It stands to reason that Bai Ye wants to call Uncle Liu. But the white night did not; It's directly Dean Liu, which is obviously dissatisfied. Moreover, Bai Ye's words made many department directors a little embarrassed. Where is this going through the motions, this is difficult, do you understand?

Liu Shiheng glanced at a man with eyes next to him. This is Director Qin of the Medical Department.

Director Qin sneered at this moment, and said, "Xiaobai has said so, then the assessment will officially begin." Xiaobai, there are two parts in this assessment. The first part is case analysis. The second part is hands-on. ”

Director Qin coughed lightly and said, "Xiaobai, this is the beginning." ”

The patient, Hong, male, 50 years old, was of medium build, slightly cyanotic skin, mild cough, sputum, mucinous in size, and measured moderately. No barrel chest. Decreased breath sounds and crackles. There is a slight increase in total lung volume. FEV1 lowers ......

As Director Qin finished speaking, Director Qin immediately put five or six pieces of paper materials on Bai Ye's desk. This includes the examination data of X-rays. Electrocardiogram (ECG) and results of various biochemical tests.

Listening to Director Qin's words, Bai Ye suddenly sneered. What a normal assessment. At the beginning, such a complex and tangled case came out. This is a very non-obvious case analysis. Even if it's actually for the patient. Even young doctors with many years of experience, or even some middle-aged doctors, may misjudge the case if they are not careful. Is this also called a normal assessment?

Although the white night was unhappy, I remembered it in my heart. However, his face was as plain and calm as ever. There are some things that don't need to be said, just memorize.

As soon as he looked at the ECG, a smile appeared on Bai Ye's face.

The waveform of the ECG is actually not noticeable. Bai Ye shook his head and sighed. looked around, and it could be seen that after Liu Shiheng took the throne, many people had already taken refuge in him. This is normal, once a son of heaven and a courtier. It's not easy for anyone, isn't it? Moreover, others have not done anything excessive now.

Of course, Liu Shiheng and Director Qin are definitely exceptions. Wait, we'll get along well in the future.

Bai Ye thought in his heart, but Director Qin next to him spoke: "Xiaobai, what's wrong?" Don't you think it's too difficult? And no wonder ......"

Liu Shiheng also showed a smile on his face, an orphan. Why are you still fighting with my son? It's because of your damn daddy. I put my son back in it for more than 20 years. You're brilliant everywhere. Now, it's time to raise your eyebrows.

But Liu Shiheng was destined to be disappointed. At this moment, Bai Ye chuckled and said, "No, I just think it's too simple." The average undergraduate, as long as they study seriously, has a serious internship. There should be no problem with this kind of topic. My diagnosis was clear. This is obstructive emphysema. ”

As soon as these words came out, Director Qin's face changed. Clearly, the answer is correct.

A director next to him soon spoke: "Xiaobai, are you so sure?" The patient is 50 years old and male. And there is mild cyanosis. In addition to this, the sputum is viscous and has a lot of volume. Breath sounds are somewhat reduced. FEV1 detection is also low. In addition to this, there is no barrel chest. Why can't it be bronchitis? ”

Bai Ye sneered in his heart. That's the trap you've designed. Indeed, judging from these sources. It is true that there are some specialties that are in line with bronchitis, especially cyanosis. Because obstructive emphysema is not cyanosis. Moreover, most patients with obstructive emphysema are emaciated and most of the barrel chests are obvious.

Bai Ye said calmly with a smile: "This director, you are bluffing me." The patient's ECG showed changes in the ST-T segment. In addition, there was no significant increase in lung markings on chest x-ray. An electrocardiogram (ECG) shows that the patient has symptoms of heart failure. Chest x-ray shows that the patient's bronchitis features can be ruled out. Cyanosis is caused by heart failure. This has nothing to do with bronchitis. So, I can say with certainty that this is obstructive emphysema. ”

That's it. There is no point in continuing to quibble. Several key misleading pitfalls were spotted by White Night, and the case had lost its effect.

Liu Shiheng glanced at the past, and the director of the first breathing department who opened his mouth immediately stopped talking. Liu Shiheng smiled at the moment and said, "Okay, good." I didn't expect Xiao Ye's skills to be so solid. Sure enough, Harvard Medical School is the land of the hidden dragon and the crouching tiger. No wonder Junjie kept telling me. The top students are at Harvard. ”

This old stuff. At this time, Harvard was mentioned again, and his son was mentioned. This is taking the opportunity to belittle himself and elevate Liu Junjie. No matter how you say that you have been fired. And Liu Junjie is still in school.

Qiao Yongming also frowned at this moment, and said, "Dean Liu, it's not too early. In my opinion, let's continue the assessment. ”

Next, four or five more case analysis assessments were conducted, and sure enough, just like the previous one, each case was carefully selected. Patients are all of the type with complex conditions. Moreover, according to the various manifestations and examinations of the patient, the corresponding diseases can be found. If you are a little careless, you will lack a little care. Then it will inevitably lead to the occurrence of misdiagnosis.

Unfortunately, this kind of difficulty is doomed to be useless. In the back, Bai Ye was a little disdainful. Can it be a little harder? A group of ants, with the spirit and soul of ordinary people, measure you and me. Isn't that funny?

Observant? No matter how careful a person is, he is just an ordinary person. And you can do it yourself. It can be used as a check to find out that there is no omission.

As the assessment progressed step by step, Qiao Yongming's face also showed a smile, and he looked at Bai Ye no longer as strict as a few days ago. Xiao Ye, this child, is affectionate. If it weren't for the sudden death of Lao Bai and his wife. His achievements must have been even better. It's a pity that I will probably nest in such a place as Beihua Hospital in this life.

Liu Shiheng's face became more and more ugly, and he glared at Director Qin fiercely. Didn't you say that these questions are guaranteed to be foolproof? Why do I see this kid so relaxed.

Director Qin also felt a little sweaty at the moment, the air conditioning in the small teaching room was open, but Director Qin had a feeling of being on his back. This kid is too wicked. It doesn't look like a fledgling doctor. How can he be as ruthless as a veteran with decades of clinical experience.

Even if you're a veteran, it's only for a certain discipline. The five cases involved both internal and external women's and children's bones. Is Harvard so powerful?

Thinking in his heart, Director Qin said with a straight face: "Xiaobai, the next thing is the assessment of clinical operations." ”

Patient, Yang, female, 2 years old. Rural people in remote mountainous areas accidentally eat jelly at home and cause suffocation. Please handle the matter appropriately according to the topic.

After hearing this, Bai Ye immediately scolded secretly: "Damn, it's getting more and more shameless." A medical assessment that was admitted to the hospital actually played a word game. Is it really a white master, am I a hairy boy who has never seen the world? Director Qin, you wait for me. This beam, we are finished. ”

Alas, a blood oath. If it weren't for this. Master Bai, I'm going to ** you idiots?

Cursing the white night in his heart, he was not slow at all. I walked directly to the side of the human body mold. Just picked up a scalpel.

Then I picked up a piece of gauze and dipped it in some alcohol. Sterilize the scalpel and wipe directly on the larynx thyroid cartilage and cricoid cartilage of the mold.

Then, a transverse skin incision of about 2~4 cm long is made between the thyroid cartilage and the cricoid cartilage, the cricothyroid membrane is incised near the cricoid cartilage, the inversion is enlarged by a curved vascular clamp, and the tracheal cannula or rubber tube or plastic tube is inserted, and it is properly fixed.

After doing these white nights, put the scalpel away. He clapped his hands and said, "Okay."

These words immediately made a smile appear on Director Qin's face, and he looked like he had succeeded in his plan. Zhengse said: "Xiaobai, you are too sloppy." There is no sterility anymore. In addition, the operation of endotracheal intubation is not standardized. ”

As soon as the words fell, Bai Ye's face moved. Paralyzed, the tiger is not powerful, when I am a sick cat? I just didn't find a chance before. Now? Then it's no wonder that Bai Ye.

Bai Ye's face sank, and he immediately said loudly: "What is Director Qin?" Are you stupid, or am I stupid? The case said above. In remote mountainous areas, eating jelly at home causes tracheal obstruction. Nima, if it's an ambulance, let's talk less about it, half an hour is needed. Waiting for you to go. Man is long dead. In this case, there is only one possibility, which happened to be encountered by a passing doctor. I use a scalpel with this tracheal cannula, it's all redundant. If I had a fruit knife here, I'd use it. Or, Director Qin, you can show me something. In remote mountainous areas, there are no hospitals, at home, there are no anesthetic drugs, no shadowless lights, and no sterile rooms. There are no sterilization equipment. You give me a routine tracheostomy to see. ”

PS: Thank you Nanhua and July Fire for your support, and thank you for teasing you to play brother again. Ask for recommended tickets again, ask for collections. The new book will not disappoint everyone. Lao Cai's character guarantees that there is no reason for eunuchs and broken changes, and you can rest assured that you can collect and fatten.