My medical skills are a billion points

Xiao Chu let out a cry.

"You're talking about that patient. It's quite special, but it wasn't admitted to our department. I admitted him to the Department of Gastroenterology. It is said that a colonoscopy has been done and the rice field eel has been taken out."

As soon as gossip was mentioned, several doctors started talking.

"It's just playing with eels. It's not a big deal. There are more weird things. Two years ago, I saw an old man in his 50s with steel balls in his rectum."

"A while ago, I also saw a young man in his twenties with a light bulb in his mouth. I wondered if he did it after seeing an emergency doctor, just to challenge his limits?"

……

When it comes to weird patients, there are too many emergency departments.

Soon it was eight o'clock, and Chen Bin presided over the daily shift change.

Generally, there are no special circumstances. After the handover, all the doctors will do their own work and check their own rooms.

Chen Bin only came for a big round of wards basically every week.

After all, he is now the chief physician, and he will not easily follow the large team to make rounds.

But now Xiao Chu acquiesces as Gao Yingjun's second-line doctor, he leads Gao Yingjun and a few others, and checks a few patients under his supervision.

There was nothing special, and then he walked out of the ward, ready to go to his consulting room to see outpatients.

As soon as he walked to the emergency room, he heard an ambulance roaring towards him.

When encountering this kind of emergency patient, Xiao Chu naturally couldn't go to the consulting room.

He was relatively close to the gate of the emergency department, and walked quickly to the ambulance to check the patient's condition.

The emergency doctor also spoke very fast, telling the patient's condition.

"The patient is a 25-year-old woman. After a quarrel with her boyfriend, she has palpitations, chest tightness, and numbness in her limbs. She can't wake up now."

Xiao Chu hurriedly checked the situation of the woman.

It was found that she was short of breath, her chest rose and fell rapidly, and her hands trembled involuntarily.

Xiao Chu opened her eyelids and looked at the pupils on both sides. The pupils are equal in size and round, and they are also very sensitive to light reflection.

But no matter how Xiao Chu called, she just refused to answer.

Xiao Chu did a physical examination on her, except for her rapid heart rate and breathing, there were no other obvious signs.

Several people carried the patient onto a gurney and wheeled him into the ward.

At this moment, Gao Yingjun came over and asked, "Director Xiao, what's the patient's condition?

"It should be respiratory alkalosis."

"Respiratory alkalosis?"

Gao Yingjun asked, "Is she angry?"

"Well, I had an argument with my boyfriend."

Gao Yingjun seemed to understand, and immediately issued a verbal doctor's order.

"Give her oxygen through the mask and do an EKG."

In fact, this woman did not have any serious illness, the cause was hysteria caused by anger and respiratory alkalosis.

Because breathing too fast, hyperventilation, excessive carbon dioxide emission.

That's why respiratory alkalosis occurs.

This kind of patient is also very simple to deal with. Using a mask to inhale oxygen can quickly improve the respiratory alkalinity.

In fact, this phenomenon is also reflected in many film and television dramas.

For example, some people suffer from hyperventilation due to emotional over-excitement, causing palpitation, chest tightness, and numbness of limbs.

Then someone put a paper bag over his mouth and nose and asked him to breathe slowly.

This will re-inhale the excess carbon dioxide exhaled into the lungs, thereby correcting respiratory alkalosis.

The woman's boyfriend, seeing his girlfriend unconscious, thought she had some serious illness.

While grabbing Xiao Chu, he asked excitedly: "Doctor, what's wrong with my girlfriend? Will she die?"

Xiao Chu didn't answer him, but asked instead: "Why are you angry? I need to find out the specific cause."

The man sighed.

"She wanted an Apple Twelve and I didn't have the money to buy it for her, so I threw a fit and that was it."

Chapter 209 Coughing twice and breaking a bone?

The man then asked nervously: "Doctor, what's wrong with my girlfriend? Is there any problem?"

Xiao Chu didn't expect to be angry because of buying a mobile phone.

As a result, the woman had a bad temper and sent herself to the hospital because of hyperventilation.

Xiao Chu said: "Judging from the checklist, your girlfriend's problem should not be serious."

"It is considered to be respiratory alkalosis caused by hyperventilation. It is mainly caused by excessive emotion. Observe and observe. If there is no major problem, you can be discharged from the hospital."

Hearing that his girlfriend was fine, the man was relieved.

He complained a bit and said: "She gets angry with me all day long because of some trivial things. Once she gets angry, she ignores me for a few days.

This time, because she didn't buy an Apple mobile phone, she even got into trouble in the hospital. I really don't know what to do after getting married. "

Xiao Chu didn't dare to answer the man's words.

As for whether they will get married in the future or how to live their lives in the future, Xiao Chu has no say.

He only came to diagnose and treat patients for their illnesses, and could not intervene in patients' private lives.

It can only be said that if this woman is always so cautious and sulks at every turn, she will inevitably take an ambulance in the future.

Xiao Chu returned to his consulting room and began to see patients.

Not long after, Gao Yingjun walked in.

After Xiao Chu finished treating the patient in front of him, Xiao Chu didn't call his number again, Gao Yingjun said: "There is nothing wrong with this patient. It's just hysteria. Listen to what her boyfriend said,

She often does this, and it seems that her boyfriend will suffer from it in the future. "

Xiao Chu said with a smile: "Since there is no major problem, if this woman speaks out on her own initiative, let them be discharged from the hospital after one day of observation, so as not to quarrel between the two of them in our department."

"Ok!"

Gao Yingjun nodded and went out.

Xiao Chu continued calling out his number.

Soon, two people walked into the consulting room.

A man in his thirties walked in slowly, supporting a woman in her thirties.

The woman is beautiful, but thinner.

She was covering her left breast with her right hand, her face full of pain.

Every time she moved, it seemed as if she had exhausted her strength, and she didn't even dare to vent her breath.

The man did not dare to walk fast even though he supported her, he was also cautious.

He helped the woman to sit down on the bench slowly, took out the medical card and handed it to Xiao Chu.

Xiao Chu swiped the card and looked at the patient's information.

This woman is 33 years old, very young.

On the computer, Xiao Chu opened the outpatient medical records and asked: What's wrong with you?Tell me. "

The woman didn't speak, but the man spoke first.

"Doctor, my wife mainly suffers from pain in her left chest. The pain is so severe that she can't even walk and dare not speak loudly. What's wrong with her?"

"Left chest pain, when did it happen?"

"Just now, half an hour ago."

Xiao Chu wrote down the main complaint in the outpatient medical record.

"Left chest pain for half an hour."

The woman is so young, and the part she is covering is the left midaxillary line, not the chest.

Heart disease is less likely.

"Are you hurt?"

"No injury, just half an hour ago, my wife coughed twice, and then the pain in the left side of the chest was unbearable, so painful that she dared not move."

The man said again.

After coughing, there was chest pain on the left side, and there was no history of trauma.

Is it a spontaneous pneumothorax?

Some patients, if they suffer from lung diseases, especially those with bullae, may rupture the bullae after a severe cough, resulting in spontaneous pneumothorax.

Severe chest pain can also occur, but it is often accompanied by chest tightness.

"Apart from chest pain on the left side, do you feel stuffy now?"

Xiao Chu stood up, came to the patient, and wanted to give her a physical examination.

"Doctor, I don't have tightness in my chest, it's just pain. It hurts badly."

The woman finally spoke, but she felt out of breath.

Xiao Chu knew that her situation was not caused by tightness in her chest, but because her chest hurt so badly that she didn't dare to speak continuously.

After checking her chest, it was found that the woman refused to press on the midaxillary line of the fifth rib on the left side, and felt severe pain when touched.

Xiao Chu already had a judgment on the woman's condition in his mind.

Back in front of the computer, I briefly wrote out the outpatient medical records, and then issued a checklist.

"I suspect you have a broken rib, go and take a CT scan."

The man was a little surprised.

"Doctor, my wife has just had a cold and inflammation in the past ten days. We have been infusion at the community service station for ten days, and now she is getting better."

"She had a worse cough a while ago, and it was the chest pain that only appeared after two coughs today.

She wasn't injured, how could she have a broken rib? "

"Why don't you prescribe some painkillers? I think it's still an inflammation problem. Let's go back to the community service station for infusion."

Xiao Chu looked at the woman's thin body, and asked the woman: "You are so thin, are you born thin, or is it caused by weight loss?"

As soon as he said this, the man took over the conversation, as if he was a little angry.

"My wife's height is 1.6 meters 110, and she used to weigh more than [-] catties. She is just fat and thin.

As a result, in the past two years, I don’t know where I have listened to the folk prescription for weight loss. I don’t eat much every day, and I only eat a few bites at each meal. I am anxious to ask her to eat more.

As a result, in the past year, I became so thin, and my weight was only more than 90 catties.I think her cold means that her resistance to weight loss has dropped. If it is the same as before, she won't have a cold and need to be infused. "

Xiao Chu nodded.

"You are right, this is excessive weight loss, resulting in weight loss and reduced immunity.

Look at her upper body, there is almost no fat.To put it bluntly, it almost became ribs.

Her bone quality has also been greatly affected, and this time she had a cold, she had been coughing violently for more than ten days, and coughing twice half an hour ago was an inducement for fractures. "

"In general, at your age, the chances of a cough causing a bone fracture are extremely low.

Under normal circumstances, it is the elderly who have osteoporosis, and fractures will occur after severe coughing.

But now you have limited tenderness on the left side, and the pain is severe, so the possibility of rib fracture cannot be ruled out.

It is best to take a CT film, in order to give you a clear diagnosis and then symptomatic treatment. "

"If you don't have a clear inspection, simply prescribing you painkillers will violate the principle, and it will not solve the problem."

Hearing Xiao Chu's detailed explanation, the woman took the medical card and said word by word: "Then I, let's go for a checkup."