(Thanks to my friend Country Guard, VIP Chenyang monthly pass for encouragement)

Liu Banxia slept very well this night, although he was also worried about the cirrhosis patient, which was also the norm in the hospital. This is just the patients he receives, and those on Zhou Fang's list are the patients of the entire Second Hospital.

After breakfast, Liu Banxia came directly to Tang Feifei's ward.

"How are you feeling today?" asked Liu Banxia.

Tang Feifei smiled and nodded, "Although there are still some minor symptoms, I am in a good mood." Is that biopsy going to be done today?"

Liu Banxia nodded, "It's very simple, it's to take a little bit of tissue for examination." Then it can be determined whether it is Hashimoto's thyroiditis, which is the only test standard. ”

"Keep up the good mood and wait for the symptoms to go away, and then you can be discharged from the hospital. Pay attention to your diet and do a thyroid function monitor every few days to adjust the dosage. ”

Tang Feifei nodded, although this is also quite hard, but she doesn't think about it so much now.

I also looked it up on the Internet last night, and I scared her so much. Now I really have to thank the enuresis, otherwise where would I think of coming to the hospital for a checkup?

"This good mood is maintained, a good mood is more effective than taking medicine. It's not to tease you, it's true. Liu Banxia said.

Tang Feifei nodded vigorously, now anyway, what is Liu Banxia talking about. Even if she was told that if she walked around the hospital without covering her face, as long as the illness could get better quickly, she would dare to go.

This can be regarded as blind faith, because it gives her the feeling that Liu Banxia is really powerful.

Coming down from upstairs, Liu Banxia encouraged the interns again. Now you have to encourage it every day, otherwise you won't have enough spirit.

"Mr. Liu, there are a lot of patients in the internal medicine department, help me take a few. Xu Hui shouted.

"Good. Liu Banxia responded.

Basically, this is the job I will do in the future, so let's get used to it in advance. At present, I haven't done it seriously outside the heart, but I have been a person who has stitched up my heart before.

Sitting in the makeshift consultation room, I glanced at the patient's information, a 27-year-old woman, abdominal pain, nausea, and dizziness.

"When did these symptoms begin?" asked Liu Banxia.

"I just had some stomach aches yesterday, but it wasn't serious. I woke up a little nauseous today and didn't eat breakfast. I had terrible nausea and some dizziness after work. The patient said.

"You lie down first, and I'll check on you first. Liu Banxia said.

The first thing to do is to do a digital examination, the abdomen is soft and there is no rebound tenderness. The patient's bowel sounds were also normal after auscultation, which made Liu Banxia frown.

It seems that there is no problem with the patient's abdomen, and the problems of the appendix and gallbladder have also been ruled out.

"Do you have any other symptoms? How have you been eating and drinking in the past few days? Are there any symptoms of diarrhea?" asked Liu Banxia.

The patient shook his head, "It's been fine, but I had a little bit of a stomach ache yesterday." Didn't care, and then today it got serious, and there was nausea. Doctor, I'm not pregnant, am I?

"How long have you been out of menopause?" asked Liu Banxia.

"The last time was half a month ago. The patient hurriedly said.

"That's not morning sickness, which usually doesn't appear until about six weeks after menopause, even if it's earlier, not so early. Liu Banxia said.

"I just gave you an abdominal examination, and there is nothing wrong with the digital examination. Next, I'm going to auscultate the lung and heart sounds, after all, there are cases of nausea and dizziness. Do you have a history of high blood pressure?"

The patient shook his head.

"Liu Yiqing, pull the curtain down, I want to auscultate the patient's heart and lungs. Liu Banxia said.

Liu Yiqing hurriedly closed the curtain, which was a special care for female patients. It doesn't matter if it's a male patient, just pick up your clothes and listen to it.

After auscultating for a while, Liu Banxia frowned and listened carefully to the left edge of the patient's sternum and the second intercostal space for a while.

"Liu Yiqing, listen to it. Liu Banxia said.

Liu Yiqing's expression became nervous, and he hurriedly took out a stethoscope and carefully listened to the patient.

"Tell me about the situation. ”

After Liu Yiqing listened, Liu Banxia said.

"There seemed to be some rough systolic murmur on auscultation, but the second tone of the pulmonary valve was not heard. Is it pulmonary stenosis?" Liu Yiqing said.

Liu Banxia nodded, "It's almost, let's do an electrocardiogram for the patient next, and then call the doctor outside the heart." ”

"Doctor, are you saying I have heart disease, but aren't heart attacks all about chest pain?" the patient asked in disbelief.

Even if you don't have any medical knowledge, when you hear that you want to do an electrocardiogram, you have to call a doctor outside the heart, this must be related to the heart.

"Women and men still behave a little differently sometimes, and sometimes it behaves like a stomach problem in female patients. You may also need a follow-up echocardiogram to see what your heart is doing. ”

"Doctor, are you going to die?" the patient became nervous again.

"Don't worry, it shouldn't be very serious from your current situation. However, surgical intervention is almost always required, and it is also a routine operation. Liu Banxia said.

"That means you have a little bit of a blood vessel connected to your heart, which is the engine of the human body, and now your blood flow is a little bit worse. ”

"We just need to correct the narrow position, we just need to do a minimally invasive surgery. It just so happened that the doctor outside the heart came, and he was the expert, and he will see if it has reached the level of surgical intervention. ”

"Pulmonary artery stenosis?" asked Wu Xiaoyue, who rushed over.

Liu Banxia nodded, "Abdominal pain, nausea, dizziness, listen to the heart sounds, wait for you to come over and do an electrocardiogram to see the specific situation." ”

"Your auscultation skills are not bad, so let's just do an ECG. Wu Xiaoyue said.

There is no need for Liu Banxia to order again, Liu Yiqing took the initiative to take charge.

"Right deviation, high P wave, right ventricular hypertrophy, surgical intervention is required. Directly into our hearts? I'll tell you more about it. Wu Xiaoyue asked after taking a look.

Ding! Completion of the consultation

Gain 100 XP and 30 Diagnostics Skill Mastery

Liu Banxia looked at the patient, "Don't worry, don't look at it, it's a very routine operation." They are specialists who need to assess your heart function and do a detailed preoperative examination. ”

The patient nodded, even if Liu Banxia was comforted, but he was also afraid. This is a heart disease, but it's not a good disease.

"Teacher Liu, do you want to call the next patient?" asked Liu Yiqing after the patient was taken away.

Liu Banxia smiled and nodded, "Do you think that internal medicine doesn't seem to have any passion? It's not as enjoyable as receiving emergency treatment outside the general department?"

Liu Yiqing was stunned for a moment and smiled embarrassedly.

"Don't worry, I'm still planning to let you go to the ICU for about 20 days of internship, which will make your passion bloom infinitely. Liu Banxia said with a smile.

Hearing his words, Liu Yiqing suddenly turned into a bitter gourd face. The ICU, too, is a place she doesn't want to go to. Facing so many critically ill patients every day is a very powerful test for the nerves.

But there is no way, since the Great Demon King Liu said so, it is specified to be necessary.

The next patient was brought in, and Liu Banxia looked at the information, 47 years old, who reported a cold.

"How many days have you had a fever or cough?" asked Liu Banxia.

"It's been three days since today, and I still have a high fever after eating Contec. The body temperature measured at home is 38.7 degrees. Occasionally, I cough and gasp a little hard. The patient said.

"Liu Yiqing, take your blood pressure and body temperature. I'll give you another auscultation of your lungs, do you have underlying diseases such as high blood pressure and diabetes?" asked Liu Banxia.

The patient shook his head, "I keep exercising every day and running in the morning. It's just that this cold is a little bad, good guy, I can't burn it. ”

"Teacher Liu, body temperature 38.9 degrees Celsius, blood pressure 55100. At this time, Liu Yiqing also finished measuring his body temperature and blood pressure.

Liu Banxia carefully auscultated the patient's lungs, and the lung sound on the left side was okay, but the right side was much worse.

"Take a blood and take a chest X-ray. Liu Banxia said.

"There should be some inflammation in the lungs, but we also need to see how it goes. Your blood pressure is a little low, how does it compare to your usual blood pressure?"

The patient shook his head, "I haven't measured it before, but I don't feel dizzy." It's just that the fever is unbearably hot, and the panting is difficult. ”

"It may have something to do with your usual exercise, and the average athlete has a lower blood pressure. This time, it may have been affected by the disease, so let's get tested first. Liu Banxia said.

The patient nodded, knowing that this was the process of seeing a doctor in the hospital.

Liu Banxia received several more patients, all of whom reported colds. There is no other way, it is still the same process as the patient just now, physical examination, blood test, and filming.

Liu Banxia stretched his waist, he was just doing a diversion here, and Xu Hui was still doing the main reception.

At this time, the cold patient with low blood pressure walked back with the film, "Doctor, the doctor over there said that the lung inflammation seems to be quite serious." ”

Liu Banxia took the film and plugged it into the viewing lamp, frowned after seeing it clearly, and his heart moved slightly, "You are indeed a little serious, no wonder your body temperature is so high now." Did you sweat this round?"

The patient shook his head, "I drank two bottles of water while I was waiting for the film, and now I can get an infusion, right?"

Mission: Unusual cold patient

Open-ended task: Based on the patient's x-rays, the host determines that the patient's hyperthermia has an underlying condition and requires further diagnosis. Task rewards will be awarded based on the diagnosis results

Liu Banxia stared at the film and looked at it carefully, "Look at your film, there is also a little inflammation in the left lung, but it is not very serious." However, there is a lot of inflammation in the right lung, so you might as well take a CT scan of the lungs. ”

"Doctor, can't you give me an infusion to reduce the fever?" the patient asked.

"The inflammation in your right lung is so severe, believe me, it would be more accurate to see it with a CT scan. Liu Banxia said.

The patient was a little confused, but nodded anyway.

He came to the hospital just to get a cold and fever medicine, but he didn't expect to have to toss.