This Doctor is Great

Chapter 90: Pericarditis fricative, pennant achievement + two

36 beds, Bunraku.

"Doctor Zhou!"

Cheng Wenle greeted Zhou Mo happily.

Zhou Mo was a little surprised.

"Hey, you look good, how is your chest pain now?"

Cheng Wenle smiled and said, "Thank you, Dr. Zhou. After taking the medicine given by the nurse last night, I felt much better and I slept very comfortably..."

Zhou Mo: "??????"

Bewildered.

I only prescribed ibuprofen, and the effect is so strong?

Zhou Mo felt that something was wrong, so he turned on his ipad and looked at yesterday's doctor's order to see if the doctor on duty had changed it.

That's right, it's ibuprofen.

The doctor on duty did not change my order.

Is ibuprofen so powerful?

"The doctor on duty yesterday, did he see you?"

"The doctor on duty? No, every doctor has come to see..."

Zhou Mo nodded when he heard the words.

"I'll check you out..."

"Okay okay."

"Does your chest still hurt?"

"It hurts, but it's not that painful, it's okay..."

Zhou Mo asked while holding 3m to listen to Cheng Wenle's heart and lungs.

"Huh, rubbing noise?"

Once in the ear,

Zhou Mo realized that something was wrong.

"Shuhuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu"

There was a rubbing noise!

He didn't hear it yesterday!

"Pericarditis!!"

Did not run, must be pericarditis.

But the question is why did the fricative not appear yesterday?

Zhou Mo pondered for a while, and soon his brows stretched.

"I'm wrong!"

After Zhou Mo obtained the golden finger, he hadn't read any knowledge about the pericardium. He only remembered the description of the pericardium in the textbook.

It is simply and rudely understood as: pericarditis = fricative!

However, I did not understand the logic inside!

pericarditis, fricatives,

What is the logic between the two?

Pericarditis → exudate → fricative...

Exudate is the key!

At the onset of pericarditis, there is no exudate and there is no fricative.

As the inflammation progresses, an exudate develops and a fricative begins.

Inflammation continued to worsen, exudate increased, and fricatives began to decrease.

With this logic clear,

Then the patient Cheng Wenle's current condition is clear at a glance.

Yesterday, he was indeed suffering from pericarditis, which caused chest pain, and because the disease did not progress quickly, the exudate did not come out so quickly. As a result, Zhou Mo listened to his heart and lungs many times, but he did not find the 'rustling' rub.

And ibuprofen has anti-inflammatory and analgesic effects, allowing patient Cheng Wenle to sleep comfortably.

But this morning, the exudate appeared and increased, so Zhou Mo heard the fricative sound of 'rustling'.

"Whoo~~~~"

Zhou Mo showed a relaxed smile.

All in all!

Puzzle solved successfully!

Zhou Mo performed another electrocardiogram on the patient Cheng Wenle.

Result: No change.

However, pericarditis does not necessarily have ECG-specific changes.

Anyway, the four characteristics of the diagnosis of pericarditis: typical chest pain (front and back pain, turning and pulling pain, etc.), pericardial friction rub, ECG-specific changes, new or aggravated pericardial effusion. As long as two of them match.

...

At present, the patient Cheng Wenle has been diagnosed with pericarditis.

"How to deal with it?"

Zhou Mo continued to stroke.

The patient's pericarditis is not too serious, and it's still easy to do.

On the one hand, anti-inflammatory.

At present, the patient Cheng Wenle has only a small amount of pericardial effusion, and can take colchicine for anti-inflammatory and fenbid analgesia.

On the other hand, look for the cause of pericarditis.

Common causes are: infection, tumor, autoimmunity, endocrine, metabolic disorders, physical factors, chemistry).

Only by finding the cause can better treatment be possible.

Especially tumor tuberculosis and autoimmunity.

The diagnosis method of tumor is still CT. Yesterday, CT was done, but it is difficult to say whether the CT teacher will ignore the existence of tumor because of focusing on the examination of aortic dissection.

As for immunization, you need to do an immunization test.

As for Cheng Wenle's current small amount of pericardial effusion, what should I do?

It is necessary to find out the primary disease and treat it symptomatically, and then the pericardial effusion will be relieved or absorbed.

If the pericardial effusion increases, compressing the heart and causing pericardial tamponade, it will be more serious at that time. It is necessary to pay close attention to the puncture to drain the pericardial effusion.

...

It was already 10:00 when I was done with this patient.

ding dong...

Zhou Mo received a message.

Director Niu: "I read your paper, it's good, you can try to submit it for publication... In addition, you don't need to worry about the patient with gallbladder-heart syndrome, mdt has notified Shenwai, heart, digestion, and liver and gallbladder. Consultation in a department…”

Zhou Mo: Thumb) Teacher is awesome!"

Director Niu: "The school exam will be taken soon, remember to prepare for the exam... I ask Chen Bing to reduce one patient for you?"

(Chen Bing: "..." Tears run!)

Zhou Mo: "No need, no need, 2 patients are very easy."

Director Niu: "You helped Chen Bing to take care of those 4 patients, adding up to 6 patients, are you busy now?"

Zhou Mo: "Very leisurely."

Director Niu: "..."

...

get off work.

Just as Zhou Mo was going to change his clothes...

I just went to change clothes,

"Zhou Mo!"

"Awesome!!"

Xiao Tong rushed over with a look of excitement and ran in front of Zhou Mo.

Zhou Mo was stunned: "what's the matter?"

Xiao Tong pushed Zhou Mo to the duty room: "Go, pennant!"

Zhou Mo was at a loss: "The pennant? What pennant?"

Xiao Tong said quickly: "Your pennant, the husband of the patient you rescued this morning has sent the pennant here."

Zhou Mo was surprised: "Huh?"

"Ah what... let's go! Quick!" Xiao Tong pushed Zhou Mo away and quickly came to the duty room.

at this time,

Several senior doctors came to watch the fun in the duty room.

Mengxin medical students, Ji Pei, all came to envy them.

There is also a 30-year-old man holding a pennant, wearing a suit and gold-rimmed glasses, but he is very gentle and scholarly, and at first glance he is not an ordinary person.

"Doctor Zhou Mo?!"

"it's me."

"Thank you!" The middle-aged man walked quickly to Zhou Mo, took Zhou Mo's hand, shook hands firmly, emotionally, and said gratefully, "Thank you, if it wasn't for you, my wife might have died!"

Thinking about it now, he felt a little scared.

He and his wife love each other very much. If his wife really died of heavy bleeding, he doesn't know how to live in the future.

Zhou Mo hurriedly said: "I just saw it too, it must be saved. If someone else comes, they will also choose the same."

The middle-aged man said repeatedly: "Anyway, thank you very much. You are my wife's savior and my benefactor! Are you free in the evening? I'll treat you to a meal!"

Zhou Mo hurriedly shook his head: "No need, no need, worry about it."

Under normal circumstances, doctors do not give their phone numbers to patients or their families.

In the same way, if the patient's family members say to invite guests to dinner, try not to accept this.

Zhou Mo quickly changed the subject: "How is your wife now?"

This morning, when Zhou Mo was busy, he was always concerned about this female patient.

Speaking of this, the middle-aged man smiled and said, "I came back from the rescue, but I'm still a little weak. I'm now hospitalized in the obstetrics and gynecology department!"

Zhou Mo nodded: "That's good, that's good."

Middle-aged man: "By the way, Dr. Zhou, my wife just woke up when I came to the Cardiology Department. She said that she really wanted to see you in person and would like to thank you for your life-saving grace."

Zhou Mo quickly shook his hand: "No, no need..."

Middle-aged man: "I want what I want..."

The next step is to send the pennant and take pictures.

Zhou Mo, the pennant achievement +1!

A look of admiration all around.

"The second pennant, this is only the fourth week..."

"I'm sour."

"Envy makes me unrecognizable."

"I feel like I'm making up the numbers."

"The same number + 1..."

"Am I in the wrong line?"

One by one hugged and cried.

How miserable!

...

Soon, the middle-aged man enthusiastically pulled Zhou Mo, left the Cardiology Department, and came to the Obstetrics and Gynecology Department.

Zhou Mo couldn't refuse even if he wanted to.

43 beds,

Zhou Mo walked into the ward and saw the female patient lying on the bed, her eyes slightly closed, her face was pale, and her blood was poor.

"Wife, Doctor Zhou is here..."

"doctor……"

When the female patient saw Zhou Mo, she immediately put up her hands and wanted to stand up to thank him.

Zhou Mo was so frightened that he hurriedly stopped: "Don't, lie down and lie down..."

The female patient said weakly, "Doctor, thank you, if it wasn't for you, I'd be afraid..."

Zhou Mo quickly humbled himself.

We chatted a little more, mostly thanking Zhou Mo for his words.

At this time,

The news that Zhou Mo came to the obstetrics and gynecology department spread rapidly.

"Beautiful ladies, I saw a handsome junior brother! Save that junior Zhou Mo this morning!"

"Take a few pictures secretly, picture · jpg, picture · jpg..."

"Huh? Really?"

"Wow, this side is so handsome!"

The OB/GYN has been gossiping about it this morning.

So when Zhou Mo came, he immediately caused a burst of gossip excitement.

Many young female doctors and nurses in obstetrics and gynecology came out of the ward curiously and started a strong onlooker.

"Wow, this junior brother, in a white coat, is so handsome!"

"Hey, you give me some restraint."

"We are all old drivers, why are we reserved?!"

"Jie Jie Jie~~~"

ward,

After chatting for a while, Zhou Mo felt that it was almost the same.

"Okay, take a rest, I won't disturb you..."

"Doctor Zhou, bye bye..."

As soon as Zhou Mo left the ward, he saw many obstetrics and gynecology doctors and nurses watching him from all directions.

"Brothers and sisters, good morning..."

...

After 1 minute,

Zhou Mo wiped his sweat and walked out of the obstetrics and gynecology department under the resentful eyes of several young male doctors in the gynecology department.

"Ding dong~~~"

at this time,

School girl Chen Xiaomo sent a message.

"Senior brother, what are you doing? (Sneak glance

"Senior brother, is this you? (picture Zhou Mo holding the patient and flying to the emergency department jpg

"It's me, why do you have this picture."

"Wow, senior brother, you are amazing. Now this has spread all over our clinical academy."

"???"

"Senior brother, you are popular in our school! We have spread across several groups, and many female classmates are asking for your information!"

"What's there to inquire about..."

"Senior brother, when do you get off work? Watch a movie together?"

"Going to get off work now..."