Seeing the old man's cough and shortness of breath, Xu Ze roughly estimated what the disease was, so he was convinced that if they were all such obvious patients, then even twenty of them would not be too serious. It's hard work, and you shouldn't be shocked easily. Xu Ze couldn't help but shudder when he thought of the flesh-eroding taste of the electric shock. wWW、QUanbEn-xIAoShUo、com
First of all, through detailed consultation, it was found that this old man had a history of smoking for decades. In the past five or six years, he had frequent coughing and sputum production in winter and spring. In the past one or two years, he began to have shortness of breath.
In terms of physical examination, the patient breathed through the mouth and had cyanosis on the lips, which is an obvious manifestation of hypoxia; the carotid arteries were distended, the bilateral thorax was enlarged, the intercostal space was widened, the breath sounds in both lungs were low, and obvious vesicular wetness could be heard. Sound and wheezing, this should be bronchitis and infection, as well as emphysema. Not only was there a problem with the lungs, but the heart seemed to be enlarged upon percussion.
Xu Ze thought for a while. Although he had not systematically studied internal medicine in school, the internal medicine taught by Xiao Dao recently clearly introduced this situation. Coughing, phlegm, shortness of breath, and cyanosis. Combined with Physical examination revealed chronic bronchitis and emphysema, and if the heart was enlarged, corpulmonary heart disease must also be considered.
Thinking of this, Xu Ze started X-ray fluoroscopy and conducted further examination of the patient's lungs.
The air permeability of both lungs has increased significantly, most of them are dark gray, and patchy shadows can be seen, and the heart is much enlarged than that of ordinary people.
Xu Ze made the diagnosis clear at that moment, and confidently said to the knife next to him: "The diagnosis considers chronic bronchitis and infection, obstructive emphysema, and pulmonary heart disease. There is nothing wrong with that!"
Seeing the complacency on Xu Ze's face, Xiao Dao chuckled, and saw a flash of lightning. Xu Ze's expression changed, and he exclaimed, and then his body trembled involuntarily, and his hair was done free of charge by Xiao Dao again. I got a firework perm and it was very beautiful.
Feeling the unforgettable numbing taste just now, Xu Ze trembled his lips, looked at Xiao Dao angrily and said: "Xiao Dao, what are you doing? I obviously got the answer right!"
Seeing the anger on Xu Ze's face, Xiaodao shrugged, smiled softly, and said: "You are right, but you still have a comprehensive answer."
"As a doctor, have you forgotten what a comprehensive physical examination is? What is carefulness?" Xiaodao said with disdain, "Anyone can analyze these diagnoses based on the symptoms, but you have forgotten, You didn't check his blood pressure just now, and his actual blood pressure was 180/120mmhg. Do you think you made a huge mistake?"
"Uh..." After hearing Xiao Dao's lesson, Xu Ze had nothing to say. He was indeed too careless just now. He thought the diagnosis was very simple, so he was careless and forgot to measure blood pressure. He had to lower his head at the moment. , convinced: "Hypertension level 3 (very high-risk group) should be added; yes, I was wrong this time."
"Well..." Seeing that Xu Ze accepted it humbly, Professor Xiaodao nodded with satisfaction and continued: "Okay, let's continue talking about his treatment plan."
Xu Ze was more serious now. He thought about it carefully and then said carefully: "Give continuous low-flow and low-concentration oxygen infusion, and provide anti-infection, reduce phlegm and cough, relieve spasm and asthma, improve pulmonary circulation, and treat blood pressure..."
"Specific medication?"
Hearing what Xiaodao said, Xu Ze finally breathed a sigh of relief. It seemed that he was right. He quickly continued: "The antibiotics are now generally cefoperazone sodium plus oxacillin, and aminophylline and mucosolvan are used to relieve spasms and relieve asthma. The phlegm is used to relieve cough, dopamine and lithiding are used to improve pulmonary circulation, and Boidin is used to lower blood pressure." After saying that, he quickly looked at the knife, for fear that he would make a mistake.
Fortunately, Professor Xiaodao was extremely satisfied with his answer this time. He nodded and smiled: "Well... good, let's start the formal treatment!" After that, with a wave of his hand, Xu Ze had a doctor's order light board and a tube in front of him. Laser pointer.
Now that Xiaodao has approved his treatment plan, Xu Ze can feel free to write the doctor's order. As long as the general direction is good, there shouldn't be too many problems with this.
As Xu Ze finished prescribing all the medical orders, Xiaodao nodded with a smile, pointed at the old man in the middle and said: "Okay... now let's take a look at your treatment on the first day, and you can go check it out again."
Xu Ze stepped forward and saw that the old man had changed significantly from before. His shortness of breath had begun to ease and his lips were no longer cyanotic. Now Xu Ze felt confident and the treatment effect seemed to be good.
After careful examination, it was confirmed that the rales in the lungs had decreased and the blood pressure had dropped to 150/90mmhg. Then he nodded to the knife and said: "The treatment is effective and the patient is getting better. It is recommended to add nitrendipine 10mg three times a day. In conjunction with lowering blood pressure, other treatments will be continued.”
"Hmm...Okay, according to your treatment plan, let's see how he fares after treatment the next day..."
"Shortness of breath is significantly relieved, there is no cyanosis in the lips, rales in the lungs are significantly reduced, and blood pressure is controlled at 130/70mmhg. The treatment effect is good..." Xu Ze was relieved now. It seems that his treatment plan is very effective. No more electric shocks.
Xiaodao nodded with satisfaction, and then said: "Okay, next time..."
As Xiao Dao's voice fell, the old man in the center of the room suddenly changed and turned into a young man. Xu Ze stepped forward and began to inspect. This time, he was much more careful and did not dare to be careless at all. .
Still, the first step is to consult a doctor. The young man said that he has had more stools recently, and they are all tar-colored. This has been going on for more than ten days. In the past two days, he has increasingly felt that he has no energy, and he feels more energetic after a little exercise. prompting situation.
As soon as Xu Ze heard these situations, he felt confident and started to check. On inspection, the young man's face was pale and his lips were white, he was anemic, his heartbeat was rapid on auscultation, and there was obvious tenderness in the upper abdomen on palpation.
Now Xu Zeke started to care. It was obvious that this was a patient with gastrointestinal bleeding. After some consideration, he proposed a treatment plan and further examination, which made Xiaodao very satisfied.
In this way, after spending four hours, all twenty patients of various types were finally treated. Fortunately, Xu Ze's hair style was also very avant-garde at this time. After being shocked four or five times, his head was covered with hair. His hair turned into a broom head like Sun Wuhan.
Xiaodao nodded unexpectedly. He was surprised that Xu Ze could pass the test in one go. He diagnosed all twenty patients and completed the treatment of all virtual patients. The results were pretty good. Originally, he planned to spend It took a few days for Xu Ze to meet the target, but now he felt relieved.
At that moment, he finally showed a smile and said: "Yes, look at your study results this month. I think you passed the test smoothly today..."
"Work hard. I see that your primary energy cycle has reached eight circles. Keep at it and try to break through nine circles in the next few days and advance to the first level. Then you won't have to work so hard."
But Xu Ze didn't feel happy at all at this time. He just touched his hair with trembling hands, his face full of resentment, and thought to himself that it was just like this in the virtual space. If he still had this hairstyle when he went out, he might as well commit suicide...
After going out, Xu Ze was puzzled by Xiao Dao's strange behavior today. Finally, after thinking about it, he finally figured out the purpose of Xiao Dao training him so hard. Looking at this, if he didn't advance to the first level as soon as possible, I still don’t know what the knife will do to me next.
Therefore, Xu Ze worked very hard early this morning, desperately urging the operation of the energy cycle. While urging, he secretly said: "If I don't break through to nine circles today, I don't know if it will be like yesterday." miserable."
Thinking of the feeling of being shocked by those electric shocks last night, Xu Ze was still trembling all over. He gritted his teeth and did not dare to think about it again.
Feeling that the air flow in the sea of qi was moving at full strength under his own urging, Xu Ze did not dare to be distracted at this time, and mobilized all his mental power to push the air flow forward. Past experience told him that this kind of air flow When running, as long as you break through to a certain lap once, it will be extremely easy to reach this lap in the next run.
Now he has reached the eighth lap for a few days. Every time he reaches the ninth lap, he is still a little bit behind. This time he is going to attack the ninth lap. If he can successfully pass the level, then he can advance to the first level. Level will be extremely easy. Because the current physique is already at level F during genetic optimization, the meaning of a knife in medical terms should not be much different, and this should be the only difference.
"I hope it will be successful. We don't want to continue to be tortured by that perverted knife today." Xu Ze said with such expectation.
PS: Please ask for the recommendation votes first... The front is only a little bit short, and the back is only a little bit short. Unfortunately, Tiannan has no choice but to ask for votes... Brothers and sisters who have votes, please support me.
Then I would like to thank all the brothers and sisters for their support in the book review area with their messages, rewards, and review votes. Tiannan has seen everyone’s book reviews, but he is very busy, so he did not reply to them one by one. Tiannan would like to express his apology and gratitude to everyone here.
There were many friends who gave tips in July, so Tiannan will not list them one by one here. There is a table in the related directory page. Here I would like to express my gratitude to the friends who gave tips. Thank you all!