This doctor has a system
Chapter 53 53 What do you see me doing?
Chapter 53 53. What do you think I am doing?
Blood routine: the number of white blood cells was 24.14×10^9, and the percentage of neutrophils was 87.1%.
No major problems were found in liver and kidney function. Myocardial enzymes indicated a slight increase in lactate dehydrogenase LDH, and renal function indicated that the creatinine value was slightly higher at 108umol/l.
D-2mer was slightly elevated.
I just had an EKG, and it's fine.
The patient also underwent cardiac color Doppler ultrasound: aneurysm-like widening in the ascending aorta, moderate tricuspid regurgitation, and pericardial effusion.
Could it be a pulmonary embolism?Gao Feng went through the clinical manifestations of pulmonary embolism and the possible manifestations of laboratory tests in his mind, and they did not match.
At this time, a disease suddenly appeared in his mind.
"Ms. Ma, do you think this patient has aortic dissection?" Gao Feng was not sure.
"Congratulations, Doctor Gao, the task is completed." The system's voice sounded.
"Aortic dissection? Are you sure?" Ma Liang's face became serious. This is a very dangerous disease.
According to statistics, the 24-hour survival rate of aortic dissection is only 40%, and the 30-day survival rate of those involving the ascending aorta is only 8%.
"Who called for an emergency consultation?" A middle-aged doctor with rumpled clothes gasped. He was Bian Zhikun, chief resident of the Department of Cardiology, who was in charge of consultation.
Bian Zhikun hated calling the emergency department the most, and had emergency consultations for big things, and most of the time he used them as monkeys.
"Quick, old Bian, let's see if this patient has aortic dissection?" Ma Liang, who had many friends, recognized Bian Zhikun.
"What?" When Bian Zhikun heard about aortic dissection, his mind suddenly cleared up. "Is there any test result?"
"Here!" Ma Liang handed him all the reports.
"It seems that it cannot be determined that it is aortic dissection, right?" Bian Zhikun quickly went through the results, and then carefully asked about the patient's condition.
Gao Feng stepped forward and said, "Ms. Bian, the patient has a history of hypertension, and the color Doppler ultrasound report shows aneurysmal widening of the ascending aorta. I still think the possibility of aortic dissection is the greatest."
"you are?"
"I'm here for the emergency training. Teacher Bian, why don't we take the patient for a color ultrasound of the heart! I always feel that the result of the hospital below needs to be rechecked."
"It may also be that the patient was just sick at the time, and it was not very typical."
Bian Zhikun suddenly wanted to get angry, what can you know as a regular trainee, you are making alarmist remarks here.
Dr. Bian Zhikun graduated from Tongji Medical College of Huazhong University of Science and Technology. His level is far beyond his peers. He is a key training object in the department, otherwise he would not be the chief resident.
Conceited and arrogant, he really wanted to blame Gao Feng for a few words, but the words stopped when he reached his mouth.
"Well, what you said also makes sense, you can do it again."
Bian Zhikun thought to himself, a Gui Peisheng can actively express his views, no matter right or wrong, his behavior is still worthy of encouragement.
Ma Liang opened the order, and Hu Jiaran hurried to the color ultrasound room with the patient and his family.
"I guess I have to go to the hospital to check it out. I don't have a clue yet." Bian Zhikun said to Ma Liang.
"Teacher Bian, take a rest first." Gao Feng gave Bian Zhikun a piece of watermelon.
"Is it iced?" Bian Zhikun started to chew.
Before he finished eating a piece of watermelon, Ma Liang's cell phone rang, and it was Hu Jiaran calling, "Mr. Ma, the teacher in the color Doppler ultrasound room said it was type II aortic dissection, and I need to report the critical value!"
"Hey!" Ma Liang looked at Bian Zhikun.
"What do you think I'm doing?! Send her to the intensive care unit!" Bian Zhikun was anxious.
"What's your name?" Bian Zhikun asked before leaving.
"Teacher Bian, my name is Gao Feng."
Bian Zhikun felt like he had heard it somewhere.
In the afternoon, when it was time to get off work, Li Xinyao called, "Come to the department after work and wait for me. Let's have dinner together." This girl is very clingy to him.
After get off work, Gao Feng dropped by the Department of Respiratory Medicine. Qi Nannan and Cheng Song were very happy to see him.
"Gao Feng, I heard from Hu Jiaran that you have a girlfriend, and you are a beautiful woman." Cheng Song looked envious, "If you have a chance, introduce one to me."
"You didn't call us at dinner last time, you're stingy!" Qi Nannan was a little dissatisfied.
"I should be returning to the department next month, and I will definitely arrange a meal for you two." Gao Feng first wrote a bad check.
"Is Director Zhao here today?"
"Yes, I saw Li Youliang just now." Cheng Song said to Gao Feng, "They should be in the director's office right now."
Director Zhao was very happy to see Gao Feng, "I heard that you did a good job in the emergency department. Director Qi is my junior sister, and she praised you a few days ago."
Li Youliang gave Gao Feng a bottle of Nongfu Spring, "Gao Feng is now in a relationship."
"Is it from our hospital?" Director Zhao was very interested.
"Li Xinyao from the Department of Neurology, a big beauty." Li Youliang's mouth is really fast.
"I know, I know." Director Zhao remembered, "You are tall and have fair skin. We had dinner together before. You are lucky!"
After bidding farewell to Director Zhao, Gao Fengxin happily came to the Department of Neurology.
A nurse at the nurse's station recognized him, "Are you the one who delivered the milk tea that day? What's your relationship with Dr. Li?"
"What kind of relationship could it be? It must be an improper relationship between men and women, hehe!" Another little nurse teased.
"Hey, you saw it." Gao Feng hurriedly left the nurse's station, lest the group of nurses ask questions.
Li Xinyao is still making ward rounds. There are many patients in the Department of Neurology, most of whom are elderly.
However, as the pace of society is getting faster and faster, coupled with changes in eating habits and the environment, there are more and more cases of cerebrovascular diseases among young people.
Li Xinyao, who was wearing a white coat, looked very serious, and her tone was a bit cold when talking to the patient, which was quite different from Gao Feng when she was with Gao Feng.
Gao Feng was sitting in the office, when an older female doctor came up, "Are you Xin Yao's boyfriend? Hey, you're pretty handsome."
Dr. Guo from the Department of Neurology looked at Gao Feng carefully. She had just passed by the nurse's station when she heard the nurses chattering that Li Xinyao's boyfriend had come.
"Hi, I'm Gao Feng." Gao Feng greeted her.
"Okay, try to let us eat your wedding candy as soon as possible." Dr. Guo was very kind.
"sure."
-
"What are you going to eat?" Gao Feng asked Li Xinyao.
"I'm not very hungry, what do you want to eat?" Li Xinyao took Gao Feng's arm as soon as she came out of the hospital.
"Why don't you still drink shrimp porridge? Didn't you say it was delicious last time?" Gao Feng suggested.
When the two entered the store, the room was already full of people, and there was not much space left outside the store. The boss skillfully set up a small table for the two of them a little further away.
The two asked for a pot of shrimp porridge, and asked the boss to serve a small pot of beef tripe.
It doesn't matter whether the food is good or not, the main thing is that beautiful women are delicious.
When the two of you were talking about each other, a slightly panicked voice sounded: "Brother, what's wrong with your face?"
Gao Feng looked over and saw a man in his 20s frantically touching his big face.
"It was fine when you came here, why did your face swell into a big pig's head after a while." The friends on the side were all dumbfounded.
"Boss, come here quickly, are you poisoned?"
The boss hurried over, "Don't talk nonsense, you are all fine, how could you be poisoned alone."
Gao Feng walked over, "Go to the hospital quickly, you must be allergic, have you ever been allergic to fish and shrimp?"
The pig-headed man thought for a while: "I was allergic to shrimp once before. At that time, I had a lot of rashes all over my body. My face is fine! I won't be disfigured, will I?"
"Go to the hospital quickly." Gao Feng urged him, "Otherwise, it is really possible to disfigure."
The pig-headed man was terrified, and trotted towards the hospital.
Thank you for your support, this book is doing well.
(End of this chapter)
Blood routine: the number of white blood cells was 24.14×10^9, and the percentage of neutrophils was 87.1%.
No major problems were found in liver and kidney function. Myocardial enzymes indicated a slight increase in lactate dehydrogenase LDH, and renal function indicated that the creatinine value was slightly higher at 108umol/l.
D-2mer was slightly elevated.
I just had an EKG, and it's fine.
The patient also underwent cardiac color Doppler ultrasound: aneurysm-like widening in the ascending aorta, moderate tricuspid regurgitation, and pericardial effusion.
Could it be a pulmonary embolism?Gao Feng went through the clinical manifestations of pulmonary embolism and the possible manifestations of laboratory tests in his mind, and they did not match.
At this time, a disease suddenly appeared in his mind.
"Ms. Ma, do you think this patient has aortic dissection?" Gao Feng was not sure.
"Congratulations, Doctor Gao, the task is completed." The system's voice sounded.
"Aortic dissection? Are you sure?" Ma Liang's face became serious. This is a very dangerous disease.
According to statistics, the 24-hour survival rate of aortic dissection is only 40%, and the 30-day survival rate of those involving the ascending aorta is only 8%.
"Who called for an emergency consultation?" A middle-aged doctor with rumpled clothes gasped. He was Bian Zhikun, chief resident of the Department of Cardiology, who was in charge of consultation.
Bian Zhikun hated calling the emergency department the most, and had emergency consultations for big things, and most of the time he used them as monkeys.
"Quick, old Bian, let's see if this patient has aortic dissection?" Ma Liang, who had many friends, recognized Bian Zhikun.
"What?" When Bian Zhikun heard about aortic dissection, his mind suddenly cleared up. "Is there any test result?"
"Here!" Ma Liang handed him all the reports.
"It seems that it cannot be determined that it is aortic dissection, right?" Bian Zhikun quickly went through the results, and then carefully asked about the patient's condition.
Gao Feng stepped forward and said, "Ms. Bian, the patient has a history of hypertension, and the color Doppler ultrasound report shows aneurysmal widening of the ascending aorta. I still think the possibility of aortic dissection is the greatest."
"you are?"
"I'm here for the emergency training. Teacher Bian, why don't we take the patient for a color ultrasound of the heart! I always feel that the result of the hospital below needs to be rechecked."
"It may also be that the patient was just sick at the time, and it was not very typical."
Bian Zhikun suddenly wanted to get angry, what can you know as a regular trainee, you are making alarmist remarks here.
Dr. Bian Zhikun graduated from Tongji Medical College of Huazhong University of Science and Technology. His level is far beyond his peers. He is a key training object in the department, otherwise he would not be the chief resident.
Conceited and arrogant, he really wanted to blame Gao Feng for a few words, but the words stopped when he reached his mouth.
"Well, what you said also makes sense, you can do it again."
Bian Zhikun thought to himself, a Gui Peisheng can actively express his views, no matter right or wrong, his behavior is still worthy of encouragement.
Ma Liang opened the order, and Hu Jiaran hurried to the color ultrasound room with the patient and his family.
"I guess I have to go to the hospital to check it out. I don't have a clue yet." Bian Zhikun said to Ma Liang.
"Teacher Bian, take a rest first." Gao Feng gave Bian Zhikun a piece of watermelon.
"Is it iced?" Bian Zhikun started to chew.
Before he finished eating a piece of watermelon, Ma Liang's cell phone rang, and it was Hu Jiaran calling, "Mr. Ma, the teacher in the color Doppler ultrasound room said it was type II aortic dissection, and I need to report the critical value!"
"Hey!" Ma Liang looked at Bian Zhikun.
"What do you think I'm doing?! Send her to the intensive care unit!" Bian Zhikun was anxious.
"What's your name?" Bian Zhikun asked before leaving.
"Teacher Bian, my name is Gao Feng."
Bian Zhikun felt like he had heard it somewhere.
In the afternoon, when it was time to get off work, Li Xinyao called, "Come to the department after work and wait for me. Let's have dinner together." This girl is very clingy to him.
After get off work, Gao Feng dropped by the Department of Respiratory Medicine. Qi Nannan and Cheng Song were very happy to see him.
"Gao Feng, I heard from Hu Jiaran that you have a girlfriend, and you are a beautiful woman." Cheng Song looked envious, "If you have a chance, introduce one to me."
"You didn't call us at dinner last time, you're stingy!" Qi Nannan was a little dissatisfied.
"I should be returning to the department next month, and I will definitely arrange a meal for you two." Gao Feng first wrote a bad check.
"Is Director Zhao here today?"
"Yes, I saw Li Youliang just now." Cheng Song said to Gao Feng, "They should be in the director's office right now."
Director Zhao was very happy to see Gao Feng, "I heard that you did a good job in the emergency department. Director Qi is my junior sister, and she praised you a few days ago."
Li Youliang gave Gao Feng a bottle of Nongfu Spring, "Gao Feng is now in a relationship."
"Is it from our hospital?" Director Zhao was very interested.
"Li Xinyao from the Department of Neurology, a big beauty." Li Youliang's mouth is really fast.
"I know, I know." Director Zhao remembered, "You are tall and have fair skin. We had dinner together before. You are lucky!"
After bidding farewell to Director Zhao, Gao Fengxin happily came to the Department of Neurology.
A nurse at the nurse's station recognized him, "Are you the one who delivered the milk tea that day? What's your relationship with Dr. Li?"
"What kind of relationship could it be? It must be an improper relationship between men and women, hehe!" Another little nurse teased.
"Hey, you saw it." Gao Feng hurriedly left the nurse's station, lest the group of nurses ask questions.
Li Xinyao is still making ward rounds. There are many patients in the Department of Neurology, most of whom are elderly.
However, as the pace of society is getting faster and faster, coupled with changes in eating habits and the environment, there are more and more cases of cerebrovascular diseases among young people.
Li Xinyao, who was wearing a white coat, looked very serious, and her tone was a bit cold when talking to the patient, which was quite different from Gao Feng when she was with Gao Feng.
Gao Feng was sitting in the office, when an older female doctor came up, "Are you Xin Yao's boyfriend? Hey, you're pretty handsome."
Dr. Guo from the Department of Neurology looked at Gao Feng carefully. She had just passed by the nurse's station when she heard the nurses chattering that Li Xinyao's boyfriend had come.
"Hi, I'm Gao Feng." Gao Feng greeted her.
"Okay, try to let us eat your wedding candy as soon as possible." Dr. Guo was very kind.
"sure."
-
"What are you going to eat?" Gao Feng asked Li Xinyao.
"I'm not very hungry, what do you want to eat?" Li Xinyao took Gao Feng's arm as soon as she came out of the hospital.
"Why don't you still drink shrimp porridge? Didn't you say it was delicious last time?" Gao Feng suggested.
When the two entered the store, the room was already full of people, and there was not much space left outside the store. The boss skillfully set up a small table for the two of them a little further away.
The two asked for a pot of shrimp porridge, and asked the boss to serve a small pot of beef tripe.
It doesn't matter whether the food is good or not, the main thing is that beautiful women are delicious.
When the two of you were talking about each other, a slightly panicked voice sounded: "Brother, what's wrong with your face?"
Gao Feng looked over and saw a man in his 20s frantically touching his big face.
"It was fine when you came here, why did your face swell into a big pig's head after a while." The friends on the side were all dumbfounded.
"Boss, come here quickly, are you poisoned?"
The boss hurried over, "Don't talk nonsense, you are all fine, how could you be poisoned alone."
Gao Feng walked over, "Go to the hospital quickly, you must be allergic, have you ever been allergic to fish and shrimp?"
The pig-headed man thought for a while: "I was allergic to shrimp once before. At that time, I had a lot of rashes all over my body. My face is fine! I won't be disfigured, will I?"
"Go to the hospital quickly." Gao Feng urged him, "Otherwise, it is really possible to disfigure."
The pig-headed man was terrified, and trotted towards the hospital.
Thank you for your support, this book is doing well.
(End of this chapter)
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