This Doctor is Great

Teacher Zhang Luojia looked at Huang Zhichao who was "retreating in panic".

"It's up to you... You can answer, if a patient has an upper gastrointestinal infection, what are the methods to stop the bleeding?"

Huang Zhichao breathed a sigh of relief: "There are drugs to stop bleeding, balloon tube compression to stop bleeding, and endoscopic direct vision to stop bleeding."

Zhang Luojia continued to ask: "What is the principle of action of norepinephrine in the drug hemostasis? What are the contraindications? What are the methods of use?"

Huang Zhi hesitated for a moment:

"The function of removing nails is to constrict blood vessels and achieve the purpose of hemostasis. The contraindications are... yes... yes..."

At the end, he shook his head in frustration.

He forgot this knowledge point.

To be honest, he is a doctor in training and works in an ordinary tertiary hospital in the city next door. The degree is only a bachelor's degree, plus an on-the-job master's degree.

His learning ability is much worse than Xueba and Xueshen.

For many basic questions, he can memorize some of them, but he is not good at others.

Zhang Luojia didn't scold, "Go back and read more."

Huang Zhichao nodded again and again as if he had received an amnesty: "Okay, okay!"

Zhang Luojia looked at Zhou Mo: "Come and answer the question just now..."

Zhou Mo didn't think about it: "The contraindication of demethylation is that patients with arteriosclerosis should use it with caution. The method of use is divided into oral method and intragastric lavage method. The dosage and method of oral administration are... the dosage method of lavage is..."

Even the precise mg and ml values, Zhou Mo made it clear.

Now,

Even Li Dongmei was surprised.

She can't do this!

Zhang Luojia was completely satisfied, and smiled: "Not bad, not bad."

A good medical student can save her a lot of trouble, so she is naturally happy.

...

The next one is a patient with liver cirrhosis.

Case: Male, 42 years old, was admitted to the hospital because of "repeated fatigue and vomiting for one year, and edema of both lower limbs for one month". 20 years of drinking history. About 500 grams of liquor per day. B ultrasound showed mild hepatomegaly, mild splenomegaly, no hepatobiliary obstruction.

The final examination showed: alcoholic liver cirrhosis.

Teacher Zhang Luojia is well versed in the question-and-answer style of gastroenterology, and began to ask a series of fatal questions:

"Huang Zhichao, please answer, the pathogenesis of liver cirrhosis."

This question is the foundation of the foundation.

Huang Zhichao is full of confidence: "The mechanism is that the liver has been damaged by various reasons, and then liver cell necrosis...nodular regeneration...fibrous septum...finally leads to the gradual deformation and hardening of the liver..."

Teacher Zhang Luojia nodded: "Describe the cause of alcoholic liver cirrhosis."

Huang Zhichao: "The reason is long-term drinking, which leads to repeated fatty degeneration, necrosis and regeneration of liver cells... The development process is: alcoholic fatty liver-alcoholic hepatitis-hepatic fibrosis-alcoholic cirrhosis..."

Zhang Luojia nodded.

Basically not bad.

Huang Zhichao was very happy, finally his performance was not bad.

At this time, Zhang Luojia suddenly picked a topic and asked Huang Zhichao:

"This patient has hepatic ascites, what kind of diuretics are used? How much?"

Huang Zhichao: "..."

blind.

This question will not at all!

Huang Zhichao couldn't help but think in his heart: "We just came here to Gastroenterology and haven't studied much yet, how could we understand this?"

Zhang Luojia looked at Zhou Mo: "Do you know?"

Huang Zhichao immediately looked at Zhou Mo with sympathy: "He's just here too, so he probably doesn't understand such small details, right?"

result,

Without thinking, Zhou Mo answered directly:

"Generally, spironolactone 60mg/d (potassium preservation) + furosemide 20mg/d (potassium excretion)..."

"If the effect is not obvious, you can gradually increase to spironolactone 120mg/d + furosemide 40mg/d..."

Teacher Zhang Luojia was immediately satisfied.

Look, this is excellent!

As for Huang Zhichao, he was completely dumbfounded.

Fuck, is it so awesome?

Looking at Zhou Mo with resentful eyes: "Brother, you are just here too, right? Why are you so familiar with this?"

Li Dongmei also looked sideways at Zhou Mo.

I thought to myself: "Amazing!"

...

for the rest of the time,

Looking at the patients one by one, in addition to introducing the condition of each patient, Mr. Zhang Luojia will also ask questions habitually.

Now you can clearly see the difference between the three people.

Li Dongmei's SYS eight-year program has solid theory, but she doesn't understand some clinical problems.

Huang Zhichao, not only was a bit poor in clinical practice, but also in theoretical knowledge.

As for Zhou Mo, it goes without saying that Teacher Zhang Luojia is the most satisfied, with solid theoretical knowledge, and many clinical data aspects, without getting stuck. You must know that data is the most difficult thing to memorize, but pathology is easier to memorize, because there is logic there.

put it all together,

Zhou Mo's performance was 95 points, and if it was too many, he was afraid that Zhou Mo would be proud.

Li Dongmei scored 88 points and needs more clinical experience, but I believe that Li Dongmei can catch up soon with her learning ability.

Huang Zhichao scored 75 points, and the level of training doctors will indeed be a bit worse. Teacher Zhang Luojia is not disappointed, but just encourages Huang Zhichao to work harder. This made Huang Zhichao, who was shivering, very moved. He cheered for himself like chicken blood, and must work hard.

After checking 12 patients of 3 medical students, 3 hours have passed.

It was already 14:00 at this time.

Haven't had lunch yet.

"Gulu Gulu~~~~"

The stomachs of the four people were already panicking with hunger.

Teacher Zhang Luojia still had a flat face: "Come on, I'll treat you to eat..."

Huang Zhichao was moved to tears on the spot: "The teacher is so kind, and invited me to dinner!"

Li Dongmei also showed anticipation.

The teacher invites the students to eat? It's exciting just thinking about it!

Soon, Teacher Zhang Luojia came to the "Energy Supply Station" of the department, scanned the QR code to give money, and bought a bowl of instant noodles for everyone...

Zhou Mo, Li Dongmei, Huang Zhichao: "..."

really,

Can't expect much!

The four gathered together and ate instant noodles.

Teacher Zhang Luojia: "Wait a minute, each of you is about to start rounds, write medical records, and doctor's orders. Work harder today and work overtime. You can't wait until tomorrow, you know?"

Zhou Mo and the others: "Yes!"

Teacher Zhang Luojia: "Also, each of you has only 4 patients + one empty bed. The empty bed is deliberately reserved for you. When the time comes, some patients will come to practice admission and patient diagnosis. ..."

Huang Zhichao was already wailing in his heart: "It's over, I have to add new patients, I'm afraid I will have to work overtime until late at night tonight."

Li Dongmei's morale is high.

...

After eating instant noodles,

The three of Zhou Mo started looking for a computer, writing medical records and doctor's orders...

Zhou Mo deliberately sat down on the empty computer next to Huang Yiming, and chatted with Huang Yiming while logging in to the system with teacher Zhang Luojia's account.

"How is it? Today?" Zhou Mo asked.

"Too bad, I have to take care of 5 patients..." Huang Yiming's eyes were red, typing on the keyboard, "I'm starting to miss the cardiology department now, 2 patients, it's so comfortable."

"Come on... I also take care of 5 patients..." Zhou Mo patted Huang Yiming on the shoulder.

login system……

Enter patient condition...

Zhou Mo's patient information of No. 76-79 managed by Zhou Mo is deeply memorized in his mind, so there is no need to regard it as a note, and his fingers are typing on the keyboard quickly!

...

At 15:00, the examination reports of 4 patients (blood drawn in the morning) came out.

According to the report, Zhou Mo changed the case and doctor's order...

...

At this moment,

The nurse at the nurse station walked to the door of the duty room.

"Who is Zhou Mo?"

"I..." Zhou Mo waved.

"There is a patient who is coming in, and he has already arrived. We have arranged to put 80 beds in it. Come and receive it." The nurse said.

"Okay..." Zhou Mo stood up.

Li Dongmei and Huang Zhichao looked over.

The patient came so soon? Do not wait for tomorrow?

OMG!

Don't let us rest?

.