Chapter 153: 【153】Sometimes the patient's family is more nervous than the patient

  Chapter 153 [153] Sometimes the patient's family is more nervous than the patient

   "Okay, you said her arrhythmia, which part of the electrocardiogram showed the problem?"

   Zhao Zhaowei frowned and recalled the ECG of the patient he had just seen: "Yes, there is more than one P wave, this is—"

   "What is it?"

   "Sinus arrhythmia?"

   "Do you think she has a sinus arrhythmia? Make sure."

   Zhao Zhaowei wanted to cry again. Even this textbook of internal medicine in diagnostics does not seem to explain the electrocardiogram in such a detailed manner.

   "Teacher, I won't." Zhao Zhaowei conceded again.

   "You can't read the problems in the electrocardiogram when you make it, what do you think is the situation?"

   "It was me who was wrong." Zhao Zhaowei surrendered for the third time.

   Dr. Lin turned his head and asked Xie Wanying, "What do you think?"

"It is very common to have an ECG but not be able to read the problems in the ECG, because many heart diseases are hidden, and if you want to draw a conclusion, it is impossible to determine only by an ECG. Furthermore, the ECG itself will be subject to a lot of objective The influence of factors. For example, the patient's mood. Like this female patient, it is obvious that the respiratory sinus arrhythmia is a common manifestation of adolescents. Nervous. But you must know that the patient's chief complaint is that he was sent to the emergency room because of palpitation and dizziness, and other diseases cannot be easily ruled out."

   After listening to Xie Wanying's words, Zhao Zhaowei remembered: "Yes, it's not that there is more than one p wave, it's that the pp interval is prolonged."

  Dr. Lin certainly knew that sinus arrhythmia was right, otherwise he would not have questioned the students. He focused on Xie Wanying's last sentence: "What other possibilities do you think could cause her to faint?"

"In addition to other cardiac examinations, first do blood tests to rule out abnormal thyroid function, rule out blood potassium problems, and rule out whether any drugs she has taken have affected her body, so let's do a comprehensive examination. "Speaking, Xie Wanying looked at the patient, and really didn't feel that the female student had a particularly big problem. If there is a problem, maybe the parents of the female students standing outside have some physical health problems because they are getting older.

  Doctor Lin knew from her expression, smiled and walked away. Basically, Xie Wanying agreed with his judgment.

   High school seniors, parents are always more nervous than students. Therefore, Xie Wanying is right, helping the patient to do a complete face-up examination is also responsible for the parents who are too nervous.

   Seeing that the teacher was gone, Zhao Zhaowei and Xie Wanying walked over to the side, wiping their sweat: "Yingying, you will—"

   "Otherwise, I will avoid staying with you in the future." Xie Wanying also knew that her rebirth had an advantage over Zhao Zhaowei, which was unfair to Zhao Zhaowei and the others.

Who would have thought that as soon as she said this, Zhao Zhaowei grabbed her hand and begged: "No no no. You must not do this. You must know that I have been in the neurology department for the past two days, and I have no chance to do it at all. I don't know what I'm doing wrong at all. Because the teacher can't cheer up when he sees me."

  The clinical teachers are not like the ones who teach in the classroom. Most of them are too busy to see patients on weekdays, and they have not received pedagogical training and have no eloquence. If you tell the students two sentences and find that the students do not understand, they will definitely stop talking. If you talk about it, it is tantamount to talking nonsense. To get clinical teachers to speak more, at least at the level of Xie Wanying.

  Dr. Lin was willing to talk more because Xie Wanying made him feel the same academic atmosphere as his colleagues, which made him feel good.

   Dear, it will be on the shelves tomorrow. It will also be updated at 9 o'clock tomorrow night. There may be more updates at once, thank you dear!

  

  

   (end of this chapter)