Twenty minutes later, the total number of doctors left behind in the discussion meeting was less than 60, which greatly exceeded Coent's previous expectations: "Even less than 100 people are there. Is the question too difficult?"

"It is indeed a bit difficult for the teacher to remove the patient's past history and medication history."

Coenter smiled and said helplessly: "I took this classic case in a hurry when I prepared, but I was afraid that there were too many people left, so I removed some key factors for the sake of fairness. I didn't expect..."

"This is a very classic case in the 1990s," said a blond male doctor. "Those who have studied a little bit of anesthesia and psychiatry should know."

"I guess some people don't know much about this."

"After all, it was a case that occurred in the United States. It is understandable that foreigners do not know the case." Another female doctor from the United States seemed more fair, "Is Professor Coent too biased in this question?"

"But it was a sensation at that time and it was even in court. You shouldn't have no idea."

"You can't say that, Wright was wiped out and finally changed the answer, fool!"

"Haha, he was a little strange, and Teacher Coent had such obvious hints."

Several American doctors gathered together and discussed the reasons why so many people were expelled. Young and energetic people always speak a little, not to mention that Western culture is different from the restrained East. Xu Jiakang feels uncomfortable in a few words.

Qi Jing smiled and patted his shoulder and said, "You calm down. After studying English for so many years, you still got the CET-6 exam. It's not to make you feel angry now."

Xu Jiakang shook his head helplessly. If Qi Jing hadn't reminded him a few times, he would have been one of the people who were expelled. Before the exam, he was hinted by the teacher. Shouldn't he make a fortune after the exam? How could he stand up and mock others?

He was a little confused.

Xu Jiakang sighed: "I didn't expect you to have such a good temper."

"Good temper? No, I'm almost angry." Qi Jing still kept smiling and tried his best to control himself, "But this is someone else's territory, so it's better to be low-key."

"That's right, be low-key."

Xu Jiakang looked around and the doctors left by other countries remained silent. After all, the expelled people did not answer this question. The facts were in front of them, and it was meaningless to talk to them. It was impossible to say that the people who reviewed the key test points before the exam were cheating.

"Forget it, we are here to listen to the case discussion." Qi Jing smiled and comforted, "It's just that the question is a bit biased. Is it still the rules of "wild card players" at home?"

The first sentence is in Chinese, which is for Xu Jiakang to listen to. The second sentence is naturally in English, and the target object is self-evident.

This directly compared them to wild card players with poor strength, which immediately aroused the dissatisfaction of several local doctors. However, with the big director on the court, they would not act too much, and at most they would just spit a few fragrant words in private.

The one who was most surprised was Xu Jiakang. Why did he fill the hatred with just one sentence? What about being low-key?

"Okay, it's no big deal." Coente gently patted the podium and said, "I don't think about this question carefully. You have the advantage, but it also makes your ideas dead. The best answer lies in Qi Jing's hands."

"Best answer?" The blonde American doctor just now was dissatisfied. "Serotonin syndrome shouldn't the answer be?"

"Yes, it's indeed serotonin syndrome, but just like math questions, the simple answers and answers with calculations are no longer on the same level." Coenter shook the answer sheet in his hand, "From the patient's treatment, every step of the thought was written on it."

Of course, Qi Jing’s comprehensive answer not only includes the doctor’s ideas, but also the patient’s ideas for answering.

If you suspect serotonin syndrome, you need to ask the patient's past history and medication history, whether there is any mental illness, and whether there is a history of serotoninergic drugs. If so, the diagnosis will be immediately confirmed.

"But do you want to admit it?" Coent asked.

"Don't you, he's dead?"

"I think we can tell him the connection between drugs. If we deny it again and again, it will have nothing to do with us." The extraordinarily rational female doctor said, "We should believe the patient's words, whether we believe it or not."

Qi Jing shook his head: "Watch the patient die?"

"This is just a guess, but it's just that you decided it was serotonin syndrome after Mr. Coent said the outcome of death from cardiac arrest." The female doctor said, "If you didn't say anything at the beginning, just a patient with low fever and muscle twitching, you would suspect it?"

"Of course, what's so strange about a person with mental disorders denying the past history of taking medicine." Qi Jing spread his hands, "Besides, the patient was already in a state of overdose at that time."

"Since you insist that the patient will hide the truth, why do you ask about the medical history?"

"Go to the motions."

Female doctor: "..."

"Our country is very different from the United States, we don't have a family doctor," Qi Jing explained. "You should be able to ask the family doctor before taking the medicine, ask for detailed past history and medication history. Even if the family doctor does not know his medication situation in the past few days, the existence of psychiatric disorders alone is enough to suspect serotonin syndrome."

Coent was helpless and sighed and said, "Although I learned that the patient was depressed, the doctor who received the doctor did not pay attention to it."

"That's a misdiagnosis." Qi Jing said.

"I worked for more than 20 hours in a row, but I couldn't think of this floor."

Working continuously for 20 hours in the emergency department is indeed much more than the load. In China, you have to change shifts after a maximum of 10 hours. Over time, your brain will be disconnected and your short-term memory will decline rapidly. This is fatal for a profession like a doctor that requires high-intensity mental labor.

"Okay, the first two cases are just about screening people. It doesn't have any special meaning. The key is the last one." Coenter drank another drink, "If you have the ability, you will pass the second level. Give me some useful suggestions on the third case."

"suggestion?"

"Teacher, you wouldn't have brought out the patient ICIU and said, right?"

Cowant nodded: "Yes, I need some different opinions."

"After reading it, no one could draw a conclusion. Where are we qualified to analyze this case?" A young doctor was obviously a little flattered.

"Don't do this, diagnosis is not only young or old. I have often heard the same diagnosis answers recently, without any breakthroughs." Coent said, "Don't let me down."

After saying that, he found the next ppt.

On the picture are twelve beakers, from left to right, are light yellow, colorless, dark yellow, red, milky white, off-white, soy sauce, black, orange, blue, green and purple.

"Wow......"

"What is this? The laboratory reagent?"

"It must have something to do with medicine. I guess it's urine, but isn't this a little too much color..."

Xu Jiakang looked at the beakers and was already pulling out his brain cells, but the result was not very good. It was the first time that Qi Jing saw a ppt that summarized the color of his urine. He smiled and said, "It's starting to become interesting."
Chapter completed!