the sound of gas passing through a liquid.

Abnormal sound caused by air flowing through water or parts with liquid, and then foaming and bursting. Similar to the boiling sound made when water boils.

So, what does the rales in the lungs represent?

Given that Zhou Mo didn't have a very comprehensive knowledge of lung disease, he subconsciously thought that it should be pneumonia!

Pneumonia naturally causes fever.

Corresponding to patient Li Haiyan's fever. Then it corresponds to the itching and the difference. The itching and the difference will naturally increase the heart rate and breathing frequency...

It seems that everything corresponds.

Evidence-based medicine seems to be fine.

Monism is all right.

But... the only thing I have a little doubt about is that Li Haiyan has repeatedly had a fever for a week, so the pneumonia can't be 'minor', right? Crackles are also less likely to be 'minor'.

Also, there is no way to explain the slightly lower blood pressure...

"Is there any other reason?"

"Heart?"

"Did the Deputy Director Zhang who diagnosed Li Haiyan found something? Then he came from the Cardiology Department?"

Zhou Mo pondered.

Continue to take the stethoscope and listen to the patient's heart.

Although the patient Li Haiyan is a woman and a young woman, Zhou Mo still has enough professionalism to listen to the patient Li Haiyan's heart without any fluctuations.

It is said that before the invention of the stethoscope, doctors used their ears to listen for lung murmurs and heartbeats.

Then in 1816, the French doctor Renec invented the stethoscope, which led to the fact that two centuries have passed, and many doctors cannot forgive him, especially male doctors!

The dog's head saves life~~~

Zhou Mo listened carefully.

The first is the fifth intercostal space on the left midclavicular line, which is the mitral valve area.

"It seems... there's nothing wrong..."

Zhou Mo listened for a while and felt that there was no problem. But when I listened carefully, it didn't feel right.

"Wait... there seems to be a problem..."

"The sound seems a little wrong, but it seems to be fine..."

For a while, Zhou Mo couldn't judge whether there was a real problem.

Then move to the other three auscultation areas...

To be honest, Zhou Mo didn't put a lot of effort into the "stethoscope", so he wasn't very good at it.

After listening for a while, I still can't tell if there is a problem...

"Let's do this first, wait until 3:30, go to the B-ultrasound room, and have a heart ultrasound..."

Zhou Mo said goodbye and left the ward.

Returning to the duty room, Zhou Mo opened the database, found some papers on stethoscope and cardiopulmonary, and read it.

First pile up the skills of "stethoscope and heart sound".

Deep blue, add some to me!

20 minutes later...

"Ding...you have read "Time-Frequency Analysis of Heart Sound Signals"...you have grasped the essence..."

45 minutes later...

"Ding... You have read "The Identification of Cubic Heart Sound Signals"..."

Regardless of whether it is useful or not, let’s brush up on skills first.

In a flash, 2 hours passed.

Zhou Mo felt that he had almost piled up his skills.

get up,

Go to the ward.

……

Ward, 29 beds.

Zhou Mo walked in.

"Doctor..." The yellow-haired youth saw Zhou Mo hurriedly stood up and said hello.

"Well..." Zhou Mo nodded, and then said to the patient Li Haiyan, "I want to give you another physical examination, especially the heart..."

The patient Li Haiyan nodded tiredly.

This time, Zhou Mo put the stethoscope on the mitral valve auscultation area of ​​patient Li Haiyan's left chest~www.readwn.com~.

The experience just piled up, suddenly gave Zhou Mo a new harvest!

Immediately, I felt that there was something wrong with this heart sound! !

However, because this stethoscope was relatively cheap, Zhou Mo bought it for a few hundred dollars, which was a bit short.

"This stethoscope doesn't work, I need to change it..."

"The department seems to have a stethoscope..."

"and many more……"

"Huang Yiming's stethoscope seems to be 3m, Littmann 3200, Rolls-Royce among stethoscopes..."

Zhou Mo said to the patient, "Wait..."

Then he walked out of the ward and happened to see Huang Yiming at the nurse's station, chatting around a girl.

"Xiaoyue, I know that there are three people who like you..."

"Who is..."

"My, my, my, my..."

"..."

vomit~~~

Earth penetrates the earth! !

Maybe it was the acne problem on Huang Yiming's face, or maybe he didn't show off that he was a native of Guangzhou, so the nurse girl didn't accept such an outrageous confession.

"Yi Ming!"

"Hey~~ who called me..."

"Here..." Zhou Mo beckoned.

"What's wrong?" Huang Yiming stopped chatting when he saw Zhou Mo's call.

"Your stethoscope, I remember it's a 3m Littmann3200..."

"yes……"

The nurse girl next to her suddenly brightened her eyes.

Looking at Huang Yiming's eyes, it suddenly became much brighter, and even pimples felt pleasing to the eye.

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ps: Ask for a recommendation ticket, a monthly ticket, and a feed...

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