This Doctor is Great

The doctors nodded when they heard this.

Bloodline and symptoms are exactly the same.

Not running!

It should be "familial Mediterranean fever"!

The doctors all cast admiring glances at Zhou Mo behind the crowd.

This week Mo, although a medical student, has great thinking and vision. It is estimated that I often read foreign papers and journals, otherwise I would not be so familiar with "familial Mediterranean fever".

Zhou Mo's reputation +1+1+1+1+1…

…

The big rounds, which lasted until 11 o'clock, did not end.

Zhou Mo, who was following behind the large army, felt that his legs were numb.

Zhou Mo also saw many medical students and resident doctors behind the team, sneakily paddling with their mobile phones. Anyway, the big guys were all in front, and they couldn't see them across the dense crowd.

"Ding dong..."

A message from the Publicity Section.

The beauty of the publicity department: "Mexico, Douyin hasn't been updated for several days, please speed up..."

Zhou Mo said apologetically, "I've been busy these two days, so I'll do it today!"

Propaganda Section Beauty: "Okay. (Tongue sticks out

…

back to the duty room,

Residents and medical students scrambled to grab computers.

Computers are limited, doctors are unlimited.

It's already 11 o'clock. If I don't finish the medical orders for those cases quickly, I'm going to have to work overtime until eight or nine o'clock in the evening today.

Zhou Mo was in no hurry, after all, he was only one patient, so he gave the computer to others first.

Take advantage of this time,

Zhou Mo simply went to a place to record "Seeing a Doctor for Lin Daiyu (Part 2.

an office,

Potted background.

"Hello, everyone..."

"I've been busy in the last few days and have no time to record videos, so I'm late..."

"Okay, let's continue the analysis today, what kind of illness is Lin Daiyu..."

"Pulmonary tuberculosis, bronchiectasis, lung cancer, mitral valve stenosis were analyzed earlier..."

"Let's analyze "congenital heart disease"..."

"First of all, family history, as analyzed earlier, whether it is Lin Daiyu's paternal or maternal line, there are many people who died, so there is a high possibility of hereditary diseases. Combined, the possibility of hereditary congenital heart disease is very high. "

"In addition, Lin Daiyu is stunted and looks weak compared to her peers, which is in line with her innate heart."

"Fatigue and mood can exacerbate symptoms, which are actually common manifestations of heart failure."

"Season-related cough with late orthopnea, paroxysmal nocturnal dyspnea, and symptoms consistent with left-sided heart failure."

"The hemoptysis and blood in the sputum suggest that the patient may have severe pulmonary hypertension."

"So, I infer that Lin Daiyu should be a "congenital heart disease", and then gradually aggravated, leading to weakness, and later, left heart failure, and repeated episodes of acute pulmonary edema, orthopnea, and nocturnal paroxysmal breathing difficulty…"

"When the condition worsens, long-term pulmonary hypertension further causes intimal and medial thickening of pulmonary arterioles and small muscular pulmonary arteries, narrowing of the vascular lumen, and Eisenmenger syndrome manifestations such as hemoptysis and right heart failure..."

"To sum up, the reasons for Lin Daiyu's death may be: congenital heart disease, Eisenmenger syndrome."

Finished recording.

Zhou Mo found that there were more than 2 minutes left.

So Zhou Mo simply talked about other things.

For example, online loan…

Such as blind date routines…

They all use suicide to attract jade, and these two topics are brought up, which can also be regarded as a reminder to those netizens.

"Okay, today's video is here, see you next time!"

Finished recording.

Finish.

Zhou Mo sent it to the beauty in the publicity department.

…

"Doctor Zhou Mo... pick up the patient, 80 beds..."

"Okay okay..."

When Zhou Mo finished recording the video and returned to the duty room, the nurses at the nurse station had already started shouting.

"It hurts... it hurts..."

A girl, probably in her early 20s, was lying on a flatbed, clutching her stomach and curling up. Gu Ni

Whoa whoa whoa crying.

Cold sweat on his forehead.

On the flat car, water is hanging.

Accompanying her is her boyfriend.

Zhou Mo walked over quickly.

Nurse Xiao Chen introduced to Zhou Mo: "Dr. Zhou, this patient came from the emergency department. It was suspected that it was acute gastroenteritis, but the cause could not be found. The emergency department was short of staff, so it was brought here."

Zhou Mo nodded, took over the patient, and asked his boyfriend to carry the patient to the 80th bed.

"Tell me what the problem is..."

The patient's boyfriend started chattering.

The patient's name is Chen Ting.

Just yesterday, I had a sudden onset of fever, nausea, vomiting and diarrhea.

At that time, her boyfriend was terrified, and gratefully took her to a nearby community hospital for treatment.

After consultation, the doctor thought she was suffering from acute gastroenteritis, gave her some medicine, and then hung up.

but!

The illness of the girl Chen Ting is obviously not so simple!

According to the medicine for acute gastroenteritis, after taking it orally and hanging it with water, I went home, but the abdominal pain became more and more severe.

The fever temperature was as high as 40 degrees at one point.

In the end, I waited until today, and finally I couldn't bear it anymore, and felt that there was a problem with the diagnosis of the community.

So I hurriedly sent it to the nearest provincial second hospital,

Go straight to the emergency room.

In the emergency department, consultations, physical examinations, blood tests... all routine examinations have been done.

Interview result: It feels like acute gastroenteritis.

Physical examination results: There is no problem with the stomach, soft, not hard, no peritonitis.

"peritoneum",

It is a layer of membranous tissue. The peritoneum covers most of the organs in the abdominal cavity and can secrete mucus to wet the surface of the organs and reduce friction between the organs.

The gut is surrounded by it.

Once the peritoneum is inflamed, the stomach will become hard, and the peritoneum will be stimulated to cause abdominal muscle spasms, and the abdominal wall is often tense, and even rigid as a plank.

Form: "plate belly"!

The patient's belly is soft, so it should not be peritonitis.

Then there is the emergency blood draw.

Blood draw results: white blood cells have increased significantly, liver function, kidney function... are all fine.

So these problems of poisoning are ruled out.

After all that, the emergency doctor still decided that it was acute gastroenteritis.

but…

There is a problem: the patient was in the community yesterday, and was treated according to acute gastroenteritis. The emergency doctor also saw the medicine prescribed by the community doctor. There is no problem. Why can't the medicine cure this acute gastroenteritis? inflammation?

For a time, the emergency doctor was also caught blind.

And because the emergency department is busy and there are not enough beds for observation, we simply let the patient come to the gastroenterology department for hospitalization.

Let the gastroenterologist come to check slowly.

…

Zhou Mo followed the procedures to conduct medical consultations and physical examinations

The consultation, nothing special, both of the couple said that they had not eaten anything special, it was the boyfriend who cooked at home, fresh vegetables and meat, no problem.

Then Zhou Mo did a physical examination as usual:

belly soft

There was full abdominal tenderness and rebound tenderness.

Combined with the blood drawing results, Zhou Mo also felt that it was acute gastroenteritis.

"Are you sure, UU reading www.uukanshu.com doesn't eat anything special?"

Zhou Mo asked with a puzzled face.

Chen Ting was lying on the bed, curled up in a cold sweat...

The boyfriend smiled bitterly and said, "I really didn't eat anything special, I'm pretty sure! I made the meal!"

"Is there rat poison or something?"

"No, not a single mouse..."

I asked a few more questions and found nothing...

.