Chapter 50: Fireworks with a knife

Seeing the old man's coughing and shortness of breath, Xu Ze roughly estimated what the disease was, so his heart was also determined. If they were all such obvious patients, then even if there were twenty, it would not be too much. The hard thing should not be easily caused by electric shock; thinking of the ecstasy of the electric shock, Xu Ze couldn't help shivering.
　　First of all, through detailed consultation, this old man has a history of smoking for decades, and in the past five or six years, cough and sputum frequently occurred in the second quarter of winter and spring. In the past two years, he began to have shortness of breath.
In terms of physical examination, the patient opened his mouth to breathe and his lips were cyanotic, which is an obvious manifestation of hypoxia; carotid arteries distended, bilateral thoracic enlargement, widened intercostal space, low breath sounds in both lungs, and obvious blisters Sounds and wheezing, this should be caused by bronchitis and infection, and emphysema. Not only is there a problem with the lungs, but the heart appears to be enlarged by percussion.
Xu Ze thought about it. Although he hasn’t studied internal medicine systematically in school, the internal medicine taught by the knife recently clearly introduces this situation. He has a cough and dyspnea, and has cyanosis. On physical examination, it is obvious that there is chronic bronchitis and emphysema, and if the heart is enlarged, you must consider pulmonary heart disease.
　　Thinking of this, Xu Ze initiated X-ray fluoroscopy and further examined the patient's lungs.
　　The apparent air permeability of both lungs is increased, most of them are dark gray, and the shadow of the patch can be seen. The heart is much larger than the heart of ordinary people.
　　 Now Xu Ze made the diagnosis clear and confidently pointed to the small knife next to him: "The diagnosis considers chronic bronchitis and infection, obstructive emphysema, and pulmonary heart disease, right?"
Seeing Xu Ze's complacency, Xiao Dao chuckled, only to see a flash of electricity, Xu Ze changed his face, exclaimed, and then fluttered involuntarily, his hair was once again made free by the knife A firework was hot and it was very hot.
　　Feeling the unforgettable taste of numbness, Xu Ze shuddered his lips and looked angrily at Xiaodao: "Xiaodao, what are you doing? Obviously I got it right!"
　　 looked at Xu Ze's face with anger, Xiaodao shrugged, and smiled lightly, saying: "You answered correctly, but you still have a comprehensive answer."
"As a doctor, have you forgotten what is a comprehensive physical examination? What is carefulness?" Xiaodao's disdainful face taught him: "These diagnoses can be analyzed by anyone, but you forget, You didn't measure blood pressure with him just now. His actual blood pressure is 180/120mmhg. Did you say you made a huge mistake?"
"Uh..." After hearing the words taught by the knife, Xu Ze had nothing to say at this time. He was really careless just now, thinking that the diagnosis was very simple, he just carelessly forgot to take the step of blood pressure measurement, and now it is only low. Started, convinced and authentic: "Hypertension level 3 (very high-risk group) should be added; yes, this time I was wrong."
　　 "Hmm..." Xu Ze humbly accepted, and Professor Xiaodao nodded in satisfaction, then continued: "Okay, continue to talk about his treatment plan."
　　Xu Ze was more serious this time. After thinking it over carefully, he said carefully: "Give continuous low-flow and low-concentration oxygen delivery, and give anti-infection, reduce phlegm and cough, relieve spasm and relieve asthma, improve pulmonary circulation, treat blood pressure..."
　　 "Specific medication?"
Hearing the words spoken by the knife, Xu Ze was finally relieved. It seemed that he was right, and quickly continued: "Antibiotics now generally use cefoperazone sodium plus oxacillin, and give them aminophylline, mucotan, antispasmodic. Phlegm and cough, dopamine and liqidine improve pulmonary circulation, and use boidine to lower blood pressure.
Fortunately, Professor Xiaodao was extremely satisfied with his answer this time and nodded and said with a smile: "Well... yes, let's start the formal treatment!" Then, with a wave of his hand, Xu Ze had an additional light board and a doctor's order in front of him Laser pointer.
　　Since Xiaodao has already approved his treatment plan, Xu Ze will now prescribe his doctor's orders with confidence. As long as the general direction is good, there shouldn't be too many problems with this.
　　As Xu Ze finished all the doctor's orders, Xiaodao nodded with a smile, pointing at the old man in the middle and said: "Okay... Now let's take a look at your treatment on the first day, you go to check again."
　　Xu Ze stepped forward, and the old man now had obvious changes compared to the previous one. His anxiety began to ease and his lips did not become cyanotic. This time Xu Ze had confidence and the treatment effect seemed to be good.
After a more careful examination, it was confirmed that the rales in the lungs decreased and the blood pressure dropped to 150/90mmhg. Then he nodded at the knife and said: "The treatment is effective, the patient is better. It is recommended to add 10 mg of nitrendipine three times a day. In conjunction with lowering blood pressure, other treatments continue."
　　 "Well... well, according to your treatment plan, let's take a look at his treatment after the next day..."
"Improved shortness of breath, no cyanosis of the lips, decreased lung rales, and blood pressure is controlled at 130/70mmhg. The treatment effect is good..." Xu Ze lowered his heart, and it seems that his treatment plan is very effective. There is no need to be shocked.
　　 Xiaodao nodded in satisfaction, then said: "Good next..."
As the voice of the knife fell, the old man in the middle of the room suddenly changed, but turned into a young man. Xu Ze stepped forward and began to check. This time he was more careful and did not dare to have any care. .
Still the most important thing is to ask a doctor. Young people say that they have a lot of bowel movements recently, and they are all tarry. This situation has been more than ten days, and these two days I feel that people have no strength and have a little activity. Promote the situation.
　　When Xu Ze heard these things, he got a sense of heart and began to check. During the inspection, the young man's complexion was pale, with anemia, rapid heartbeat on auscultation, and tenderness on palpation of the upper abdomen.
　　 This time Xu Zeke had some considerations. Obviously this is a patient with gastrointestinal bleeding. After some consideration, he proposed a treatment plan and further examination to make Xiaodao very satisfied.
In this way, after spending four hours, all 20 patients of various types were finally treated. At this time, Xu Ze's hairstyle was also very avant-garde. After being shocked four or five times, he was full of head. The hair became a broom head like Sun Wufan.
Xiao Dao nodded unexpectedly. He was surprised that Xu Ze could pass the border once. He had diagnosed all 20 patients and completed the treatment of all virtual patients, and the results were not bad. He originally planned to spend Seeing them for a few days, it is possible to let Xu Ze reach the standard, but this time is comfortable.
　　 finally smiled a little, and said: "Yes, look alas, this month's learning effect is good, and today you count as a smooth pass..."
　　 "Work hard, I think your primary energy cycle has reached eight laps, and then stick to it, try to break through nine laps in these few days, and advance to the first level. You won’t have to work so hard at that time."
　　 It's just that Xu Ze was not at all happy at this moment, just trembling his hand and touching his hair, his face full of resentment, and the dark road was okay. This is just like the virtual space. If you go out or this hairstyle, you might as well commit suicide...
After going out, Xu Ze was puzzled by the strange behavior of Xiaodao today. Finally, after thinking about it, he finally figured out the purpose of training himself like this with Xiaodao. If you look at this, if you don’t advance to the first level, I don't know what will happen to the knife next.
So ~EbookFREE.me~ Xu Ze was very desperate early this morning, driving the energy cycle desperately, while urging and secretly saying: "Why don't we break through the nine circles today, and don't know if we will arrive at night There will be miserable yesterday."
　　Thinking about the taste of being shocked by those electric shocks last night, Xu Ze was still trembling all over this time, and he gnashed his teeth and dared not think again.
Feeling that the air current in Qihai was fully driven under his own urging, Xu Ze could not be more distracted at this time, inspiring all the spiritual power, and pushing the airflow forward. The past experience told him that this airflow As long as there is a lap in a run, it is extremely easy to reach this lap in the next run.
Now he has reached eight laps for a few days. Every time he runs to the ninth lap, he is still a little bit worse. This time he is going to hit the nine laps. If he can successfully pass the level, then advance to one. Level will be extremely easy. Because the physique is now F-class when it is genetically optimized, the meaning of the knife in medicine should not be too much. It should be only this.
　　 "I hope it will succeed, we don't want to continue being abused by the perverted knife today." Xu Ze expected so.
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