Chapter 197 It’s over, Xu Qiu’s judgment was completely wrong!

There is no mention of diphtheria at all.

Not only that, but it also involves leukemia and an inexplicable immune disease?

"What kind of diagnosis is this!"

The examiner cursed in frustration, glanced at the test paper number, and his face suddenly changed.

Number 7...

The team Xu Qiu is in!

This is nonsense, diphtheria is a free point question, if you don't guess diphtheria, will the points be thrown away?

Qiu Qingwen saw that the examiner's expression was not right, so he came over to take a look, frowned, and said: "Xu Qiu is being smart - he thinks diphtheria will not be sent for examination, so he doesn't write diphtheria?"

The examiner didn't say anything.

It is obvious that diphtheria cannot be ruled out. Xu Qiu did not write this preliminary diagnosis. In addition to Qiu Qingwen's guess, is there any other explanation?

Could it be that Xu Qiu can really reject diphtheria at a glance?

Even the director of Union Hospital can't do it!

The examiner frowned: "The other examination items are also wrong, only the blood routine is guessed correctly."

He sighed.

After all, I overestimated Xu Qiu...

The clinical thinking of the director of Union Hospital is almost the benchmark of the medical community and the highest requirement for doctors.

Xu Qiu is completely different from the director of Union Hospital, which is enough to show that his clinical diagnosis ability is a mess, or even shabby!

"It can only be considered as a chance... leave it ten points."

The examiner sighed deeply.

In this assessment, Xu Qiu and his team are finished.

The other teams basically scored 80 or 90 points, and there was even a full score answer sheet.

And Xu Qiu only scored 10 points in the first round, how could he win in the next few rounds?

One wrong step, all wrong steps!

...

While scoring, the corresponding examination reports were also sent to each group.

Union Hospital had already done various examinations, which was equivalent to reporting the results at that time to these doctors, allowing them to continue to diagnose based on the current examination results.

Of course - doctors also have the right to request the latest examination results.

However, if the examination is requested, but no valuable information is obtained - then the final score of this round of assessment will be directly deducted by ten points.

Therefore, no one did this.

For patients whose disease course has dragged on for several months and has not changed much, the test results in the short term will not change much, so there is no need to do it again.

Xu Qiu also received the lung CT, serum alanine aminotransferase and blood routine tests he requested.

The lung CT did show abnormalities.

There were small nodules in both the left and right lung lobes, but they were not serious, and there was no widespread lung infection.

However, there was atelectasis and pneumonia.

The serum alanine aminotransferase was also abnormally elevated, which means that the patient had liver cell damage, but judging from the magnitude of the increase, the degree of necrosis was not high.

The patient did not show obvious yellowing of the skin or yellowing of the sclera, but was only slightly waxy yellow - this can also prove that the liver function was damaged, but not serious enough.

The blood routine showed mild normocytic normochromic anemia, moderate increase in white blood cells, and increased erythrocyte sedimentation rate.

Xu Qiu's eyes were stern.

So far, leukemia has been ruled out!

If it is leukemia, the blood routine will treat leukemia cells as white blood cells, and will eventually indicate a high increase in white blood cells.

Moreover, even if it causes anemia, it should be normocytic anemia.

In this case...

The only answers left for Xu Qiu are opportunistic pathogenic bacteria infection and immune diseases.

At the same time, the second round also began.

This round is to confirm the next step of treatment based on the results of each examination.

Of course, you can also ask for another physical examination of the patient.

However, except for the ten minutes of the first round, each subsequent physical examination must obtain valuable information - otherwise, points will be deducted in the end.

Soon, each group began a fierce internal discussion.

There were also groups that applied to enter the clinic for another physical examination.

Two hours later, the second round of answers were submitted.

Most of the groups chose diagnostic treatment, such as medication for certain drug-resistant bacteria, multi-drug-resistant bacteria, or anti-tuberculosis drug therapy.

Of course, various examinations will also be used.

But there is an outlier among them.

Number 7, Xu Qiu!

After learning that patient Wang San had previously used hormones and had little effect, Xu Qiu did not stubbornly believe that drug-resistant bacteria had developed.

Instead, he examined the patient again.

This time, Xu Qiu really found something abnormal.

Before that, everyone, including himself, was attracted by the patient's horrible oral damage and the surgical wound on his waist.

Therefore, the focus of the examination was on the chest and abdomen.

During the second physical examination, Xu Qiu unexpectedly found that the patient's ears were a little red. When he got close to check, he smelled a smell. Through the light exploration, he saw that the patient's external auditory canal was inflamed, with a lot of cerumen and a gray-black color.

"Does the ear hurt too?" Xu Qiu asked.

Wang San nodded, and then showed a sympathetic look.

He now roughly guessed the process of the assessment. The director of Union Hospital didn't care about the ears, but this young doctor kept nagging about it - it was a waste of effort!

Not far away, Qiu Qingwen and the chief examiner also shook their heads in disappointment.

It seems that Xu Qiu is really only suitable to be a surgeon - his diagnostic ability is terrible.

Li Xue, Yun Mei and others saw the eyes of the patients and examiners, and they were a little panicked.

However, there was still one person on the field who remained calm.

Wang Shengde!

He looked at Xu Qiu resolutely, his face firm.

Although his focus is different from Director Xiehe,...he believes in Xu Qiu who is always creating miracles!

This is the trump card of Linhai First Hospital. If Wang Shengde dares to let him randomly pick a group of people to participate in the competition, it is doomed. This dean has already poured all the hopes of Linhai First Hospital into Xu Qiu.

At this moment, there is only unquestionable trust!

…

"Take out the cerumen." Xu Qiu said in the consulting room.

Cerumen is actually the medical term for earwax.

Director Xiehe didn't care, and neither did the other doctors. Xu Qiu also noticed that everyone on the scene was looking at something wrong, but he had no intention of wavering.

After personally removing the cerumen from Wang San, Xu Qiu looked inside the ear canal again.

The next moment, his pupils shrank.

Under the cover of a large amount of cerumen, there is deformed cartilage.

besides,

Deep in the patient's external auditory canal, close to the tympanic membrane, there was a small bulging blood blister.

There is pus and blood inside!

"How long?" Xu Qiu asked.

Wang San didn't care much and said: "I don't know, I've always had it. I've had a lot of earwax since I was a child. Because of this, I can't wear headphones, otherwise they will be scrapped in two days..."

Seeing that the patient was about to mention that his girlfriend broke up because of this, Xu Qiu quickly interrupted him and regained the initiative in the consultation.

"Do you usually feel out of breath?"

"I haven't noticed. I've been tortured to death by this disease recently. I barely moved in bed and didn't know if I was breathing or not."

"In the past, when I was exercising."

"Sports? I wasn't very good at physical exams when I was in school. I failed the 1,000-meter test. I had to run for more than six minutes!"

"..."

Here, Xu Qiu is conducting targeted consultations.

But the examiner, Qiu Qingwen and others were confused.

It's all about nothing. It's just an unimportant inflammation of the ear canal. Why does it involve physical examination and exercise?

but,

Just when no one understood, Xu Qiu stopped asking and stood up.

A relaxed expression appeared on his face.

Maybe - the final diagnosis is coming.