Chapter 4106 [195] Who is the most ruthless
Yue Wentong put his hand on his forehead, knowing that Rabbit Li would definitely not dare to call Brother Cao, so he could only call him Squad Leader Yue.
Dr. Li Qi'an took out his mobile phone from his white coat.
It was too late to say it, but Yue Wentong walked in and touched the back of Li's head with one hand.
The terrified Dr. Li Qi'an jumped three feet high like a rabbit, turned his head and flinched to see who touched his brain.
Yue Wentong touched his head as hard as a hammer: Classmate Li, you have such a brain, I really don’t know how to say hello or just hit you—
Student Li, who couldn't read Squad Leader Yue's heart, was shocked: "Squad Leader, why are you here?"
Could it be that the class monitor has a tacit understanding with his classmate Li, and knows that his classmate Li is looking for a class monitor.
Yue Wentong half-closed his eyes for a while, thinking that Song Mao standing behind him should laugh so hard.
Question Student Li continued to pull him in an unclear situation and said, "Squad leader, you came at the right time. Consult this patient."
Squad leader Yue patted classmate Li's head again: You bastard, is the monitor someone you can call around?
Ask: "What about the patient's pupillary exam?"
Student Li: Huh?
Looking at the situation, Dr. Liu regretted in his heart: I was wrong, there is a pig teammate looking for acquaintances who are not scolded less, but more scolded!
Dr. Xie Wanying asked the monitor at this moment: "Are you here early?"
Squad leader Yue turned his head, and glanced at classmate Xie with self-evident eyes: You are really stubborn, and you didn't even notice that we were standing at the door.
She is not, she has been performing her job duties. Dr. Xie Wanying followed the route map that Squad Leader Yue came to, and then saw Dr. Song at the door.
Song Xuelin nodded at her: Hello, Dr. Xie, I'm here to learn from you again.
Dr. Xie Wanying: The most unkind thing is you, Dr. Song, who actually brought the monitor of our class to the scene.
Obviously, Dr. Xie's warning to Li became an oracle. Dr. Song really gave a blank expression, and brought Squad Leader Yue to help clean up Li.
Dr. Li Qi'an finally figured out the ins and outs, and his face became paler and paler.
"You give me another pupil examination for the patient." Squad leader Yue returned to the patient's bedside with Li's head in his arms.
Dr. Li Qi'an did not forget to continue to pull Dr. Liu: "It's your patient, you explain the patient's condition to him."
Dr. Liu tried his best to describe the case calmly: "The patient came to the emergency department of our hospital at about ten o'clock at night. He had shortness of breath, cough and sputum, dyspnea, and a little chest tightness. According to the family members, he had a history of smoking and lung diseases in the past. The initial diagnosis was It's emphysema."
Everyone looked at the patient's chest.
The most typical manifestation of emphysema patients is barrel chest, which happens to be the case in this patient.
Barrel chest, as the name suggests, the chest width of the patient is like a barrel.
The **** of normal people have unequal horizontal and vertical ratios in the cross section. If the horizontal value of the cross section is greater than the vertical value, it is a flat barrel. If the barrel-shaped chest becomes a round barrel, the horizontal and vertical values are almost equal.
Pulmonary emphysema is divided into many types, including senile emphysema, obstructive emphysema, etc. These need to wait until the patient is admitted to the Department of Respiratory Medicine for a comprehensive examination before making subdivided diagnosis and treatment.
Of course this is not the job of an emergency doctor, but Dr. Liu can make a little judgment on the patient based on his professional knowledge and add: "With a history of smoking, it is likely to be emphysema caused by advanced COPD."
Obstructive emphysema can lead to cor pulmonale. According to the previous knowledge, it can be known that pulmonary hypertension will eventually lead to right heart failure.
(end of this chapter)
