The three of them really didn't expect that the gentle and humorous senior in the classroom in the morning turned into a devil lecturer. They were still medical students, and they were clearly small animals under the whip, and they could only stand by the bed and shivered.

"I will definitely be clinically baptized in the first week of internship, and almost all interns will be scolded. I have taken this time ahead of time."

Qi Jing finally smiled: "Do you guys thank me?"

“…”

The three of them were filled with fragrant vocabulary in their hearts, but no one dared to say it.

Compared to Wang Mao and that female classmate, Hu Dongsheng was more concerned about the case. He did not come here to listen to Qi Jing’s preaching. Even if those words just touched him, he still felt that the strength of the doctor was the most important.

No matter how noble your medical ethics are, you cannot save people without the strength, you are just a quack doctor who can talk.

If you have super technical skills, even if your mouth is a little stinky, as long as you have the bottom line of being a doctor, you will be a good doctor.

"I just want to know the results of the intervention," Hu Dongsheng asked. "Is it a diagnosis of a myocardial infarction or something else, I have to tell the answer first before scolding us."

“The results of intervention?”

Qi Jing re-read the case record book and said with a smile: "Where did the imaging come from? Of course, if you really want it, I can make one for you now."

Hu Dongsheng:...

He was very angry when Qi Jing criticized him, but he just had no choice. If he was wrong, he had to admit it. Without strength, he was the original sin, and there was nothing to be quibbling.

"Do you know why they are attracted to me now? Do you know the meaning of writing that way?"

Hu Dongsheng nodded.

They lack experience and strength. They encounter major events in the emergency room, and they naturally have to hand them over to their superior doctors when they cannot complete them.

Although it is a bit tricky, it is a very stupid and good idea.

"Wang Mao, right? You said it was shock." After Qi Jing trained the girl, it was the next person. "How much should the blood pressure in shock be low? Is the patient's appearance of anemia? Do he have cold limbs?"

"You made a judgment directly without asking anything, is it too arbitrary?"

"And since it's shock, does the heart rate of blood pressure increase in order to replenish the body's blood supply? What is the patient's heart rate?"

Wang Mao was easily defeated by Qi Jing's set of combination punches, so he could only keep nodding.

"You are next." Qi Jing looked at Hu Dongsheng and asked, "What is the basis for you to do emergency cardiovascular angiography?"

"Time is limited, and the most diseases can be diagnosed in cardiac examinations, so I chose it."

Compared to those two, this child is not bad. He did not lose his composure at critical moments and chose the best one from his limited knowledge reserve.

Although it is wrong.

Even though he was calm, his temper had to be changed properly, so Qi Jing's mouth was still not soft: "This reason is so great. Come on, write it in the medical record book to see what will happen if the patient knows."

After being sarcastic by him, Hu Dongsheng recognized it and deserved it.

He still can't understand why blood pressure decreases in a long history of hypertension, and why a patient whose blood pressure continues to drop and is far lower than the original blood pressure is not in shock.

The clues are very confusing, and a little relaxation will lead to loss in these strange symptoms.

"I'll release some details now to see what you've missed." Qi Jing said as he looked at the three of them dejectedly, "Don't let me down."

He pointed out the most important data in this case: blood pressure.

In fact, Ji Qing was also suspicious at the beginning, and the blind spots found based on the patient's symptoms.

"You think that blood pressure drops is shock. Have you ever thought about other possibilities?"

“What possibilities?”

"Is it the nurse who made the wrong test?"

At this time, a young nurse happened to be pushing a medicine cart and walked over from behind them. He accidentally heard it and his face turned dark.

Qi Jing was really worried about them. If he dared to talk to the nurse like this after entering the clinical clinic, he would be scolded to death: "How many patients are received in the emergency department every day? People who work in the green channel are elites. Can blood pressure be measured? If there is a mistake, it must be an instrument."

"Is there something wrong with the blood pressure meter?"

"No, the blood pressure monitor is pretty normal."

Three people:...

This is not a waste of time.

"The blood pressure of admission was 80/50, and it immediately attracted the attention of the doctor. Your reaction was pretty good, and you immediately thought of septic shock, but the differential diagnosis was too slow."

Qi Jing said: "Mr. Ji Qing, who is on duty in the emergency department, has made a correct diagnosis when the patient's second pain occurs."

"So fast?"

“What the hell is it?”

Qi Jing continued to keep an eye on him. Instead of explaining the problem of blood pressure, he went further and further: "The patient first had a problem with blood pressure and then had chest pain, so he had to look at it together."

"Differential diagnosis of chest pain."

"Myscholar infarction."

"Pulmonary embolism."

“Aortic dissection.”

"pneumothorax."

Qi Jing nodded. Although he still missed some, he said several critical things.

These three people have solid basic knowledge, and the problem is not big in the exam, so they will definitely be at the forefront. However, the exam and clinical concept are completely opposite. One is positive deduction, while the other is negative.

"Now the electrocardiogram suggests that myocardial infarction can be temporarily ruled out, and myocardial enzyme spectrum is also being done. Even if it is expedited, the speed is not that fast."

"The emergency department is the battlefield, and every second is a battle. Let's see, is this pulmonary embolism?"

All three shook their heads.

Pulmonary embolism is caused by the embol entering the pulmonary circulation, causing lung infarction and sudden onset, which is the key content in the textbook. Among the major symptoms of pulmonary infarction, the patient only has chest pain, coughing and blood, difficulty breathing, and collapse and cold sweating.

The same can also eliminate tension pneumothorax, and there is no difficulty in breathing and accelerated heart rate.

“Aortic dissection?”

"It's not right. The aortic dissection has hypertension, and the patient's blood pressure is so low."

The topic was about Qi Jing and went from chest pain to blood pressure.

blood pressure......

What's wrong with this blood pressure...

Hu Dongsheng knew that the key to the problem was the cardiovascular system. If it was not a myocardial infarction, it must be an aortic dissection. He began to read out all the content about aortic dissection in his mind, especially several related to blood pressure...

Suddenly he thought of a possibility and asked, "Old man, where did you sleep when you came?"

Mr. Rong blinked and raised his hand to point to the passage at the door of the clinic: "There is a lie on the stretcher bed."

"Where are your face facing?"

"Facing north, it's the water dispenser in the corridor."

Hu Dongsheng nodded, and finally had a smile on his face. Qi Jing made him feel depressed all afternoon, and now that he found the answer to the puzzle, Hu Dongsheng felt much more comfortable.

"Senior Qi, you really know how to hide."

"I can't blame me for this, this is the case when the patient came."

From the time he started asking the patient, Qi Jing realized that Hu Dongsheng had found the answer. And from his questions, he also found some interesting things.
Chapter completed!