This Doctor is Great

Chapter 77

"I'm coming!"

In the conference room, a group of doctors who scored the scores became excited.

"I'll go, Director Niu is really cruel, isn't that even an electrocardiogram?"

"Direct cardiac arrest, this is forcing Zhou Mo to find a way quickly..."

Director Niu laughed: "I set it to 4 minutes. If it exceeds 4 minutes, the patient will die and the assessment will fail."

"Director Niu, 666~~~"

"Wolf Extermination!!"

"Okay, let's look forward to how Zhou Mo can overcome this predicament!"

……

Although Zhou Mo complained, even though he felt nervous,

But he still responded quickly. He performed cardiopulmonary resuscitation on the patient, and then shouted for help.

"The patient has suffered a sudden cardiac arrest, come here!"

"4 Adrenaline, Syringe..."

It looks very good.

Then, while pressing the heart, he asked the patient's wife.

"Your husband, do you usually have a history of heart disease?"

"No……"

"High blood pressure, diabetes?"

"nor……"

"Is there any other medical history?"

"Yes, hyperthyroidism, I usually take hyperthyroidism medicine..."

"Hyperthyroidism? Hyperthyroidism!"

Zhou Mo was instantly overjoyed.

"Do you usually take medicine? Is it regular?"

"It used to be regular, this time is irregular..."

"I didn't run away, this is it!"

Zhou Mo was overjoyed.

The answer has been found!

Hyperthyroidism, also known as hyperthyroidism (in turn, hypothyroidism, hypothyroidism).

It will release too much thyroid hormone, resulting in hypermetabolism and sympathetic excitation.

It increases the heart rate and damages the heart muscle.

It's called hyperthyroid cardiomyopathy.

After meeting a patient with high blood pressure and chronic nephritis yesterday, Zhou Mo began to pay attention to those cases related to heart disease.

Among them is hyperthyroid cardiomyopathy.

but,

There is a problem, hyperthyroid cardiomyopathy. Although severe hyperthyroid crisis can lead to cardiac arrest, it generally does not produce muscle weakness.

Therefore, hyperthyroid cardiomyopathy and hyperthyroid crisis are not considered for the time being.

So, Zhou Mo considered another disease.

Hyperthyroidism - triggers starvation - leads to hypokalemia - hypokalemia - periodic paralysis of hyperthyroidism.

Periodic paralysis of hyperthyroidism, what is it?

In layman's terms (non-standard), it means that the thyroid hormone is too high, causing the body to consume too much, thereby causing the body's important electrolytes to be lost, such as potassium ions. Potassium is the key to maintaining muscle activity, and when hypokalemia occurs, muscles can become weak or even paralyzed. A large loss of potassium ions naturally causes muscle weakness.

It corresponds to the patient's muscle weakness symptoms.

Then why the sudden cardiac arrest?

Because potassium ions are also key to the heart's electrical activity, hypokalemia can cause severe arrhythmias and even cardiac arrest.

This corresponds exactly to the patient's cardiac arrest.

Answer!

It's about to come out! !

Hyperthyroidism + hypokalemia!

"Nurse, draw arterial blood and check blood gas analysis!!"

Zhou Mo shouted to the air.

Soon, as if the game triggered the scene, the wife quickly pulled out a report.

Exactly—the blood gas analysis report!

Zhou Mo held back his complaints, and then he looked at the results of the blood gas analysis:

Potassium ion: 2.1 (normal value 3.5-5.5).

It corresponds!

Zhou Mo shouted to the air, "Nurse, please bring potassium chloride (a potassium supplement) over here... Give him an intravenous injection..."

Potassium chloride is a commonly used potassium supplement. It is usually used for drinking. It tastes a little strange. It is best to add water to drink orally.

If the patient can't take it orally, then intravenously...

If the intravenous drip is not fast enough, bolus...

If the bolus injection is not fast enough, direct internal jugular vein puncture and bolus injection, one step from the superior vena cava to the heart...

"Forget it, it's too late, give him a jugular vein injection directly!"

At this moment,

The patient sat up abruptly.

"Ah~~~ I'm saved... Thank you, doctor!"

"you are welcome!"

Zhou Mo 'wiped his sweat', and then urged, "You must take hyperthyroidism medicine regularly in the future, you know? Otherwise, you will die next time."

The patient nodded again and again: "I don't dare, I don't dare!"

The patient leaves.

Zhou Mo returned to the table and entered the medical records.

So far,

The examination is over.

Zhou Mo looked back at Professor Qi.

……

meeting room.

"I'm going! I really found the cause!"

"good job!"

"How much time did it take?"

"32 seconds..."

"Brilliant!!"

"This Zhou Mo, you evildoer!"

"If you let me come, I probably won't be as fast as him!"

"As expected of the King of the Three Weeks!"

"Director Niu, why did you stay for 4 minutes? Are you looking down on our King of Three Weeks?"

Director Niu also smiled wryly.

He restrained him for 4 minutes because he felt that Zhou Mo could solve this patient in 4 minutes, even if he was qualified.

In the end, Zhou Mo gave him a surprise!

Only 32 seconds!

It's simply out of line! !

However, this also surprised him even more, indicating that Zhou Mo is indeed a very good student!

……

Zhou Mo greeted Professor Qi with a salute, then left the mock consultation room and returned to this conference room for medical students.

"How about it?"

Huang Yiming asked curiously.

Zhou Mo smiled wryly and shook his head: "Don't talk about it, my patients are more bizarre than yours..."

Then I told them in detail.

A group of medical students were dumbfounded.

Not only did I have an unrelated muscle weakness, I didn't even get an electrocardiogram, I even had a sudden cardiac arrest, and I had an appointment for 4 minutes...

In comparison, the cases I encountered were as simple as elementary school problems!

The always proud Wang Lilong ~www.novelmt.com~ couldn't help but feel discouraged.

The treatment is too bad!

He understood that the difficulty of Zhou Mo's questions was deliberately set by those doctors, which means that in the eyes of those doctors, Zhou Mo's level was several grades higher than theirs.

Moreover, Wang Lilong re-examined the situation. If he allowed himself to face the sp patient Zhou Mo, he might fail!

After all, the 4-minute consultation time, plus cardiopulmonary resuscitation and commanding nurses, is actually very short!

"Could it be that rote memorization is really useful?"

"How about? Let me try?"

Wang Lilong looked at Zhou Mo and thought to himself.

……

……

The exam is over,

It's already 16:34...

It's almost time to get off work.

The 8 medical students returned to the Cardiology Department in a hurry, and began to work hard to manage patients.

"How is it? How is the exam?"

"Is it difficult?"

The training doctors Zhang Wu and Ye Rong who didn't go looked at Zhou Mo involuntarily.

ignoring others.

Zhou Mo nodded: "It's alright, it feels quite difficult."

Zhang Wu and Ye Rong were even more curious.

However, everyone is so busy working now that they don't have time to chat.

……

19:00…

Zhou Mo was busy with two patients (Syndrome X, hypertension complicated with chronic nephritis) and was ready to get off work.

"Ding dong..."

At this time, everyone's mobile phone rang a voice prompt.

"@All medical students... Today's standardized patient assessment has ended... The final results will be announced below..."

.