This Doctor is Great

Zhou Mo: "Use your 3m for me. There is something wrong with my new patient. My stethoscope doesn't work well..."

Upon hearing this, Huang Yiming immediately agreed: "Yes, yes..."

Then he returned to the duty room, took out his Littmann 3200 baby, and handed it to Zhou Mo.

Zhou Mo was about to take it over,

"Wait..." Huang Yiming suddenly withdrew his hand, "Zhou Mo, you can use my stethoscope, but show me this patient..."

Zhou Mo smiled: "No problem..."

Huang Yiming was immediately happy: "Thank you!"

Zhou Mo: "Is there an instruction manual?"

Huang Yiming wondered: "Why do you need an instruction manual, isn't it just to listen to the sound?"

Zhou Mo rolled his eyes: "Your stethoscope costs more than 7,000 yuan, and you just listen to the sound? Don't you know that it has its own analysis function?"

Huang Yiming curled his lips: "Who can understand that damn thing, anyway, I just listen to the sound..."

Zhou Mo's mouth twitched.

The baby that was bought for more than 7,000 yuan was only used to listen to the voice in the hands of Huang Yiming...

"You really have money to burn..."

"It's only over 7,000. Is it so difficult that I can still use it as my ancestor?"

Huang Yiming said indifferently, but he also went back and took out the manual, most of which were in English.

Zhou Mo opened it and looked at it.

If it was in the past, it might have been a bit difficult for Zhou Mo to read so much English. But recently he has written too many papers, and with the help of the system, his English level has improved by 100 times. Reading this manual is really easy.

It took 20 minutes,

Zhou Mo read the manual, and then debugged it.

At this time, the nurse girl took the initiative to talk to Huang Yiming, and the chat was in full swing.

"Go, let's go to the ward to have a look..."

Zhou Mo got up and walked into the ward.

Huang Yiming followed.

Suddenly, the nurse girl shouted from behind: "Brother Ming, there is a movie called "The Lion Squinting Eyes" recently, do you want to watch it together..."

Huang Yiming: "I don't like it, change it!"

Nurse girl: "Why don't you watch Manslaughter 2..."

Huang Yiming was excited: "Okay!"

...

ward,

Zhou Mo quietly asked Huang Yiming: "You want to leave the order..."

Huang Yiming was excited: "That's my charm!"

Zhou Mo: "Didn't you say that whoever leaves the order first is the dog?"

Huang Yiming is proud: "Single is a dog..."

Zhou Mo: "..."

Coming to bed 29...

Zhou Mo auscultated the heart sounds of the female patient Li Haiyan for the third time.

This time, the yellow-haired youth looked at Zhou Mo in a slightly weird way.

He felt as if two horns had grown on his head.

Zhou Mo placed the stethoscope in the fifth intercostal space on the left midclavicular line again.

As soon as you put it in your ear, you can feel the difference of this stethoscope!

Awesome noise reduction!

Is this the treasure of more than 7,000 yuan?

Awesome!

At this time, Zhou Mo finally heard the sound of his heart clearly, it was indeed wrong!

Mitral valve systolic murmur heard!

Then listen to the third and fourth intercostal spaces on the left edge of the sternum, and found that there is also a murmur in the aortic valve!

A thought jumped out of Zhou Mo's mind.

Vegetation! !

Vegetation, generally seen in bacterial endocarditis, systemic lupus erythematosus, endocrine disease or Behcet's disease.

The patient in front of me may be bacterial endocarditis...

The endocardium is the innermost layer of the heart, including the heart's valves and the walls of the atria and ventricles.

When the bacteria enter the blood, they travel around the various organs of the body with the blood. When the valves are inflamed or damaged while flowing through the heart, bacteria can lodge, grow and multiply there, causing the valves to become inflamed.

When patients suffer from bacterial endocarditis, they usually have fever, and it is a long-term fever, mostly irregular, moderate or high fever.

This exactly corresponds to the patient Li Haiyan's repeated fever for a week.

in addition,

Bacterial neoendometritis will have another feature: vegetation.

Inflammation on the valve and defect may eventually form a vegetation.

And Li Haiyan, the patient in front of her, with the super clinical experience of listening to heart sounds that Zhou Mo spent 2 hours quickly piled up, immediately heard that there was a problem with the mitral valve, and felt that there was a slight murmur. Zhou Mo recommended it as a neoplasm.

Once this infective endocarditis is pushed out,

Then a new reasonable derivation process of the condition came out:

·Infective endocarditis—the heart’s pumping efficiency is reduced (the valve is like a door and window, the door and window are broken, and the pumping efficiency will naturally decrease)—the blood pumping efficiency is reduced, resulting in low blood pressure—the heart starts to pump blood—acute Heart failure - pulmonary edema - crackles + shortness of breath...

(Acute heart failure, heart function decline, unable to pump blood at high power, causing blood to accumulate in the pulmonary circulation, excess blood will enter the alveoli, causing pulmonary edema, the existence of pulmonary edema will seriously affect the patient's oxygen uptake ability, and then hypoxia , shortness of breath, wheezing...)

This time,

All out!

Zhou Mo felt a burst of excitement!

Me, does this count as independently diagnosing a patient?

"How is it?" Huang Yiming couldn't help asking when he saw Zhou Mo with an excited expression on his face.

"I seem to have found the cause!"

"What's the cause?"

"I heard a mitral valve murmur, and I guess it should be a vegetation, which means that the patient may have infective endocarditis..."

Zhou Mo explained his derivation in detail.

Huang Yiming looked suspicious: "Impossible? Can growths be heard with a stethoscope?"

Zhou Mo was proud: "This is my strength!"

Huang Yiming shook his head: "I don't believe it... Let me hear..."

Then picked up the stethoscope, ready to lean over the hospital bed to auscultate the patient Li Haiyan...

The boyfriend next to him was a little angry at first, thinking that young doctors such as Zhou Mo were ignoring and taking advantage of him. But when I heard Zhou Mo just said a series of reasoning about the illness, I felt that it made sense, and I immediately dispelled this doubt.

Therefore, her boyfriend did not stop Huang Yiming from trying to auscultate.

Huang Yiming put the stethoscope on the front of patient Li Haiyan's heart...

Zhou Mo reminded: "The position of the mitral valve is in the fifth intercostal space on the left midclavicular line..."

Huang Yiming: "Oh..."

Square location...

it sounds...

Then, Huang Yiming listened to loneliness, completely unable to hear what Zhou Mo said about the mitral valve murmur.

Huang Yiming looked suspicious: "Are you sure?"

Zhou Mo was very sure: "I'm sure there is a noise, it should be a growth... Forget it, there's no need to worry about it..."

Zhou Mo looked at his watch.

15:20...

"It's time for an echocardiogram..."

Zhou Mo said to the female patient: "The growths caused by the infective endocarditis I mentioned just now can be photographed with a color Doppler echocardiogram, so if there is any, just wait and see a color Doppler echocardiogram..."

"Let's go, go to the B-ultrasound room now, I'll go with you..."

Zhou Mo wanted to try, if he could learn how to use the color Doppler Doppler Doppler Doppler by observing and learning how Mr. Xinchao operates the Doppler Doppler.

...

30 minutes later……

Ultrasound room.

"Ding... You watched a "Diagnostic Process of Heart Color Doppler Ultrasound", and you comprehended 100% of the essence, and your hands-on ability was improved accordingly, permanent memory!"

A system prompt sounded next to Zhou Mo's ear.

Countless experiences flooded into my mind at this moment...

Zhou Mo was overjoyed!

"It's really possible!"

At this time, the B-ultrasound teacher said: "It has been confirmed that the patient's mitral and tricuspid valves have vegetations... The report will take 10 minutes to come out with details, you have to wait..."

Zhou Mo: "Thank you teacher."

Then he took the patient and left the B-ultrasound room.

Zhou Mo was very excited. On the one hand, he independently diagnosed a patient, and on the other hand, he learned the relevant operating experience of cardiac color Doppler ultrasound.

At the same time, Zhou Mo admired the deputy director Zhang in the emergency department.

Big cow!

Deputy Director Zhang must have heard that there was a growth in the patient's heart, and then arranged to send the patient to the Department of Cardiology.

Awesome! !

...

Now that the cause has been found, the next step is medication.

Zhou Mo contacted Senior Brother Chen Bing.

.