Wu Yushu was soon admitted to the 19th bed of the cardiac surgery department. The doctor of the tutor was Zhang Wenfu, a senior attending physician.

Tao Mi intends to teach everyone a teaching work based on the patient as a case.

Many students do not know much about constrictive pericarditis. Most of the patients in cardiovascular surgery have cardiovascular diseases and heart valve diseases. This kind of pericarditis caused by chronic prolapse is relatively rare.

So, Tao Mi thought about it and thought it was a teaching round.

...

Qian Lin followed the graduate student beside him to look at the patient with curiosity, took out the paper and pen, and started taking notes.

Clinical teaching is to cultivate a clinical thinking ability for the diagnosis and treatment of diseases.

Other doctors and students surrounded themselves, while Zhang Wenfu stood in front to inquire about medical history.

Zhang Wenfu is a little nervous!

After all, there were scripts for teaching rounds in the past, and the patient's situation was memorized and kept in mind.

And this time it was a real sword and gun.

I feel a little nervous for anyone.

What's more, he is a rare patient with constrictive pericarditis in clinical practice!

Thinking of this, Zhang Wenfu muttered, don’t embarrass him...

Behind this, there were doctors in the entire department, and a group of students... The most important thing is that Director Tao Mi is still staring behind her.

If it were...it would be a tragedy!

Thinking of this, Zhang Wenfu began to collect detailed medical history.

I have to say that Zhang Wenfu is indeed an experienced doctor. He is very comprehensive in collecting patient information and quickly obtained some meaningful clues.

but!

After asking about his medical history, Zhang Wenfu became even more nervous...

Because this symptom is more like copd! (Chronic obstructive pulmonary disease).

Zhang Wenfu was a little panicked. It was quite difficult to detect constrictive pericarditis by simply having physical examinations, which really tests a clinical doctor's grasp of the signs of this disease.

Could it be... an emergency physician's diagnosis error?

Thinking of this, Zhang Wenfu's eyes lit up. After all, there are many such cases in clinical practice. After all, the emergency department is a transfer department, so it is not rare to have unclear diagnosis.

However, if you call the director personally, it should be confirmed that constrictive pericarditis!

Forget it, just follow constrictive pericarditis.

All the signs of constrictive pericarditis kept appearing in his mind. He calmed down and went one by one step.

He can't reverse the situation, and he can't retreat?

Thinking of this, Zhang Wenfu picked up the stethoscope and listened. When he heard it, he was right, his heart sound was indeed a bit abnormal.

Then there is a heart percussion, which seems to be wrong. Well, the voiced world is a bit big!

Then there is a physical examination...

Until the end, Zhang Wenfu suddenly realized that this should be a constrictive pericarditis!

At this moment, Zhang Wenfu had to admire the doctor in the emergency department.

It was difficult for him to push down the constrictive pericarditis, but how difficult was it to diagnose it?

Thinking of this, Zhang Wenfu couldn't help but become curious. Who is the awesome person?

Could it be Director Li Baoshan?

Zhang Wenfu asked curiously: "Do you know what disease you had before?"

Wu Yushu shook his head: "I don't know, just as Dr. Chen said, I may have had this old problem before, but I didn't pay attention until Dr. Chen diagnosed me with constrictive pericarditis."

Tao Mi was a little curious. How did Xiao Chen diagnose it?

Thinking of this, Tao Mi asked, "How did the doctor in the emergency department diagnose you?"

Wu Yushu thought for a while: "In the morning, there were many patients, so Dr. Chen listened to the heart, then checked his blood pressure, and touched his stomach and said that I might have constrictive pericarditis... It was less than five or six minutes before and after."

Everyone around was confused.

Tao Mi swallowed, what kind of ability does Meng Xi have to make a person progress so quickly?

Tao Mi: "Didn't you even get an electrocardiogram?"

Wu Yushu nodded: "Well, no, Dr. Chen said that I would come here and have a comprehensive examination after being hospitalized."

Tao Mi nodded: "Xiao Zhang, please give me a doctor's advice and improve the relevant examinations as soon as possible. We will continue to discuss this case tomorrow morning."

Zhang Wenfu nodded and gave the patient relevant examinations, chest radiographs, cardiac ultrasound, abdominal B ultrasound, electrocardiogram, and various physiological and biochemical examinations.

...

...

When handing over the shift the next day, Tao Mi looked at Wu Yushu's examination report sheets, and all the signs showed that the patient had constrictive pericarditis.

Tao Mi sighed a little and looked at everyone and said, "Wu Yushu has been diagnosed with bed 19, which is constrictive pericarditis, but... this sounded the alarm for us."

"Emergency doctors can even make clear diagnosis of patients without auxiliary examinations. But ask yourself, Wu Yushu, can you confirm by using physical examinations and consultations alone?"

In one sentence, everyone asked silently.

Zhang Wenfu couldn't help but blush for a while. To be honest, if he hadn't known in advance that it was constrictive pericarditis, could he have diagnosed it clearly?

Not only Zhang Wenfu, but even the people around him couldn't help but reflect.

Maybe it can...?

Tao Mi looked serious and said seriously: "As a clinical doctor, if you go to the grassroots level and go to the countryside, not to mention CT, nuclear magnetic field, even B-ultrasound X-ray or even electrocardiogram, a patient comes. You only have a blood pressure monitor and stethoscope. Can you make a judgment? Can you give the patient a relatively accurate answer?"

Speaking of this, Tao Mi even felt a little disappointed.

Many doctors nowadays have lost the ability to think independently, rely on instruments and examinations to see a doctor. Who can’t see a doctor like this?

"I'm not saying that everyone is not good enough. I think that since every doctor has done clinical practice, you must improve yourself. Instrument examination is a good thing and can help us diagnose it better. However, you must not forget some basic clinical operations."

"Otherwise, patients will laugh at us. Will you see a doctor if you leave the instrument?"

When he said the last sentence, Tao Mi's voice increased significantly!

This sentence echoed in everyone's mind, and I couldn't let it go for a long time.

"Will you see a doctor if you leave the instrument?"

Doctors couldn't help clenching their fists. This sentence was really like a needle, piercing them.

The whole office was silent.

Tao Mi looked around and suddenly said loudly: "Starting next week, small rounds will be held once a week, starting from the auscultation of the heart, I need you to remember the auscultation sound of every disease!

A stethoscope can tell us a lot of clues, and this is all experience. Look at yourself now. How many people wear stethoscopes every day? Some people don’t even carry stethoscopes, do you still look like a doctor outside the heart?"

After saying that, Tao Mi had a dark face and said, "Okay, let's go!"
Chapter completed!