This Doctor is Great

Chapter 3: 1st ward round...

Cardiology, Group 5.

"Hello, my name is Huang Yiming..."

"Hello, Zhou Mo..."

The two shook hands.

Zhou Mo and Huang Yiming were divided into a group and introduced themselves to each other.

Huang Yiming looked at Zhou Mo, thinking about Zhou Mo's education.

tsk...

In this round, I will definitely win!

At this moment,

A half-bald middle-aged doctor walked in.

"Are you Huang Yiming and Zhou Mo? I'm Chen Bing, your teacher..."

Resident Chen Bing, looking at the two new medical students Zhou Mo and Huang Yiming in front of him, had a splitting headache.

No clinical experience, the most troublesome!

"Hello, teacher!" Huang Yiming shouted loudly and respectfully.

Zhou Mo looked sideways slightly, he didn't expect that this senior brother would come to something.

Zhou Mo: "Hello, teacher!"

"You don't need to call the teacher, you can just call me Senior Brother Chen..."

"Hello, Senior Brother Chen!"

"Hello, Senior Brother Chen."

Chen Bing nodded, then said straight to the point: "You have just entered the department today, so you may not know one thing... Since your 10 medical students entered the department, a competition has begun. According to the previous practice, the higher-level doctors will open A set, bet on the 10 of you, who is the best performer and who is the worst performer... Score once a week..."

Zhou Mo and Huang Yiming: "???"

I fuck,

And this operation?

Leaders, you guys are so arrogant!

At this moment, Huang Yiming was already nervous.

But after glancing at Zhou Mo vaguely, he immediately relaxed again. After all, he was a SYS doctoral master, so it shouldn't be possible for him to be at the bottom, right?

On the other hand, Zhou Mo was faintly excited and looked forward to it.

He also wanted to know, who is the best between himself and the theological masters!

"All right!"

"Next, I'll take you to a ward round..."

"By the way, let me see your fineness..."

Zhou Mo and Huang Yiming were shocked.

The examination is coming!

When I graduated from undergraduate, I had an internship in a hospital and had some experience, but now several years have passed, and I don't know how much I have left...

soon,

Dr. Chen Bing brought Zhou Mo and Huang Yiming to one of the wards.

28 beds.

The patient is an elderly man in his 60s, male with sparse hair, lying on the bed at this time.

"Hello doctor..."

"Hello doctor..."

The patient, his family and his wife greeted cautiously.

Chen Bing smiled: "Uncle, I'll check a room for you..."

Patient: "Thank you doctor..."

The three stood in front of the 28-bed.

Chen Bing said to Zhou Mo and the two: "The 28 beds... I am a medical student who is in charge of it. Now he is going to other departments. I need you to take over later..."

Thinking of this, Dr. Chen Bing couldn't help but feel happy again.

After all, writing medical records, adjusting doctor's orders, etc. is a very painful thing.

Now that there are students coming, these miscellaneous things can be left to the students to do.

Cool!

"Okay, who will come first now?"

Chen Bing looked at Zhou Mo and Huang Yiming.

Huang Yiming hesitated for a moment. To be honest, he had no idea.

Zhou Mo raised his hand first: "I'll come first..."

I, Zhou Mo, do not lose to others!

Chen Bing looked at Zhou Mo in surprise, nodded with a smile, "Okay, let's give it a try..."

Zhou Mo took a deep breath.

Picked up the sign hanging by the bed.

"28 beds, Zhang Jianguo... old man, how are you feeling today?"

"It's okay, it's much better than yesterday..."

"Excuse me, why were you admitted to the hospital?"

"Chest pain..."

"Have you had high blood pressure before? How many years?"

"Hypertension for 4 years..."

"Is there any other medical history?"

While asking, he recorded it in the notebook.

Very smooth, no trouble.

Then I did a physical examination, listened to heart sounds, etc...

5 minutes later,

A standard and smooth ward round process is over.

The summary is:

—Patient Zhang Jianguo, 62 years old, with a 4-year history of hypertension, no diabetes, hyperlipidemia, 2 years ago due to coronary heart disease (coronary atherosclerosis), a certain segment of coronary artery stenosis, underwent interventional surgery in the Cardiology Department, and a bracket.

- 3 days ago, angina pectoris suddenly occurred, and he continued to stay awake. Then he was admitted to the hospital and found that he had a myocardial infarction...

During the whole ward round, Chen Bing couldn't help being surprised when he saw him, but at the same time he was faintly excited.

[I'll go, yes! ]

[This Zhou Mo, although the education is the lowest, but this clinical, seems to have talent! ]

[Many medical students need at least several or a dozen times to have such a smooth ward round! ]

[Moreover, during the consultation process just now, it is obvious that the department of cardiology has a very solid foundation in hypertension, coronary heart disease, intervention, stents, etc., so the consultation will appear to be so handy. ]

[Good guy, I thought it was the worst one, but it gave me a surprise! ]

And Huang Yiming,

At this moment, his face couldn't hold back anymore.

[I'll go, this week Mo, it's amazing! ]

In his heart, he began to feel uneasy, because he always thought that with Zhou Mo at the bottom, he could relax a little, but Zhou Mo directly gave him a 'surprise'!

"Teacher, my ward round is complete."

Zhou Mo finished the record and put down the pen.

Chen Bing nodded: "Yes..."

In my heart, I couldn't help but like Zhou Mo, a new medical student.

But I'm still not sure if Zhou Mo is really expecting it.

So, he couldn't help but start asking questions.

Chen Bing: "The patient fainted because of angina pectoris at first... What is angina pectoris?"

This is basic knowledge, very simple.

Zhou Mo answered easily: "Angina pectoris is a clinical syndrome with episodic chest pain or chest discomfort as the main manifestation caused by insufficient coronary blood supply and acute myocardial ischemia and hypoxia."

Chen Bing began to increase clinical practice: "Tell me, what medicine is there for angina pectoris?"

Zhou Mo didn't think about it: "The most commonly used drugs for myocardial infarction are Suxiao Jiuxin Pills and nitroglycerin... But nitroglycerin is generally used, and the effect is the best..."

Chen Bing: "Is there anything I need to pay attention to when using nitroglycerin?"

Zhou Mo thought for a while, then said, "It should be the posture after taking it... in a sitting or semi-recumbent position..."

Chen Bing became more and more surprised, but he really understood it, so he couldn't help but continue to test: "Tell me about the principle in detail."

Zhou Mo talked eloquently: "If you stand, due to the effect of gravity, blood will accumulate to the lower limbs, which will easily lead to insufficient blood supply to the brain, which will lead to orthostatic hypotension, dizziness, and even induce syncope... Taking medicine while lying down will lead to the return of blood to the heart. Rapidly increases the load on the heart...so eat sitting or semi-recumbent..."

Chen Bing nodded. UU reading www.uukanshu.com

Solid knowledge!

good!

Keep asking to see his limit!

Increase the difficulty!

Chen Bing asked a more difficult question: "If myocardial infarction is caused by angina pectoris, how should I use the medicine?"

Zhou Mo said without hesitation, "Using "aspirin enteric-coated tablets" is an anti-platelet aggregation drug! "

what,

Really understand!

Then Chen Bing asked a few other difficult questions, and Zhou Mo answered them smoothly.

Dr. Chen Bing nodded, feeling a little excited inside.

I feel that someone else lost a treasure, and then I was picked up by myself.

"Are you sure you haven't had any clinical experience?"

"No."

"Okay... Well done..."

Chen Bing happily praised him.

Zhou Mo smiled.

After this hurdle, it was worth it for him to endure 13 hours and read a lot of information on cardiology.

Teacher Chen Bing looked at Huang Yiming at this time: "It's you next."

Huang Yiming held up his notebook: "No problem!"

Full of confidence!

As a scholar, he naturally has a strong ability to analyze and summarize. He has already gone through the ward round process just now by Zhou Mo and summarized the ward round process.

ward round skills, get!

Little meaning!

"Okay!" Chen Bing nodded and came to bed 39: "Bed 39 is also in charge of me. Come and check the room..."

"is teacher!"

Huang Yiming is very confident.

Hold your head high!

I will do better than Zhou Mo!

.

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