Logically speaking, Bai Ye would call Uncle Liu, but Bai Ye didn't; he was directly Dean Liu, which was obviously dissatisfied. Moreover, Bai Ye's words made many department directors feel a little embarrassed. This is not a formality, do you understand that this is a difficult situation?

Liu Shiheng glanced at a man with eyes next to him. This was Director Qin of the Medical Department.

Director Qin smiled awkwardly at this moment and said, "Xiaobai said so, so let's start the assessment officially. Xiaobai, there are two parts in this assessment. The first part is the analysis of the case. The second part is practical operation."

Director Qin coughed lightly and said, "Xiaobai, this is the beginning."

Patient, Hong, male, fifty years old, medium-sized, slightly cyanotic, mild cough, sputum, mucus, moderate measurement. No barrel chest, decreased breathing sound, wet rales, mild increase in total lung volume, decreased FeV1...

As Director Qin finished speaking, Director Qin placed five or six paper materials on Bai Ye’s desk. It contained x-ray photos of examination materials, electrocardiograms and various biochemical test results documents.

Listening to Director Qin's words, Bai Ye immediately sneered. What a normal assessment. He took out such complicated and entangled cases at the beginning. This extremely insignificant case analysis is a very insignificant case analysis. Even when facing the patient, even young doctors with many years of experience, or even middle-aged doctors, may misjudgment if they are not careful. Is this also called normal assessment?

Although Bai Ye was unhappy, he remembered it in his heart. However, his face was as calm as ever. Some things didn’t need to be said, just remember them.

When he saw the electrocardiogram, Bai Ye smiled on his face.

The waveform of the electrocardiogram is actually not obvious. Bai Ye shook his head and sighed. He looked around and could see that after Liu Shiheng took office, many people had already defected to him. This is normal. Once the emperor is in the same position, everyone is not easy to live, right? Moreover, others have not done too much now.

Of course, Liu Shiheng and Director Qin are definitely exceptions. Wait, we will get along well in the future.

Bai Ye thought to himself, but Director Qin next to him spoke: "Xiaobai, what's wrong? Do you think it's too difficult? No wonder..."

Liu Shiheng also smiled on his face. An orphan actually fought with my son. Why are you? It’s because of your devil dad. I let my son endure it for more than twenty years. You are outstanding everywhere. Now, it’s time to be proud.

But Liu Shiheng was destined to be disappointed. At this moment, Bai Ye chuckled and said, "No, I just think this is too simple. Ordinary undergraduates just need to study hard and study hard. There should be no problem with this kind of question. My diagnosis is very clear. This is obstructive emphysema."

As soon as he said this, Director Qin's face changed. It was obvious that the answer was correct.

A director next to him soon spoke, "Xiaobai, are you sure that? The patient is fifty years old, male, and has mild cyanosis. In addition, the sputum is viscous and the amount is also very low. The respiratory sound is somewhat reduced. FeV1 detection is also reduced. In addition, there is no barrel chest. Why can't it be bronchitis?"

Bai Ye sneered in his heart. This is the trap you designed. Indeed, from these data, some are indeed suitable for bronchitis, especially cyanosis. Because obstructive emphysema is not cyanotic. Moreover, most patients with obstructive emphysema are thin, and most of the barrel-shaped chest are obvious.

Bai Ye said calmly with a smile: "This director, you are scaring me. The patient's electrocardiogram has obviously changed the sT-T segment. In addition, the lung texture in the x-ray chest X-ray examination did not increase significantly. The electrocardiogram shows that the patient has symptoms of combined heart failure. The chest X-ray shows that the patient's bronchitis characteristics can be ruled out. Cyanosis is caused by heart failure. This has nothing to do with bronchitis. So, I can say with certainty that this is obstructive emphysema."

It’s time to say this. It’s no longer interesting to continue to argue. Several key misleading traps have been seen by Bai Ye, and this case has lost its effect.

Liu Shiheng looked over and the director of the respiratory department who spoke, immediately stopped talking. Liu Shiheng smiled and said with a smile: "Okay, okay. I didn't expect Xiaoye to have such a solid foundation. As expected, Harvard Medical School is a place where dragons and tigers are hidden. No wonder Junjie kept telling me that the top students are all at Harvard."

This old man mentioned Harvard again at this time and mentioned his son. He was taking the opportunity to belittle himself and elevate Liu Junjie. He said that he was fired. Liu Junjie was still in school well.

Qiao Yongming also frowned at this moment and said, "Director Liu, it's still late. I think it's better to continue the assessment."

Next, four or five medical records were analyzed and assessed. As expected, each case was carefully selected. The patients were all those with compound diseases. Moreover, according to the patient's various manifestations and examinations, the corresponding diseases can be found. If you are not careful and lack a little care, it will inevitably lead to misdiagnosis.

Unfortunately, this kind of difficulty is destined to be useless. Bai Ye was a little disdainful later. Can it be a little more difficult? A group of ants, using the spirit and soul of ordinary people, to measure you, Mr. Bai, me. Isn’t this funny?

Careful? No matter how careful a person is, he is just an ordinary person. But he can be exposed and can be used as a check without any omissions.

As the assessment progressed step by step, Qiao Yongming also smiled on his face. Looking at Bai Ye, he was no longer as strict as the previous few days. Xiao Ye, the child, values ​​friendship. If the old Bai and his wife had not died suddenly, his achievements would have been better. Unfortunately, I would probably have stayed in a place like Beihua Hospital in this life.

However, Liu Shiheng's face became more and more ugly, and he glared at Director Qin fiercely. Didn't you say that these questions are guaranteed to be foolproof? Why do I think this kid is so relaxed?

Director Qin was also feeling sweating profusely at this moment. The air conditioning in the small teaching room was open, but Director Qin felt like he was on his back. This kid is so evil. No matter how he looks, he doesn't look like a fledgling doctor. Why is he as cruel as a veteran with decades of clinical experience?

Even if you are a veteran, it is only for a certain subject. These five cases just now involved women and children. Is Harvard so powerful?

Thinking about Director Qin, he said seriously: "Xiaobai, the next step is the clinical operation assessment."

The patient, Yang, female, two years old. A rural person in a remote mountainous area accidentally ate jelly at home and caused suffocation. Please do appropriate treatment according to the question.

After hearing this, Bai Ye immediately cursed: "Damn it, it's getting more and more shameless. A medical assessment that was admitted to the hospital actually played a word game. Do you really think that Master Bai is a young boy who has never seen the world? Director Qin, please wait for me. We have this gangster."

Alas, blood swears. If it weren't for this, Mr. Bai, I would have **you idiots?

He cursed Bai Ye in his heart but was not slow at all. He walked directly to the human body mold and only picked up a scalpel.

Then I picked up a piece of gauze and stained it with some alcohol. Disinfect the scalpel, and then wiped and disinfected directly on the thyroid cartilage and annular cartilage in the mold.

Then, a transverse skin incision about 2 to 4 cm long was made between the thyroid cartilage and the annular cartilage, and the cyclothyroid membrane was cut close to the annular cartilage, and the incision was expanded with vascular forceps, and the tracheal cannula or rubber tube or plastic tube were inserted, and the tracheal cannula or rubber tube or plastic tube were properly fixed.

After doing all this, Bai Ye put the scalpel directly on his face. He clapped his hands and said, "Okay."

This immediately made Director Qin smile on his face, and he looked like a plan was successful. He said seriously: "Xiaobai, you are too hasty. Do you have any concept of sterility? In addition, the operation of tracheal intubation is not standardized."

Bai Ye's face changed as soon as he finished speaking. It's paralyzed, the tiger is not powerful, do you think I'm a sick cat? I just didn't find a chance before. Now? Then no wonder Mr. Bai.

Bai Ye's face darkened and immediately said loudly: "What Director Qin is you? Are you stupid or am I stupid? The case said. In the remote mountainous areas, accidentally eating jelly at home caused tracheal obstruction. Damn, if this was an ambulance, it would take less, half an hour. When you go, the person would have died long ago. In this case, there is only one possibility, just happened to be encountered by a passing doctor. I used a scalpel and used this tracheal casing. This is unnecessary. If there is a fruit knife here, I will definitely use a fruit knife. Otherwise, Director Qin, you can demonstrate to me. There is no hospital in the remote mountainous areas, no hospitals, at home, no anesthetic drugs, no shadowless lamps, and aseptic rooms. There is no disinfection equipment. You can do a routine tracheotomy for me."

ps: Thank you Nanhua and July Huo for your support and support. Thank you for your brothers who teas you and give me another reward. Please recommend votes and collect them. The new book will not disappoint everyone. Lao Cai is guaranteed to have no eunuchs, and the reason for breaking the update is to collect and fatten. You can safely collect and feed.
Chapter completed!