Watching Feng Juan leave, Yi Sheng hurriedly called up the Little Medical Immortal System, "Is there any way for me to quickly remember these standards?"

"In view of the host's performance making the Xiaoyixian system very faceless, the Xiaoyixian system will temporarily open the basic authority of internal medicine-nephrology for the host, due to the huge knowledge, it will take about 10 minutes to carry out memory rubbing, please confirm whether to carry out memory rubbing. The little gourd replied.

"Memory rubbing?"

"The way the Xiaoyixian system teaches medicine is to reconstruct the neuronal cells in the hippocampus by stimulating the hippocampus, so that the host's instantaneous memory and short-term memory are transformed into permanent memories and never forgotten. "Human brain development now only accounts for about 10% of the whole brain development, so the host can use it with confidence." ”

"So good?" Yi Sheng was stunned.

"In view of the lack of medical knowledge of the host, the system will provide the host with a free limited-time gift package worth 6 credits, as long as the host can complete the task within the specified time and repay 8 credits, the host can get the gift package permanently. Little Hulu said.

"How many tasks do I need to complete to earn 8 credits?" Yi Sheng asked.

"Mission difficulty, interstellar represents the number of credits. Little Hulu explained.

"Understood. ”

Ten minutes later, Yi Sheng walked out of the intern duty room and tidied up his appearance, why didn't the damn system tell him that the memory rubbing was actually stimulated by an electric current, causing him to almost moan in the duty room!

Wait, it looks like the system prompted.

However, the system of Xiao Yixian is really powerful, Yi Sheng now feels like a super cloud computer exists in his mind, casually thinking of a disease in the nephrology department, the pathological cause will appear in his mind clearly and orderly, and there is no need to think about it at all.

Yi Sheng observed the surroundings with his peripheral vision, and no one found anything abnormal, so he breathed a sigh of relief, and when he came to the department, he saw that Feng Juan was not there, and the little nurse on the side quietly approached Yi Sheng with the case in his hand and whispered: "Hey, hey, the director is doing a big round today, you go to show your face, and when the director asks questions, if you answer them, you can enter the operating room in the future." ”

"Is there still surgery in the nephrology department?" Yi Sheng glanced at the little nurse in surprise, and in his impression there seemed to be no surgery in the internal medicine department.

"Now there is a demand for the surgical of internal medicine and the internal medicine of surgery. Although we are all patients with chronic kidney disease, we usually deal with some complications in our own department. The little nurse sorted out the medical records and put them in the medical record car, turned back to Yi Sheng and said with a smile.

Yi Sheng nodded, this is good news. For those who have never been exposed to practical surgery, there is no one who does not yearn for the boxy operating room full of various instruments, and almost everyone has imagined countless times that they are wearing a surgical gown and holding a scalpel in the operating room to operate on patients.

Picking up the medical record cart pushed by the little nurse, Yi Sheng came to the ward.

During the daily rounds, all the family members will be invited out, otherwise when you ask about the condition, it will not be a ward, but a vegetable market.

Seven or eight doctors in the ward stood beside the patient, the director Lin Guangqing stood at the head of the bed, and Feng Juan stood opposite the two of them didn't know what they were talking about. ”

Yi Sheng picked up the case and handed it to Feng Juan, Feng Juan opened the case and handed it to Lin Guangqing and said, "This big brother is a patient with diabetic nephropathy and secondary nephrotic syndrome. I checked his blood pressure 160/100mmHg, mild anemia, depressed edema all over the body, high occipital position, turbidity in the lower part of both lungs, low heart sounds, and a heart rate of 110 beats per minute. ”

Lin Guangqing flipped through the case and said, "What is the random blood sugar?"

"The random blood sugar was 22.7 mmol/l, and the fasting blood sugar test this morning was 8 mmol/l. The little nurse replied.

"I prescribed him insulin, the blood sugar was well controlled, and I used low right and furosemide for edema, and the patient's urine output increased, about 2000ml a day, but the edema did not relieve but worsened. Feng Juan said.

"How much does the pleural fluid drain?" Lin Guangqing asked.

"A few days ago, I drained 600ml, pale yellow, positive Pan test, and yesterday I rechecked the ultrasound, and I still have pleural effusion. Feng Juan replied.

"Have you been breathing smoothly these days?"

"Yes. The patient replied.

Lin Guangqing took off the stethoscope and listened to the patient's breathing, waved his hand at Yi Sheng and said, "Xiao Yi, you come and listen." ”

Yi Sheng didn't expect to let himself listen, so he quickly wiped the sweat on his palms on his clothes, stepped forward, took the stethoscope, gently placed it on the patient's collarbone, patted the patient lightly, and said, "Take a deep breath." ”

Yi Sheng held his breath and listened carefully. Yi Sheng had only heard it on simulated dummies and classmates before, and they were all normal breathing sounds, but now he really heard the breathing sounds of patients, and the contrast was very obvious.

After listening symmetrically from the top to the bottom of the lungs for five minutes, Yi Sheng took off his stethoscope and said to himself: "The coarse and wet rales in both lungs, and the breath sounds in the voiced areas on both sides are weakened. ”

Lin Guangqing nodded and said: "The aggravation of his edema should be caused by excessive protein leakage in the pleural effusion, you can ask the family to go to the office for a while, prescribe him some supplementation of human blood albumin, and then control the infection, and then use ACEI+ARB drugs The effect should be better." ”

"Pay attention to rest, stop the water for a few days, and if you are really thirsty, wipe your lips with a cotton swab dipped in some water. Lin Guangqing advised.

After saying that, Lin Guangqing walked out of the ward, and a group of doctors followed him in the corridor, Lin Guangqing suddenly turned around and said, "What are the causes of secondary nephrotic syndrome?"

This question is obviously asking Yi Sheng, after all, Yi Sheng is the only one in this group of people who is an intern, and Yi Sheng said without thinking about this question: "The cause of secondary nephrotic syndrome may be caused by systemic lupus erythematosus, diabetes, secondary infections such as hepatitis B virus, bacteria, etc., and drug poisoning." ”

Ordinary medical students can only answer this, because this is the only thing listed in the textbook, and Yi Sheng, who has a small medical immortal system, can not be compared with those ordinary people, after a pause, Yi Sheng said: "In addition, allergic purpura in adolescents, amyloidosis in middle-aged and elderly people, multiple myeloma and hypertension, heart, and retinopathy may all lead to secondary nephrotic syndrome. ”

Lin Guangqing bowed his head lightly and then turned his head and continued to walk forward, Feng Juan on the side glanced at Yi Sheng in surprise, Xindao asked him about the hemodialysis standard before and answered ambiguously, why did he say it so smoothly now, even some textbooks did not mention it.

The big round lasted more than an hour, and the little nurse on the side saw Yi Sheng secretly hammer his stiff waist and chuckled: "It's not good to have a waist at a young age?"

Yi Sheng rolled his eyes, Lin Qingguang, the director of each patient, had to ask Yun Yi to listen to the patient's breath sounds, and every time he listened to it, he had to interrogate Yi Sheng to the bottom of it, so that he would have heard it for a few minutes, if it weren't for his young body and hard bones, I was afraid that he would have been unable to straighten his waist.

Back in the office, Yi Sheng's butt was not yet hot, so Feng Juan asked him to ask for information about Li Zhenqiao, the 37th bed.

Yi Sheng went to the ward and found that there was no one, so he walked around and felt the atmosphere of the attached hospital.

Walking along the corridor to the end, a cyan stainless steel door blocked Yi Sheng's footsteps, there was no window on the door, Yi Sheng raised his head, and the green light sign had three words written on it, "Dialysis Room".

took off his badge and gently brushed the access control, the stainless steel door slowly opened, and the scene inside made Yi Sheng stop.

The room was not wide but very long, as if Neo in "The Matrix" had the feeling of crawling out of the nutrition chamber after taking a blue pill, and the white hospital beds were arranged one after another, and a hemodialysis machine was placed at the head of each bed, from which two catheters protruded from the hemodialysis machine connected to the double-lumen catheter punctured from the artery and vein of the patient lying on the bed. Blood flows slowly from the catheter into the dialysis machine, rotated, filtered, and finally slowly flows through the catheter into the patient's body.

There were patients of all ages lying on the hospital bed, from the elderly in their seventies and eighties to children in their five and six years old, and everyone was lying quietly on the hospital bed. Although there is a TV hanging on the wall every two or three beds, few people are watching it, and the volume of the TV is turned down.

The little nurse who was sitting on the side sorting out the data was stunned when she saw Yi Sheng coming in, stretched out her hand and shook it in front of Yi Sheng's eyes and said, "What are you doing stupidly?"

Yi Sheng came back to his senses, glanced at the little nurse apologetically and asked, "Sister Li, is that 37-bed old man Li Zhenqiao like this?" Teacher Feng asked me to come over and ask about his medical history. ”

"You wait for me to check it, Li Zhenqiao, the case number is 96503, right?" Sister Li boarded the system and entered her name: "Here, you go inside, and the innermost compartment is him." ”

As soon as Yi Sheng walked inside, he was stopped by Sister Li and said, "You will come out quickly after asking about your medical history later." ”

"What's wrong?" Yi Sheng was stunned.

"That old man used to be a soldier, and he seemed to be a big official, and when he saw people, he liked to talk to people about how he led troops to fight in the first place. If you're entangled in him, don't think about it for a day today. Sister Li patted her chest and said with palpitations, obviously she had been dragged by the old man to be an audience before.

"The old man, his wife and children are not around?" Yi Sheng asked.

"His wife died of diabetes five years ago, and his son was too busy in the capital to find a nanny for him, but the old man didn't want it, saying that he wanted to be quiet. But where is he trying to be quiet, he just doesn't want to trouble his children, and he pulls a few of us every day to listen to him and say that the head nurse has deducted our bonuses for several days because of this!" Sister Li complained.

"It's okay, anyway, I'm just an intern, and we don't have anything to do in the department, so I'll accompany the old man, and I'll have fun." Yi Sheng waved his hand indifferently and walked inside.