Generally, percussion and auscultation of the chest are more common test points, so Zhou Bobo talks a lot here, but there are many things to talk about, but it is very easy to remember and confuse.

Zhou Bobo looked at everyone a little confused, and said: "Actually, in fact, these things are not as complicated as you think, they are very simple!"

"Why are there different sounds in the percussion of the lungs, such as clean sound, solid sound, drum sound, over-clear sound, and voiced sound!"

"What is a clear sound, that is, the normal lung tissue contains air, but there are organs blocking it outside, percussion goes up, the sound is made, and what is the clear sound? It is because there is too much gas in the lungs, the lungs are enlarged, the air content of the lung tissue increases, the elasticity is weakened, and it becomes a hyperclear sound when it is buckled, which is common for emphysema patients, and you have seen this kind of patient clinically is a typical barrel chest, which is as wide as the front and back, left and right. ”

"And what is the sound of the drum? It is a leak of air in the lungs, and the air comes out of the lung tissue and enters the chest cavity, and when it is struck, it is like the sound of a drum, which is the sound of the drum, and this disease is called pneumothorax! The gas forms a drum between the pleural wall and the visceral layer, so is it very simple?"

"So where does the dullness come from? It must be that there is less gas, such as pneumonia, which causes the amount of air in the lungs to decrease. ”

"Solid sound means that there is less gas, such as the lung parenchyma, or a large pleural effusion, so that the gas is gone, and it becomes a solid sound. ”

………………

Zhou Bobo's explanation was very vivid, not only Bai Ye, but also the surrounding people showed relaxed expressions.

In fact, medicine is a highly logical discipline, which is the case with both Chinese medicine and Western medicine, and the skills that are examined are all based on the transformation of logical thinking.

In particular, modern medicine is based on physical and chemical diagnosis and treatment.

Zhou Bobo saw that everyone was almost in the same place, so he said to Bai Ye: "The model is not enough, Bai Ye, you take everyone to the training classroom, practice with each other in groups, boys to 1102, girls to 1103, everyone practice well, although the physical examination is very simple, but it is very basic, you can't see it, you are all positive, a group of two, one person is a model, and one person is practiced, so that each other can remember more clearly!"

After the grouping was completed, a boy was left alone and had no companion, Bai Ye saw this and took the initiative to go up.

"We can be in groups. Bai Ye said hello with a smile.

The man was stunned for a moment and breathed a sigh of relief, so many people have companions, but they don't have it, it's a very embarrassing thing, but fortunately, Bai Ye came to solve the siege: "Okay, then...... I'm going to model first?"

Bai Ye shook his head: "No, you have to take the exam, my intern, you come first, I will be a model." ”

Saying that, Bai Ye lay on the single bed for the physical examination.

I have to say that you won't have an intuitive feeling just by hearing or watching everything, and after you really do it yourself, you will find that you will encounter all kinds of things.

However, it is good that the problem can be exposed as soon as possible, and when the class ends at six o'clock in the afternoon, Bai Ye finally wrote down these things.

And the man who was his companion was relatively faster than Bai Ye, after all, he had been transferring clinical departments for a long time, and his basic skills were still relatively solid.

When Bai Ye made a mistake, the man also took the initiative to remind and teach Bai Ye some tips.

In the past few days, Bai Ye has followed this group of regular training troops to mix in various lecture groups every day, and in a week, Bai Ye has basically mastered the common practical skills such as physical examination, cardiopulmonary resuscitation, four major punctures, and consultation.

On March 31, when Bai Ye was doing cardiopulmonary resuscitation on the simulator, suddenly the system's prompt sounded.

【Ding!Western Medicine Diagnostics Skill Upgraded to Lv2!】

Bai Ye was overjoyed, but he didn't expect that after these few days of study, his diagnostic skill level had actually improved.

Indeed, in the past few days, when I was following Gui Peisheng in class every day, those teachers would explain some common clinical diagnoses and treatments, which also benefited Bai Ye a lot.

At least at present, it seems that there will not be much of a problem with his practical skills, and as for the written test, Bai Ye doesn't seem to be too worried.

For the final interview, Bai Ye has been preparing recently, and with those interview skills on Baidu, I hope I won't suffer a big loss in this.

Just when Bai Ye was about to get off work, the mobile phone rang, Bai Ye picked it up and saw that it was Tu Lao!

Bai Ye hurriedly found a place where no one was and picked up the phone.

"Hello, Mr. Tu. ”

"Well, Bai Ye, is it convenient? ”

Bai Ye was stunned for a moment, good news? Saying that, he found a corner where no one was around: "Well, Teacher Tu, it's convenient, you say." ”

Tu You smiled: "Variant polycarboxyartemisinin has recently achieved remarkable efficacy in experiments, and we sent the samples to the World Health Organization's Antimalaria Team Experimental Center. After experiments and analysis, the other party has basically determined the research direction, and we may start animal experiments next. ”

"You have made a great contribution this time! I have agreed with the above to apply for you to be included in the top seven of the project, and said that this time the variant artemisinin has achieved remarkable results, and I will invite you to participate in this year's academic exchange meeting. The electronic version of the invitation has been sent to your mailbox, check it. An official invitation notification will be sent to you after a while. ”

When Bai Ye heard this, his eyes suddenly lit up, an international exchange conference like WHO is equivalent to the peak annual meeting of the academic community, it is very rare to have such an opportunity!

Moreover, there will be a large number of academic, scientific research, and clinical celebrities who will come to participate, and there will be countless collisions and exchanges of ideas, and Bai Ye is a little excited when he thinks about it.

"Teacher Tu, thank you so much, besides, this is the result of everyone's joint efforts, don't praise me. ”

Tu You also laughed happily: "Young man, when you should be proud, you have to be proud, if it weren't for you this time, the project center might have to withdraw our project this time, by the way, I will send you a link to WeChat, but you need to log in to the Internet." ”

Bai Ye hurriedly said: "Teacher Tu, please send it over, Daisley, they have already set my mobile phone to be connected to the Internet." ”

After chatting for a few words, after hanging up the phone, Bai Ye opened WeChat, which was a link.

After Bai Ye opened it, it was the sub-column of the anti-malaria team under the official website of the World Health Organization, and there was a message announced in it:

"Tu You's artemisinin team has worked hard to further improve artemisinin...... The value of polycarboxyl artemisinin has been successfully identified, and animal experiments have been conducted, and the NCKKB plan will tilt the focus of the project like Tu You's experimental team."

Bai Ye took a general look, that is, the experimental team preliminarily determined the efficacy through various experimental analyses of polycarboxyl artemisinin, as well as the response to the malaria parasite, and then animal experiments.