Chapter 319

The short and fat man's topic is not the concept in the book at all. He directly gave a very difficult pseudo real question for No. 45 Gu Peng to answer.

"A 65 year old female patient with unexplained discharge of mucus, purulent and bloody stools for half a year is thin and shapeless. Four to six times a day, not much. In recent 2-3 days, I felt abdominal distension. Physical examination: T, 37.8 ℃, bp95 / 58mmhg, P92 times / min, emaciated face, abdominal eminence, no abdominal muscle tension, tenderness but no rebound pain, a fixed hard mass in the left lower abdomen, excessive bowel sounds, negative mobile dullness, and 10.5% white blood cells × 109 / L, abdominal plain film showed colic flatulence. What is the most likely disease for this patient? What is the basis of diagnosis? What further checks are needed? What are the principles of treatment? "

Gu Peng suddenly stood up, without looking at the short and fat man, and said with confidence, "Mr. Sun said that the most likely diagnosis of this patient is sigmoid colon cancer with incomplete intestinal obstruction. The diagnosis was based on: 1. 2. Symptoms: discharge mucus, pus and bloody stool for half a year with unknown reason... "

In the worried eyes of the leading teachers of Yanjing Medical University outside the window, and in the triumphant eyes of the three members of the inspection team in the 305 classroom, Gu Peng confidently said the solution to the problem, word for word, not bad!

The answer suddenly surprised the stout man. He frowned, looked at Gu Peng tightly and said nothing.

The leaders and teachers of Yanjing Medical University were even more stunned when they heard Gu Peng's answer outside the window. They had just stood outside the window with the mentality of losing face and were ready to listen to Gu Peng's answer. Who knows, Gu Peng answered the question of the short and fat man at the same time. You know, for them, this question is very important, We have to think carefully before we can give the answer! And not as comprehensive as Gu Peng said!

The chubby man in the inspection team obviously didn't expect that the student could answer his questions. You know, before they came to the school, they did their best to find out a few questions for the questions on the examination paper. He thought that any one of these questions could defeat the students. Who knows, The first student I met answered the answer word for word, how could it be!

The short and fat man was still in a state of shock. He looked at Gu Peng stupidly, his eyes full of incredible.

Gu Peng didn't pay attention to the short and fat man at all. After he answered the question, he gave a cold hum to the short and fat man. Without waiting for the short and fat man's response, he directly sat back in his seat. His handsome appearance was similar to Sun Li's smart back when he left the classroom.

After a period of time, the stout man finally woke up from the state of surprise. He also felt that he was a bit impolite and couldn't help wiping his mouth with a smile: "ha ha, this classmate is really excellent. He even answered the questions word for word. It seems that the classmate whose student number is No. 45 is definitely among the best in your class."

In order to cover up his gaffe, the short and fat man said, "I believe that this classmate's level can get good results in the exam. Let's continue to check. Classmate 46, you stand up and answer the question."

The essence of the short and fat man's eyes flashed by. He couldn't miss the following question. Otherwise, it would be a shame. He narrowed his eyes and asked the student whose student number was No. 46: "please describe the systemic and local complications of acute hemorrhagic necrotizing pancreatitis in full version."

The student of clinical class 3, whose student number is No. 46, also stood up, his eyes disdainfully swept the short and fat man, and then said decisively: "Mr. Sun said that due to the unstable circulation caused by inflammation, shock can occur, and inflammatory mediators and cytokines can lead to respiratory failure and renal failure. Local complications include necrosis of pancreatic tissue

After that, the student also gave a cold hum, and then directly returned to his seat.

Another word! It's not bad at all! It is also a difficult problem for the stout man to choose calmly.

The whole scene was silent. Not only the three members of the inspection team, but also all the members of Yanjing Medical University standing outside the window, except Sun Li and Yuelan, were wide eyed and silent! No one thought that two students could answer such a difficult question!

But this time, the stout man soon woke up, and now he couldn't care to maintain the smile on his face. The fierce light in the stout man's eyes flashed by, and he really didn't believe it!

"47! Stand up, it's your turn to answer the question! "

The stout man's tone was stiff and he cried directly.

"We miss sun said..."

After the pudgy man asked the question, the student number 47 still answered the correct answer without hesitation. After disdaining to sweep the pudgy man, he also directly sat back on the seat.

"48! You

"We miss sun said..."

"49! Say

"We miss sun said

“50！”

"We miss sun said

“.........”

“.....”

As the short and fat man's voice becomes more and more stiff and his tone becomes more and more bad, what can be reflected is that all the students in clinical (3) (4) class answered the short and fat man '! Even the short and fat man, if he didn't know which questions he had chosen clearly, he was doubting whether someone had missed the question again. Could he say that he had missed the question?!

The stout man stares straight!

The most important thing is that all the leading teachers were shocked when they heard the students answer the questions. At the same time, all the students heard the seven big words "we Mr. Sun said" in front of their mouths. Once or twice, they didn't care, but each time they spoke with seven words in front, This can not help but finally let a public attention to this matter.

The chubby man standing in the classroom couldn't see Sun Li, but all the people standing in the corridor outside, with their mouths slightly open, slowly turned their eyes to Sun Li who was leaning against the wall, huffing, and his face was full of indifference.

"Is this Mr. Sun Li?"

Everybody stares big eyes, the mood in the heart is like a storm!

At this time, the pudgy man who didn't believe in evil was still asking questions, and the same precise answer was still answered at the first time.

But then, after the short and fat man asked a new student's question, he didn't answer it.

"I've finally caught one that won't!"

The squat man's face flashed with excitement.

Who knows the next response to let the short man suddenly a black.

"We, Mr. Sun, have said that if you come to check our words, you can't come up with some problems?"

Huo opened his cold eyes and looked at the stout man. He shook his head disdainfully.

[author's digression]: today in the book review area, I saw a brother saying something about the update. His tone was not very polite. Lao Sheng was not very happy, because if he knew Lao Sheng well and pursued the book all the time, he would know that Lao Sheng was a man of his word. In December, he said that he would break the fifth watch every day, so he would stick to it with his teeth. Lao Sheng was not in good health. This month, he said that he would stick to the third watch every day, No matter how late it is, Lao Sheng will upload it every day. Lao Sheng doesn't keep the manuscript. During the day, Lao Sheng still has his own business, so he can only come back at night to write it and upload it after writing it! It won't be missed one day! So update things brothers rest assured! Lao Sheng said, "do it! I hope you can support Lao Sheng!