(2nd Update!)

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"Ye Xiu, what's the situation?"

Seeing that Ye Xiu had finished taking the pulse, Wang Yanchao immediately asked.

"Director Wang, this uncle may have cavitary tuberculosis. ”

Ye Xiu's expression was a little dignified.

"Huh?"

Wang Yanchao raised his eyebrows slightly, "Ye Xiu, how did you make a judgment?"

As the director of the Department of Respiratory Medicine, Wang Yanchao is no stranger to cavitary tuberculosis, and there are at least 900 cavitary tuberculosis patients he has seen over the years.

However, he did not think that the uncle's illness was cavitary tuberculosis.

This is not because this uncle is a patient of his old partner Lao Huang, he believes in Lao Huang's judgment, and more importantly, he has carefully read the patient's medical records just now, whether it is judging from the situation of the film or the patient's symptoms, it should be an abscess in the lungs.

"Symptoms of the patient. ”

Ye Xiu said, "And the situation where I took the pulse just now. ”

"Symptoms?"

Wang Yanchao frowned.

He didn't understand the pulse of Chinese medicine, but he understood the symptoms.

"I said, you don't judge that it is tuberculosis because you think there is blood in the sputum that the patient just coughed up!"

An intern couldn't help but be authentic.

He also had a follower for this patient.

The patient's symptoms, he is very clear.

He didn't think there was anything wrong with Deputy Director Huang's diagnosis at all, let alone that the patient might have some kind of cavitary tuberculosis.

If it weren't for Wang Yanchao's face, he would have directly reprimanded Ye Xiu for talking nonsense.

But even so, the sarcasm in his words is quite obvious.

The other interns all looked at each other with a look of mockery.

Although they don't understand the patient's situation, they are quite clear about the strength of the two directors, Deputy Director Huang and Wang Yanchao, and now it is obvious that the diagnosis of the two directors is not hollow type of tuberculosis, Ye Xiu actually said that the patient is a hollow type of tuberculosis, isn't it funny.

And they all felt that Ye Xiu wanted to show off his level with his half-understanding, and wanted to show himself.

Many of the symptoms of cavitary tuberculosis and lung abscess are indeed very similar, which is known to doctors with a little experience, such as both have a lot of phlegm, coughing up blood, and so on.

"Of course not. ”

Ye Xiu didn't seem to feel the ridicule in the intern's words, and explained seriously, "Strictly speaking, it's not exactly, blood in the sputum is only one of the symptoms, but this symptom alone cannot determine the patient's true symptoms, many infections and diseases in the lungs will cause symptoms of phlegm and coughing up blood." ”

Yo, did you know that many symptoms can cause phlegm and coughing up blood?

Isn't it quite rigorous?

A sneer appeared on the corner of the intern's mouth, "Then may I ask, how do you judge? Don't tell me to take the pulse, I am a Western doctor, I don't understand this, and I don't believe this." ”

He wanted to see how Ye Xiu would pull it off next, and how he would tear the patient in front of him into a hollow type of tuberculosis.

Wang Yanchao's eyes glared at the intern, but he didn't say anything.

Although the tone and attitude of the intern doctor made him very dissatisfied, his attention was now more focused on the patient, and he was now eager to know what the basis for Ye Xiu's diagnosis of the patient's cavitary tuberculosis was.

"I just looked at the medical records carefully, and from the records of the medical records and the results of the patient's last examination, the patient's condition seems to be obviously an abscess in the lungs, and there is not much controversy. ”

Ye Xiu didn't care about the intern's tone and attitude, and continued to explain seriously, "But I noticed one detail, that is, the frequency of the patient's coughing up blood, as well as the patient's more obvious physical symptom reaction in the afternoon. ”

"The patient had a significant exacerbation in the afternoon, and had recurrent night sweats...... Symptoms such as cavitary tuberculosis and lung abscesses are common. ”

"You said that this is a common symptom of lung abscesses, why do you say that this is cavitary tuberculosis?"

The intern didn't expect that Ye Xiu really knew a little something, and he really pulled out some details, which was somewhat surprising, but he didn't speak, waiting for Ye Xiu's words to have a loophole.

When Ye Xiu talked about the symptoms of the afternoon, he finally couldn't help interrupting Ye Xiu's words anymore and sneered.

"It's really impossible to say for sure. ”

Ye Xiu nodded, "When I saw these records, I just relied on my own experience and intuition to have some doubts, but the so-called experience and intuition cannot be used as the basis for diagnosis, but just when I was suspicious, the uncle just coughed, and after helping the uncle cough up the phlegm, I looked at the phlegm carefully." ”

Hearing Ye Xiu talk about that sputum, the eyes of several interns all subconsciously looked at the spittoon that the uncle was spitting on just now.

They also saw the uncle spitting just now, but they didn't pay much attention to it.

But after a serious look, none of them saw anything special.

"Don't tell us, what do you see in this phlegm?

The intern who had just spoken said sarcastically.

"Mycobacterium tuberculosis is not, although my eyesight is not bad, but after all, it is not a microscope, and it is not that powerful. ”

Ye Xiu smiled slightly, "But I do see some differences. ”

"I used to stay in the respiratory medicine clinic for a period of time, I have encountered a lot of tuberculosis bacillus patients, every time they cough hard, I will help them press, rub it, help them cough up the phlegm smoothly, after coughing it out, every time I will carefully observe, want to see, and other ordinary symptoms cough out of the phlegm is a little different, over time, I really have a little experience, sometimes I really judge whether there is tuberculosis bacillus through the sputum spit out by the patient. ”

Is it really through that phlegm?

He used to observe all the phlegm every day?

It's really bragging!

Isn't he afraid of blowing up the cowhide if he blows it like this?

Listening to Ye Xiu's words, the faces of those intern doctors all showed a look of doubt and disdain.

They didn't believe Ye Xiu's words at all, as doctors, although they couldn't avoid these things, sometimes, observing these phlegm, and even urinating and urinating, was a necessary thing, but even as a doctor, if it wasn't necessary, they would definitely not look at it more, let alone stare at it carefully.

As for what Ye Xiu said, it can be seen through phlegm, in their opinion, it is even more nonsense!

Not to mention the interns, even the patients and their families next to them felt a bit.

Ye Xiu naturally felt the doubts and ridicule in the eyes of those people, but he didn't take it to heart, after all, he also knew that it was really hard to believe it.

Besides, this is not very desirable in the first place, it is not very scientific, and the diagnostic rate of his observation is indeed not 100%.

And, more importantly, he didn't bother to convince them to believe it.

Shaking his head, Ye Xiu was ready to suggest to Wang Yanchao that he give this patient another examination.

But just as Ye Xiu was about to speak, there was a sudden sound of hurried footsteps at the door of the aisle.

"Tuk Tuk ......!"

With the sound of footsteps from far to near, Deputy Director Huang with a hurried face appeared in everyone's sight.

"Director Huang?"

Seeing Deputy Director Huang with a hurried face, everyone's faces showed a look of surprise, it stands to reason that Deputy Director Huang will not appear here at this time, this point is the time for Wang Yanchao's ward rounds, under normal circumstances, Deputy Director Huang will be busy with his own other things first.

"Ye Xiu?"

After nodding to everyone, Deputy Director Huang immediately noticed Ye Xiu, and the look on his face was subconsciously stunned.

"Hello Director Huang, long time no see. ”

Ye Xiu hurriedly said hello.

Although he didn't have much contact with Deputy Director Huang when he was in the Department of Internal Medicine before, Ye Xiu admired the medical skills and ethics of Deputy Director Huang very much, this is a doctor who, like Wang Yanchao, has dedicated most of his life to patients.

"Long time no see! Wait a minute, let's go to Lao Wang's office and talk for a while. ”

A little reluctantly squeezed out a smile, and after greeting Ye Xiu, Deputy Director Huang immediately turned to Wang Yanchao on the side anxiously, "Old Wang, the patient in the 150th bed hasn't been medicated yet, right?"

"Not yet, what's wrong?"

Wang Yanchao looked at Deputy Director Huang with an anxious face, and a look of doubt appeared on his face.

As he spoke, his eyes glanced at the uncle beside Ye Xiu, the 150-bed patient in Deputy Director Huang's mouth was the uncle who Ye Xiu suspected of having cavitary tuberculosis.

"It's good if not, I suspect that this patient may have complicated cavitary tuberculosis!"

Hearing Wang Yanchao say that he had not taken any medicine, Deputy Director Huang immediately breathed a sigh of relief, and immediately said to Wang Yanchao with a serious face, "I may have to change the patient's treatment plan again!"

Syllable!

An intern doctor who had just taken the patient's medical record book from Wang Yanchao's hand and had not had time to put it back at the head of the patient's bed, fell directly to the ground with a snap.

He ridiculed Ye Xiu just now, and after Deputy Director Huang arrived, the intern doctor who was about to open his mouth to report Ye Xiu's doubts to Deputy Director Huang about him was about to speak, and the words that were originally going to come out were directly stuck in his throat, and he couldn't spit it out anymore, and his mouth was so wide that he almost stuffed two eggs.

The other interns also widened their eyes, wondering if they had heard it wrong!

"Lao Huang, what did you just say?"

Even Wang Yanchao's eyes widened, with a look of disbelief, "You said this patient has cavitary tuberculosis?"

"Yes, last night, the patient's condition recurred, I thought about it for a while, the more I thought about it, the more I felt that it was wrong, and when I left, I deliberately sent the patient's sputum over for testing, and just now the results of the examination came out, and tuberculosis bacilli were found in the sputum. ”

Deputy Director Huang nodded, and the expression on his face was a little solemn.