Chapter 1159 The evidence is here

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 However, this book is a bit nondescript.

If you are dealing with the three basic exams in the hospital, a book like this would be perfect. If you don’t get full marks, you will get at least 98 or 99 points.

Liu Muqiao looked at the cover of the third book again, My Grandma is a Bear, Another Book.

"Histoembryology"!

This is another basic medical book, talking about tissue and cell structure.

This is also a good book, a great book that lays a solid foundation for medicine. Whoever masters "Histoembryology" will have basically solid medical knowledge at the cellular level.

But now, you should write a book on "Forensic Medicine". "Forensic Medicine" is what is needed now.

Although the "Forensic Science" released from the intermediate treasure box will not be very advanced, it is at the expert level at best. In front of the boss, it really does not have much say.

But, at least I can speak.

Let’s read the fourth book again, oh! Here we go again.

"Pharmacology"!

Pharmacology is also a good book. If a clinician can master expert-level pharmacology knowledge, then such a clinician will be quite good at using medications.

As a doctor, there are two problems, one is diagnosis and the other is medication.

Diagnosis tests the breadth and depth of knowledge. Although it is difficult, in most cases with the collective wisdom of doctors, it is not too difficult to make a more realistic diagnosis. Especially with the help of modern technology, many diseases that were very difficult to diagnose in the past can now be diagnosed

It’s much easier, even clear at a glance.

For example, cysticercosis is very difficult to diagnose without the assistance of imaging. Sometimes, only when there is an obvious history of eating raw pork and the case of eating rice-shaped raw pork can be confirmed.

A preliminary diagnosis can be obtained. In other cases, the diagnosis can almost only be confirmed during an autopsy.

Now it is simple, a CT or an MRI can confirm the diagnosis.

So, overall, diagnosis is getting easier and easier.

But medication is different. Today's drugs are becoming more and more complex. With the advancement of science and technology, there are more and more types of drugs, and it is becoming more and more difficult to clarify the clinical toxic and side effects.

There are several difficulties in using medication. First, the true efficacy of the drug requires clinical experience. Second, the interaction between drugs. Third, the mechanism of action of the drug must be remembered clearly. Fourth, the toxic and side effects of the drug must be remembered. Fifth, the drug must be remembered clearly.

Contraindications of the drug.

Medication tests the doctor’s true level.

For example, both diuretics, furosemide and spironolactone are different. The former loses potassium ions, while the latter retains potassium ions. When these two drugs are used alone, electrolyte confusion may occur, either due to low blood potassium or

Blood potassium is high.

If the blood potassium is low, the whole body will feel weak. If the blood potassium is high, it will be even more frightening. Arrhythmia is likely to occur. These are serious side effects and can kill people.

If you are proficient in pharmacology, you can use it freely.

For ordinary doctors, pharmacology knowledge can only be said to be "thoroughly learned" and "basically remembered", but if they are "skilled" or "proficient", then they are very powerful doctors.

It can be said that it is difficult for a doctor to be "proficient" and even more difficult to be "expert", because although a doctor has been a doctor for a lifetime, the diseases he is exposed to are actually only a small range, and the medicines he uses are also limited.

There are just dozens of them.

To put it more simply, the more senior doctors are, the more specialized they are, the more specialized diseases they are exposed to, and the more specialized drugs they use. Throughout their lives, they only treat those diseases and use those drugs.

Therefore, Liu Muqiao has now opened a book called "Pharmacology - Expert Level". From now on, he will be able to use it at his fingertips when it comes to guiding medication.

There is also a book.

Liu Muqiao took a closer look, hehe, is the system joking today?

A book of "Parasitology"!

Parasitic disease?

Well, I can’t say enough compliments, this is a very tasteless book.

Medical students need to learn this lesson, but it can be said that many parasitic diseases only exist in legends, and some exist abroad.

As a doctor in China, it is really rare for you to see parasitic diseases. It is very simple. Due to decades of prevention, hygiene habits and conditions have improved, many parasitic diseases that were common in the past have disappeared.

For example, ascariasis, in the past, no one was immune to ascariasis as long as they were rural children. Children who screamed in pain were mostly ascariasis. In many cases, there was no need for a doctor to diagnose, and ordinary farmers could diagnose it.

How many doctors working today have seen roundworms in their guts? If you say you have seen it, that basically reveals your age. Doctors born after the 60s and 70s may have seen it, or have suffered it themselves.
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In the past, there was a disease that was very common and very tormenting - hepatolithiasis, which required multiple operations and was almost as common as appendicitis. But now it is less common, so rare that it is almost invisible, because this disease is caused by biliary roundworms.
Roundworms are almost extinct, so what value does "Parasitology" have? Fasciolopsis has disappeared, paragonimiasis has disappeared, and tapeworms are even more legendary. However, there is still a little bit of schistosomiasis and a small amount of

of other diseases.

Tasteless.

I have opened five basic medical books. I am not lucky today and cannot open any more.

"Dr. Liu, please give a speech."

What Liu Miqiao did just now actually only lasted a minute or two. He opened five books at once, without wasting too much time.

Liu Muqiao was stunned.

People are urging me again, so I can’t do it without saying a few words.

Liu Muqiao has no words.

I looked up at the screen again and was suddenly stunned.

Cell lysis!

Li Yingzi’s cells were lysed.

This is a tissue section. A tissue section from Li Yingzi's autopsy. This is a reaction to poison. When cells are dissolved, potassium ions in the cells will be released into the blood, causing an increase in blood potassium.

The conclusion of potassium chloride poisoning is incorrect.

Let’s look at the tissue sections of Lord Viscount.

No, they are not the same poison.

Lord Viscount's cells did not dissolve.

Liu Miqiao is now an expert in pathological sections. He has expert skills in histoembryology and physiological pathology, which makes him an excellent pathologist.

Pathological biopsy diagnosis is a profound knowledge. Having several outstanding pathological diagnosticians in a large hospital is even more powerful, and the diagnostic level is guaranteed.

Liu Miqiao suddenly had this ability and became an expert in pathological diagnosis. Suddenly, he couldn't help but said loudly: "I agree with Mr. Yamashita Chuan's inference."

He stood up, picked up a laser pointer, walked under the screen, pointed at Li Yingzi's tissue sections and said: "I have evidence. Look, these are all cell fragments, that is to say, there are cell lysis.

A large amount of potassium ions were released. What does this mean? It means that Li Yingzi died not because the nurse gave the wrong medicine, but because of cell lysis and poisoning."

He looked at the entire audience, everyone was staring and listening.

Although Yamashita River proposed this hypothesis just now, there was no evidence. Now, the evidence is here.


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