Chapter 143: Preparing for Battle!
Zhang Tianyang pricked up his ears and waited for Senior Brother Deng to report the results, and his subordinates did not stop at all.
In the shocked eyes of the B-ultrasound doctor and his slightly open mouth, he held the probe and accurately found the location of the little brother's right kidney.
On the right is the healthy side, so it is natural to see a normal image.
However, in clinical practice, whether it is a physical examination or a look at the healthy side, the healthy side is often looked at first, just for the sake of bilateral comparison.
The ultrasound doctor helped with his hand, closed his mouth, thought about it, and still stood still, ready to step forward at any moment to seize control of the machine.
As a B-ultrasound doctor, he must follow the B-ultrasound machine, and there is actually only one reason why people do not leave the machine - the machine is very expensive.
Moreover, the ultrasound machine is not something that can be operated by a random doctor.
The use of ECG machines is a compulsory course for every doctor, but the use of B-ultrasound is only a compulsory course in the imaging department.
Although the male doctor in front of him seems to be able to use it, what if it breaks?
Zhang Tianyang knew that the B-ultrasound doctor was staring at him, but he couldn't care so much.
swept the black and white image on the screen into his eyes, moved his wrist, and pressed the probe on the left side of the little brother's abdomen.
Slide slightly up, down, left and right to find a good angle.
This is it, the place of the left kidney.
The moment he saw the image clearly, Zhang Tianyang exhaled softly.
Next to him, Professor Yang couldn't help but breathe a sigh of relief.
Judging by the images on the screen, there is not much of a problem.
There is a mild amount of hydronephrosis, which is not much different from the unaffected side.
When normal people hold urine, they can see mild hydronephrosis when they do B ultrasound.
If no significant enlargement of the fluid dark area is seen, septic shock is much less likely.
Over there, Senior Brother Deng had already turned to the results of the little brother's blood examination.
βProCT 0.075ng/mlγ β
βCRP 2.45 mg/Lγ β
Hearing Senior Brother Deng's report, Zhang Tianyang's heart completely swallowed into his stomach.
Both of these indicators are specific to bacterial infections, and now it seems that there is not much of a problem.
The full name of ProCT is procalcitonin, and the normal range is 0-0.05.
The full name of CRP is called C-reactive protein, and the normal range is 0-5, and this result falls within the normal range.
Normal people will also increase these two items when they have a cold and fever due to bacterial infection, so if it is a little higher, the matter is not serious.
If it is doubled tenfold, the ProCT is as high as 7.5, and the CRP is as high as 24.5, then it is estimated that the performance of a few white coats is another scene.
It can't be described with chickens flying and dogs jumping.
"Septic shock can be ruled out. β
Zhang Tianyang made a judgment.
After ruling out septic shock, the biggest possibility of shock is excessive pain.
Zhang Tianyang had never had kidney stones, so he didn't understand what kind of torture this pain was.
But judging from the patient's performance seen from various channels, the pain is still very intense.
It hurts so much that it goes into shock, it is estimated that this little brother Li Yueban should have endured it for a long time before coming to the hospital, right?
The volume of rehydration that should have been performed has been done for a long time, and the symptomatic treatment of shock is also online.
Pain relief medications have been given.
The little brother has a slight infection, and Shupu does not need to withdraw after using it deeply.
All that's left is to wait for him to slowly recover.
The alert is dismissed.
Although the rescue room was still quiet, and the monitors were still dripping one after another, the tension in the air dissipated instantly.
Wipe the probe, put it back next to the machine, and debug the B-ultrasound machine back to the initial state, Zhang Tianyang smiled apologetically at the B-ultrasound doctor.
"I'm sorry, I was in a hurry just now, and the machine was returned to you. β
"It's okay, it's okay. β
The ultrasound doctor was frightened for a while, but fortunately, the machine was complete, and there was no reason to be angry.
"Teacher, wait a minute, I'll get you a list!"
Zhang Tianyang typed out the B-ultrasound examination sheet and the bedside additional list, handed it to the B-ultrasound doctor together, and then helped him move the machine out of the door.
The conditions of the patients in the emergency room were quite stable, and the three white coats were finally able to sit down and rest for a while.
Involuntarily, the three of them took out their mobile phones one after another.
After all, in this era, mobile phones are the main body of social networking......
Zhang Tianyang has a lot of unread information, and when he opened it one by one, he found that it was mainly the news in the various group chats of the East Hospital that he had added before.
The nephrology department is going out for dinner again, and the infectious medicine department has a lecture tonight, and so on.
The secretary of the emergency department also made a big round in the emergency rotation group, saying that there will be a big ward round tomorrow morning.
But Zhang Tianyang calculated, he should be at work during the big ward rounds tomorrow.
According to my own color, I may not be able to enjoy the ward rounds of the director of the emergency department.
There were also a lot of unread messages in the small group of four people in the dormitory, and they flipped through them casually, mainly because Ji Gaojie, a scumbag, was complaining about the progress of his relationship with the good girl.
The best Ji Gaojie in the world: "Do you know, I have never met such a difficult girl!"
"This girl looks quite scumbag. β
"It's just a chess opponent, you know!"
"Suddenly start getting excited!"
"I'm going to take her down!"
Zhang Tianyang couldn't help laughing, but he smiled and smiled, but the corners of his mouth couldn't hook up.
I always feel that something seems to be missing in the past two days.
What is it?
The ghost made a difference, he subconsciously clicked into WeChat and turned out the chat interface with Lin Lin.
The chat history is still stuck on Monday.
"I'm a little tired, so I don't make an appointment. β
"Good. β
Since then, no contact has been made.
Fingers move unconsciously on the keyboard, and handwriting appears in the chat box.
"You haven't been looking for me in the past few days. β
Delete.
"How's it going?"
Delete.
"I'm a little dark these days. β
Delete.
It doesn't feel like it's appropriate to post anything.
Zhang Tianyang felt irritable in his heart, moved his fingers, and clicked on Lin Lin's remarks.
Input: "Scumbag"
Delete.
Enter: "Heartless Woman"
Delete.
Enter: "Damn cute"
Delete.
"Hah!"
Zhang Tianyang's face was serious, but a chuckle suddenly came from the side.
He turned off the screen and turned his head, and saw Professor Yang holding his mobile phone with an irrepressible smile on his face.
Senior Brother Deng also came over, "What's so happy, Teacher Yang?"
"Ah, it's my son. β
When Professor Yang laughed, even the crow's feet at the corners of his eyes had a curved arc.
"I said that I was usually too busy and had to clean the room, and I was too tired to buy a robot vacuum cleaner. β
"But I just didn't reply to him, and he got angry again and threatened me to call the courier back. β
Senior Brother Deng replied with a smile, "I shouldn't be really angry, right? I remember that he quite understands you, being a doctor, it's normal not to reply to messages." β
After all, who knows which patient will give you an instant adrenaline rush in the next moment?
"Yes, he understands me a lot, he was prone to temper tantrums when he was a child, but when he grows up, he is sensible. β
Professor Yang is gentle when facing patients, and another kind of warmth when he talks about his son.
Zhang Tianyang put away his mobile phone and looked at Professor Yang's smiling face, a little distracted.
But he soon came to his senses.
Urgently treated a patient who needed to take his time.
Now that I'm relieved, I have to get back to work.
Greeting Professor Yang and Brother Deng, he re-walked through the myriad of patients and family members and squeezed into the emergency medical room.
Without his speed bonus and the maintenance of order with the white meat shield, Dr. Chen would have no way to control the patients and family members who were scrambling to rush in.
Emergency medical clinics are overcrowded again.
Finally "invited" the patients and their families at the back of the queue to wait, and Zhang Tianyang was finally able to sit down in front of his computer.
On the other side, Dr. Chen was already sweating profusely again, but he didn't even have time to wipe his sweat, and he was anxious to receive patients.
Zhang Tianyang didn't say hello to him and bother him, but consciously clicked on the list of medical treatments.
Patient information is displayed in front of you.
"Huh?"
Zhang Tianyang was stunned.
Something is wrong.
If he's not mistaken, the list has been updated!
Zhang Tianyang treated two patients, and Dr. Chen handled three patients himself, but the list of patients changed from 12 to 13.
Moreover, he clearly remembered that there was a familiar name that was originally ranked among the following two.
After Dr. Chan dealt with three patients, he came out in third place!
Two unfamiliar names appeared in front of him!
Zhang Tianyang reacted instantly.
It was the nurse at the guide desk who pulled those two new patients up!
It shows that they think these two patients are very heavy!
"Call the next one!"
The white flesh shield let the next patient in.
"What's your name, your medical card, what's uncomfortable!"
Zhang Tianyang threw out the daily triptych while setting his eyes on the new patient.
Suddenly, he sat up a little straighter.
Seriously ill!
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Stealing incense