And almost when Shen Qiang used the technique of microscopic observation to see the girl's illness at a glance, all the people in the entire classroom looked at the lecturer with shocked eyes, because for clinical medicine, more diagnoses need to be supported by accurate test reports.

Judging at a glance not only has a high rate of misdiagnosis, but also is more likely to cause disputes, so under normal circumstances, it is not possible to make a diagnosis without various laboratory reports.

In fact, when the body temperature rises during fever, not only will the activity and reproduction of some pathogenic microorganisms become less active, but the body's immune system will also be significantly more responsive.

There will be an increase in the white blood cell count, increased bactericidal activity of phagocytes and neutrophils, etc., so fever is actually a beneficial protective mechanism that the human body has evolved to gain against the invasion of pathogenic microorganisms.

Therefore, an ordinary fever is just the body fighting the pathogen and does not cause real damage.

Ultra-high temperatures, which are really harmful to the human body, are usually above 40 degrees Celsius, but in order to ensure safety, in medicine, it is usually recommended to reduce fever if the body temperature exceeds 38.5.

"What is the teacher doing? Fever is very common, and there are many kinds of causes of fever, how can this be determined by observation alone?"

The lecturer on the podium was also full of helplessness.

Originally, it was a good opportunity to motivate many students, but Zong Zijin understated it with a word, and he was brought to the torture of Shen Qiang's character, and his proud routine was directly distorted.

In this case, if they can't immediately find another thing to grab the students' attention, then it is obvious that they will be immersed in infinite speculation about Shen Qiang.

So in this case, the clinical diagnosis of a case is obviously the best.

"This classmate, please cooperate, and their diagnosis may be more symptomatic than buying a few pills yourself. The lecturer comforted the girl, and then looked at the many students who were whispering coldly, and said: "Those who study medicine should know that time is life, if there are complete physical indicators, then whether it is a professor or you high-achieving students, you can easily make a diagnosis." ”

"But if not, are you helpless?" said the lecturer, "then suppose, you are traveling, on the road, or in a mountain village, and you encounter a dying patient, can you just watch, and then like a waste, there you say, oh, she's in a terrible condition, hurry up and take her to the hospital, there is no test sheet, I don't know what happened to her at all." ”

Hearing this, he looked at the mocking look on the lecturer's face.

The eyes of many of the students present were sharp.

After all, this is no ordinary school.

Beijing Medical University, Graduate School.

Those who can enter here may still have some lack of experience, but if it is about theoretical knowledge reserves, it will definitely blow up a few streets of ordinary doctors.

"Teacher, I think there is a problem with your proposal, first of all, there are many cases of fever, and there are only two common ones, one is infectious fever, including various bacterial infections, viral infections, mycoplasma infections, etc., and the other is connective tissue diseases, malignant tumors, etc. ”

"If you want to break it down, there are more cases, and without the support of the test sheet, can the teacher do it, accurate and clear diagnosis?"

Looking at the obviously provocative student, the lecturer smiled and said, "I can't, but don't forget, at the same time as fever, different diseases will have different other symptoms in clinical practice, for example, infectious fever, which is usually accompanied by swollen lymph nodes." ”

"Connective tissue diseases are clinically characterized by irregular fever with arthralgia, polymorphic rash, sun sensitivity, Raynaud's phenomenon, serositis, etc., so come on, the opportunity to prove whether you are a cat or a lion has arrived. ”

"You can also think of it as a small practical assessment, the patient is right in front of you, use the knowledge and talent you have learned to prove your excellence, and in order to ensure fairness, later, I will pay out of my own pocket to do a comprehensive examination for this student, and when the time comes, the results will be clear at a glance. ”

"Whoever has the closest diagnosis, then there is no doubt who has a higher level, who has an unreliable diagnosis, and who has a low level, and this is also common in hospitals. ”

The lecturer smiled and said: "The reason why the expert number is so difficult to hang in the big hospital is also here, because the experts can see at a glance what disease the patient probably has, and then directly follow his diagnosis to do a special examination, more than 90%, as soon as the test report comes out, you can immediately diagnose without error." ”

"The ordinary doctor can't, he will ask you to do a comprehensive examination with a full head of question marks, and then look at all kinds of documents, little by little to compare the data memorized in his head, and then make a diagnosis. ”

"So come on!" the lecturer said with a bright look in his eyes, "Shine your sword, and see which of you is more skilled!"

With that, the lecturer stepped aside, took a chair, placed it next to the female student, and said, "Please take a seat." ”

Then looking at the many silent students present, the lecturer smiled: "Why, isn't what you just said quite reasonable?

Hearing this, the eyes of many students lit up.

The corners of Shen Qiang's mouth, who had been watching quietly, also showed a smile, in fact, after the microscopic technique was upgraded some time ago, it did give Shen Qiang a lot of help in diagnosis, and it can basically be diagnosed at a glance.

But all this is also inseparable from Shen Qiang's own efforts.

Because the original technique of contemplating microscopic things, even if it can be diagnosed, it is also an obvious TCM theory, such as fever, and the TCM theory in the medical saint lineage believes that there are only two causes, which are divided into external sensation and internal injury.

This coincides with modern medicine, which is enough to prove that the ancestors are indeed powerful.

But further down, it's as esoteric as metaphysics.

For example, the explanation recorded in the medical tradition is that it is caused by feeling the evil of the six evils and the qi of the epidemic, and the internal injury and fever are mostly caused by the fatigue of eating and drinking or the changes in the seven emotions, resulting in the imbalance of yin and yang, and the deficiency of qi and blood.

The more mysterious content is that the external fever is more real, which is seen in colds, typhoid fever, warm diseases, plague and other diseases, and the internal injuries are more deficient, including yin deficiency fever, yang deficiency fever, blood deficiency fever, qi deficiency fever, fatigue fever, yang floating fever, blood loss fever, etc.

If you don't work hard for a few years or more than ten years, even if you are a peerless genius, you will definitely be confused.

But now the situation is different, Shen Qiang, who has studied modern medicine, is like updating the operating system of the microscopic technique, and the information returned is not only more intuitive, but also tied to the knowledge that Shen Qiang has learned, not only can he directly diagnose, but also can give a perfect treatment plan in an instant.

(End of chapter)