Wang Mao and the others didn’t understand what Hu Dongsheng meant: “Isn’t it the same where patients sleep, what does it have to do with blood pressure?”

Qi Jing is now completely observing the wall and has given the right to speak. Instead, he and Mr. Rong joke about his bed doctor.

Now it has completely become Hu Dongsheng's performance time.

"The sleeping position has nothing to do with blood pressure itself, but it has to do with measuring blood pressure."

"It's related to blood pressure measurement?"

The two of them are becoming less and less able to understand.

Hu Dongsheng pointed to the aisle where Mr. Rong pointed just now. There happened to be two newly sent emergency patients lying on the stretcher bed. But no matter where their heads faced, the side against the wall was always on the left hand side.

"During physical examination, the doctor should stand on the right hand side of the patient." Hu Dongsheng explained, "It's nothing in the ward, there is space on both sides of the bed. But in the emergency room, it will cause a problem. The nurse uses the patient's right upper arm to measure blood pressure."

"So the patient's left upper arm blood pressure..." The three of them looked at Qi Jing.

"The bleeding pressure measured by 160/95mmHg in the left upper arm."

This result was expected by Hu Dongsheng, and the two of them showed incredible expressions after hearing this, and said in unison: "It's really an aortic dissection."

"Too cunning."

"The difference in blood pressure between the arms is so big..."

"We must have known from the beginning that we might have been diagnosed."

They recalled this case and did a good job in differential diagnosis. There were no major mistakes in the laboratory tests they should use, but they really didn't expect to fall apart here.

They have memorized the symptoms and diagnosis methods of each disease, and it is not a problem to write dictation, but it is difficult to deduce hidden symptoms from an inconspicuous small question.

These are two completely different thinking patterns.

At this time, Qi Jing finally spoke: "Do you really think that Teacher Ji Qing's judgment was based on a sudden light of inspiration? Is it based on intuition? Do you really think it's not your own problem?"

Several people looked at each other, right?

The blood pressure gap between the left and right arms is no more than 10 at most. Who would notice this in normal times?

"Did you have further consultation after hearing the patient's complaint? The patient said chest pain. Have you continued to ask the specific location of the pain, have you asked the type of pain? Have you done intensity grading? Have you asked about the condition of pain radiation?"

After saying that, he presented the latest page of the medical record book to them:

The patient's left chest was cleaved and pain was obvious. Between grades 7 and 8, he was irritable and radiated to the lower body, and it was suspected that the aortic dissection might be possible.

The blood pressure of the left arm was checked at 160/95mmHg and the emergency echocardiography was performed.

"The patient was taken away by the cardiology department half an hour after the examination was prescribed." Qi Jing calculated the time by hand, "You are still considering whether you are in shock at this time."

The three of them had no sound at all. They were indeed far behind Teacher Ji Qing who was treating the doctor.

"Don't be discouraged, the fun starts, go, next one."

Qi Jing took out another record book and prepared to find the target patient from the rows of beds in the emergency observation room. Unexpectedly, Hu Dongsheng did not give up and even tried to fight back.

This is his shortcomings, but Qi Jing also sees his strengths, so it depends on how to train and use him.

"Senior Qi, should the aortic dissection be performed? Will it be cured so quickly?"

Qi Jing then realized that they were still learning old textbooks, and some signs of interventional treatment for aortic stenosis have just been revealed, and they will have to wait for the new version to be added later.

Moreover, most hospitals do not have such technology, and they need not only reliable quality stents, but also doctors who can take the stage.

Qi Jing was quite impressed when he thought of the madman Wang Chengdong. It was also because of this fat man and the intervention talents he taught that Danyang had the capital to establish the first intervention center in the city.

"Learn new treatment technology. In our hospital stents can be used to treat the inner wall of dissection avulsion of blood vessels. Of course, patients also need to have money at home, which can afford this medical expenses."

Qi Jing glanced at Hu Dongsheng and suggested: "If you are interested, you can read more new medical journals. Compared with textbooks with constant knowledge, those magazines that publish papers can better reflect the rapid development of modern medicine."

After saying goodbye to Mr. Rong, Qi Jing told them some things to intervene.

Although he has never done surgery or intervened, he is at the level of the originator of using surgery to serve himself.

"This is the next one, Grandma Xu, 71 years old."

Qi Jing came to the patient, asked a few casually, and then explained their purpose according to the same.

"Oh, what are you doing so politely, ask whatever you want." The grandma is also very cheerful, not inferior to the old man just now, "Thanks to the handsome guy yesterday..."

As she spoke, she looked at Qi Jing's eyes slowly solidified, and then it escalated into a kind of scrutiny or scrutiny: "Young man, you are pretty good, do you have a girlfriend? Auntie, I will introduce you to you."

Qi Jing shook his head with a smile, and immediately looked at the three students who were holding their smiles and cleared their throats: "The patient suddenly developed abdominal pain, diarrhea, vomiting, and palpitations and fatigue after lunch. It lasted for two hours without any relief. The family called 120 and sent it to the hospital."

"The patient is healthy, has no history of three highs, and has no history of allergies."

This time, without Qi Jing saying anything, the three of them had already expressed their own ideas.

However, before they could say that they would check their vital signs first, Qi Jing said first: "The patient's vital signs are very stable, and the numbers will not be reported. It is rare for patients like her to be 'normal' in the emergency room."

"Then you have a stool check first. Diarrhea must always eliminate gastroenteritis."

"Do you need to check for vomit?"

"You can't leak blood routine, see if there is any infection."

Qi Jing nodded and answered their test results one by one: "The stool is thin, yellow, white blood cells, red blood cells, and parasites are all negative, and the blood routine is basically normal. I will also give you a check, so your body temperature is also normal."

"We can't check the vomit, the doctor will take it by themselves." Qi Jing looked at the medical record and said, "It's just some food residues and gastric juice, and there is no special smell."

"That's just eating bad things."

"Are you stupid? Can Senior Qi choose ordinary cases?"

"Oh yes, I almost fell into the pit again..."

This time, Hu Dong went to learn his lesson. He did not hold on to the main complaint given by Qi Jing but chatted with Grandma Xu: "Grandma, what did you eat at noon yesterday?"

"It's just an ordinary meal, nothing special."

"Then is this true after eating other people in your family?"

Grandma Xu shook her head.

The three of them had a little dizzy head. Why did they start with a normal routine examination like the previous patient?
Chapter completed!