Seeing the old man's coughing and shortness of breath, Xu Ze roughly estimated what the disease was, so he was also sure in his heart, if they were all such obvious patients, then even if it was twenty, it would not be too hard, and it should not be easily shocked; Thinking of the taste of bone erosion during the electric shock, Xu Ze couldn't help but shudder.

First of all, through a detailed examination, this old man has a history of smoking for decades, and in the past five or six years, every winter and spring, he has frequent coughs and phlegm, and in the last two years, he has begun to have shortness of breath.

On physical examination, the patient breathes with his mouth open and his lips become cyanotic, which is a clear sign of hypoxia; Carotid artery distention, bilateral thoracic enlargement, widening of the intercostal space, low breath sounds in both lungs, and significant vesicular crackles and wheezing may be heard, suggesting tracheitis and infection, as well as emphysema. And it's not just the lungs that have problems, but the percussion heart seems to be enlarged.

Xu Ze thought about it, although he had not systematically studied internal medicine in school, but in the internal medicine taught by Xiaodao recently, there was a very clear introduction of this situation, cough and phlegm shortness of breath, and cyanotic manifestations, combined with physical examination, it is obvious that there is chronic bronchitis and emphysema, and if the heart is also enlarged, it is necessary to consider having a pulmonary source of heart disease.

Thinking of this, Xu Ze initiated an X-ray fluoroscopy and conducted further examinations on the patient's lungs.

Both lungs are significantly more permeable, most of them are dark gray, and the shadows of patches can be seen, and the heart is much larger than the average person's heart.

At that moment, Xu Ze clarified the diagnosis, and confidently said to the knife next to him: "The diagnosis considers chronic bronchitis and infection, obstruction and emphysema, and lung source heart disease, there is nothing wrong with it!" ”

Seeing Xu Ze's complacent, the knife chuckled, only to see a flash of electricity, Xu Ze's face changed, he exclaimed, and then his body trembled involuntarily, and his hair was once again made a fireworks perm by the knife for free, and it was very beautiful.

Feeling the unforgettable taste of crispy numbness just now, Xu Ze trembled his lips, looked at the knife angrily and said, "Knife, what are you doing?" Obviously I got it right! ”

Looking at Xu Ze's face full of anger, Xiaodao shrugged his shoulders, chuckled, and said, "You answered correctly, but you still have a comprehensive answer." ”

"As a doctor, have you forgotten what a comprehensive physical exam is? What does it mean to be careful? Xiaodao looked disdainful and said: "These diagnoses, anyone can analyze them based on symptoms, but you forgot, you didn't measure his blood pressure just now, his actual blood pressure is 180/120mmHg, did you say you made a great mistake?" ”

"Uh..."Listening to the words of the knife lesson, Xu Ze had nothing to say now, he was really careless just now, thinking that the diagnosis was very simple, so he was careless for a while, and forgot the step of measuring blood pressure, so he had to lower his head at the moment and said convincingly: "Hypertension level 3 (very high-risk group) should be added; Yes, I was wrong this time. ”

"Hmm..."Seeing Xu Ze's humble acceptance, Professor Xiaodao nodded with satisfaction and continued: "Okay, continue to talk about his treatment plan." ”

Xu Ze was much more serious now, thought about it for a while, and then said carefully: "Give continuous low-flow and low-concentration oxygen delivery, and give anti-infection, phlegm and cough, antispasmodic and asthmatic, improve pulmonary circulation, and treat blood pressure..."

"Specific medications?"

Hearing this sentence from Xiaodao, Xu Ze finally breathed a sigh of relief, it seemed that he was not wrong, and hurriedly continued: "Antibiotics are now generally used cefoperazone sodium plus oxazole penicillin, and aminophylline, Mushutan antispasmodic, phlegm and cough are relieved, dopamine and liqidine are used to improve pulmonary circulation, and Boidine is used to lower blood pressure. After that, he quickly looked at the knife, for fear that he would make a mistake.

But fortunately, Professor Xiaodao was extremely satisfied with his answer this time, nodded and smiled: "Hmm... Yes, let's start the formal treatment! After that, with a wave of his hand, Xu Ze had an extra doctor's order light board and a laser pointer in front of him.

Now that Xiaodao has approved his treatment plan, Xu Ze will be relieved to prescribe a doctor's order, as long as the general direction is good, there should not be too many problems.

As Xu Ze finished prescribing all the doctor's orders, Xiaodao nodded with a smile, pointed to the old man in the middle and said, "Okay... Now let's look at your first day of treatment, and you go check it out. ”

Xu Ze stepped forward and saw that the old man had changed significantly from just now, his shortness of breath began to ease, and his lips did not become cyanotic anymore, so Xu Ze had confidence, and the treatment effect seemed to be good.

After a careful examination, it was confirmed that the rales in the lungs were reduced, and the blood pressure was reduced to 150/90mmHg, and then nodded at the knife and said: "The treatment is effective, the patient is getting better, it is recommended to add nitrandipine 10mg three times, with blood pressure lowering, and other treatments will be continued." ”

"Hmm... Okay, follow your treatment plan, let's see how he will do the next day......"

"Shortness of breath was significantly relieved, no cyanosis of the lips, rales in the lungs were significantly reduced, and blood pressure was controlled at 130/70mmHg. The treatment effect is good...... "Xu Ze is relieved now, it seems that his treatment plan is very effective, and he doesn't have to be shocked now."

The knife nodded with satisfaction, and then said, "Okay, next ......."

As the voice of the knife fell, the old man in the center of the room suddenly changed, but he became a young man, Xu Ze stepped forward and began to check, this time he was much more careful, and he didn't dare to be careless.

Still the first thing is to ask for a consultation, the young man said that there is a lot of stool recently, and it is asphalt, this situation has been more than ten days, and in the past two days, he feels more and more that people have no strength, and there is shortness of breath when they move a little.

As soon as Xu Ze heard about these situations, he had some confidence in his heart and began to check. On inspection, the young man had pale face and lips, anemia, rapid heartbeat on auscultation, and obvious epigastric tenderness on palpation.

Now Xu Zeke had a plan, it was obvious that this was a patient with gastrointestinal bleeding, and after some consideration, he proposed a treatment plan and further examination, which made Xiaodao very satisfied.

In this way, after spending four hours, all twenty patients of various types were finally processed, and at this time, Xu Ze's hairstyle was also very avant-garde, and after being shocked four or five times, his hair turned into a broom like Sun Gohan.

Xiaodao nodded very unexpectedly, he was very surprised that Xu Ze could pass the test at one time, and he actually diagnosed all twenty patients, and completed the treatment of all virtual patients, and the effect was not bad, originally he planned to spend a few days to see him, so that Xu Ze could reach the standard, but now it is comfortable.

At that moment, he finally showed a smile and said, "Yes, I see that this month's learning effect is good, and you will pass the test smoothly today......"

"Work hard, I see that your primary energy cycle has also reached eight laps, hold on a little longer, try to break through nine laps in these few days, advance to the next level, and then you won't have to work so hard."

It's just that Xu Ze didn't have any joy at this time, just trembling his hands and touching his hair, his face full of resentment, secretly saying that it's okay that this is just a virtual space, if he goes out and still has this hairstyle, he might as well kill himself......

After going out, Xu Ze was puzzled by the strange performance of the knife today, and finally after thinking about it, he finally figured out the purpose of the knife to train himself so hard, looking at this appearance, if he didn't advance to the next level, he didn't know what the knife would be played with next.

Therefore, Xu Ze'er was very desperate early in the morning, desperately urging the operation of the energy cycle, and secretly said while urging: "If you don't break through to nine laps today, if you get to the night, I don't know if it will be as miserable as yesterday." ”

Thinking of the feeling of being electrocuted by those electric shocks last night, Xu Ze was still trembling all over his body at this time, gritting his teeth and not daring to think about it again.

Feeling that the air flow in the sea of air was running at full strength under his own urging, Xu Ze didn't dare to be distracted at this time, encouraging all his spiritual power, pushing the air flow forward, and his experience told him that the operation of this air flow, as long as there is a breakthrough to a certain circle, then the next run, it is extremely easy to reach this circle.

And now he has reached the eighth lap for a few days, and every time he runs to the ninth lap, he is still a little bit behind, this time he has to attack the ninth lap, if he can pass the level smoothly, then it will be extremely easy to advance to the next level. Because now the physique is already F-level when the gene is optimized, the meaning of the knife in medicine should be much different, it should be just this.

"I hope it will be successful, we don't want to continue to be abused by that perverted knife today." Xu Ze said in anticipation.

ps: Let's ask for a recommendation ticket first...... The front is only a little bit behind, and the back is only a little bit behind, so Tiannan has no choice but to ask for a ticket cheekily...... Please support the brothers and sisters who have tickets.

Then thank the brothers and sisters for their messages in the book review area, rewards and evaluation votes for support, everyone's book reviews Tiannan has seen it, but it is very busy, so there is no reply one by one, Tiannan is here to apologize and thank you.

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