Chapter 378: You look embarrassed when you're wheezing
Pink urine......"
Zhang Tianyang looked at the complaint and fell into deep thought.
"If there is blood in the urine, the complaint should not be like this. ”
Because normal urine should be colorless or pale yellow, even in a dehydrated state, it will turn dark yellow at most.
If hematuria is added, it should be a bright red color, or a transparent orange color.
The complaint should also be "blood in the urine", not a magical description of "pink urine".
What does pink urine look like?
At least it has to have a white undertone, plus bloodshot to make it pink, right?
"It seems that this patient has at least two problems, one that causes the urine to turn white and the other that causes blood in the urine. ”
Quickly analyzing the desired information from the complaint, Zhang Tianyang moved his mouse lightly and suddenly clicked on the patient's admission nursing record form.
"Height, more than one meter six, weight...... More than eighty pounds ......"
Really.
He looked at a few values, nodded silently, and then created a new homepage of the medical record, and successfully found the patient's personal information-
"Hometown, Shandong. ”
"Ah~"
Once again confirming the guess in his heart, Zhang Tianyang nodded lightly.
Only then did he pull back the medical records and quickly skim through the current medical history written by the hapless intern.
An excellent medical record can show the clear diagnosis and treatment ideas of the attending doctor.
Similarly, through a medical record, it is easy to see whether the person who wrote the medical record has a spectrum of the disease in his heart.
The unlucky intern's medical record is clearly a false example.
It was probably the first time he had encountered such a miraculous complaint, and he didn't know exactly what disease could have caused it, so the whole history of his present illness seemed a little disorganized.
It's a bit of a hammer in the east and a hammer in the west.
It looks like asking whatever comes to mind, no rules, no logic, just a simple record.
In this medical record, some common questions in urology have been asked, but because there is no guess about the cause, many things that Zhang Tianyang wants to know are not mentioned.
But that's not to blame the hapless interns.
Isn't it normal for interns to come here to learn and not understand anything? ?
Not everyone has a system......
Zhang Tianyang quickly finished browsing, recorded some key events and time points, and then looked up left and right.
If he could, he wanted to take the hapless intern to a long time to see.
After all, he is also an honest child who works hard and complains, and he is so miserable, which makes people feel that I feel pitiful.
It's a pity that the other party is not there.
"Are you still going to the toilet? Or did you hide out because you didn't want to talk to me about Zhao Cha?"
If it's the latter reason......
Dude, you're getting narrower!
Sighing, Zhang Tianyang clicked on the medical records of the 36 beds again, ready to wait for him for a while.
Bed 36 is also a female patient.
"Hey, 36 years old, this age matches the bed number very well. ”
He is a patient with high blood pressure.
36 years old, quite young, 3 months ago blood pressure suddenly increased without obvious cause, systolic blood pressure up to 158mmHg, accompanied by dizziness and headache.
The local hospital was visited, and Luo Huoxi 1 tablet a day, and asked for a re-examination after three months, and the current blood pressure control is not ideal.
The patient seemed to think that the local hospital was unreliable, so he deliberately ran to the Oriental Hospital this time.
"High blood pressure, and then I didn't receive cardiology, nor endocrinology, but urology~"
Zhang Tianyang instantly had a diagnostic direction.
I went through the current medical history again, and sure enough, the unlucky intern probably didn't have a diagnostic idea, and he didn't ask a lot of questions that should be asked.
"Positive is indeed very positive, and he works hard, but this kid is really not very smart?"
He suddenly understood why the hapless intern was pointed at his nose and scolded, "Are you a pig?......
There were three patients in total, and after reading them all, the unlucky intern reappeared at the door of the doctor's office.
His pale face had eased somewhat, but he still looked a little weak.
His face was wet with droplets, and there was a small wet patch on the neckline of his crewneck T-shirt under the white coat.
"Hi~"
Zhang Tianyang pinched the A4 paper that simply recorded the keywords and raised it at him.
"I'm going to go see the three new patients admitted today, and ask something more, do you want to come along?"
"I ......"
The unlucky intern pursed his lips, but before he could reply, his body had already made way for Zhang Tianyang.
Zhang Tianyang didn't force him to agree, and walked out along the way of getting out of the way.
"Let's go. ”
Footsteps in the hallway, very clear footsteps.
Behind him, there was no response.
Sure enough, you don't want to follow?
Yes, I look like I'm just an intern.
Zhang Tianyang was noncommittal in his heart and continued to move forward.
Judging from the simple medical records, the hapless intern was clearly confused about two of the three patients.
But Zhang Tianyang already had a diagnosis in his heart, and he also made a side verification through some details, and now he just went to see the patient himself and made further verification.
The unlucky intern is willing to follow along, and he will definitely learn something.
But if he doesn't want to, Zhang Tianyang won't force it.
Learning is your own thing.
Before high school, there were teachers who would force you to study.
After high school, it's all up to self-realization.
"Click, click. ”
I took two steps, but there was an echo behind me.
Zhang Tianyang turned his head and saw the unlucky intern who happened to run out of the door of the doctor's office.
He was holding a brand new A4 piece of paper in his hand.
The running made his already unstable breath even more gasped, but he ran a few steps and gradually slowed down when he noticed that Zhang Tianyang was looking at him.
Then he walked to Zhang Tianyang's side weakly.
Deliberately control the frequency of your breathing, trying not to pant too much.
Zhang Tianyang stared at the A4 paper in his hand, which was obviously just pulled out of the printer, and suddenly wanted to laugh.
You could have asked me to wait for you......
It's only a few seconds, and I'm not bad for a while.
But he suddenly felt a little satisfied.
The way you control your breath is embarrassing, but the way you try to keep up with me is really handsome.
Zhang Tianyang smiled, ignored the embarrassment of the unlucky intern, and handed over the A4 paper with keywords written in his hand.
"35 beds of pink urine, 36 beds of high blood pressure, do you have any thoughts on these two beds?
"I ......"
As soon as he opened his mouth, his breath could not be controlled.
The unlucky intern took a few deep breaths, and the expression on his face was tangled, "I'm sorry, I don't know." ”
But he glanced at Zhang Tianyang's A4 paper twice, and his breath suddenly suffocated.
The medical history of these two beds was asked by himself, so he had an impression of the key words recorded by Zhang Tianyang.
But there were things in this order that he hadn't noticed, and there were still things that were empty......
"This ...... Why does the 35 bed have to be specially marked with height, weight and place of origin?"
After subconsciously asking, he seemed to realize something again, and the unlucky intern quickly lowered his head and whispered.
"I'm sorry ......"
"Why apologize?"
Zhang Tianyang raised his eyebrows at him, "We are here to learn, and we should ask if we should ask." ”
"As for why it was deliberately marked, you wait. Wait until I'm done asking and see if I have any ideas. ”
Looking up, it happens to be a 35-37 bed ward.
Zhang Tianyang smiled lightly at the unlucky intern.
Pushed the door open.
"Doctor. ”
"The doctor is here. ”
"Doctor. ”
Inside the door, there was a sudden sound of greeting.