The room is very lively. Now several answers have come out!
Zhuang Yueming didn't speak, so we continued to discuss, because this shows that it must not be the correct answer!
Obviously, diseases are often complex. His correct answer is not necessarily correct, or even there may be a correct answer!
What is the disease?
It's a morbid reaction, not a question. What you need to do is constantly analyze all kinds of clues.
Zhuang Yueming may not be accurate. He also needs to listen to everyone's suggestions.
This difficult disease, it is best to explain all the symptoms, this is the diagnosis!
The reason why diagnosis is difficult is here!
The significance of the discussion is also here. When an answer can convince all symptoms, this is the correct answer.
As time went by, almost everyone spoke.
Zhuang Yueming glanced at Qin Yue, who stood there distracted, and couldn't help laughing.
It seems that the disease is so complicated that the little girl is dizzy.
Zhuang Yueming coughed and said, "Xiao Qin, you know this patient best. Do you have any ideas?"
Qin Yue was distracted by what everyone said. Director Zhuang was so frightened that she staggered and stood firm quickly!
Everyone couldn't help laughing.
In fact, for most people, this complex case discussion is just like listening to the book of heaven.
Xu Rui's face sank when he saw Qin Yue so distracted.
Qin Yue hurriedly looked at Zhuang Yueming, nodded and said, "I also have some ideas."
As soon as they heard this, they smiled and didn't care. They looked down at the medical records and examination results taken on their mobile phones.
When Zhuang Yueming heard Qin Yue's words, he immediately nodded: "well, tell me what you think of this patient."
Qin Yue nodded: "let me talk about the diagnosis first. My diagnosis is like this."
"First, the patient has chronic atrophic gastritis. Now the main diagnosis is gastroduodenal ulcer perforation combined with acute tuberculous peritonitis, accompanied by severe septic toxic shock!"
Zhuang Yueming was stunned at this remark!
He looked at Qin Yue with an incredible face, opened his mouth, but didn't speak.
He just looked at Qin Yue a little distracted and wanted her to participate in the discussion. He didn't think what answer Qin Yue could give.
However, Qin Yue's opening immediately surprised him!
This is as like as two peas!
This little girl is too... Evil, isn't she?
This shocked Zhuang Yueming. After all, how difficult the case was. There were countless people present, including experts, professors and doctors. They discussed for nearly an hour and had no exact answer. Qin Yue said it directly!
Not only Zhuang Yueming, but also the following experts were looking at the medical records. When Qin Yue's words reached their ears, everyone didn't care.
But
When they followed Qin Yue's diagnosis and looked at the medical records, they were suddenly stunned!
They found that all this seemed to make sense!
Why can flaccid fever, because tuberculosis!
Why do you have cough symptoms of respiratory tract? Dexamethasone and penicillin are not used, because it is not infection at all, but tuberculous!
Tuberculous peritonitis!
Everyone didn't expect this. Even the abdominal palpation of kneading feeling can explain clearly. It's not suppurative at all, and why
……
At this moment
Everything seems to come out!
Everyone looked up at Qin Yue, including Xu Rui, who was stunned for a long time and looked at Qin Yue inconceivably.
For a moment, the whole office was quiet with Qin Yue's diagnosis.
Even their own bowel sounds can be heard clearly, well, four times a minute
Half a ring, Zhuang Yueming calmed down. He was a little shocked. Looking at Qin Yue, he quickly said, "come on, tell me why? Analyze how you deduced it."
Qin Yue nodded quickly and said calmly: "in fact, we should look at the development of the disease. In this way, it's better to push it, not according to the current symptoms. First of all..."
Qin Yue explained Chen Cang's words to everyone.
In her opinion, in this way, she doesn't copy Chen Dabao's point of view. This is her own understanding. Chen Dabao... At most, it's my talent.
Qin Yue explained and flipped the contents on the big screen. After about ten minutes.
Qin Yue explained all the symptoms clearly.
At this moment, the scene was stagnant!
Everyone can't believe that such a difficult and miscellaneous disease was solved by a student at will.
For a time, I was blushing and ashamed.
Even Xu Rui was a little shocked. Did he... Underestimate Qin Yue's strength on weekdays?
Zhuang Yueming looked at Qin Yue and took the lead in clapping!
Then everyone began to applaud.
Zhuang Yueming smiled: "it's a very good case. It's also a very logical deductive diagnosis. It's very good."
Qin Yue was a little embarrassed to be praised by everyone.
Zhuang Yueming concluded: "yes, I think so. Although the patient's situation is special, it seems that everything is acceptable if we deduce it according to Xiao Qin's thinking process."
"It seems that Xiao Qin must have had a detailed understanding with the patient! Otherwise, he would not understand the occurrence and development of the patient's disease."
"This reminds us that in the future, in the process of dealing with patients, we must strengthen communication with patients. Don't always say how busy and tired you are and squeeze time, which is very useful for our diagnosis and treatment!"
Hearing the words of group leader Zhuang Yueming, everyone nodded and sighed.
Qin Yue blushed. She didn't seem as good as the director said. She asked the patient about the occurrence and development of the disease in detail, and then
This is what Chen Dabao said
Zhuang Yueming sighed: "I don't have enough understanding with the patient. There is absolutely no diagnosis with clear logical thinking. It seems that we have to pay more attention to collecting medical history in the future and learn more from Xiao Qin."
"There must be my teacher in a three person line. Don't think you're a director, expert and professor."
After that, Zhuang Yueming suddenly looked at Qin Yue with a smile and was full of appreciation: "Xiao Qin, how do you think it should be treated?"
Qin Yue blushed. I haven't asked the answer yet: "I... I'll go to the bathroom first and come back and say OK?"
Zhuang Yueming was stunned. The people around him were also unable to laugh or cry: "go and come back quickly."
Qin Yue nodded and ran out and quickly called Chen Cang: "husband, Jianghu emergency, do you remember that patient in the morning? How to treat it!"
Chen Cang was reading a book. Hearing Qin Yue's words, he hesitated for a moment: "night! Three red, black and meat!"
Qin Yue clenched his teeth: "one!"
Chen Cang: "two!"
"Deal! Send it to wechat quickly!"