The diagnosis results represent the diagnosis of the disease given by the attending doctor, and the subsequent treatment plan will also be based on the diagnosis results. If it is misdiagnosed, it can easily lead to medical malpractice.

In the spirit of being responsible for the patient, since you have doubts, you can't fill in the diagnosis opinion.

He felt the need to find out if the patient had a past medical history.

"History inquiry."

After entering four words, the patient's medical history information pops up.

"The patient has no previous history of heart disease, and relatives within three generations of the family also have no history of heart disease."

This means that there is no such thing as familial inheritance.

The patient's previous heart should have been healthy.

"What happened to you."

He typed four more words.

This information should have appeared in the physical examination section. But no.

Only targeted queries show that information.

Zhou Can faintly realized that this was probably the examiner deliberately withholding some information. Or think that this information is not important, so omitted.

"The patient lost his job before the onset of the disease, divorced his wife, and lived alone when he suddenly developed chest pain and dyspnea."

When he saw these information about the patient, Zhou Can's eyes lit up slightly.

I always felt that something was wrong.

Now that I think about it, it should not show the patient's medical history and course of illness.

Losing your job is bad enough in itself, and you must be depressed.

At this time, there was no comfort, and his wife divorced him instead, which was tantamount to adding insult to injury.

There is no greater grief than the death of the heart.

When a person's heart is extremely sad and in extreme pain, it is easy to have symptoms such as chest pain and difficulty breathing.

Zhou Can's eyes became more and more determined, and his wisdom shone brightly.

"Emergency department, chest pain, dyspnea, elevated troponin, and electrocardiogram showing myocardial infarction, from the very beginning, the candidates preconceived into the wrong circle of acute myocardial infarction."

Looking at the candidates who were proud after filling in the diagnosis results, Zhou Can couldn't help but shake his head slightly.

These candidates are afraid that they will lose points.

To find out whether a patient has a myocardial infarction, the most authoritative examination is not an electrocardiogram or an X-ray, but a coronary angiography.

X-rays are not bloodclots.

Only coronary angiography is the only authoritative and effective detection method.

This test is usually done by an experienced cardiothoracic surgeon. An injection is given to the femoral artery at the base of the patient's thigh and a guidewire is inserted.

Push the guidewire deep into the blood vessel until the guidewire reaches the abdominal aorta, then continue to push until it reaches the thoracic aorta, then through the aortic arch, and finally into the coronary artery.

If the guidewire is successfully placed, a catheter can be placed along the guidewire.

What for?

A contrast agent is injected into the catheter and it can reach the coronary arteries without incident.

At this time, an X-ray will be done, and the image will be developed.

You can clearly see whether the coronary artery is blocked, and even where the stenosis is can be seen at a glance.

Zhou Can decisively exited the diagnosis filling page, but returned to the medical examination application page.

"Request a coronogram."

He decisively submitted a new application for inspection.

"Congratulations on getting extra points for the supplementary examination."

The examiner is despicable.

It requires candidates to have strong concentration, high-level diagnostic ability, meticulous observation ability, and rigorous and responsible attitude in order to uncover all the fog and seek truth from the false.

Scolding and scolding, it is undeniable that the examiner's exam questions are really level.

It can find out the real elite from more than 1,500 outstanding candidates to the greatest extent.

Recruit the most promising talents for Tuya Hospital.

"Okay, I believe that many candidates have already filled in the diagnosis results, now please give your treatment plan."

The corners of the examiner's mouth showed an imperceptible smirk.

It was clearly a treacherous trick that succeeded, and he smiled smugly when he watched the candidates fall into the deep pit he dug.

Zhou Can ignored the examiner's urging and carefully checked the coronography results.

Imaging showed that the patient's coronary arteries were normal.

There was no myocardial infarction.

Zhou Can showed a knowing smile.

"Sure enough."

The next step is simple, go to the diagnosis results page, and write "The patient has a normal heart muscle, but due to violent mood swings, he has similar symptoms of myocardial infarction." ”

After submitting your diagnosis, you will be taken to the treatment plan page.

He scolded in his heart, the examiner chicken thief.

After the previous test items are submitted, the score will immediately pop up to tell the test taker that the test items are correct.

When it comes to submitting your diagnosis, you don't have any prompts and skip straight to the treatment plan page.

I believe that many candidates will be kept in the dark.

Proper rhythm of being pitted to death by the examiner.

Students and examiners are natural enemies. This is the conclusion reached by Zhou Can.

In the treatment plan column, he filled in the words "Psychological counseling is recommended." ”

Then submit.

The next step is to wait patiently for the examiner to announce the results.

"Fortunately, I was able to upgrade the pathology diagnosis to level 3, otherwise I would have failed at the first level of the interview."

His gaze swept over the other candidates, some of whom were still bowing their heads and filling in carefully.

Needless to say, nine out of ten of these low-headed clans fell into the pit.

The treatment plan for acute myocardial infarction is very long, and it is impossible to write it in ten or twenty minutes.

From a medical point of view, if the diagnosis is wrong, no matter how detailed the treatment plan is, it will be all wrong.

This is somewhat similar to the rules of multiplication.

As long as the multiplier is zero, it is useless to be multiplied no matter how big it is, and the result is still zero.

He was idly flustered and looked up at the nursing candidate recruitment.

A young and beautiful girl, very eye-catching.

It can be seen that he is in a happy mood and has the urge to fall in love.

They also had an interview session and were competing in basic skills such as injections.

When I saw a doctor, I met a nurse who was giving injections and I was very offended.

Take a blood, and she can prick you with more than a dozen needles because she can't find a vein. The simplest intramuscular injection, which can be pricked into your bones with a needle, is guaranteed to make you want to die.

When you want to scold your mother, you see that the other party is a young and beautiful girl, and she pities the fragrance and cherishes the jade, which is somewhat unbearable. I swallowed back the words that had just come to my mouth.

"Candidates who have not yet submitted their diagnosis and treatment plan are asked to hurry up, there are still 60 seconds left."

The examiner's voice drew Zhou Can's attention back.

After the deadline was given, the candidates sped up the filling process.

"It's time! Now you can check the score of pathological diagnosis. ”

Candidates can't wait to see the answers.

"Ah...... Why is my score only 2 points? ”

"Examiner, is there a mistake in the scoring system? My examination items are all correct, and the subsequent diagnosis results and treatment plan are not wrong, why did I only get 5 points? ”

"Mine is also a 5 points, it must be a mistake in scoring."

……

The candidates shouted one after another, and the examination room was in chaos.

The candidates for nursing and medical technology training also turned their heads to look at this side.

Want to know what's going on?

"What? What's yelling? All keep me quiet. ”

The examiner shouted angrily, no one dared to challenge his authority, and the aggrieved candidates were quiet.

It's just the anger on their faces that expresses their strong dissatisfaction.

If the examination room does not give a reasonable explanation, they will definitely make trouble again.

"Do you know why your score is low? The total score of pathological diagnosis is 30 points, and the vast majority of candidates with less than 10 points have only answered some of the previous examination items correctly. ”

As soon as these words came out, the audience was shocked.

Those who scored less than 10 points began to revisit the questions and try to look for possible mistakes.

"This, this can't go wrong! If the patient has low blood pressure, elevated troponin, and an electrocardiogram that looks like a myocardial obstruction, isn't this acute myocardial infarction? ”

Candidates who answer incorrectly are confused.

The examiner smiled slightly, "Pathological diagnosis can't just look at the appearance, it is possible that what we see and hear will deceive us." This requires us to carefully screen and retain the true from the false, so that we will not be misdiagnosed in the end. Is there a candidate who got a full score for this question just now? ”