The department's general rounds are only once a month, usually with the participation of the hospital's top business experts, with the purpose of exchanging experience, solving difficult problems in patient diagnosis and treatment, and also testing the work of the department. Of course, the ward rounds of the Department of Internal Medicine must be led by the Director of the Department of Internal Medicine.

The director of the Department of Internal Medicine has a habit: the work of reporting the condition requires students to do. His reason is that if the students are good, the teachers will be qualified.

The director of the fat dundun department organized everyone to do a big cleaning a few days ago, and asked every doctor to take this big round seriously, at least not to lose face for the department.

Every instructor also repeatedly sounded the alarm bell to the interns, hoping that everyone would thoroughly understand every case and strive not to make a mistake in front of the director of the Department of Internal Medicine.

Almost every intern is terrified, and it has only been a few days since the transfer of departments, and it is difficult to memorize a thick stack of cases, let alone eat thoroughly.

The neighboring intern muttered in a low voice, "It's almost as good as burning all the medical records to ashes and eating them!" ”

Before half past seven in the morning, the doctors in the department were basically in place. Even Mr. Wu Ming, who usually looks a little hanging, arrived at the department early, and no one dared to be absent for no reason.

The huge doctor's office was packed with lab coats.

Four sets of milky white energy-saving lamps on the roof of the office quietly illuminate the solemn and nervous faces.

Some of the students are anxious to check whether the medical records are complete, some are discussing the characteristics of the cases in a low voice, and some are summarizing the problems that need to be solved...... Everyone is like a warrior about to meet the enemy, seizing the time to perfect every detail.

When Chu Yunchuan entered the office, Yu Ruyi, Yuan Yunxia and Zhang Jiuling were burying their heads in the books.

Chu Yunchuan asked, "Not ready yet?" Zhang Jiuling raised his head: "It's almost." Let's review the basics again so as not to be asked. ”

At eight o'clock, the tall and sturdy director of the Department of Internal Medicine, accompanied by Dr. Guo, the chief resident of the Department of Internal Medicine, walked into the office with dignity.

The director of the third department of internal medicine hurriedly greeted him, and after the director of the major internal medicine department sat down, he announced the shift in a loud voice.

After listening to the shift situation, the director of the internal medicine department didn't say anything, stood up, and walked to the ward under the leadership of the director of the third internal medicine department. Attending Physicians, Residents, Trainee Doctors, Interns...... A group of more than twenty people silently followed closely behind.

The doctor in charge of the bed is Dr. Wu Ming. Dr. Wu Ming stood next to him and motioned for his intern, Li Long, to hand over the medical record card.

After the director of the Department of Internal Medicine took over the sign, Li Long began to report: "The patient, male, 45 years old, was hospitalized for abdominal pain......"

After closing the sign, the director of the Department of Internal Medicine bowed his head and asked the patient, "How do you feel now?" ”

The patient said with satisfaction, "Much better!" Dr. Wu said that he can be discharged from the hospital tomorrow! ”

The director of the Department of Internal Medicine nodded: "Have a good rest." ”

The next ward rounds were relatively smooth, although several interns of Mr. Wu Ming did not answer a few small questions, but the students had only been transferred for a few days, and they were qualified if they made no big mistakes.

Teacher Wu Ming's face was colorful.

The first embarrassment appeared when checking Teacher Liu Jing's second hospital bed.

Teacher Liu Jing's intern doctor handed the sign to the director of the Department of Internal Medicine, but suddenly got stuck and couldn't tell the patient's condition.

The director of the Department of Internal Medicine changed to a question: "Tell me about the clinical manifestations of peptic ulcer." ”

"Abdominal pain, bloating, acid reflux......" Although it was not comprehensive, Dr. Liu Jing's intern still answered.

The director of the Department of Internal Medicine emphasized: "Elderly patients with gastrointestinal bleeding must be tested for cardiac conditions, and there have been cases of myocardial infarction induced by gastrointestinal bleeding. ”

Yu Ruyi hurriedly wrote down the words of the director of the Department of Internal Medicine in the small notebook she carried with her.

The problem is in the twenty-five beds.

The bed is occupied by a patient with liver cancer.

After leaving the ward, the director of the Department of Internal Medicine asked, "What should I do if the patient suddenly has a feeling or behaves abnormally?" ”

Intern doctor Yang Guang didn't think about it, and replied confidently: "Call the security department." ”

An irrepressible laugh rang out in the hallway.

Dr. Liu Jing's face turned red.

The director of the Department of Internal Medicine continued to ask, "Which student knows?" ”

Zhang Jiuling replied: "Urgently check blood ammonia." ”

"That's right." The director of the Department of Internal Medicine said, "Hepatic encephalopathy is ruled out first. Medicine is an immature discipline, and a clear diagnosis must be considered and carefully investigated. There are no shortcuts. ”

Chu Yunchuan turned his head and signaled that everyone had to remember the experience of the director of the Department of Internal Medicine, and the three of them understood it.

"Where does blood ammonia come from and where does it go?" The director of the Department of Internal Medicine glanced around at everyone, "Are there any students who are clear?" ”

The students all avoided the gaze of the director of the Department of Internal Medicine with a weak heart.

Seeing the disappointed eyes of the teachers, Yu Ruyi whispered: "There are three main sources and three ways to go, which are ......"

After listening to the answer, the director of the Department of Internal Medicine nodded with satisfaction: "The reason why I ask you to understand these is because I don't want you to be a personal doctor, not only to be able to use medicine, but also to really understand the reasons for the application of each drug." ”

It was finally Chu Yunchuan's patient's turn.

The first was Yuan Yunxia, who was a little nervous and looked for Yu Ruyi's gaze for help.

Yu Ruyi raised her fist at her and silently cheered for her.

Yuan Yunxia took a deep breath and then slowly reported the patient's condition.

Even the inspection number jù is accurate!

Yu Ruyi and Zhang Jiuling secretly high-fived and congratulated each other.

The director of the Department of Internal Medicine asked, "How to check for perforation of abdominal cavities?" ”

Yunxia became confident, and her answer was refreshing: "Take a plain film of the abdomen to see if there is any dissenting gas in the diaphragm." ”

Next is Zhang Jiuling, who not only memorizes several medical records thoroughly, but also makes up for the relevant knowledge points, where is it difficult to get him!

"Hmm......" The director of the Department of Internal Medicine looked at Zhang Jiuling's alternative red hair and earrings with a smile: "Young people now...... It is your freedom to pursue individuality, and it is your duty to save lives and help the wounded, so don't put the cart before the horse. ”

Zhang Jiuling blushed and nodded vigorously.

When it was Yu Ruyi's turn, Director Ouchi asked: "Differential diagnosis of female patients with lower abdominal pain." ”

This is a big question, and it is not easy to answer it comprehensively!

Chu Yunchuan looked at Yu Ruyi silently, quietly watching her appearance.

Yu Ruyi thought for a while and then talked eloquently: "First do the pregnancy to rule out the ectopic pregnancy, and then do the B ultrasound to check whether there are gynecological diseases such as rupture of the corpus luteum, torsion of ovarian cyst pedicle and urinary tract stones. ”

Girls have a more comprehensive understanding of obstetrics and gynecology. Chu Yunchuan remained silent.

Yu Ruyi continued: "The purpose of doing abdominal x-ray is to check whether there is a perforation of the digestive tract, and to observe the changes in the condition dynamically in combination with symptoms and signs can rule out surgical diseases such as appendicitis and intestinal obstruction. ”

I have mastered the knowledge points of medicine and surgery, not embroidered pillows! Chu Yunchuan's gaze at Yu Ruyi became softer.

Yu Ruyi has not stopped yet: "Atypical myocardial infarction patients may also have abdominal pain symptoms, so electrocardiogram examination is essential......"

Not only Chu Yunchuan, but many teachers looked at Yu Ruyi carefully.

The average resident can't think so comprehensively!

The director of the Department of Internal Medicine flipped through the medical records: "Are these all students brought by Dr. Chu Yunchuan?" ”

"Yes!" The three replied in unison.

The director of the Department of Internal Medicine glanced at everyone: "I know that the doctors in our department are elites, but it is not enough to be good, we all have to learn like Comrade Chu Yunchuan and strive to cultivate more good students!" With good students, our medicine has a good future! ”

Everyone cast envious and appreciative glances at Chu Yunchuan.

Chu Yunchuan glanced at the three of them suspiciously: I usually don't see a few of them working hard, how can they be so good today?

The three of them tried their best to hide the excitement in their eyes, ignoring Chu Yunchuan's gaze at all.

After everyone continued to make rounds, Yu Ruyi deliberately fell behind, and said to Zhang Jiuling and Yuan Yunxia uneasily: "After coming down, there must be other students who ask us how to study, and we are not allowed to be traitors!" ”

Zhang Jiuling held his head proudly: "Then you still need to say?!" ”

Yuan Yunxia was still excited, learning the tone of the director of the Department of Internal Medicine: "Young people now, ......" and made a gesture to take Zhang Jiuling's earrings.

Zhang Jiuling covered his ears tightly and said aggrievedly: "The masters of Ouchi have said that the pursuit of individuality is our freedom!" ”

Yu Ruyi nervously patted Yuan Yunxia and reminded them: "The ward rounds are still going on, don't talk!" ”

Dr. Guo, the head of the hospital, turned his head and saw Chu Yunchuan glancing at a few students behind him who were a little carried away with joy from time to time, and said with a smile: "It's good to be young." ”