This Doctor is Great

Because the patient may have aortic dissection, Zhou Mo cautiously followed the patient to the imaging department.

In case of any change in the middle, I can save people in time by myself.

All the way to the CT room,

"Hello, teacher, I'm from the Department of Cardiology, I just said hello..."

Zhou Mo saw Teacher CT and greeted him respectfully.

The CT teacher is a 40-year-old female doctor, after seeing Zhou Mo.

Turned out to be handsome!

Delightful +1!

Teacher ct's tired face showed a smile: "I just called, the one with aortic dissection, right?"

Zhou Mo nodded: "Yes."

CT teacher: "Do you want to do CTA or CT?"

CTA is CT angiography, which is an intravenous injection of iodine reagent (which has side effects and a burden on the kidneys), and then restores blood vessels throughout the body through a series of techniques.

It is very accurate in the judgment of aortic dissection.

However, it is more expensive.

1500 yuan.

Zhou Mo looked at the patient Cheng Wenle: "CTA takes about an hour from the start of the contrast agent input, which is relatively slow. You can do CT first, if not, then do CTA..."

Zhou Mo was afraid that in case of aortic dissection, he would not be able to carry it for an hour.

Cheng Wenle nodded: "Then do CT first..."

soon,

Cheng Wenle was lying down, and the machine was pushed into the round hole.

(Is there a picture of the appearance of the CT machine? Trembling~~)

CT, is a tomography scan, which is equivalent to slicing the human body and looking at the cross-sections one by one.

Generally, there are single-row CT, double-row CT, 16-row CT, 64-row CT, 128-row CT, 256-row CT, and 320-row CT. The higher the number of rows, the clearer the display.

...

After five or six minutes,

The CT machine stopped.

The inspection is over.

Zhou Mo: "Teacher, how is it?"

The CT teacher shook his head: "No trace of aortic dissection..."

Zhou Mo breathed a sigh of relief, but fortunately not, he quickly thanked: "Thank you teacher."

At this time, the voice of the system sounded in my mind.

"Ding dong... You watched the "64-slice CT tomography scan of aortic dissection" and understood the essence 100%..."

An influx of knowledge.

Zhou Mo was pleasantly surprised and felt that this trip was fruitful.

There was no result from the CT scan. In the end, the patient Cheng Wenle felt that he was not afraid of spending money and asked for another CTA.

Zhou Mo didn't stop it, after all, it was the patient's own will.

after an hour,

The CTA results are out.

Patient Cheng Wenle did not find any traces of aortic dissection.

"Ding dong...you watched the "CTA angiography" once and understood the essence 100%..."

Now,

You can be absolutely sure there is no aortic dissection!

"Whoo~~~"

The patient Cheng Wenle breathed a sigh of relief.

Zhou Mo couldn't help but feel relieved.

So far,

Excluded: acute myocardial infarction, aortic dissection, pulmonary embolism, pneumothorax!

The fatal danger has been ruled out, and Zhou Mo has enough time to think slowly about the rest of the inspection.

...

Back to the Cardiology ward.

Zhou Mo continued to ponder,

Then again, the patient was given a comprehensive physical examination and electrocardiogram.

The troponin test in the blood drawn an hour and a half ago also came out, but the value still did not rise.

After doing this, I still haven't found anything new.

"what is it?"

Zhou Mo couldn't help but asked the patient Cheng Wenle some more questions.

more detail.

Still haven't found it.

"Isn't it a heart disease?"

"But a skin disease?"

Some skin conditions can also cause pain.

Zhou Mo checked the skin of the patient's front chest and back again, but found nothing, and there was nothing like a rash.

"Or rib disease?"

Asked about the medical history, but there is no history of pain in this area.

After all, if the ribs are diseased, it is unlikely to progress to this stage at once.

Diagnosed here,

Zhou Mo already felt that his skills were exhausted.

"correct,"

"Between the ribs and the heart, there is another layer..."

"Heart!"

"Could it be pericarditis?"

pericardium,

It is a membranous sac covering the surface of the heart with two layers.

Equivalent to the coat of the heart.

If it becomes inflamed, it can also cause chest and back pain.

Its diagnosis can generally be made by auscultation. In the case of pericarditis, pericardial friction can be heard, which is the most typical feature of pericarditis.

The source of the fricative sound is the friction between the two layers of the pericardium.

But Zhou Mo had just auscultated the heart twice, and the time interval was almost two hours, and no fricatives were found.

"Forget it, let's do this first..."

Zhou Mo decided to let the patient go first.

According to the regulations of the hospital, the doctor in charge of the bed is required to diagnose the patient within three days, and if there is no diagnosis, it must be reported to the superior doctor.

It's three days, so Zhou Mo doesn't need to hurry.

Anyway, Zhou Mo has already determined that the patient Cheng Wenle does not have the four dangerous diseases of acute myocardial infarction, aortic dissection, pulmonary embolism, and pneumothorax, so there is no need to rush to diagnose it right away...

As for tonight...

Zhou Mo thought about it, and the patient seemed to have no special symptoms other than chest pain. It's okay to breathe anything, and blood oxygen or something is fine.

"Give him some painkillers..."

Thinking of this, Zhou Mo prescribed the most commonly used painkiller ibuprofen to the patient.

(I said earlier that it is a classic antipyretic (anti-inflammatory), and my book friend said that it is a painkiller, and it is indeed a painkiller.)

Zhou Mo gave a doctor's order.

Then he reported the patient Cheng Wenle's condition to the senior doctor who was on duty at night.

"So strange?"

After the senior brother on duty heard Zhou Mo's report, although he was interested, he was too busy to check it out in person.

Go back to the duty room and write medical records or something.

22:00, get off work.

At this time, Zhou Mo, who was insanely busy, had already forgotten about the schoolgirl.

"Mexico, wait for me..."

Huang Yiming and Huang Xinyi ran out together.

"What's wrong?"

"Aren't you going to have a late night snack? Tomorrow you're resting like..."

"Supper? Good!"

Zhou Mo's eyes lit up, and he suddenly felt that his entire stomach was rumbling with hunger.

Zhou Mo: "Where to eat?"

Huang Yiming: "How about the pig offal porridge in Panyu? The one in "The Taste of Lao Guang"..."

Gollum~~~

Gollum~~~

Zhou Mo and Huang Xinyi couldn't help drooling when they heard it.

"The Taste of Laoguang" is very famous in Guangdong and Guangxi, and it is very down-to-earth. Zhou Mo used to search for it when he had nothing to watch on TV, and watched it again and again. Provincial TV stations have a very high rebroadcast rate.

In one of the episodes, I talked about a pig offal porridge in Panyu. In the middle of the night, the boss drove directly to the pig slaughtering farm to pick up the goods (the fresh pigs that were slaughtered for less than an hour were put into the water), and then they were immediately transported back to the supper food stall. Divided and looted by diners (plot in the show).

I don't know if what the show said is true, but the picture of pig offal porridge seems to make people appetite.

"go!"

"go!"

"Wait, can you add me?"

Xiao Tong stood up.

He was a little envious of Zhou Mo's small camp.

I really want to get into this camp!

This time, it was time to take advantage of supper and break into the interior.

As a result, as soon as he finished speaking, the other medical students Nie Wei, Chen Sumei, Zhang Wu, Ye Rong, Chen Xiyin, and Wang Lilong shouted again and again:

"I want to eat, too……"

"Together!"

"There are so many people..."

Now,

All 10 survived.

Xiao Tong: "..."

tears~~

Failed to enter the camp +1!

A group of people took a taxi in a mighty manner and rushed to Panyu.

...

After 40 minutes, everyone arrived at this food stall.

"I'm going, so many people?"

"Is there more than 100 tables? It feels full."

The crowd came and looked at the dense crowd of diners, the crowd was surging, like a vegetable market.

shocked.

Too many people, too much.

Several people found a large table, sat down, and then waited for the boss to return the pig.

At this moment,

Huang Yiming began to talk about his store.

"I've been to this store 8 times..."

"I've been here many times before "The Taste of Lao Guang" aired, it's great..."

"Wait a minute, you have to pay attention. As soon as the boss's car arrives, we have to go to the split point as soon as possible and grab the front row, otherwise there will be no good things in the back..."

"As for the best thing?"

"Hehehe~~~"

"It's pig intestines!"

"Pig Large Intestine~www.readwn.com~ has a smell of shit, once boiled, ahhhhhhh, that taste is absolutely beautiful!!"

Close your eyes and enjoy jpg

hehe~~~~

Zhou Mo and everyone immediately leaned back in unison.

He looked at Huang Yiming with disgust.

...

After 40 minutes,

Everyone devoured the fresh wolfberry leaf pork porridge.

"Right, I said pig intestines are fragrant, right?"

"Well, don't say it, the taste of this pig's large intestine is still a little fragrant..."

"Shut up, keep your mouth shut!"

Ok,

So fragrant! !

.