Auto chess in the operating room

Chapter 3
Tang Lou was unaware of it at the moment, looking straight at the patient with a pair of eyes, and saw a medical certificate appearing in front of him:

[Patient: Liu Xuegen, male, 41 years old

Etiology: Aortic dissection, Stanford type A, involving the aortic arch.

Symptoms: The blood pressure of the patient's right arm is significantly lower than that of the left arm, the arterial pulse is weak, the right upper limb is weak, and there is a heart murmur, urgent treatment is needed, and there are signs of rupture if it is delayed, and sudden death is very easy]

"What's your name? Why are you still standing here?"

Shen Jun looked at Tang Lou who was standing blankly at the door of the ward, and asked in a deep voice.

Only then did Tang Lou realize that he was a little reckless, but when he thought about what the system said, if the diagnosis was not made, the patient's aorta would show signs of rupture and he would die suddenly, so he couldn't care less about other things.

"Director Shen, I know what caused the patient!"

When the words fell to the ground, everyone was shocked.

After being quiet for a while, the surrounding people realized that Bai Hao had already stepped forward and said in a low voice: "Tang Lou, you are crazy, now is not the time to show off, you know what a fart, why don't you apologize to Director Shen?" , follow me quickly."

Li Lin also bit the bullet and said to Shen Jun: "Director Shen, Tang Lou was joking with you, how did he know. Before we played truth or dare, he lost, so he just talked nonsense. We know we are wrong, immediately just go."

"Nonsense." Shen Jun was already a little worried. Now seeing these three interns acting so recklessly, he felt even more angry. The interns from the county hospital were indeed not very good.

"Director Shen, I didn't mess around, I really know the reason."

Tang Lou was originally a rather obtuse person, and for the comfort of the patient, he didn't care too much, "If the patient is not treated, his life is in danger."

Hearing this sentence, the patient's wife at the side also panicked, and said anxiously: "Director Shen, just ask this young man to talk about it. If she really knows the cause of the disease, life is at stake."

Shen Jun was a little displeased, but human life is at stake. As the saying goes, a dead horse should be a living horse doctor, so he looked at Tang Lou impatiently: "Then you should talk about it. If you talk nonsense, don't blame me for not being sympathetic. I guarantee that your internship career has not started yet, it will end soon."

Shen Jun is a very strict person, and he hates people who try to impress people and show off. In his mind, doctors should be steady.

Bai Hao and Li Lin were already pale at the moment, they were really worried about this new friend.

Xu Lanlan also looked at Tang Lou with curious beautiful eyes, thinking, such a fair and handsome guy seems a little not very smart.

Sure enough, God is fair, gave him a peerless appearance but did not give him a good brain.

Thinking of this, Xu Lanlan looked down at her own Pingchuan, feeling a little pity for her. If she gains Yan, she will lose a lot.

Thinking about it this way, Tang Lou was pleasing to the eye, but he immediately became worried. Shen Jun was notoriously hard to mess with. If he couldn't say one, two, three, he might really end his internship career.

Tang Lou nodded, walked towards the patient, then pointed to the patient's upper right arm, and calmly pointed out a detail that ordinary people didn't pay attention to:
"The patient wears a non-invasive cuff, and the blood pressure is measured on the left upper arm. It should not be measured on the right upper arm, right?"

Xu Lanlan pouted, she even blamed herself!
Mei glared at Tang Lou, and quickly explained to Shen Jun: "Director Shen, it's like this. When the patient was sent in, because of weakness in the right upper arm, a reserved injection was given, so the blood pressure in the right arm was not measured."

"This is the reason why the cause has not been diagnosed. You change the cuff to the right side and take a blood pressure measurement on the right arm." Tang Lou looked at Xu Lanlan and directed.

Looking at Tang Lou's inscrutable eyes, Xu Lanlan felt a little guilty. Couldn't it be her own fault that delayed the director's diagnosis?

But after thinking about it again, he was right, so he straightened his chest and said confidently:
"The patient's right arm has already received a reserved needle. If the blood pressure is still measured on the right arm, when the cuff is inflated and pressurized, the blood flow in the right arm will be interrupted, which may affect the patency of the reserved needle."

Shen Jun also nodded. Xu Lanlan's worry was not unreasonable, but he was also a little curious about what kind of medicine was sold in the gourd in Tanglou. surprise.

"Director Shen, you can try to touch the radial artery of the patient's hands." Tang Lou said seriously, with a calming magic in his tone, as if he was the attending physician.

Shen Jun nodded, then walked up and checked the pulses on both sides.

"The pulse in the right arm is a little weak, not easy to feel, and the radial artery on the left is very strong."

Shen Jun talked to himself for a while, and then seemed to think of some possibility: "Blood pressure! Xu Lanlan, quickly measure the blood pressure of the patient's right arm."

"Okay, Director." Xu Lanlan started to measure the patient's blood pressure neatly, during which time she secretly moved towards the tenement building, and snarled her sharp canine teeth angrily!

Bai Hao and Li Lin were also dumbfounded. This tenement building was a bit confusing to them. Could it be that there were really two brushes?

Especially Li Lin, thinking that she was called Tang Lin, suddenly shuddered.

Soon after the blood pressure was measured, Xu Lanlan exclaimed: "90/50mmHg!"

Seeing this blood pressure, Shen Jun was also stunned. This blood pressure is much worse than that of the left hand.

The blood pressure of the two arms of a normal person is not very symmetrical, but the difference will not exceed 20mmHg. At this time, the systolic blood pressure on both sides of the patient is almost 70mmHg, there is definitely a problem!

"Xu Lanlan, stethoscope!"

Shen Jun took the stethoscope and put it on the patient's chest. After listening for a while, his face became very ugly.

"What's the matter, Director Shen?" Xu Lanlan was a little at a loss.

"Heart murmur, the patient may have aortic dissection." Tang Lou whispered beside him.

Xu Lanlan heard the truth, and secretly glanced at Tang Lou's calm and handsome face, feeling a little puzzled.

At this time, Director Shen also put down his stethoscope: "Hurry up and arrange for the patient to undergo chest and abdominal CT. Arterial dissection is suspected."

"Good good."

Xu Lanlan hurried to make arrangements, feeling as if she had seen a ghost. Where is this handsome intern so evil?

"Director Shen, let's go first."

Seeing that Shen Jun had deduced the cause of the disease, Tang Lou was ready to retire.

Tang Lou gave Bai Hao, Li Lin winked, the two understood, and quickly retreated.

Just looking at Tang Lou, I suddenly had an unfathomable feeling. Apart from being handsome, this guy seemed to have talents that they didn't have!
At this moment, Shen Jun was in a hurry to arrange for the patients, and he didn't pay attention to the people in the Tanglou. He was glad that the patients might die suddenly if they were found out later.

Before, there was a patient in the city hospital who failed to find out after a round of investigations. Later, the aorta ruptured and died suddenly on the spot. There was a lot of trouble at that time.

(End of this chapter)