Super Doctor

Seeing the old man's coughing and shortness of breath, Xu Ze roughly estimated what kind of disease it was, so he was very confident. If there were all such obvious patients, then even twenty would not be too much of a problem. Hard work should not be easily shocked by electric shock; Xu Ze couldn't help shivering when he remembered the ecstasy of the electric shock.

First of all, through detailed consultation, this old man has a history of smoking for decades, and in the past five or six years, every winter and spring, he has frequent coughing and expectoration, and in the last two years, he has started to experience shortness of breath.

In terms of physical examination, the patient was breathing with open mouth and cyanotic lips, which are obvious manifestations of hypoxia; distended carotid arteries, enlarged bilateral thorax, widened intercostal space, low breath sounds in both lungs, and obvious blister-like wetness can be heard. Sound and wheezing, this should be bronchitis and infection, as well as emphysema. And not only is there a problem with the lungs, but the heart appears to be enlarged on percussion.

Xu Ze thought for a while. Although he had not studied internal medicine systematically in school, the internal medicine taught by Xiaodao recently had a clear introduction to this situation, coughing, expectoration, shortness of breath, and cyanosis. Physical examination, it is obvious that there is chronic bronchitis and emphysema, and if the heart is also enlarged, pulmonary heart disease must be considered.

Thinking of this, Xu Ze started X-ray fluoroscopy to further examine the patient's lungs.

The air permeability of both lungs is obviously increased, most of them are dark gray, and the shadow of the patch can be seen, and the heart is much larger than that of ordinary people.

Xu Ze made the diagnosis now, and confidently said to the knife next to him: The diagnosis considers chronic bronchitis complicated by infection, obstructive emphysema, and pulmonary heart disease. There is nothing wrong with it!

Seeing Xu Ze's complacent expression, Xiaodao chuckled lightly, only to see a flash of electricity, Xu Ze's expression changed, he exclaimed, and then his body trembled involuntarily, and his hair was done by Xiaodao for free again. I had a fireworks hot, and it was very beautiful.

Feeling the unforgettable numb taste just now, Xu Ze quivered his lips and looked at Xiaodao angrily and said, Xiaodao, what are you doing? Obviously I got it right!

Seeing the anger on Xu Ze's face, Xiaodao shrugged, chuckled lightly, and said, You're 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 on his face, Anyone can analyze these diagnoses based on the symptoms, but you forgot, You didn't check his blood pressure just now, his actual blood pressure is 180/120mmhg, do you think you made a huge mistake?

Uh... Hearing Xiaodao's lesson, Xu Ze had nothing to say. He was really too careless just now, thinking the diagnosis was easy, so he was careless and forgot the step of measuring blood pressure. He shook his head and said confidently, Grade 3 hypertension (very high risk group) should be added; yes, I was wrong this time.

Well... Seeing that Xu Ze humbly accepted, Professor Xiaodao nodded with satisfaction and continued: Okay, continue to talk about his treatment plan.

Xu Ze was more serious now. After thinking about it, he carefully said: Give continuous low-flow and low-concentration oxygen infusion, and give anti-infection, reduce phlegm and relieve cough, relieve spasm and relieve asthma, improve pulmonary circulation, and treat blood pressure...

Specific medication?

Hearing Xiaodao's words, Xu Ze finally breathed a sigh of relief, it seemed that he was right, and quickly continued: The antibiotics are generally cefoperazone sodium plus oxacillin, and aminophylline and mucosolvan to relieve spasm and asthma. Phlegm relieves cough, dopamine and ritidin improve pulmonary circulation, and use pyridin to lower blood pressure. After that, he quickly looked at the knife, for fear of making a mistake.

But fortunately, Professor Xiaodao was extremely satisfied with his answer this time. He nodded and smiled: Well... not bad, let's start the formal treatment! After that, he waved his hand,

In front of Xu Ze, there was a doctor's order light board and a laser pointer.

Now that Xiaodao has approved his own treatment plan, Xu Ze can now safely issue a doctor's order. As long as the general direction is good, there shouldn't be too many problems with this.

After Xu Ze finished all the doctor's orders, Xiaodao nodded with a smile, pointed to the old man in the middle and said, Okay... Now let's see your treatment on the first day, and you can check it again.

Xu Ze stepped forward and saw that the old man had obviously changed from just now. His shortness of breath had begun to ease, and his lips had no longer become cyanotic. Now Xu Ze had confidence, and the treatment effect seemed to be good.

After a 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 has improved. It is recommended to add nitrendipine 10mg three times a day. With the help of lowering blood pressure, other treatments will continue.”

Well... well, according to your treatment plan, let's take a look at his condition after treatment the next day...

The shortness of breath is significantly relieved, the lips are not cyanotic, the rales in the lungs are significantly reduced, and the blood pressure is controlled at 130/70mmhg. The treatment effect is good... Xu Ze was relieved, and it seemed that his treatment plan was very effective. Never get electrocuted.

Xiaodao nodded with satisfaction, and then said: Okay next...

As Xiaodao's voice fell, the old man in the center of the room suddenly changed, but he turned into a young man. Xu Ze stepped forward and started to check. Now he was much more careful and did not dare to make any mistakes .

The first thing to do is still to consult a doctor. The young man said that he has had a lot of stools recently, and they are all tar-colored. This has been the case for more than ten days, and these two days, he feels more and more that people have no energy, and they have energy after a little activity. urging situation.

As soon as Xu Ze heard these circumstances, he had some bottom line in his heart and began to check. On inspection, the young man was pale with pale lips, anemia, rapid heartbeat on auscultation, and obvious upper abdominal tenderness on palpation.

This time, Xu Zeke had his own calculations. Obviously, 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 20 patients of various types were finally treated. It is true that Xu Ze's hairstyle was also very avant-garde at this time. After being shocked four or five times, his head was full of hair. His hair has turned into a broom head like Son Gohan.

Xiaodao nodded unexpectedly. He was surprised that Xu Ze was able to pass the test in one go. He even diagnosed all 20 patients and completed the treatment of all virtual patients, and the results were not bad. He originally planned to spend It will take a few days to see him before it is possible for Xu Ze to meet the standard, but now he is relieved.

At the moment, he finally showed a smile and said: Yes, look at the learning effect this month is good, today you can pass the test smoothly...

Work hard, I see that your primary energy cycle has reached eight laps. If you persist, try to break through nine laps within the next few days and advance to one level. Then you won't have to work so hard.

It's just that Xu Ze was not happy at all at this time, he just touched his hair with trembling hands, and his face was full of resentment. Fortunately, this is only a virtual space. If you go out with this hairstyle, you might as well commit suicide...

After going out, Xu Ze was puzzled by Xiaodao Jin'er's strange performance. Finally, after thinking about it, he finally figured out the purpose of Xiaodao's hard training. Seeing this, if he didn't advance to the first level sooner, I don't know what will be played by the knife next.

Therefore, Xu Ze worked very hard early in the morning, desperately urging the operation of the energy cycle, and while urging, he secretly said: If I don't break through to the nine laps today, if it comes to the evening, 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 shaking all over at this time, and he gritted his teeth and dared not think about it.

Feeling that the airflow in the sea of ​​​​qi was working with all his strength under his own urging, Xu Ze did not dare to be distracted at this time, agitating all the mental power, and pushing the airflow forward. Running, as long as one breaks through to a certain lap, it is extremely easy to reach this lap in the next run.

And now he has reached the eighth lap for a few days. Every time he runs to the ninth lap, he is still a little short. This time, he is going to attack the ninth lap. If he can pass the test smoothly, then the advanced one level, will be extremely easy. Because the physique is already F-level when the genetic optimization is carried out, the meaning of looking at the knife in medicine should not be too much, it should only be this.

I hope it can be successful, we don't want to continue to be tortured by that perverted knife today. Xu Ze hoped so.

PS: Ask for a recommendation ticket first. . . The front was only a little short, and the back was only a little short, but Tian Nan had no choice but to ask for a vote. . . Please support the brothers and sisters who have votes.

Then I would like to thank all the brothers and sisters for their comments in the book review area, rewards and evaluation votes for their support. Everyone's book review Tiannan has seen it, but he is very busy, so he did not reply one by one. Tiannan is here to express my apologies and thanks to everyone.

There are many friends who gave rewards in July. Here, Tiannan will not list them one by one. There is a table related to the catalog page. I would like to express my thanks to the friends who gave rewards. Thank you!