Zeng Feng took out his notebook, Xia Yiwei took the medical record and said: "The patient was hospitalized with 'runny nose, nasal congestion, and sneezing for 10 days', and after being admitted to the hospital, the symptoms did not reduce or worsen after 5 days of anti-infection, symptomatic and other treatments, and you also said that the course of the common cold is only one week, and the course of the disease before and after the disease is 2 weeks, what does this mean?"

"Uh...... Not good!"

"That's called ineffective? That's called ineffective. Xia Yiwei was very speechless, and said earnestly: "Diagnosis and treatment, diagnosis first, treatment later." Do you treat allergic rhinitis as if it were a cold?"

Zeng Feng nodded like a well-behaved schoolboy.

Xia Yiwei continued: "Ah Feng, you go and find the internal medicine book to see what the first differential diagnosis of a cold is?"

Hearing that Xia Yi didn't ask for an internal medicine book, Zeng Feng panicked, for no other reason, no department, and no family.

￥&！

Hearing Zeng Feng twist and pinch and say no, Xia Yiwei really wants to scold, if he doesn't turn the book or read the guide, then he will make a progress!

For the sake of Zeng Feng still knowing that he was blushing, Xia Yiwei said: "The first differential diagnosis is allergic rhinitis, the symptoms of allergic rhinitis are sneezing, watery nasal discharge, nasal congestion, nasal itching, and often contact with pollen, mites and other allergens before this.

It is characterized by recurrent attacks and is often seasonal, and as you have just heard me ask, he has always had colds in recent years, and he has been catching colds more frequently in spring and summer than in autumn and winter, and that is enough to explain the problem. ”

"Makes sense!" Zeng Feng pondered carefully, suddenly remembered something, and asked: "But, but the treatment of this patient was effective when he had a seizure before, so it would be good to come to our hospital for a few days and bring some medicine back to eat?"

"That's because you used to add hormones, hormones have anti-allergic, anti-specific inflammatory effects, like you hormones, antibiotics, antiviral drugs are all used to make it difficult to get sick. ”

Xia Yi proposed to standardize the rational use of drugs in the future, after all, drugs are three points poisonous.

"Oh, what is that non-specific inflammation?" Zeng Feng's eyes were full of surprise.

Forehead!

O God!

O earth!

Give me a five-thunder blast!

After asking three questions, Xia Yiwei finally understood why the teacher who taught them during their internship always said that he would go home to read.

These are the basics, and I don't want to understand them, but at least I have heard them.

"Feng, dare to ask which school you graduated from, how did you pass the medical exam last year?" Xia Yiwei's eyes were full of tears and he wanted to cry.

"To tell you the truth, I graduated from Qianxi Institute of Health Technology, and I practiced medicine by brushing up on questions. Saying that, Zeng Feng's face turned red again.

"Understandable! You still have a lot of potential. "Wei Xiao, Xia Yi didn't understand, and said bitterly: "Ah Feng! I know why I know it, if you want to go up every day, you should read more books and read less newspapers, read more guides and watch fewer movies, understand?"

"Got it, brother, I'm going to buy books on the Internet, make a study plan, and study in a down-to-earth manner, but brother, you have to take me with you." After seeing the light on Xia Yiwei's body, Zeng Feng was blinded, and he didn't want to be confused anymore, he also wanted to be a doctor like Xia Yiwei.

"No problem, as long as I can answer the certainty of everything. Xia Yiwei didn't dare to boast about Haikou before, but now that he has a future medical system, there is no problem if he doesn't understand the search and investigation.

"Brother, what is non-specific inflammation?"

Forehead...... Give you a pole and you'll climb up, right?

Xia Yiwei's heart was congested, and just as he was about to answer, he heard Liu Jie say that there was a patient, so the two put down the question and hurriedly walked downstairs.

When they came to the first floor, the two saw a fat man about 30 years old squatting on the ground with his stomach covered and his face painful.

Standing next to him was his daughter-in-law, looking anxious.

Acute abdomen, of course, a surgical visit.

Xia Yiwei helped him to the consultation room and quickly asked about his medical history.

This is a patient who ate 4 pigs' trotters and had persistent vague pain in the upper abdomen for 18 hours, and came to Qingtian Health Center last night to see it, considering acute gastritis, and prescribed some stomach medicine to eat the symptoms did not be significantly relieved.

Helped him to the bed and put his body in a good position, Xia Yiwei checked his body, and made a preliminary diagnosis: abdominal pain to be investigated: acute pancreatitis, acute cholecystitis, acute gastritis?

Do you want to spend money to see it thoroughly? Xia Yiwei was a little hesitant, but when he saw that the patient's pain was unbearable and the family members were impatient, he couldn't bear it, and nodded.

Drip!

- Successfully deduct 100 yuan.

- The Medical Eye begins to scan......

——The results showed that the pancreas was slightly enlarged and the peripancreatic fat space was blurred.....

"Doctor Xia, Doctor Xia......" Zeng Feng patted Xia Yiwei who was silent.

"Acute edematous pancreatitis. Xia Yi did not hesitate to admit him to the hospital, and according to the patient's current condition, he should be hospitalized for internal medicine. Although he had spent time in the gastroenterology department and had read the guidelines, he had never handled similar patients independently.

Drip!

- It is recommended that the host purchase a complete set of detailed medical treatment guidelines for acute pancreatitis.

- Good quality and low price, only 100.

- A one-time purchase is valid for a lifetime.

￥&！

Sure enough, there is no profit.

After reading the system guide, full of details, Xia Yiwei's heart was distressed, but his heart was not panicked.

He grabbed Zeng Feng, who was about to come forward to communicate, and said solemnly: "Chen Erhammer, right, considering acute pancreatitis, bring the medical insurance card and get hospitalized." ”

Simple and crude! Zeng Feng was shocked.

"Oh!" Erhammer's wife handed over Erhammer's medical insurance card without thinking about it, "Doctor, how much do you have to pay?"

"You should have heard of pancreatitis, it will kill people, there is such a saying, it will cost a lot of money to get pancreatitis, and spending a lot of money may not necessarily cure it, and many patients will be empty.

The course of treatment is estimated to be 10 days, and some drugs are more expensive, the total cost is about 15,000, and the reimbursement is about 2,000-3,000. Saying that, Xia Yi did not hand over the hospitalization form.

"Okay!" Seeing Xia Yiwei's calm and confident appearance, Erhammer's wife relaxed a little.

"Dr. Zeng, let Nurse Liu give the patient a tramadol first, and then take blood drawing, color ultrasound, and electrocardiogram...... I'll ask the dean to prescribe it later. ”

Seeing that Zeng Feng was a little hesitant, Xia Yi didn't know that he had 100,000 whys, and there must be worry in his doubts, after all, they used to transfer to a higher-level hospital for an acute and serious illness like acute pancreatitis, "Go quickly, I'll talk about it later." ”

"Yes!" Seeing that Xia Yiwei was so firm, Zeng Feng didn't say much.

After giving the patient tramadol, Liu Jie pulled the patient into the hospital on the spot, and memorized the blood samples to be collected according to Xia Yiwei's instructions - blood routine, blood amylase, liver and kidney lipid sugars, electrolytes, and cardiac enzyme spectrum......

"Second hammer, from now on you can't eat a drop of water or a grain of rice, don't eat it if you don't tell you to eat it, your disease has a lot to do with you eating pig's trotters. ”

"Doctor, I was wrong, you must save me. ”

"What's the panic, everything has me!" Xia Yiwei quickly gave the doctor's order, "Doctor Zeng, accompany the patient to send the patient back to the room after the examination, and ask about the medical history by the way." ”

"Well! good!" Zeng Feng didn't complain, he did these things when Gao Xiaohong was there before.

Chen Erzhu didn't hurt anymore, looking at Xia Yiwei, who was busy, he was not full of emotion, and he was a little scared in the moved, worried that he was too young.