156. The excavator went in
There are many cases in Qi Jing's belly, and some have seen them with their own eyes and have not seen them.
What I have seen are usually all kinds of strange cases in my previous life. After screening, they are almost always engraved in my mind. Of course, to be able to become a qualified case problem, it is not enough to just see them, and you have to learn to add materials.
Sometimes a case is just a question stem, and after stuffing various auxiliary materials into it, it will become a series of different case questions.
To make an unprecedented case a question, it is equivalent to fantasy, and the process is relatively complicated. He faces doctors with a deep medical foundation. It is not easy to create a doctor who wants to create a content without any flaws, but with standard answers, making people feel that it is not easy to have a sufficiently real case.
Generally, he will use ordinary cases as base plates and continue to work hard at a certain key point.
It’s like doing magic, which reasonably hides the symptoms and test results required for diagnosis, only showing the strange side of the case is eye-catching, and even if the person who is looking at the question is successful if he gets trapped in it.
Sometimes when he is tired of work and is too lazy to dig deep pits and wait for others to jump, his approach will be more direct.
The most commonly used method is the splicing method, which combines two different diseases. It can occur at the same time, or it can be sequenced, and then remove some unreasonable parts and add some accidental lottery, which can make the problem-solving difficulty sharply increase.
However, for Xu Jiakang, Qi Jing felt that there was no need to choose the above two, and he could play it again like training Ji Qing.
If this guy can really meet his own requirements in experience, he will really find a treasure. Being called a small mirror for a lifetime is nothing, and face is meaningless in front of talents.
"What kind of patients are most afraid of when the emergency department meets?" Qi Jing asked, "I just do a survey before asking questions."
Xu Jiakang thought for a moment and said, "Of course, patients with severe symptoms but no cause can be found. Especially for elderly patients, the course of the disease is long and there are many underlying diseases. A little external stimulation will cause a very troublesome situation."
Qi Jing nodded, but it was the same as his thoughts.
But I have received too little baptism, otherwise I wouldn't have answered so simply. If he were to answer, the answer might be the same in the end, but I must hesitate for a while.
"Then we don't choose the elderly, nor do we choose the one who cannot find the cause of the disease."
Xu Jiakang frowned: "You look down on me? There is no need to do this, just ask casually."
"Let's talk when you can answer it." Qi Jing smiled and said, "You are now in the emergency department of the internal medicine department of the first hospital, and you are at work as usual. Suddenly, a man rushed into your office with his five-year-old son in his arms and said, "My son swallowed a pack of desiccant."
The question perfectly avoids the two key factors of "old man" and "cannot find the cause", and starts with a bold naughty child.
The patient is a healthy child and has some independent thinking at the age of five. Sometimes he does not describe things clearly, but he can roughly explain the situation he has experienced, and sometimes he is even better at dealing with it than the elderly.
The cause of the disease was even more in front of him, and it was a pack of desiccant that entered the esophagus.
“Drying agent?”
Xu Jiakang was stunned. He had never seen anyone taking desiccant in the past two years of medical treatment. But hasn't eaten pork? Is it pig run? The desiccant is lime powder, so it's not difficult to deal with those things.
"This question is a bit simple." He replied with a smile as soon as he heard it. "If you accidentally eat lime powder, you can choose milk, vinegar, egg white, soy milk, food oil and other liquid foods to protect the injured esophageal wound first to prevent further burning and irritation."
Seeing Qi Jing's response to his answer, Xu Jiakang felt that he might not have said enough, so he continued to add: "If you vomit, you can replenish your fluids as appropriate..."
He thought this was very good, but Qi Jing still didn't mean to summarize the score.
Xu Jiakang thought about it again, expanded his overall thinking and continued: "If it is accidentally aspirated into the lungs, it is necessary to deal with anti-infection. If the difficulty in swallowing caused by burning, further supportive treatment should be done..."
Ji Qing sat in the back seat and listened to these answers, secretly praising him.
Xu Jiakang's strength is indeed not bad, and almost all the key points of the treatment are mentioned. He Tianqin's favorite things are indeed worthy of him. But these contents are definitely not the answer Qi Jing wants. The solution to this question was wrong from the beginning.
Ji Qing didn't know what to say was right, but he knew that it was definitely wrong to say so.
"I'm done." Xu Jiakang couldn't think of anything to add.
"It's over?" Qi Jing blinked and asked lightly, "How do you know that the child is swallowing lime desiccant?"
Xu Jiakang:???
Ji Qing: Sure enough, what is coming is coming...
A simple sentence overturned the answers of so many words before.
"There are other desiccants?"
Xu Jiakang has no idea about these places. After all, textbooks and classes say that desiccants are lime powder. When they are unpacked, they will throw them away when they encounter a pack of desiccants. Who would carefully disassemble like a child and take a look at them and distinguish which desiccant should be treated.
There are so many medical books I haven't read, so I went to study this thing. Is it because I'm full?
Qi Jing sighed and explained: "There are many types of desiccants, but since you say it is a lime desiccant, let's discuss this first."
"When a child eats lime desiccant into his mouth, there will actually be three completely different situations. One is to swallow it with a rumbling sound, and the other is to feel it is difficult to eat and vomit. The last one is also the most dangerous one. The child will hold the desiccant in his mouth to try the taste, but when it gets hot and painful when it feels, some children will be frightened and don't know what to do."
After being explained by Qi Jing, Xu Jiakang's thinking became much clearer in an instant: "Then I have to see how the child is now? Especially the oral condition, whether there are any inflammatory reactions such as redness and swelling."
"The child is pretty good now. He is very strong and doesn't cry. But he keeps pointing at his mouth and stomach and said: Go in." Qi Jing said, "What should I do next?"
"I went in...then..." Xu Jiakang thought of the child's father, "ask his father if he brought desiccant wrapping paper, or ask directly if it was lime powder desiccant."
Qi Jing nodded with some satisfaction: "My father brought the wrapping paper, which was indeed lime desiccant, but the packaging bag was very old and the quantity was very small."
Xu Jiakang is running his brain at high speed, and all the situations show that the child is generally OK.
The packaging bag is very old and small, indicating that the amount is not large. Even quicklime may have absorbed a lot of water and become ripe lime. Even if you have never touched the water, it can react with carbon dioxide and become calcium carbonate for a long time when exposed to the air.
Neither of these harms the human body.
"After seeing this, you can give your child some milk first and continue to observe."
Xu Jiakang finally got to the point, Ji Qing was relieved for him, but Qi Jing shook his head: "The situation of the child is still okay now, but you can't not communicate with him just because you meet a naughty child. Good kids are far less interesting than naughty kids. Sometimes communication and communication will have miraculous effects."
Xu Jiakang had never taken care of the child. After a long time of trouble, he asked: "Then I asked him what's wrong with him? Did he eat something he shouldn't have eaten?"
Qi Jing suddenly turned into a child, pointing at his stomach with a slight voice: "The car can't run in and out."
"Car?"
"Car?" Ji Qing also heard it and moved her body over, "What car?"
Qi Jing smiled and said, "It's a yellow excavator. I guess I want the excavator to go in and dig out the desiccant he ate."
Xu Jiakang wanted to curse: What are these strange and strange ideas? But thinking about it with the mind of a four or five-year-old child, it seems quite reasonable to do this.
"Okay, the nonsense is over, now let's go back to the starting point." Qi Jing suddenly became serious again, "How many types of desiccants are divided into?"
Chapter completed!