My medical skills are a billion points

Hey, what's the situation?

Are girls nowadays so proactive?

Why did you hug him all of a sudden?

In less than half an hour, Xiao Chu was hugged twice by two beauties, and suddenly he was a little stunned.

Xiao Chu couldn't help but sigh secretly.

My own damn charm that has nowhere to rest!

Xiao Chu hurriedly struggled to free her right arm, and hurriedly said:

"Liu Qing, if you have something to say, let's talk it out, don't be so impulsive, there are so many people in the corridor, the influence is not good!"

Unfortunately, the scene of Liu Qing holding Xiao Chu's arm happened to be seen by Gao Yingjun not far away.

The kid immediately became impatient.

He hurried over and yelled as he walked.

"Hey, hey, what are you two doing?"

Rushing to the two of them, Gao Yingjun pulled Liu Qing away and told her to stay away from Xiao Chu.

"In broad daylight, you two are like this, is it plausible? It's working time now, you have nothing to do, right?"

As Gao Yingjun spoke, he turned to look at Liu Qing who was at the side.

Unexpectedly, Liu Qing was looking at Xiao Chu affectionately.

Gao Yingjun's lungs exploded with anger.

He shouted at Liu Qing: "Liu Qing, are you free now? There are so many cases that have not been completed yet, why don't you hurry up and write the medical records!"

Gao Yingjun is Liu Qing's substitute teacher after all, so of course Liu Qing dare not resist his words.

So I reluctantly went back to the office to write the medical records.

Seeing Liu Qing leave, Gao Yingjun felt a little better.

Then he dragged Xiao Chu to an empty corner.

He took out a cigarette and handed it to Xiao Chu.

Xiao Chu waved his hand.

"I don't smoke!"

Gao Yingjun put the cigarette to his mouth and was about to light it, but after thinking that he was in the hospital, he put the cigarette away again.

"I said brother, Lao Gao, I have been single for almost 30 years, can you understand the pain of single dogs?

It's hard to find someone who catches your eye, you can't poach your brother's corner like this! "

Gao Yingjun leaned against the wall with a sad face, as if Xiao Chu really robbed his girlfriend.

"What's the matter? Have you taken a fancy to Liu Qing?"

Gao Yingjun nodded repeatedly.

"You are handsome, and you have no shortage of girlfriends. I beg you, please don't steal my love from me! Don't you have a female boss? Why do you care about me?"

Xiao Chu couldn't help being happy.

This kid Gao Yingjun has nothing to do all day, so he's gone to clean up all these gossips!

"I said Brother Jun, where did you get all these gossip news all day long? What about my female boss, that's my patient, besides, she is the chairman of the board, can she take a fancy to me as a little doctor?"

"Tsk tsk?"

Gao Yingjun curled his lips.

"Stop pretending, Liu Qing has already said, the way Lin Wanqing looks at you is very strange, she must have taken a fancy to you, don't deny it.

Let me tell you, brother, you have to seize this opportunity. After passing this village, there will be no such shop.

If you really fall in love with the rich lady Lin Damei, you won't have to be this exhausting doctor anymore. From now on, you will eat hot food and drink hot food, and you won't walk sideways! "

Regardless of the fact or hearsay, anyway, Gao Yingjun tried his best to fool Xiao Chu.

In fact, he has only one purpose, which is to keep Xiao Chu away from Liu Qing.

If Xiao Chu really liked Liu Qing, then he would have no chance.

Chapter 62 Being handsome is also a mistake

Gao Yingjun once thought he was handsome, but since Xiao Chu came to the emergency department, he found that he seemed to have misunderstood the meaning of the word "handsome".

In terms of "handsome", Xiao Chu has already dominated him to death.

Now, if he wants to catch up with Liu Qing, he must take Xiao Chu seriously.

Of course he could see that Liu Qing had a crush on Xiao Chu.

Xiao Chu looked at Gao Yingjun's expectant expression, of course he knew what he meant by these words.

So he smiled and said, "Brother Jun, what do you mean, you want me to eat soft food?"

"I still want to eat soft food, but I don't have this chance!"

Xiao Chu said seriously: "Brother Jun, I'm looking for a girlfriend, not a colleague. As for Liu Qing, whether you have a chance or not depends on your ability."

Xiao Chu's ex-girlfriend Zhang Jiayao is also a doctor. After the two broke up, he vowed never to find another colleague as his girlfriend.

Hearing Xiao Chu's words, Gao Yingjun's face was full of smiles.

He patted Xiao Chu on the shoulder and said, "Brother, it's interesting, when we are married, I'll treat you to a big meal!"

Xiao Chu smiled, but did not comment.

At this moment, Xiao Chu's cell phone rang.

It was Zhou Ziqiang calling.

"Xiao Chu, where are you? It's strange to have a patient now, come and take a look!"

When Xiao Chu returned to the doctor's office, Zhou Ziqiang was lying in front of the viewing light, looking at a CT scan of the brain.

Sometimes he frowns, and sometimes he rests his chin in thought, as if he has encountered some problem.

Seeing Xiao Chu come in, Zhou Ziqiang hastily pulled him to sit down, pointed to the brain CT film and said:

"Xiao Chu, I took in a patient just now, and it feels very strange, please give me a good analysis."

Xiao Chu nodded and sat down.

Zhou Ziqiang began to introduce the patient's medical records.

"The patient is a middle-aged male, 45 years old, who came to see the doctor with the main complaint of 'headache for 3 days, aggravated for half a day'.

History of present illness: 3 days ago, the patient had no obvious inducement, and had head pain, which manifested as persistent distending pain in the whole head, which was unbearable, accompanied by dizziness, which was non-rotational, and had nothing to do with head rotation and body position changes.

Accompanied by nausea and vomiting, the vomitus was gastric content, no limb weakness, no fever, cough, sputum, abdominal pain, diarrhea and other accompanying symptoms, without treatment, the symptoms were progressively aggravated, so he came to the hospital for treatment.

Past history, personal history, and family history were unremarkable.

Physical examination: clear mind, poor spirit, clear speech, bilateral pupils are equal in size and circle, diameter 3.5mm, eyeballs can move in all directions, no nystagmus, normal muscle strength and muscle tension of limbs, bilateral Babinski Sign ([-]), the rest of the nervous system examination, no obvious abnormalities. "

After Zhou Ziqiang introduced the patient's medical history, he pointed to the brain CT and continued:

"Considering that the patient had a severe headache, accompanied by nausea and vomiting, I wondered if he had increased intracranial pressure, and then he underwent a head CT scan. Take a look at this CT film."

Xiao Chu looked at the film carefully, pointed to a small piece of high-density image on the occipital part of the skull on the film and said:

"This location is a bit like a cerebral hemorrhage, but such a small hemorrhage will not cause severe headache and nausea and vomiting. It does not match the patient's symptoms.

So the possibility of cerebral hemorrhage is not too great.This patient should be further examined. "

Zhou Ziqiang nodded immediately.

"I thought so too. The patient's symptoms did not match the results of the head CT scan.

So before, I performed a lumbar puncture on the patient, and it turned out that his intracranial pressure was terribly high. I immediately stopped the puncture for fear of causing brain herniation. "

Zhou Ziqiang said, and handed Xiao Chu some test sheets.

"Look, these are his test results."

Xiao Chu took it over and looked at it carefully.

Coagulation function: prothrombin time 11.6s, INR value: 0.86, D-dimer 2718ng/ml.

血常规：白细胞数15.36×10∧9/L，中性粒细胞绝对值14.03×10∧9/L，淋巴细胞绝对值：1.06×10∧9/L。

After reading the test results, Xiao Chu said: "The white blood cell count is relatively high, indicating that there may be inflammation. In addition, the D-dimer also exceeds the standard, and the possibility of embolism needs to be ruled out.

However, these examinations alone cannot diagnose what kind of disease it is, and other examinations are still required when necessary. "

Zhou Ziqiang looked at the CT film again, frowned and said:

"I have always wondered why this patient has such high intracranial pressure?

Moreover, although the patient had a severe headache, subarachnoid hemorrhage could be ruled out. I don't know what the cause of this patient is. "

Xiao Chu can't be sure what kind of disease the patient is just based on these examinations.

For him, no matter what the disease is, he only needs to look at the patient to diagnose it.

Xiao Chu stood up: "You should lead me to see the patient!"

"Okay, this patient is in Ward 5."

The two came to ward 5.

There was a middle-aged man on the hospital bed with a painful expression, beating his head with his fists from time to time, and nausea and vomiting from time to time.

Zhou Ziqiang pointed to the patient and said, "I have given him medications to lower the intracranial pressure and relieve pain, but it seems that the effect is not very good."

Xiao Chu stared at the patient's head for a few seconds.

His illness was immediately clear in his heart.

However, he still went up to do a detailed physical examination on the patient.

He has to put on a show.

Otherwise, it would be too suspicious to tell what kind of disease the patient is at a glance.

The two returned to the doctor's office.

Xiao Chu said directly: "Give him a DSA (Digital Subtraction Angiography), I think he has intracranial venous sinus thrombosis."

Xiao Chu directly gave his own diagnosis, and asked Zhou Ziqiang to perform cerebral angiography on this patient.

Cerebral angiography can directly detect intracranial venous sinus thrombosis, which is the gold standard for diagnosis.

"Okay, I'm going to prescribe the examination for the patient now."

Zhou Ziqiang now trusts Xiao Chu unconditionally.

Otherwise, he wouldn't have let Xiao Chu look at the medical records.

Now that Zhou Ziqiang has any difficult medical records, the first thing he thinks of is Xiao Chu.

Even Chen Bin was ignored by him.

After more than half an hour, Zhou Ziqiang hurried into the doctor's office with a cerebral angiogram.

"Xiao Chu, you really made the right diagnosis. This patient has intracranial venous sinus thrombosis. If it weren't for you, he would almost have missed the diagnosis!"

Zhou Ziqiang was more fortunate.

Fortunately, Xiao Chu had a consultation.

According to his own wishes, at most the patient will be given a head MRI.

However, MRI of the head cannot detect intracranial venous sinus thrombosis.

If Xiao Chu hadn't reminded him to give the patient a cerebral angiography, he would have taken many detours.

This may cause delays in treatment for patients.

Now Zhou Ziqiang admires Xiao Chu more and more.

He is an attending physician, and now he has a lot of illnesses, and he still has to consult a resident physician, Xiao Chu.