040 Postoperative patients with high fever (ask for favorites, ask for recommendations)

(Thanks to my friend Ou for his encouragement)

Inertia is a very powerful existence, in the hospital to reflect on the fact that he should not swell, after returning home, as soon as he ate the pig's head meat and drank a little wine, Comrade Liu Banxia slept until the early morning.

Originally, I planned to go to the dream space to practice my craft, but I don't know where I forgot it. I was lazy in bed for a while, as if I hadn't slept so comfortably for a long, long time.

Even if I was a little heartless in the past, I would think about my future, and the future I saw at that time was foggy, and it was difficult to be happy.

I came out a little later than usual, but a little earlier than I normally went to work. After punching in, he slipped directly to the anorectal department, farmed monsters at a fixed point, and completed daily tasks by the way.

This time, counting the completion of daily tasks, I only gave more than 500 experience, but the skill proficiency of the dressing change technique was not greatly affected, it increased by more than 600, and the skill proficiency of the anal fistula hanging wire ligation did not increase.

After saying hello to Director Jiang, he came to the ward of the general surgery department.

"Doctor Liu, you're here. After seeing Liu Banxia, Wang Lishan was overjoyed.

"Brother Wang, you also have to pay attention to your body. Don't be a star when the time comes, you will fall again. Liu Banxia comforted.

"I'm fine, as long as the star is good, it's better than anything else. By the way, celebrities always sleep after surgery, are you okay?" Wang Lishan asked worriedly.

"It's okay, for such a big operation, the body always has to have a recovery process. The nurses told you to keep a record of that, right? Liu Banxia said.

"Doctor Liu, can a star be like a normal person? Wang Lishan then asked.

"This needs to listen to the doctor's opinion, although we found it relatively early, but pancreatic cancer is one of the most serious cancers after all. Even suffering some sins can be good for future prognosis. ”

"Don't think about these things first, the star's physical signs are very good, and the recovery will be fast. I also promised the star, when he is discharged from the hospital, you will show us the skills. ”

"Doctor Liu, I don't have to say this. Wang Lishan hurriedly said.

"I'll tell you secretly, celebrities are treated by our director, and the people in the department must focus on it, don't tell others. Liu Banxia lowered his voice.

Hearing his words, Wang Lishan finally showed a smile and nodded vigorously.

There is no way, it can be regarded as a white lie, at least it can make Wang Lishan's spirit better.

Walking out of here, he pondered for a moment, he should try his luck in the emergency department. What if?

It's just that after walking for a while, he took two steps back, "Wang Chao, what about patrolling the room." Why did this big brother accept us from ordinary people?"

The person lying on the hospital bed is a patient with gastric stones the night before, and normally he should be transferred to the Department of Gastroenterology and have to do gastroscopic lithotripsy.

"His stomach stones are too big, the position is not good, the lithotripsy sleeve can't be trapped, and the stones were taken out by surgery yesterday. Wang Chao said.

"Doctor, the nurse took her temperature today and said it was a little high, are you okay?" asked the patient's wife.

"There is usually some high fever after surgery, and the medicine we prescribe is anti-fever and anti-inflammatory. Wang Chao explained.

"I know you're going to test me on humans, take the tube, take it, take it away, and I'll go home. ”

At this time, the patient lying on the bed opened his eyes, muttered slurred words, and scratched his right hand in mid-air.

"Doctor, he also talked nonsense last night, did he have a fever?" asked the patient's wife again.

Wang Chao's brows also furrowed, the patient's body temperature was indeed higher, but it was not enough to burn to the point of gibberish.

Liu Banxia also got concerned, the patient's current condition is obviously not a normal reaction after gastric incision and stone removal, and the current patient is sweating a little. It's just that with the experience of yesterday in pediatrics, he doesn't dare to open his mouth now.

You have to keep a low profile, and you can't mess around.

"Shoutian, what do you think?" asked Wang Chao with a frown after coming outside.

Task release: Postoperative hyperthermia patients

Open-ended task: The patient has a high fever and gibberish after surgery, and is suspected of having an underlying disease, please judge the host at his own discretion, and the task reward will be issued according to the diagnosis result

Looking at the task prompt, Liu Banxia showed a wry smile and took the medical record book.

First, I looked at the preoperative test report, and everything was normal. I looked at today's body temperature record again, 39.3, and it was indeed a high fever.

"Wang Chao, I'm a little uncertain. After thinking for a while, Liu Banxia said.

"However, combined with the patient's current high fever and sweating, it seems that he is still hallucinating, and the movement of his arm just now is also a little out of balance, do you think he will be poisoned by heavy metals?"

"But the results of the blood test and urine test are normal, even if there is no blood heavy metal test, it should be able to reflect during the urine test. Wang Chao said.

"Chao, what if it's mercury? And it's mercury that has just been ingested by mistake, and there will be a delay in the urine test. Liu Banxia said.

"Anyway, it won't cost a lot of money to do a urine test, so let the patient do one." Now this situation is really not right, you can report to Dr. Chen when the urine test results are available. ”

"You're right, I'll arrange it to save the annoyance of surprise and scare the patient's family. Wang Chao nodded, and his eyes were full of gratitude when he looked at Liu Banxia

Of course, he understood the subtext that Liu Banxia didn't say, this was Chen Jianxin's patient, if he found it and dealt with it accordingly in advance, he would be able to get extra points here for Chen Jianxin after being diagnosed.

What if the judgment is wrong? Because there is no chirp to report to Chen Jianxin, he will not get a deduction of points. Even if Chen Jianxin knew that he had taken a urine test, he would not have any bad thoughts. Morida is really good, it's all for himself.

Seeing Wang Chao happily return to the ward, Liu Banxia didn't think much about it.

Yesterday, the baby in the neonatal intensive care unit took out the patient's open-ended task, and after giving the corresponding judgment, he did not increase his experience and diagnostic skills proficiency. It is estimated that my knowledge has risen too fast, and such an initial diagnosis can no longer contribute to my own experience.

As soon as he walked back to the emergency department, Liu Banxia was startled, because he saw Liang Xiaolin walking around. He guessed that he was talking about the baby yesterday, although the system hadn't given a hint to complete the task, probably because he hadn't heard the exact news.

But he was also worried, he was afraid that this girl would tell her about her fight with Chen Hongyang yesterday.

"Shoutian, hurry up, Dr. Liang is looking for you. ”

As soon as he wanted to escape, he was seen by Zhou Li and shouted.

Liu Banxia's heart is bitter, lovely Sister Li, didn't your old man push us into the fire pit.