Qi Jing didn't expect that his father would block the number of people joining the company so much.

However, the hospital has always been a candidate for merit, and he is better than them, so he has no burden in his heart, and at most he is a little apology.

But this is undoubtedly a bolt from the blue for these two graduate students.

They had just broken through the fierce competition and were already new employees appointed by the hospital. Unexpectedly, they would have to play another PK match in the end.

Ma Liming was in a very bad mood and could not care about Qi Jing. He asked back, "Director Hao, what does this mean? Didn't the leaders of the hospital have already discussed it two days ago?"

“The situation has changed temporarily.”

"How can you change this just by saying it?" Ma Liming found it difficult to accept this fact, and he would inevitably think in some strange directions.

"Don't make random guesses, I'm just doing it on orders." Hao Nan saw his thoughts at a glance and reminded, "The hospital has not signed a contract with you, and can completely change the original plan. Even if you become doctors here, you still have no right to ask about the hospital's administrative direction."

He paused, got up and brewed a pot of tea for himself, and continued, "The Dean asked for my opinion, so please care more about yourself and don't worry about the temporary change of the hospital plan."

After saying that, he casually opened the resume handed over by Ma Liming: "Ma Liming, is the top three in the year, and is he studying vascular intervention in cardiology?"

Ma Liming nodded and turned the sales power to the maximum: "At that time, my academic performance was good, and Teacher Qi came to the class to call me. I also thought that the Department of Cardiology was a very capable department, so I became his student."

Hao Nan has been in this industry for a long time. The bottom line is the best performance in his office, and other factors have always been decided to stay or not.

In fact, both of them are excellent enough and there is no need to review again. But now he has to choose between the two of them, so his vision will be a little tricky: "You seem to be planning to follow Director Xu of the pediatrics department before, right? Why did you intervene?"

Ma Liming explained: "The demand for human resources involved has continued to rise now, which is more promising than pediatrics, so I chose Teacher Qi Rui."

Hao Nan nodded slightly, put his resume aside, turned his face to look at the girl behind him: "You should be Huo Yan in Director Xiao's hands."

The girl nodded: "I studied reproductive major from Teacher Xiao, and I am preparing to graduate and go to the reproductive center."

"Both of them are very good, and I don't want to hurt everyone's kindness." Hao Nan took out his mobile phone and a discharge summary and said, "There is a case here, let's discuss it first. I will make the judgment based on the content and conclusions of your discussion."

"A 26-year-old pregnant woman with a single child, a irregular pregnancy test, had a headache and blurred vision during pregnancy, so she came to our hospital for treatment."

Hao Nan only gave one main complaint, and after that, he made a gesture and asked the two of them to start asking questions.

Although the patient is not within the scope of Huo Yan's research, he belongs to the obstetrics department. At the same time, the headache and blurred vision also indicate cardiovascular symptoms, which happened to be related to the department where the two were in. It is fair to use it for the assessment here.

Ma Liming reacted quickly, immediately pinched the point of headache and asked, "How is the blood pressure and heart rate?"

“Blood pressure 135/88, heart rate 103.”

The data is very awkward, just around the normal upper limit, and it is difficult to define.

He thought about it and asked again: "Is there any abnormality in the electrocardiogram? Are there any other symptoms such as chest tightness?"

"The outpatient clinic had an electrocardiogram, which showed sinus tachycardia, which was not serious and had no other symptoms."

Huo Yan then asked, "Is there any proteinuria?"

"No, not much urine."

Ma Liming thought for a while: "Is urine routine normal?"

Hao Nan nodded.

"Do you have a fever? How about blood sugar?"

"The body temperature is normal and the patient's diet is light, so the blood sugar is always normal."

The only symptoms pointing to pregnancy hypertension were all normal, which made the two of them not know how to continue.

At this moment, a voice suddenly came from behind them: "Doesn't anyone care about the children in their stomachs?"

The two were surprised. The undergraduate student was brave enough. Not only did he stay in the office, he even dared to suddenly get involved and participate in their discussion.

But now, their diagnostic ideas are wrong, and it is also a good thing for me to come up with new ideas.

Moreover, it doesn’t matter what Hao Nan looks like, and he doesn’t reject it: “Everything is normal, but the placenta is a little thickened.”

"The placenta thickens? How many centimeters?" Qi Jing continued to ask.

"this......"

Hao Nan didn't expect that the boy asked so carefully, so he opened the discharge summary and checked it carefully: "When he was admitted to the hospital, the placenta was 4.1cm thick."

When the examination indicators involve specific values, Ma Liming couldn't do it. After all, he studied cardiology, which was beyond his learning range. He looked at Huo Yan helplessly. In fact, even this graduate student in obstetrics and gynecology only knew about it.

"The placenta is usually 3-5cm thick."

"To be precise, the thickness of the full-term placenta should be 3.5-3.8cm." Qi Jing corrected, "Some placentas will thicken, but few will exceed 5cm."

"I think it's okay, the 4.1cm placenta doesn't prove anything."

"The patient is only 28 weeks old and is not full-term. And the pregnant woman has a light diet, so the placenta should be thinner."

Huo Yan did not agree, but expressed his own opinion: "This may be hemolysis caused by blood type inconsistency between mother and baby. Antigens cause maternal allergy to produce a series of symptoms. Amniocentesis can be used to check the blood type of the child. Since it is a primitive mother, it has also undergone a systematic prenatal examination. Rh type can be ruled out, and it should be ABO hemolysis."

The diagnostic inferences are well-founded and look very beautiful, but Hao Nan shook his head: "It's not hemolysis, both parents are RH-positive, and they are all O-type blood, so there is no need for puncture."

Huo Yan was defeated immediately.

Ma Liming thought for a long time, and seemed to have an idea again, asking: "Since the patient has a headache and his pregnancy is enough, he can do a head MRI to see if there are intracranial lesions. Hemangiomas and other neurocytomas can cause headaches..."

"The head MRI was performed the day after admission, and no abnormalities were found."

Ma Liming was also defeated.

Since it is a classic case to test clinical strength, there should not be a possibility of hysteria or self-limiting disease. The two knew that there must be something wrong with the pregnant woman's body, but they just didn't know it.

Hao Nan put his phone aside and leisurely drank the freshly soaked Biluochun: "There is still plenty of time, so you can continue to guess."

He asked two master's students, but Qi Jing said: "The blood pressure was 135/88 at the beginning?"

"right."

"What is his usual blood pressure?" Unlike those two, Qi Jing did not give up, but became interested. "She has undergone prenatal examination and must have previous examination records."

"Do you usually have blood pressure?" Hao Nan had never done much clinical practice. After being asked this, he could only scan the discharge summary again, "105/55."

Qi Jing nodded: "Although she is still a little far from the standard line of 140/90, it has far exceeded her usual state. It can be tentatively determined that she has symptoms of hypertension, but it has not exceeded the indicators yet."

"Is this considered hypertension?"

Qi Jing ignored Ma Liming's doubts, but added hypertension to the symptoms, such as hypertension, headache, blurred vision, and thickened placenta...

He felt that he had reached the point: "Does pregnant women have edema?"

"No." Hao Nan looked at the first medical record and shook his head.

"How long did she stay after she was admitted to the hospital? Did she experience edema after that?"

Hao Nan was asked in a way. After turning several pages, he finally found the new symptom description: "On the seventh day of admission, there was slight tissue edema in the ankle joints of the pregnant woman's feet and ankles."

Qi Jing nodded and said with a smile: "That's right."

Ma Liming noticed Qi Jing's diagnosis idea. Although he did not admit it, he still asked for victory: "Have her blood pressure increased further after being admitted to the hospital?"

Hao Nan shook his eyebrows: "Indeed, the normal line was exceeded on the third day of admission, and his blood pressure was 150/93 on the seventh day of admission."

Ma Liming laughed: "The patient is still preeclampsia and hypertension. Hypertension can explain headaches and blurred vision well, and can also explain why pregnant women have edema."

In his opinion, the patient's symptoms showed progressive aggravation, so they were mild and atypical at the beginning.

But as time goes by, other symptoms begin to appear step by step. Hao Nan deliberately cut off all examination indicators and hospitalization course records, which increases the difficulty of diagnosis. If these factors are aside, the case is boring and innovative.

However, it is gratifying that my previous judgment was not wrong. The patient's blood pressure continued to rise, and it was still preeclampsia.

Of course, the result is a pity. Huo Yan's first reaction was also this disease, so this game should have been considered a draw.

As for the undergraduate student around me, he is just showing off some irrelevant indicator data.
Chapter completed!