066 Pneumonia?
Uncle Jiang's baby's operation, he will not be overly involved. It was originally an extra-divine operation, and it had nothing to do with him.
The next day, he went to work not to say that he was stepping on the clock to punch in, but he still underestimated the consumption of yesterday's operation. It is estimated that if you consume another 10 glory points, you may be able to feel more comfortable, but it is too wasteful.
As usual, I sneaked to the anorectal department to help change the dressing and complete the daily task by the way, today's harvest is even more pitiful, the dressing change has only risen by 387 points, and the anal fistula hanging line ligation has not risen at all.
Now he is counting on tomorrow's extra money, not only to make money, but also to complete the task of changing jobs.
"Star, you're recovering well. After coming to Wang Xingxing's ward, Liu Banxia said with a smile.
"Doctor Liu, I'm just sleepy, when will I be discharged from the hospital. Wang Xingxing asked.
"What's the hurry? There are still so many pipes on my body now, and I have to withdraw them slowly. Aren't you worried about the female classmates? Frankly, who gave the flowers on the side? Liu Banxia quipped.
"Doctor Liu, don't tease me, it hurts. Wang Xingxing grinned.
"Ah, Dr. Liu is here. In the past two days, the star's spirit has been much better, and my spirit has improved. At this time, Wang Lishan came in carrying water from outside.
"You're just staring here all the time?" asked Liu Banxia.
Wang Lishan nodded, "I want to hire someone to come, but I don't worry about it later, I can take care of it." ”
"Okay, I'm relieved when I see a star. Take good care of it, the spirit is really good, this disease can't be rushed. Liu Banxia encouraged again.
It's just that he just walked to the door of the ward and obediently retreated. Zhou Shuwen led a large group and walked to the door.
"Yo, it's so rare, Dr. Liu has taken the initiative to patrol the room. Zhou Shuwen glanced at him.
Shi Lei, who followed him, was a little helpless, this product was a little unlucky today.
"Director Zhou, as soon as I look at your mental head today, I know that yesterday's kidney transplant was very successful, so I actually came to take a look first. Liu Banxia hurriedly said.
Zhou Shuwen glared at him, this kid is really uneasy. When I met him in the cafeteria yesterday, I didn't know that he was a demon in the orthopedic department again, and I thought it was just an operation.
Shi Lei introduced the basic situation of Wang Xingxing, and Zhou Shuwen encouraged him two more sentences, and this task can be regarded as completed.
When I arrived at the patient on the bed, this time it was Qi Wentao who introduced, "The laparoscopic gallbladder removal operation done yesterday raised body temperature and shortness of breath this morning, and it was judged to be postoperative pneumonia after auscultation, and antibiotic treatment can be changed." ”
Liu Banxia glanced at the patient seriously, this is the gallbladder removal patient he missed yesterday. It's a pity, if I was here, these two patients would be my own, and maybe I would have been able to work full-time yesterday.
It's just that after reading it, he frowned slightly, and always felt that there seemed to be something wrong with the patient's breathing now. Although the symptoms of pneumonia can also include fever and shortness of breath, is the patient's breathing too intense?
Postoperative fever patients
Open-ended task: If the patient with postoperative fever is suspected of having an underlying disease, the host is requested to make his own judgment, and the task reward will be issued according to the diagnosis result
Looking at this prompt, Liu Banxia grinned, this is not his own patient, how can he do the task? Originally, the relationship with Qi Wentao was very tense, if he wanted to get his hands on the examination, he would be playing free fighting.
"Liu Banxia, it seems that you are also quite interested in this patient. Let's talk about the main cause of postoperative fever. Zhou Shuwen spoke.
"Uh...... , wound infection, urethritis, pneumonia, pharmacological action, thrombosis. Liu Banxia hurriedly said.
Zhou Shuwen didn't speak, just looked at him like that.
Liu Banxia was even more embarrassed, knowing that Zhou Shuwen wanted to investigate him further and let him give a corresponding diagnosis. But now I don't even have a stethoscope, and I came back from a part-time job in the proctology department.
It was Shi Lei who helped him, gave him his stethoscope, and glared at him by the way.
I took the stethoscope and listened carefully, and the crackles in my lungs. After careful observation of the patient, the frequency of panting is somewhat high, and some sweating.
Liu Banxia took a closer look at the wound on the patient's abdomen, and then took the patient's case from Qi Wentao's hand. 39.2 degrees, the temperature is not low.
"Director Zhou, I'm ......"
"If you want to say it, hurry up. Zhou Shuwen glared at him.
"I don't feel like pneumonia, it's like a pulmonary embolism. Liu Banxia hurriedly said.
"Justification"
"Just now I heard a friction rub in my chest, and after observing the patient, I noticed that the wheezing was intense and there was profuse sweating. ”
"Are you sure? ”
"I ...... Are you sure. ”
"How to diagnose the diagnosis. ”
"CT of the lungs, lung ventilation scan, electrocardiogram, cardiac ultrasound, blood gas analysis"
Listening to the questions and answers of the two, the air in the entire ward seemed to become tense. On Zhou Shuwen's cold face, you can't tell whether he wants to teach Liu Banxia a lesson or instruct him.
Even Wang Lishan on the side was in a hurry, and he knew that it was almost because Liu Banxia sneaked over and didn't follow to participate in the activities of the large army, which made the director unhappy.
"Shi Lei, this patient will be in your charge in the future, go for an examination. Look at him, don't get me into trouble. Zhou Shuwen stared at Liu Banxia for a while, then turned around and left.
As soon as he said this, the doctors who followed him knew what was going on, and Wei Yuan also winked at Liu Banxia. is not only to teach Liu Banxia a lesson, but also to test him. Whatever the original purpose, it was a success in terms of results.
Zhou Shuwen also agreed with Liu Banxia's judgment that the patient may have had a pulmonary embolism, otherwise he would not have arranged so many examinations for the patient.
Many people are envious of the current Liu Banxia in their hearts, after all, this also means that Zhou Shuwen remembers Liu Banxia, otherwise there would not be the "criticism" that entered the door.
Among all the people, only Qi Wentao's heart was full of ruthlessness, and he also glanced at Liu Banxia with resentment before going out.
This is not the first time that Liu Banxia has been disgraced, the ascites patient, the dressing change in the anorectal department in the first few days, the carnivorous bacteria patient yesterday, and the gallbladder removal patient today.
Especially today, in front of so many attending doctors and accompanying doctors in general surgery, he was harmed by Liu Banxia again. If it weren't for the fact that he was here, he would have checked it out and then reported back.
"Doctor Liu, your medical skills have risen again, you can know what is wrong at a glance. Wang Lishan came to Liu Banxia's side.
"You can spare me, how can I have that ability, I have to check this patient quickly, if it is really a pulmonary embolism, it is also very dangerous. Liu Banxia said with a wry smile.
Shi Lei also glanced at him helplessly, and he didn't know whether to say that the luck of this product was good or bad.