41. Discussion meeting goes online
Qi Jing looked at the 16-year-old boy lying in front of him and had another medical examination for neurology.
Papillar negative, Kerry, Breakfast negative. The neck is straight, no. The pupil reflects light, no problem. The knee tendon reflexes are all there.
He looked at the electrocardiogram monitoring again, with blood pressure of 140/75, heart rate of 80, breathing 30, oxygen saturation of 98. Putting your hand on your forehead is not considered hot, at most it is considered a low fever, and even 37.5 may not be present.
Ji Qing was wrong, this child was a little troublesome.
He first read the medical history and past history written by Ji Qing, then found the children's parents and asked more questions.
First, they determined the initial symptoms of the disease, and asked if they had a history of three highs, hepatitis, tuberculosis and other infections. But the answer was no. The child has always been in good health, but he had eaten bad food a few days ago and vomited twice. They only thought they had bad stomachs, so they didn't care.
But today the child suddenly shouted for no reason, and the two realized the seriousness of the problem and called 120.
"I can only wait for the inspection report."
Qi Jing didn't have much help with this child at the moment. Although there were many assumptions and expectations in his mind, he had to support the inspection report. He comforted his family and said a few words. Just as he was about to leave, he suddenly saw a familiar figure walking in the distance.
"Mom? Why are you here?"
Xiao Yu pointed to the surgical emergency department next to him and said, "I need a consultation in foreign countries. Today I happened to be in the department and I came here to take a look."
Qi Jing just said oh, but his heart was warm.
An ordinary emergency consultation requires any alarming her. Just call her to come and take a look at the hospital on duty. In fact, my mother is just a stingy mouth and soft-hearted. She probably didn't worry about her and wanted to come and take a look, and then took the consultation.
"Let's go, I'll go with you."
"Boy, don't care about his own patients?"
"The vital signs are stable, and I'm still waiting for the report of cerebrospinal fluid and blood." Qi Jing pointed to the handsome young man who was dealing with other patients in the distance, and said with a smile, "Besides, Lao Jizai is there. I'm just a small hospitalization and don't even have a professional certificate. It's actually not very useful."
From childhood to adulthood, Qi Jing gave Xiao Yu an extremely fickle feeling. Although he is smart, he can do things completely according to his own interests. Although he can do well, he will completely give up once he is interested.
She knew that such children needed to be disciplined, and she wanted to take care of them, but unfortunately the couple was too busy with work and had no time to take care of them.
And she knew very well that even if she was in charge of her son, she might not be able to control her.
Now seeing that he is willing to work hard, he still persists, which is also a kind of comfort to Xiao Yu.
The doctor who refused to excise the anger outside the door was named Yan Yunkai. He had a good qualification, but he was too cautious in doing the facts.
Half an hour ago, he picked up a female patient from 120, who was in her 30s and had paroxysmal pain in her lower abdomen after meals. My friends were frightened and called her 120.
Yan Yunkai did a series of examinations and the patient's body temperature was normal, he said he was nauseated but did not vomit. He also relieved the shaping stool in the morning, and ruled out gastroenteritis and intestinal obstruction.
There is no palpitations or shortness of breath, and the electrocardiogram is just a bit sinus tachycardia, which can rule out myocardial infarction.
From the physical examination, the patient had obvious muscle-shaped plate-shaped abdomen, with obvious tenderness and rebound pain, and some abdominal distension, which was very similar to the symptoms of peritonitis.
But he considered that the patient was a woman after all, so he called for a consultation to eliminate some acute abdominal symptoms in obstetrics and gynecology departments.
What he didn't expect was that he asked an emergency consultation and actually waited for the top leader of the obstetrics and gynecology department.
What he didn't expect was that the urgent doctor who was classified as "pretending to be a man" by him just now, with a temporary work permit on his chest actually chatted and made jokes by the top leader.
It makes no sense...
Yan Yunkai looked at Qi Jing a few times, and wanted to dodge his eyes, but Xiao Yu was by his side. He couldn't be absent-minded, so he could only endure the embarrassment and report his medical history.
Xiao Yu did not do any examination, and only looked at the patient's eyes and gave a preliminary diagnosis: "There are paroxysmal severe abdominal pain, the blood pressure is still good, the pain is the lower abdomen, and there is no bleeding below. No matter how you look, you should not consider gynecology first."
For Yan Yunkai, Xiao Yu had already said it very tactfully. If the other party was replaced by a doctor from his department and had no independent judgment ability, she would definitely be scolded to death.
"Let's ask your superior doctor to come and take a look, and then rule out the problems here."
After saying that, Xiao Yu sat aside, wrote down the consultation record on the medical record, then called his son to his side, leaned into his ear and asked softly, "Are you still interested in going to another lesson?"
"Class? Yes." Qi Jing didn't expect Xiao Yu would come to him to teach. In order to improve the quality of teaching, the director of the teaching and research department tried his best.
"I'll confiscate that Jianghu theory. If you want to go, you have to find other content."
Qi Jing was stunned. After a long time, my mother came here to see if her son was fake, but the person who cheated on her in her belly was real.
"You're too cruel..."
"What? Have to give up?"
Qi Jing urgently needs to cast a large net now, so you can’t miss this opportunity: “How can you do it? Of course you have to go”
"Which chapter do you want?" Xiao Yu looked up and glanced at him and asked.
"But it's almost the end of the semester. I really have nothing to talk about in the gynecology department behind the textbook." Qi Jing was a little embarrassed. The obstetrics and gynecology department was only a few things related to what he learned, "So, don't you wait for the freshman next semester?"
"No need, you can go to any chapter." Xiao Yu held his eyes and felt helplessness flashed across his face. "In fact, it was the students who asked me. The teaching and research department decided to give you special care and hold a student discussion."
"Oh? A meeting? Then you have to go to the auditorium?" Qi Jing couldn't help but have some reverie.
"Come on, return to the auditorium, you're just a small hospital. It's just a discussion meeting between students, look how you can." Xiao Yu glanced at his son, wrote the records back and forth a few times, and then prepared to get up and leave: "Tell me, which chapter do you want?"
"Just pregnancy physiology."
"tomorrow?"
"It's too urgent, I have to prepare for a few days."
"Okay, let me know in advance if you're ready." Xiao Yu closed the medical record and handed it over to Yan Yunkai, who was confused, and then patted his son on the shoulder, "Work well, I have something to do in my department, so I left first."
"Mom, let's go, come and play again next time I have time."
mom......?
This guy is actually the son of Xiao Yu and Dean Qi?
Yan Yunkai had the urge to die, but then he thought that he had done nothing wrong.
I didn't do that before, but I was actually protecting myself. Dean Qi had always warned his subordinates like this. Of course, that's right. With his cautious personality, he was also ready to be retaliated by Qi Jing.
It’s a pity that Qi Jing had just come out of the dean’s office and had already taken revenge.
Now all he was thinking about was the 16-year-old boy in the corridor and the female patient in front of him, and he had no interest in revenge.
"I said, haven't you smelled a smell of alcohol in the room?" Qi Jing reminded him before leaving.
Yan Yunkai shrugged his nose, as if there were some. He followed the smell and captured the past, the source was the patient on the bed.
"You've drunk?"
The woman curled up in pain, and her skin was wrinkled like a piece of paper rubbed together. When she heard the question, she endured the pain and nodded vigorously: "I entered the hot pot restaurant at 10:30 and drank four or five beer bars."
When Yan Yunkai heard this, he only had four or five bottles, but he was still beer, far from the point of bleeding in the digestive tract.
But after hearing this, Qi Jing's reaction was completely different from him.
"Let me check it out, it's okay?"
Seeing that he was so polite and was the dean's son, Yan Yunkai didn't have much to say: "Come on."
Qi Jing walked forward and put on rubber gloves. He used not the palpation that was commonly used to deal with acute abdominal symptoms, but percussion.
Such a cautious emergency department doctor would never make a simple abdominal palpation wrong, so the palpation he was looking for would definitely not be found.
He asked the patient to change his sleeping position several times and tapped him gently on his stomach several times.
After hearing the obvious change in the percussion sound, Qi Jing smiled at the corner of his mouth: "Where is your urine? Have you urinated after drinking so much wine?"
Chapter completed!