paranoianovel Chapter 567
Chapter 567
"Through these cases, I just want to tell you something!"
"We have to be comprehensive in diagnosing the patient's symptoms."
"After listing all the possibilities, eliminate them one by one!"
"Especially the electrocardiogram examination, try not to miss it!"
"Many cardiovascular diseases are always overshadowed by some other conditions, but they are undoubtedly revealed on the ECG!"
"As doctors, we must be 100% responsible for our patients! There is no room for mistakes! "
"One of our mistakes may be the loss of the patient's life!"
"My experience is that as long as there is any pain up in the abdomen, as long as you are over 40 years old, try to do an electrocardiogram, anyway, it's cheap and fast... As for younger patients, do an ECG as appropriate ..."
"That's it for today's lesson, thank you!"
Applause ~~~~~
......
......
Lin Feng's voice fell.
There was a round of applause.
What he said was indeed very simple, but it still found useful to many people, especially senior doctors.
Subsequently.
Lin Feng walked aside.
The dean walked up to the stage again and said:
"What Dr. Lin said, I think is very good!"
"We doctors are responsible for patients, and we can't be sloppy!"
"I hope you can keep in mind what Dr. Lin said today and use it in your actual work!"
“......"
The lecture came to an end with the Dean's final speech!
After the dean finished speaking.
The crowd began to leave.
Several attending physician leaders gathered together to discuss what Lin Feng said today.
And the doctors who came to listen to the class were also thoughtful.
Before.
More or less, they all had the small mistake that Lin Feng talked about today, which almost caused a medical accident.
On the way back, everyone was also talking.
"I didn't expect Dr. Lin to talk about something so simple today!"
"Simple indeed! Because you are still new and have little experience. So I didn't feel how important this lecture was, and for those of us who have been doctors for a long time, this lecture is no less than a wake-up call! "
"Good! In the future, you should be more careful, as Dr. Lin said, many symptoms will basically be covered by other symptoms, once there is a misjudgment, then it will involve human life! "
"Not careful! Be more careful! "
"Makes sense!"
“....."
Lin Feng returned to the department with Xiaoru.
On the way, Xiaoru still asked puzzled, "Teacher! Is it true that there are so many doctors who make mistakes, as you say? "
"Good! There are indeed many mistakes, but they also depend on the situation! As our doctor, most of the time is very busy, even very busy, some of them do not sleep for more than ten hours, do you think there will be mistakes in this state? Lin Feng said in a deep voice.
"Indeed, I see, sensei!" Xiaoru nodded.
"You still don't understand! Later, you will understand when you have more experience! Okay, let's go back! Lin Feng smiled.
Go back to the department.
As soon as Lin Feng sat down, a patient came.
In his twenties, his face was a little pale, his spirit did not look very good, and he looked relatively weak.
"Doctor Lin, help me see..."
"Sit!"
Patient, male, 28 years old.
"Tell me about your situation!"
"Dr. Lin, I have always had a fever and always does not go away..."
"How long has the fever been?"
"It's been almost half a month!"
I heard him say that he had a fever for about half a month.
Lin Feng had already begun to pay attention to it.
The common cold fever basically does not exceed 1 week, at most 10 days, and it is basically impossible to exceed 2 weeks. If the fever exceeds 2 weeks, then it is basically determined that he is not a cold.
Then he continued to ask: "Have you made a film before?" What kind of medicine are you taking? How is the effect? What is the maximum body temperature now? What is uncomfortable besides fever? Headache? Vomit? Bellyache? Abdominal distension? Dyspnea? Painful to urinate? Blood in the urine? Is the stool normal? "
Hear this litany of questions.
The man took out a folded piece of paper from his pocket and put it in front of Lin Feng.
It is the temperature data taken by the man recorded above.
When he saw the numbers above, Lin Feng's brows frowned slightly.
39.2℃！
This is the temperature measured four days ago.
The temperature measured today is 39.1 degrees Celsius, which is basically unchanged from four days ago.
After putting down the paper, Lin Feng took the man's temperature again.
Then he began to put the stethoscope on the man's chest to listen to his cardio exercises.
The area of both lungs sounds a bit of a crackle, and there is no abnormality in the heart.
Lin Feng immediately said to the man: "You are not a common cold, it is estimated to be pneumonia, and you need to take a film to see it further!" "
This is not only for patients, but also for Xiaoru.
Pneumonia and cold, there is still a big difference between the two.
Most colds are also caused by bacterial infections, but the infection site is generally limited to the nose and pharynx, so patients sometimes have runny nose, sneezing and other discomfort.
Once the infection enters the trachea, it will be caused by bronchitis, and if it continues to penetrate deeper, violating the alveolar parenchyma, it is pneumonia.
In any case, pneumonia is much worse than a cold.
Hear the diagnosis.
The man hurriedly said: "How can it be pneumonia!" Before I went to the clinic to see a doctor, he prescribed me antipyretic medicine, and I didn't want to take a film! After taking the fever-reducing medicine, the fever subsided. After some repetition in the back, the person was also burned dizzy, and the appetite was not good, so I quickly came to the hospital to see....."
Lin Fan nodded and said, "I understand!" "
Then asked about the man's routine medical history.
The man naturally answered truthfully.
The body is very healthy, there is no marriage, no children, no unclean sex, and no infectious diseases such as hepatitis B and tuberculosis.
Lin Feng then said: "First go and take a chest radiograph, do an electrocardiogram, and do the abdomen and urinary system B ultrasound together!" Sometimes it looks like pneumonia, it may also be cholecystitis, appendicitis, pancreatitis, this is not certain! Examination is the most reliable, hands and eyes will deceive, unless you are a fire eye! "
The latter words are to remind patients of the necessity of examination, and the other is to teach Xiaoru experience.
"Okay, Dr. Lin, listen to you..."
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