012 rolled twice
Yun Tian didn't pay attention to everyone's discussions, and he didn't expect that Jing pushing a glucose could also give a round of live advertisements to the Chinese medicine department.
"I don't want to go in, I don't want this doctor to see, he wants to kill me!" As soon as I went up to the second floor, I saw from a distance that the second patient before was emotionally refusing to enter the consultation room.
"Uncle, it doesn't matter if you don't want to go in, let's just sit outside, that doctor won't dare to come outside to kill people. "The patient's condition is not clear, and if it is a cerebrovascular accident or something, the agitation will aggravate the condition. Therefore, Yun Tian hurriedly ran over and comforted.
"Dr. Shen and this little doctor are very good, you see, just now I was pushed out in a wheelchair for a check-up, and the doctor gave me an injection, and I was able to walk back on my own. The first big daddy also came over to comfort the uncle.
"Bragging! You must be in league with the doctor, and you want to kill me! Stay away from me! Stay away from me!" the uncle obviously didn't believe it, and his emotions became agitated again.
Yun Tian hurriedly winked at the recovered father, signaled him to leave quickly, and then took the uncle's hand and comforted:
"Don't be afraid, uncle, this is a public place, you see, there are cameras installed everywhere, they don't dare to do it!" Yun Tian pointed to the cameras everywhere to show the uncle.
Uncle's fingers are cold, and the fingertips are even more obvious, now the weather is not too cold, how can the uncle's hands be frozen like this? Yun Tian looked down at the uncle's nails again, and they were slightly blue and purple!
Don't......?
"Okay, then I'll sit here. Seeing the cameras scattered everywhere, the uncle felt a little relieved, gathered his clothes, and wrapped himself tightly.
"There was nothing unusual about the patient's examination. Blood sugar was normal, cranial MRI was not abnormal, blood gas analysis was normal, electrolytes were normal!"
As soon as Yun Tian walked into the consultation room, he saw Dr. Shen holding a stack of report sheets, and every time he flipped one, the wrinkles on his brow deepened.
"Are you sure the patient hasn't been drinking, has not eaten health supplements, special foods, or medicines?" Dr. Shen frowned, stroked his bare head, and repeatedly confirmed with the patient's family.
Every time he said the same thing, the patient's family shook their heads with certainty, and Dr. Shen was clearly on the verge of collapse.
"In his current situation, it is recommended to go to the psychiatric department for a comprehensive examination. Dr. Shen subconsciously wrapped his fingers around the long strands of hair on the top of his head from the left to the right, and reluctantly suggested to the uncle's family.
"Teacher Shen, did the uncle outside have an electrocardiogram?" Yun Tian walked into the consultation room and suddenly interjected.
"The ECG has always been a brain disease, so I didn't check it. Did you find any signs?" because Dr. Shen was in a state of confusion and helplessness, when he heard Yun Tian's sudden question, he hurriedly asked excitedly. I accidentally tore off a few strands of long hair that supported me from left to right, and I grinned in pain.
"When I was comforting my uncle just now, I touched my uncle's fingers, which were cold and the color of his nails was a little bluish and purple. And the uncle seems to be a little afraid of cold. ”
"Do another ECG examination, and if the ECG is not a problem, then you can only go to the psychiatric department for a full evaluation and examination. Dr. Shen listened to Yun Tian's words and turned his head to explain to the patient's family.
"Xiaoyun, you go to the emergency department to borrow a flat bed, and I will call the functional department and ask them to come down and do it. "With the consent of the family,
Dr. Shen made arrangements quickly.
"ECG, how could I have forgotten the ECG? I'm a doctor in the Department of Traditional Chinese Medicine! The heart is the god, the heart is the god!" Dr. Shen seemed to be stunned, and began to call the number while chattering.
When Yuntian ran up with a flat bed, the teacher from the functional department just arrived with a portable ECG machine.
Zhao Lei followed behind the beautiful teacher in the functional department, winking at Yuntian proudly, this kid was still shouting that God was unfair in the morning, and he didn't say a word when he met at noon, so he would be proud?
However, the beautiful teachers in the functional department are indeed beautiful.
Fair-skinned, tall, and in the same style as Zhao Lei's previous girlfriends.
"I don't check, I can't sleep in bed, and you'll push me to the morgue in a while, and you're going to kill people!" the uncle still refused to check.
"I'm here to help you guard, I'm holding the flat car, they can't push it away, believe me. Yun Tian pulled the flat bed and comforted.
"Then you hold my hand, you can't let go!" The uncle stretched out his hand, and Yun Tian hurriedly pulled it.
The uncle grabbed Yuntian's hand tightly, and he didn't know whether he was nervous or shivering coldly.
Zhao Lei's beautiful teacher moved quickly, and the results came out in a few minutes.
Leads V1, V2, V3, V4 ST-segment arched dorsal elevation!
Acute myocardial infarction!
"There's yours!" Doctor Shen didn't know when he secretly appeared behind Yun Tian, and slapped Yun Tian on the shoulder, so frightened that Yun Tian almost flew up.
"10mg intravenous bolus of diazepam and diazepam, call the laboratory to come up and draw blood, quickly check a cardiac enzyme spectrum, and contact the heart to prepare a hospital bed. ”
Dr. Shen confessed a bunch of medical orders in a row, the cause was found out, the uncle's family members all gathered around, and the uncle seemed to be temporarily suppressed, Yun Tian took the opportunity to get out and carry out Dr. Shen's orders.
"Xiaoyun, yes, how did you think of doing an electrocardiogram?" After settling the patient, he can finally calm down for a while.
In the afternoon, there were two special patients in a row, and Dr. Shen was impressed by Yuntian!
"The patient's short onset time and lack of peripheral blood circulation make me wonder if it could be a change in mental condition caused by acute blood insufficiency to the brain. Then I wondered if it was a lack of blood supply to the heart. That is, a whim. Yun Tian said modestly.
"What about low blood sugar in the morning?" Dr. Shen scolded with an angry smile.
"Sort of......
......
Whim!
Still an intern!
An intern who plays games in the middle of the night and sleeps during the day can easily run over himself twice!
It's still half a day, and I easily crushed myself twice!
Dr. Shen feels that he has lived for nothing in the past few decades!
My teacher used to say that studying internal medicine depends on thinking and talent, and I still don't believe it.
When I met this kid Yuntian today, I was convinced!
The first patient,
After ruling out acute cerebral ischemia of cerebral infarction, I was completely confused!
It's a shame that the big dad just now boasted of his medical skills!
It's obviously a problem that can be solved with a single glucose, but how complicated is it to almost get yourself?
Still admitted to the hospital for further checkups?
What a shame!
The second myocardial infarction patient, although he had no contact and no physical examination, did not think about the myocardial infarction at all!
What are you thinking?
Food poisoning!
Carbon monoxide poisoning!
Drug poisoning!
After ruling out brain diseases, I was completely confused!
I can't wait to grab the family members and nod and admit that one of them was poisoned!
What about people?
If you touch your hands, you can think of a heart attack!
Shame on you!
Dr. Shen's self-reflection, Yun Tian naturally didn't know.
After a busy afternoon, a patient with a cavity infarction didn't find it, and Yuntian was very disappointed!
It's been five and a half hours since I took over the mission! There are still six and a half days to go!
Ten patients with infarction!
Yuntian is a little crying without tears!
No way!
Tomorrow, I must give the little nurse sister at the medical guidance desk to come to Bo Meng, and in the morning, I have to accept at least thirty patients, right?
There should be one or two out of thirty patients!