Gao Jian obviously had withdrawn from this question in advance. He had never seen any situation before. Even if he racked his brains, he could not think of a reason. Chen Xiao was not very familiar with the respiratory system, so he could not see any problems with respiratory failure pneumonia, but some diseases related to thoracic surgery would be helpless.

It happened that Ji Qingzao ran away early, and Qi Jing felt a little unsatisfied, so he could only look at Fang Xiaoli on the side: "Don't you tell me one?"

"I'll forget it, my grades are very average." Fang Xiaoli waved his hand awkwardly, and had already given himself abstention. "It's already very forced to keep up with the pace of the emergency department. If you think about this kind of thing, you feel like your mind is about to explode."

"Senior, stop keeping it aside, tell me the answer."

Qi Jing could only say: "Do you know subcutaneous emphysema?"

"Subcutaneous emphysema..." Gao Jian had some impression of these four words, and always thought he had seen them somewhere. "It should be a common situation in thoracic surgery and a complication after thoracic surgery?"

Qi Jing nodded. Gao Jian was really good. He had already thought of so many things after just mentioning his name. Keeping this child inside and polishing it for a few years will never be worse than Ji Qing.

"You mean the situation where gas runs under the skin when you are tension pneumothorax or closed drainage?"

Chen Xiao also had some impression that although the gastroenterology department would not accept such patients, he would still encounter pneumothorax in the emergency department. However, the subcutaneous emphysema that can be seen is mild, and the range of involvement is not large, so it cannot be compared with the swelling feeling of Toad Kung.

"Is this range a little smaller? One of the examples I have seen is only the size of a fist."

"That's because the living and medical standards have been greatly improved now. If it were ten years ago, I could still see some severe subcutaneous emphysema." Qi Jing said, "not only the chest cavity and neck, but some gas will also float on the limbs, like a rising balloon person."

"The reason why the neck swells is also subcutaneous emphysema?"

"Of course not."

The reason why Qi Jing divided his neck into one category was because he saw a special patient from Xu Jiakang a month ago. Even though he had more than ten years of clinical experience, he was still very eye-opening.

In order to see the symptoms of toad skills, Qi Jing secretly took an hour's shift and went to the First People's Hospital.

He was shocked when he saw the patient.

When quiet, the patient was just an ordinary woman in her 40s and could not see anything unusual on her body. But when she coughed or exhaled vigorously, her entire neck would swell into a ball like a breath-filled ball.

Perhaps the 94 version of The Legend of the Condor He watched in 2003 did not have any special treatment for the neck, but Qi Jing had seen the Fire Cloud Evil God in Kung Fu that had not been released yet. This patient was like being possessed by the Fire Cloud Evil God, exactly the same as the special effects shown in the movie.

This question was actually because the patient left too deep an impression on Qi Jing.

"Cervical lung hernia?" Gao Jian had never heard of this term.

In fact, even Chen Xiao has never heard of it, because even the major category of lung hernia is a rare disease. It is usually caused by congenital abnormalities and is under the jurisdiction of pediatrics. Of course, there are also acquired acquired ones. Some can be seen during chest trauma, but most of them are lung hernia between the chest wall and the intercostal ectopicity is very unremarkable.

The neck lung hernia is damaged in the fascia between the anterior scale muscle and the sternocleidomastoid muscle, and the lung tissue is found.

Symptoms of mild lung hernia are not obvious, but when they develop to a certain level, the phenomenon of toad skill will appear. When the pressure in the chest cavity suddenly rises, the lung tissue will push towards the neck, thereby ejecting a lump in the soft tissue around the neck.

"Senior, this case is indeed magical." Gao Jian had to admire him.

"How is it, do you still feel bored in the middle of your life?"

"But this is a patient outside the chest." Gao Jian was still relentless.

"But when he came, he was in the internal emergency department." Qi Jing said with a smile, "It's still the first time I'm in urgent need."

"But this is still a surgical patient after all."

Both of them are not willing to be outdone and each holds their own position.

"What a magical case." Fang Xiaoli sighed helplessly, "I guess I can only go to a small hospital after graduation. I'm afraid I won't see this situation."

Gao Jian’s learning method is in place and he cannot understand the troubles caused by poor academic performance, so the questions asked are very direct: “Do you don’t usually read books?”

"The ability is limited, brother!" Fang Xiaoli rolled her eyes: "I'm not like you, I can read books all day without getting tired. I will feel sleepy if I read those medical books that have accumulated by reading one item, and I will not be able to do anything after turning two pages of eyelids."

"What do you usually do?"

"Watch TV series and movies, and if you are bored, just flip through martial arts." Fang Xiaoli talked about the field she was good at and started talking. "I really have no interest in studying medicine. It was completely because my parents forced me to fill out the application. Are you not tired of reading medical books?"

Gao Jian shook his head: "It's interesting not to be tired."

Chen Xiao also shook his head: "It's okay, habits become natural."

However, when it was Qi Jing's turn to answer, the answer was beyond their expectations: "Of course I'm tired. The textbooks are just telling students a few knowledge points in a mess, and I can't stand it if I read too much."

"Not it, I think you are very excited to read magazines." Chen Xiao couldn't believe it.

"There are cases in it, so it's of course much more interesting."

"Did you have a very good grade when you graduate..." Gao Jian finally found a place where he could beat Qi Jing, and quickly asked for his grades. Unexpectedly, Fang Xiaoli cut off his words after he was halfway through. In the end, the word "unexpected" was not spoken.

"It's rude to ask about the results in person!"

"What's wrong with this?"

"Your EQ is too low!"

"It's okay, it's just that my junior is asking about the senior's grades. It's no big deal." Qi Jing said with a smile, "The graduation score of Dan Medical University is still mainly based on graduation thesis, followed by internship assessment scores and graduation comprehensive examinations. Which one do you want to ask?"

In fact, these exams have just passed.

Qi Jing's graduation thesis was a review of obstetrics and gynecology under the guidance of Xiao Yu. The rating is upstream. The internship assessment score cannot be changed due to previous attitude problems, and it is considered to be of medium level. As for the time of graduation comprehensive examination, after he returned from rebirth, the result is self-evident.

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