"Okay, you said her arrhythmia, which part of the electrocardiogram showed the problem?"
Zhao Zhaowei frowned and tried to recall the patient's ECG that he had just seen: "Yes, there was more than one P wave, this is—"
"What is it?"
"Sinus arrhythmia?"
"You think she's in sinus arrhythmia? Just to be sure."
Zhao Zhaowei wanted to cry again. Even if it is a diagnostics textbook and an internal science textbook, it seems that the electrocardiogram is not explained so carefully.
"Teacher, I won't." Zhao Zhaowei admitted defeat again.
"I can't read the problems in the electrocardiogram after making it. What do you think is the situation?"
"It's my fault." Zhao Zhaowei voluntarily surrendered for the third time.
Dr. Lin turned to Xie Wanying, "What do you think?"
"It is very common to have an electrocardiogram but not be able to read the problems in the electrocardiogram, because many heart diseases are occult. If you want to draw a conclusion, you can't be sure just by an electrocardiogram. Besides, the electrocardiogram itself will be subject to many objective The influence of factors. For example, the patient's emotion. Like this female patient, it is obvious that respiratory sinus arrhythmia is a very common manifestation in adolescents, and the pp interval is greater than 0.12 seconds. She was also very Nervous. But you must know that the patient's main complaint is that he was sent to the emergency department because of panic, dizziness and fainting, and other diseases cannot be easily ruled out."
After hearing Xie Wanying's words, Zhao Zhaowei remembered: "Yes, it's not more than one P wave, but the PP interval is prolonged."
Of course, Dr. Lin knew that sinus arrhythmia was right, otherwise he would not have questioned the student. He was concerned about Xie Wanying's last sentence: "What other possibilities do you think caused her to faint?"
"In addition to further heart examinations, blood tests should be done first to rule out abnormal thyroid function, blood potassium problems, and whether she has taken any drugs that have affected her body. Let's do a comprehensive checkup. "Speaking, Xie Wanying looked at the patient, and really couldn't see that this female student had a particularly serious problem. If there is a problem, maybe the parents of the female students standing outside have some health problems because they are getting older.
Dr. Lin knew her expression, and walked away with a slight smile. Basically, Xie Wanying agreed with his judgment.
For senior high school students, parents have always been more nervous than students. Therefore, what Xie Wanying said is correct, helping the patient to do a comprehensive examination is also responsible for the parents who are too nervous.
Seeing the teacher left, Zhao Zhaowei and Xie Wanying walked to the side, wiping their sweat: "Yingying, from now on you—"
"Otherwise, I will avoid being with you in the future." Xie Wanying also knew that her rebirth had an advantage over Zhao Zhaowei, which was unfair to Zhao Zhaowei and the others.
Unexpectedly, as soon as she said this, Zhao Zhaowei grabbed her hand vigorously and begged: "No, no, you must not do this. You must know that I have been in the neurology department for the past two days, and I have no chance to do it. I don’t know what I’m doing wrong at all. Because the teacher can’t cheer me up when he sees me.”
Clinical teachers are not like lecturers in the classroom. Most of them are so busy seeing patients on weekdays that they have not received pedagogical training and have no eloquence in lectures. If you tell the students a few sentences and find that the students don't understand, you must stop talking. If you talk about it, it is equivalent to nonsense. To get clinical teachers to speak more, they must be at least as good as Xie Wanying.
Dr. Lin is willing to talk more because Xie Wanying made him feel the same academic atmosphere as his colleagues, which feels good.