Chapter 264: Shocking Assessment Results

As a doctor, when treating people, the most important thing is to learn to see the essence through the phenomenon...

For a patient with stomach pain, you can figure out which part of the patient is having pain? Then you can judge the cause based on the location;

For example, Xu Ze found through color ultrasound that the patient had obvious gallstones and the gallbladder was swollen. It was basically certain that the patient's abdominal pain was mainly caused by the gallstones.

But being a doctor is not such an easy profession, and seeing a doctor is not such a simple matter. Xu Ze was just trying to cope with this assessment, but he forgot something very important for a doctor.

That is, in addition to the main symptoms, other diseases must be identified and analyzed, because abdominal pain like this can be caused not only by gallstones, but also by gastritis and even pancreatitis.

At present, Xu Ze has been able to confirm that it is mainly gallstones, but other possible diseases must also be ruled out... Although the possibility of other diseases is small, as a doctor, he cannot not refuse to go to the hospital just because the possibility is small.

Pay attention; because many times, just a little problem is not paid attention to, which leads to serious consequences...

Now Xu Ze suddenly remembered this problem. Although it shouldn't be a big problem, for him who has always been cautious and responsible for his patients, this is an issue that cannot be ignored.

So he calmed down again, started the color B-ultrasound, and scanned the patient's stomach and pancreas.

Color B-ultrasound can effectively determine the overall changes in the pancreas and stomach. Through this examination, you can roughly determine whether there are any abnormalities.

The results of the color B-ultrasound scan gave him some relief. There were no major problems found in the patient's stomach, and the pancreas was very smooth on the outside, and there seemed to be nothing abnormal about it.

Xu Ze was almost relieved at this time, but remembering the newly emerged blood amylase function among the three-level system functions, he successfully performed the procedure on the patient.

This blood amylase test is the most standard test to rule out pancreatitis. As long as this test is done, you can completely confirm whether there is any problem. It is much more accurate than a simple color B-ultrasound scan.

Following his order, he quickly popped out a thin needle of cow hair from the ring on the index finger of his right hand that was holding the patient's pulse gate, and lightly pricked the patient's wrist. Without the patient's knowledge, he extracted the needle.

A small amount of blood was tested.

"1200u/l" Xu Ze looked at the red value displayed on his glasses and couldn't help but frowned. The blood amylase was obviously above the standard. This patient actually had pancreatitis!

However, the main diagnosis is gallstones, and the secondary diagnosis is pancreatitis; in terms of traditional Chinese medicine diagnosis, there should be no problem in the diagnosis of cholelithiasis.

He stood up slowly at that moment, nodded to the impatient senior national players in front of him, and then said: "President Guo, I have completed the examination..."

Hearing Xu Ze's words, all the senior national players nodded slowly, while Wang Lao, the national player, breathed a sigh of relief when he saw the serious but still confident look on Xu Ze's face.

Originally, when Wang Laoguo player saw Xu Ze's hesitation, he saw that Xu Ze was indeed weaker than the other rookies in traditional Chinese medicine. He was worried about whether Xu Ze could pass the test smoothly; but now, although Xu Ze is spending more time

It took some time, but he seemed to still have great confidence, so naturally he felt a little relieved.

Wang Laoguo player is not too concerned about Xu Ze's failure to pass the test, and he doesn't care much about the impact on his reputation. What he cares about is that the young man in front of him is indeed very good. If he can't pass this assessment and get the practicing certificate, it will be really bad.

It's such a pity.

Dean Guo looked at the solemn young man opposite, then nodded gently and said: "Okay... Now that the diagnosis has been completed, Xu Ze, please answer the diagnosis and treatment plan for this patient."

…”

"The patient's main symptoms are epigastric pain, bitter mouth and oily taste. Symptoms include thin yellow tongue coating and stringy pulse... Western medicine physical examination shows mild tenderness in the right upper quadrant and positive Murphy's sign... Therefore, traditional Chinese medicine diagnosis considers: cholelithiasis, liver stagnation and qi stagnation type.

, the treatment principle is to soothe the liver and regulate qi, the prescription is: Bupleurum soothing the liver powder... Acupuncture: take the sun and moon, Qimen, gallbladder points, use Zusanli, Zhongwan..."

Speaking of this, Xu Ze couldn't help but narrowed his eyes slightly and looked at the expressions of the senior national players above... Seeing the old national player Wang smiling and nodding lightly, he was relieved in his heart. As long as this is not wrong, then he will not

Worried…

The next Western medicine diagnosis and treatment could not be easier for Xu Ze. Xu Ze, who was in a relaxed mood, continued with a faint smile: "Western medicine diagnosis considers: acute cholecystitis, gallstones; acute cholecystitis and gallstones are not excluded.

Pancreatitis may... It is recommended to perform hepatobiliary ultrasound, routine blood tests, blood amylase and other tests. For treatment, temporary anti-infective treatment with cefradine and ofloxacin, and cimetidine to suppress acid, 6542 to relieve spasm and relieve pain..."

"If relevant examinations confirm the presence of gallstones, and the patient's physical condition is acceptable, it is recommended that surgical treatment be performed while effectively anti-infection and suppressing gastric acid to protect the pancreas..."

After hearing what Xu Ze said, Director Guo frowned lightly. Director Guo always followed traditional Chinese medicine. Although he has gradually accepted Western medicine in recent years, he was still very resistant to the surgeries that Western medicine was good at.

Because in his opinion, if conservative treatment is possible and Chinese medicine is used to assist in stone removal, it is naturally the last resort. After all, Western medicine surgery, although simple, is a matter of killing three thousand enemies and damaging eight hundred, which is not in line with traditional Chinese medicine.

But at this time, although he was not satisfied with the treatment method proposed by Xu Ze, this operation fell into the category of Western medicine after all. Naturally, he could not deny it easily. He immediately turned to look at the two doctors from Capital Medical University.

Professor, wait for their judgment.

Dean Guo looked at Professor Tang Wuyou and Professor Jiang Lingyun, only to find that they were looking at Xu Ze with a hint of surprise in their eyes.

Dean Guo was stunned for a moment, and couldn't help but asked the two professors in confusion: "Two professors, please comment..."

Tang Wuyou and Jiang Lingyun looked at each other, and then Jiang Lingyun nodded and said with a smile: "Mr. Guo...he is very strict in diagnosis and dialectics...the diagnosis of acute cholecystitis and gallstones is very clear and the treatment is very clear.

The plan is clear…”

Hearing Professor Jiang's words, Dean Guo was stunned. Could it be that the young man Xu Ze in front of him had really reached such a superb level in Western medicine?

The old national player Wang next to him also smiled gently. Xu Ze finally did not disappoint him...

However, the rookies next to him, especially Guo Yujian, looked at Xu Ze with a hint of admiration in their eyes. They all studied Chinese medicine, but to be able to reach such a level in Western medicine was naturally what they expected.

Incomparable…

Especially Guo Yujian, at this time, he also restrained the proud look on his face.

While he was in shock, he heard Professor Jiang suddenly say: "It's just..."

"But what?" Dean Guo was stunned again, but he didn't find it strange. Although Xu Ze seems to be very skilled in Western medicine, he is still too young after all, and there may still be some flaws.

The heat will be a bit different.

At the moment, I was also a little happy. If Xu Ze had no problems at all in this round of assessment, and he was able to do so well in the Chinese medicine rookie assessment as a student of Western medicine, then everyone here would be happy.

His face is not good-looking either.

Moreover, originally his grandson Guo Yujian had already won the first place today and had a lot of face with him. But if Xu Ze can achieve such good results this round, then he will be able to compete with his carefully cultivated ten-year-old son Guo Yujian.

His grandsons of several years ago were kept pace with each other... Naturally, he felt uncomfortable...

Seeing that there were still some omissions in Xu Ze's answer, he breathed a sigh of relief and said with a smile: "Professor Jiang is in charge of judging today, and he has his own words, but there is no harm in saying them... If Xu Ze's diagnosis is inappropriate, he will

It’s up to Professor Jiang to give pointers…”

Jiang Lingyun smiled and nodded, then smiled curiously at Xu Ze and asked: "Doctor Xu, right..."

"Professor Jiang... I am Xu Ze!" Xu Ze looked at Jiang Lingyun like this, but he was also stunned, secretly doubting in his heart, could he be right?

"Dr. Xu... the basis for your diagnosis of acute cholecystitis and gallstones just now is very clear, and the diagnosis is also very good; but how can you be sure that he has the possibility of acute pancreatitis?" Professor Jiang looked at Xu Ze, very surprised.

I asked with some surprise and curiosity.

Hearing Professor Jiang's words, Xu Ze felt a little strange in his heart, and asked secretly: "Don't these two professors know that the patient may have acute pancreatitis?" Looking at Professor Jiang's appearance, Xu Ze felt deep in his heart.

I have some confidence. These two professors must have seen this patient in advance, but they did not conduct detailed examinations and examinations in all aspects, so they did not confirm this conclusion.

However, Xu Ze naturally did not say that he had done blood amylase on the patient to confirm it... Of course, he was prepared and had already thought of a defense strategy.

He immediately smiled and said: "Professor Jiang, the patient reported that before the abdominal pain, he ate a lot of greasy fried rice and beer, and then the abdominal pain occurred afterwards; this kind of overeating and abdominal pain after drinking alcohol can cause cholecystitis.

One of the factors for the attack; but there is also acute pancreatitis that must be considered, because the first article on this condition in internal medicine has mentioned that overeating and drinking alcohol can lead to this comparison.

critical illness…"

"So, I think that although it can be concluded that there is a high possibility of cholecystitis and gallbladder stones through a positive Murphy's sign, this situation cannot be ruled out, and the possibility is not small... Therefore, I proposed this combination

disease…"

Hearing Xu Ze's analysis, Professor Jiang and Professor Tang Wuyou looked at each other in surprise. However, they did not expect that Xu Ze could even remember such a small item recorded in the book.

So clear, and it can be analyzed so clearly...

Even the two of them could analyze the situation in a short time without paying attention to it in a hurry. This young man is really extraordinary...

Thinking of this, Jiang Lingyun sighed and nodded towards Xu Ze with a smile, then turned to look at Dean Guo aside and sighed: "Mr. Guo... these young people of yours are amazing... to be able to rely on such a simple

It’s really not easy to diagnose such a complex situation with just the right tools... It’s not easy...”

Hearing Professor Jiang's words, Dean Guo's face froze. He naturally did not expect that Professor Jiang, who was just... actually made Xu Ze even compete for several points, even two experts in the Western medicine field.

Veteran experts all praise this...

At the moment, he could only stroke his beard and smile dryly: "Looking at the emergence of talents in the younger generation, I and I are very happy...I am very happy..."

After that, he could only comment with a smile: "Xu Ze performed well today and was rated as excellent... All the rookies passed the test smoothly... Director Lin, please announce the overall situation of this assessment..."

Lin Zhikui, the deputy director of the National Medical Examination Center next to him, smiled and nodded. Just as he was about to speak, an old man next to him suddenly smiled and interrupted: "Mr. Guo, just now Brother Wang said that Xu Ze's acupuncture skills are very good."

In order to get it, we don’t know if we can take a look today... I wonder what you guys think?”

Hearing the old man's words, Xu Ze secretly frowned. It seemed that he, who majored in Western medicine, had come to participate in the assessment of this rookie Chinese medicine practitioner, but he had achieved such good results and had stolen the limelight from these rookies. He was indeed a bit of a celebrity...

However, when the old national players nearby heard this proposal, they naturally nodded in agreement. After all, Wang Yibo first praised Xu Ze's acupuncture skills. It would be a bit regretful if he didn't take a look at it today.

;

And it just so happens that this kid is so good today, his results are better than most of the newbies in Chinese medicine. If this kid doesn't have that ability, it can be regarded as a slight pressure on him, so that old guys like me won't be too much.

The face is dull...

Seeing that everyone agreed, Wang Laoguo player also smiled helplessly and could not object to everyone taking Xu Ze to the exam again...

Dean Guo looked at Xu Ze with a smile and said: "Xu Ze... Brother Wang is very impressed by your acupuncture skills. We are also very curious. Why don't you show it to this patient today?"

?”

Seeing the old men looking at each other with smiles on their faces, but showing no room for objection, Xu Ze could only smile bitterly, but his certificate is still in your hands, how can he not agree?

At the moment, he could only nod his head and said: "Since the senior teachers want to test me, I will naturally comply..."

The old men heard that although Xu Ze's words were somewhat dissatisfied, they did not dare to object. They all smiled smugly at each other, and then said: "Of course that's good... let's start..."

Xu Ze took a breath, knowing that if he didn't show his hand today, it would be difficult to explain. These few in front of him were all senior national players, so he had to give them some face... At that moment, he took out the phone he always carried with him.
Chapter completed!