Ma Xiaona burst out laughing and was glared at by Liu Huijuan.

The dean's administrative rounds, as the name suggests, are to conduct a comprehensive inspection of the medical treatment, nursing, scientific research, teaching, medical ethics, labor discipline, price policy, health management and other work of the clinical department, listen to opinions, and solve problems.

Therefore, as a dean, you must not only understand management, but also understand clinical practice.

Otherwise, during the ward rounds, if the junior doctor encounters a problem that he does not understand, or if there is any irregularity in clinical diagnosis, your dean cannot discover or point it out. That would be a joke.

Therefore, those parallel-imported deans in later generations rarely conducted "dean's administrative rounds" because they couldn't bear it.

Spending all day long at the wine table, how can you have time to study business? How can you have time to go to the clinic? It would be good if you can go to and from get off work on time every day.

When it comes to the dean’s ward rounds, there are many things to pay attention to, such as a station.

As the dean, Chen Qi stood at the end of the hospital bed.

This position has the best view, and can see all the performance of the ward rounds doctors. It is equivalent to the C position, with the key points highlighted.

The department director, medical section chief and other small leaders stood on the left side of the hospital bed.

To the right of the hospital bed, at the first position close to the patient's head, is the bed doctor.

The bedside doctor is the main force in reporting cases. For timid junior doctors, many will be so frightened when they see the director staring at him/her that they cannot speak clearly. Reporting medical records becomes intermittent and difficult to continue.

.

The future is worrying.

The second position behind the bedside doctor is the deputy chief physician, the third position is the attending physician, and finally the ordinary junior doctors.

The first young doctor reporting today is called Wang Fang. Her short hair shows that she is a girl with a lot of personality.

Chen Qi also wanted to see the level of his wife's subordinates. If a department is strong, it is useless if the director is strong. All members need to be strong. After all, this is teamwork.

"Hello, Director Chen, I am Wang Fang, the bed doctor. I will report the medical history today. The patient in bed No. 1 is a female, 46 years old, who was admitted to the hospital due to vomiting blood for 3 days. The patient was admitted to the hospital 3 days ago without obvious inducement.

, vomiting blood after sudden nausea..."

Chen Qi suddenly asked: "As a bedside doctor, how do you tell whether a patient is vomiting blood or hemoptysis?"

Wang Fang is obviously mentally prepared:

"Well, hemoptysis refers to blood coming out of the digestive tract, such as bleeding in the esophagus, stomach, and duodenum. Hemoptysis refers to bleeding in the trachea and lungs, which is coughed up. The patient has no coughing symptoms before vomiting blood.

It manifested as nausea, so I initially judged that it was vomiting blood."

Chen Qi nodded slightly and asked again:

"There are two most common causes of gastrointestinal bleeding. Which two are they? Which possibility do you think the patient is more likely to meet?"

Wang Fang remained calm and replied seriously:

"There are two most common causes of gastrointestinal bleeding, one is bleeding caused by gastric ulcer and duodenal ulcer, and the other is esophageal and gastric variceal bleeding caused by liver cirrhosis.

But now after our series of examinations, we can preliminarily judge that both possibilities are unlikely. I have performed a gastroscopy on the patient, which shows that there are no bleeding spots or ulcers in the gastric mucosa. In addition, the patient has no history of hepatitis A or hepatitis B, b

Ultrasound examination did not reveal cirrhosis of the liver."

As soon as Chen Qi heard about a difficult and complicated disease, he immediately became interested.

"There is no problem with the stomach, nor with the liver and esophageal veins. This is strange. How is the color of the stool?"

The patient's family became anxious upon hearing this: "Doctor, I just left a stool sample this morning and put it in the stool test basket in the toilet."

Lan Lijuan said to the family members: "Hurry up and bring us the stool specimens so we can take a look."

After a while, stool in a paper box was delivered. Chen Qi took a look at it holding his breath and saw the problem at a glance:

"With such obvious black stool, there is no need for testing. It must be gastrointestinal bleeding."

Stool is originally yellow, but if it contains blood, the blood will turn black after digestion and decomposition, so black stool is an important indicator of upper gastrointestinal bleeding.

This is common sense that any doctor knows.
Chapter completed!