nine dead doctors

Chapter 36
Xu Zhuo followed Dr. Zhang to the outpatient clinic.This time, it was different from when Lu Yongju was around.It was still the same consulting room, but Xu Zhuo had a seat on the side.When Dr. Zhang was seeing a doctor, he sat by the side to help and help, while learning humbly.Dr. Zhang also entrusted Xu Zhuo to write the medical records.Dr. Zhang dictated, and Xu Zhuo was in charge of recording.

By writing medical records, Xu Zhuo can better understand the patient's situation and remember more clearly.

However, in terms of writing, he is still a little "insufficient".At the beginning, he wrote neatly, because in the medical records he usually sees, the doctors are all in "cursive script", "crazy cursive script", which can be called "cursive script", not to mention patients and their families. Even if I switch to another doctor, I can't understand what is written.This made Xu Zhuo, a fledgling intern, very upset, and decided to start from himself. In the future medical records, everything he has done must be written neatly, stroke by stroke, and never fooled.

At the beginning, Dr. Zhang saw that he was writing so seriously, so he didn't say anything, but just smiled. Xu Zhuo was a little puzzled, but gradually, he knew why!

Because, Nima, I can't write it at all!There were more than 200 patients in one morning, and the number of words in the medical records he wrote was nearly [-] words. Flurry!"

Fortunately, in the near future, Ginkgo Hospital will switch to "electronic medical records" mainly, supplemented by handwritten medical records. If the writing is not clear, it doesn't matter much.Anyway, everyone used to come here like this.

I was busy until after noon, and the patients who registered in the morning hadn't finished watching. Dr. Zhang asked Xu Zhuo to have dinner, and continued to watch in the afternoon.In the afternoon, there are not many new registered patients.Therefore, this is also the reason why everyone has to go to the hospital, especially the popular departments, to register early in the morning, or a few days in advance.

Another reason is that if you go early, you can get the results on the same day if you do the inspection.

In the afternoon, I mainly continue to see the patients in the morning, as well as the blood test, electrocardiogram, B-ultrasound, CT and other reports of some morning patients.

The reason why the speed of seeing a doctor will slow down later is because patients come back with reports from time to time. These people don't need to queue up by number, they can come in and find a doctor directly.

"Xu Zhuo, come and take a look at this kid's symptoms." Dr. Zhang got a test sheet, glanced at it, and handed it to Xu Zhuo.

Holding the child, the patient's family members glanced at the intern doctor's sign hanging on Xu Zhuo's chest, and wanted to say something, but they still didn't say anything.Maybe they are used to it, and they are more gentle and honest, and at the same time they feel that their child's condition is not very serious.

Xu Zhuo saw this child in the morning and recorded his medical records. He knew that he had a fever for three days. However, the parents of the child did not send him to the hospital. They just used physical cooling methods at home to reduce the fever. Later, his body temperature exceeded 38.5 degrees. I only gave the child that imported fever-reducing medicine a few times.

This is normal family practice and is often recommended by doctors.Because children are different from adults, if the body temperature is not too high, it is better to cool down physically.Even if you come to the hospital, it is also recommended.A doctor who prescribes medicine and hangs salt water casually is not a good doctor.

But today, the child's body temperature rose to more than 39 degrees, nearly forty degrees. The parents of the child knew that they might not be able to handle it at home, so they sent it to the hospital.Later, Dr. Zhang asked the child to have a blood test.

What Xu Zhuo got now was the child's blood test report.

"White blood cells are high? Inflammation indicators are also high? It's a bit like sepsis." Xu Zhuo pondered and muttered.However, he felt that it was not that simple.If it was that simple, Dr. Zhang would not have asked him to watch it on purpose.

Xu Zhuo calmed down and examined the child carefully, and found that his eyes were red, rashes all over his body, red bayberry tongue, and hard edema of hands and feet. He thought, is it not a typical scarlet fever?

"Scarlet fever is an infectious disease caused by group A streptococcal infection." Xu Zhuo subconsciously wanted some of the surrounding family members to hug their children and stay away, but when he turned his head and saw Doctor Zhang's half-smile expression, he suddenly felt Blessed to the soul, he patted his forehead, understood, and shouted: "This is Kawasaki disease, Kawasaki disease!"

Xin said that he was still inexperienced and almost misdiagnosed.No wonder Dr. Zhang wants to test me!

Dr. Zhang nodded and said approvingly: "This is Kawasaki disease. You can see it independently, which is enough to show that your medical skills have reached the threshold. There is no problem at all as a general resident doctor. What is lacking is experience. Learn more in the future Only by seeing more and combining with reality can we improve better!"

Xu Zhuo nodded: "Thank you, Dr. Zhang."

Zhang Kaiyuan waved his hand and said, "I'm your teacher, you're welcome." Afterwards, he was replaced to comfort the child's parents.

The child had a fever, but he was still in good spirits, and he still smiled heartlessly, but his parents were terrified.They heard what Xu Zhuo called "Kawasaki disease" just now, and they didn't know what it was, so they were naturally very worried.

Doctor Zhang reassured: "A few years ago, this disease was difficult to treat because it was not discovered. Many children died because of it. However, since I understand it, this disease is no longer a concern! Don't worry, it's okay. Yes. However, you still have to stay in the hospital!"

"Stay, stay, let's live!" The child's parents nodded repeatedly, and they swore that if the child had a fever in the future, they would not be doctors at home, and they must send the child to the hospital in time.In short, let the doctor take a look at it and rest assured.

Kawasaki disease, whose scientific name is "muco-cuta-meouslymphnode syndrome (MCLS)", is an acute febrile eruptive pediatric disease with systemic vasculitis as the main pathology. It was first reported by Dr. RB Kawasaki Tomisaku in 1967. Since this disease can cause severe cardiovascular disease, it has attracted people's attention. The incidence has increased in recent years. Among the hospitalized cases of rheumatic diseases in BJ Children's Hospital in 1990, there were 67 cases of Kawasaki disease and 27 cases of rheumatic fever. ; In the same data of 11 hospitals in other provinces and cities, Kawasaki disease is twice as high as that of rheumatism.Obviously, Kawasaki disease has replaced rheumatic fever as one of the main causes of acquired heart disease in children in my country.Kawasaki disease is currently considered to be an immune-mediated vasculitis, which is temporarily included in the chapter on connective tissue diseases.

Although this child is suffering from Kawasaki disease, it is still in its infancy, with relatively few complications, and it is not difficult to treat.

(End of this chapter)