"Xiao Huang, your desk is across from Xiao Yang!

Yang Yichen's shoulder was touched, and he immediately opened his eyes when he was closing his eyes and saw that it was a colleague next to him who was touching him, so he looked at him strangely.

"Doctor Yang and Director Huang are calling you!"

"Ah, Director Huang, good afternoon, do you have any instructions?" Everyone couldn't help but laugh when they saw his funny appearance, and Huang Wanyu's face twitched a few times, obviously amused.

Director Huang glared at him and said, "Be serious, don't be serious all day long, okay! Xiao Yang, that Xiao Huang will sit opposite you in the future, you are all newcomers, you must help each other, and Xiao Huang will be led by you in the future!"

"Why am I here to bring the director, no matter what so many young talents in our department say, it can't be my turn!" All the male compatriots in the department unconsciously puffed up their chests when he said this, as if it was him.

They all looked at Director Huang expectantly, hoping that he could choose a new instructor for the beauty.

"Xiao Yang, you are good at everything, but you are too lazy, I will tell you why now, because you are handsome, and any of you who thinks you are more handsome than him can stand up. ”

This reason is so powerful, so powerful that no one can refute it, and the other female colleagues all looked at this group of men with a smile on their faces, but those female nurses scolded the new Huang Wanyu to death in their hearts, and this time they dominated the male god in their minds.

Huang Wanyu came to her office seat, she stretched out her slender hand and shook hands with Yang Yichen, Yang Yichen immediately got up and shook hands with her.

"Hello, please advise me in the future!" The beautiful woman's voice was so sweet that all men couldn't refuse it.

"In the future, we will progress together, and I am also new to many people, and I don't understand!"

When other male compatriots saw him shaking hands with beautiful women, they all came up to shake hands with Huang Wanyu, and all the women despised them very much, where is this handshake is to take advantage of it, and even some women scolded in their hearts: "Men are not good things!"

Seeing other male colleagues diligently helping her clean up the table, Yang Yichen sat back in the chair and took out his mobile phone to send Xiaoxue a cute look.

Huang Wanyu's eyes have been on Yang Yichen, seeing that he doesn't care about himself very much, he is a little angry in his heart, and there is any boy who ignores him, is he face blind?

Yang Yichen and Xiaoxue chatted hotly, the two of you are a wife, and my husband is very numb, Yang Yichen looked at the mobile phone and laughed from time to time, arousing the curiosity of the colleagues around him, is there a beautiful woman on the mobile phone?

Soon the patient came, Director Huang asked Yang Yichen to receive the patient, Huang Wanyu also asked to follow up to study, Director Huang had already handed her over to him, so he naturally agreed.

The two came to the patient's side, and Yang Yichen knew that the patient had pneumonia with his eyes, and saw that the situation might evolve into tuberculosis.

"Doctor Yang, won't you check it out?"

"I have already checked, he has pneumonia does not rule out tuberculosis, now let the patient first blood test, CT and MRI examination. ”

"But I didn't see you touch the patient!"

"I use the Chinese medicine method of looking, smelling, and inquiring, and then make a judgment by observing the patient's complexion and symptoms. ”

"Will this be accurate?" Huang Wanyu was taught by Western medicine, and she was a little repulsive to Chinese medicine, and she was very skeptical of the methods of Chinese medicine.

Yang Yichen first asked the family to take the patient for an examination, and then came back here.

"Dr. Yang, can you tell me about the cause and treatment of pneumonia?"

It's really a headache, how could Director Huang arrange this trouble for himself, not only to question himself, but also to test himself.

"Well, since you want to hear it, I'll give you a brief ......"

Pneumonia refers to inflammation of the end-airways, alveoli, and interstitium of the lungs. It can be caused by pathogenic microorganisms such as bacteria, viruses, fungi, and parasites, as well as physical and chemical factors such as radiation and inhalation foreign bodies. The main clinical symptoms are fever, cough, sputum production, blood in sputum, and chest pain or dyspnea. In infantile pneumonia, symptoms are often subtle and may include a slight cough. Bacterial pneumonia is treated with antibiotics and can be cured in more than 7~10 days. Viral pneumonia is milder and does not respond to antibiotic therapy.

There are many causes of pneumonia, such as bacteria (pneumococcus, hemolytic streptococcus A, Staphylococcus aureus, Klebsiella pneumoniae, Haemophilus influenzae, Pseudomonas aeruginosa, Escherichia coli, Pseudomonas aeruginosa, etc.), viruses (coronavirus, adenovirus, influenza virus, cytomegalovirus, herpes simplex virus, etc.), fungi (Candida albicans, Aspergillus, radiobacteria, etc.), atypical pathogens (such as Legionella, Mycoplasma, Chlamydia, rickettsia, Toxoplasma, Protozoa, etc.), physical and chemical factors (radioactivity, stomach acid inhalation, medications, etc.). According to the anatomical site, it can be divided into lobar pneumonia, lobular pneumonia, and interstitial pneumonia. According to the course of the disease, it is divided into acute pneumonia, prolonged pneumonia, and chronic pneumonia.

Clinical manifestations 1. Chills and high fever. 2. Cough and sputum. 3. Chest pain. 4. Difficulty breathing

The examination can be done through 1. blood routine examination. 2. Sputum culture. 3. Culture of blood and pleural effusion X-ray chest X-ray examination, 5.CT, MRI examination.

differential diagnosis

1. Tuberculosis

There are many symptoms of systemic poisoning, such as low-grade fever in the afternoon, night sweats, fatigue, weakness, weight loss, insomnia, palpitations and other symptoms. Chest x-ray shows lesions that are mostly above and below the apex or clavicle, uneven in density, slow dissipation, and may form cavities or disseminate within the lungs. Mycobacterium tuberculosis may be found in sputum. Conventional antimicrobial therapy is ineffective.

…… ……

Huang Wanyu was dumbfounded when she heard it, she just wanted him to talk casually, but she didn't expect him to say it in such detail, he was simply reading it to a textbook, it was too perverted.

At this time, the patient's CT scan had already been released, Huang Wanyu took the film handed over by the family and looked at it carefully, it was really very similar to the symptoms of pneumonia, he was a top student of Kyoto Medical University, and he could naturally understand the film.

Just as they were waiting for the examination report of the previous patient, Yang Yichen had already received several patients during this time, and Yang Yichen's miraculous means and clever medical skills immediately conquered this pride of the sky.

At this time, she knew how powerful his medical skills were, and now there was a little rejection in her heart, and she couldn't worship him.

The examination reports of the previous patients with pneumonia have come out, and after reading the reports, it is the same as what he said, the patient has tuberculosis.

I didn't expect that such a clever doctor could be produced in this kind of hospital that is not a first-tier city, you must know how old she is, it is estimated that she is a few years younger than herself, has he started studying medicine since his mother's womb?

Looking at him, Huang Wanyu felt that he was completely in a deep fog, making it impossible to see him clearly.