Chapter 40

On this issue, Tao Le is confident.

In her previous life, she learned from her teacher and watched various radiological images.Because Chinese medicine must also keep pace with the times, having detailed test results is more conducive to prescribing the right medicine.

Although she has a golden finger, firstly, the teacher must learn it well; secondly, she also took this opportunity to use the golden finger to correct her diagram-interpreting ability.

Over the past few decades, she has seen and verified CT, MRI, ECG, various laboratory sheets, and more advanced detection maps in the future, which are already very impressive.

So at the moment when she said it, she also said clearly:
"The CT shows very clearly that there are a small amount of linear high-density shadows along the left tentorial area and interhemispheric cisterns—indicating a small amount of hemorrhage in the subarachnoid space."

"... Maybe it's a small subdural hematoma, how can you tell it's a subarachnoid hemorrhage?" Qin Feng asked.

He really wanted to know if Tao Le really knew how to distinguish, or if he just happened to be confused.

Tao Le understood why Qin Feng asked such a question.These two conditions are very similar on CT images, so it is easy to misdiagnose.

For this, she has very good reasons: "Subdural hematoma generally has a clear border and a mild mass effect."

The so-called space-occupying means that the tumor, whether benign or malignant, squeezes other tissues and organs.

"At the same time, the band-shaped high-density shadow of subdural hematoma is generally narrow. As long as you are a little careful, you can distinguish it."

Qin Feng felt depressed for a while.Tao Le said it lightly, but how to define the so-called "clear border" and "relatively narrow" without many years of clinical experience is difficult to easily distinguish.

If it was so easy, there wouldn't be so many doctors who were recruited.

Even himself, after combining the patient's symptoms and other indicators, he came to a conclusion with high probability.

In order to inspire Tao Le to think proactively, he also gave her a CT image, unexpectedly she could make a correct diagnosis based on it.

What experience, what keen observation is required!How did the school girl train herself?
Wait, is she being too arbitrary to form a conclusion based on only one CT image?Nor is it a commendable quality for a doctor.

"So, what would you do if you got the patient's CT image in clinical practice?" Qin Feng asked skillfully.

He didn't say that you can draw conclusions based on this inspection result, which will make people immediately realize the problem and correct it.

Asking directly how to deal with it afterwards sounds like asking how to treat it, but in fact, he wants to see if Tao Le will do further examinations to support his judgment.

You know, many jobs can be fault-tolerant, but medicine is not.Because a person has only one life, if something goes wrong, it may kill the patient.

To his surprise, Tao Le answered very rigorously: "If it is clinical, I will conduct further tests according to the patient's condition."

"Most of the subarachnoid hemorrhage is caused by the rupture of the saccular aneurysm, and there are also other reasons such as trauma. The patient will have a severe headache and then vomit, and may also experience restlessness, disturbance of consciousness and convulsions."

The more Tao Le said, the smoother he said: "Some patients also have the characteristics of fever, elevated blood pressure, and bloody cerebrospinal fluid."

"So what are you going to do next?" A voice interrupted and asked.

When Qin Feng and Tao Le watched at the same time, they found that they all knew the person who came.

Dong Cheng, Doctor Dong.There are several white coats behind him, and one of them looks familiar.

Hey, isn't that her classmate Yang Ruixue?
Yang Ruixue is different from other students, she is a true academic master.

During college, the only one in their second clinical class who has won the special scholarship for five consecutive years is Yang Ruixue.

Tao Le knew in his previous life that Yang Ruixue was admitted to the No. [-] hospital as a regular doctor, and later stayed in the No. [-] hospital and became a well-known expert in a certain subject.

The relationship between Tao Le and Yang Ruixue is just acquaintance.Those who can catch Yang Ruixue's eyes are either medical authorities, professors and experts, geniuses who are better than her, or classmates with superior family backgrounds.

Seeing Tao Le here was beyond Yang Ruixue's expectation.In her eyes, Tao Le is plain-looking, born in a worker's family, and her studies are not as good as hers, and she belongs to the kind that has no social value.

But such an excellent senior Qin Feng, how could he know Tao Le?And judging from the few words he heard just now, he was still discussing the diagnosis of CT images with her.But how is this possible? And why should she?
What made her even more incomprehensible was that Dr. Dong had been busy all day, and he was not in a hurry to summarize and get off work, so he still had the time to ask questions.

He didn't think about it, how could Tao Le know about this kind of problem that can only be encountered in clinical practice.

While she was uncertain here, Tao Le had already begun to answer Dr. Dong's questions:

"If it is determined to be subarachnoid hemorrhage, an angiographic examination must be performed immediately so as to determine the cause of the disease, and then prescribe the right medicine."

Tao Le spoke concisely, and she already wanted to stop this topic.

Both she and Qin Feng realized that it was not wise to talk about this case in the elevator.

Last time when Hou Bo asked Qin Feng to give Tao Lotto a question, Dr. Dong was also there, but he didn't hear the tricks between them.

He is a straightforward person, and he only thinks that Qin Feng is going to teach his junior, Doctor Tao, and since he meets him, he just asks.

Just a question and an answer, Doctor Dong is very satisfied.As expected of Little Doctor Tao, this basic skill is really solid!

Perhaps it was because he was used to asking new people these two days, so he threw out the next question with endless enthusiasm:
"What are the possible complications of this disease?"

Tao Le didn't think about it.She encountered this problem in the past, and more than once: "The mortality rate of subarachnoid hemorrhage is high, and one of the major reasons is that there are too many complications."

She talked eloquently, with a confident light on her face: "About half of the patients will suffer from delayed cerebral ischemia and die; High, are common complications."

Answers like a textbook!Doctor Dong nodded frequently, gave Tao Le a thumbs up, and then greeted the white coats behind him:

"This little doctor Tao is also a senior from your medical university. You can't understand or explain the same picture. He not only understands it clearly, but also has rich clinical experience. You have to learn from him."

When he said this, the interns immediately became active: It turns out that this knowledgeable young lady is a senior from our school!Then there will be no sense of loss at all!
"Hello senior sister! Senior sister looks so young!"

"We are fourth-year students in clinical medicine, which class is the senior from?"

"Senior sister, you are so powerful, which hospital do you work in now?"

"What level is senior sister now? At least she is already a resident doctor? Ouch! Who hit me?"

"You were the one who hit you. Although senior sister looks young, but with such rich clinical experience, she must be the attending doctor!"

Yang Ruixue was stunned on the spot, without saying a word.She was still thinking about what Dr. Dong said just now.

(End of this chapter)

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