"Host, please open the expert-level 'Pediatric Diagnosis and Treatment Technical Guide'."
A golden box hung in front of Liu Miqiao's eyes.
Liu Miqiao reached out and opened the virtual box, and a silver book appeared with "Technical Guidelines for Pediatric Diagnosis and Treatment" written on it.
The book is turning pages automatically.
It's so thick. This book is more than a foot thick, and it's a large 8-karat book.
Liu Muqiao was so excited. He had long hoped to get a pediatric diagnosis and treatment book, and now he finally got it, and it was a big book with tens of thousands of pages.
Expert level.
That’s it.
Although experts are not as good as masters, there are no doctors who can be called experts in Antai.
A high professional title is just a professional title in many hospitals. There are too many deputy directors and chief doctors. They are experts in their professional titles, but their level is not flattering. Even they themselves feel guilty and dare not
Call yourself an expert.
The pediatric department of Antai Hospital is very average, with many patients. Yes, most of them are common diseases such as colds, diarrhea, bronchopneumonia, and nephrotic syndrome.
The pages of this silver book were turning rapidly, and countless pieces of information were constantly filling Liu Muchiao's mind.
It took three minutes to create a book over a foot thick.
From the outside, Liu Muqiao thought for three minutes.
This should be considered a long test.
In the Go game, thinking for more than 20 minutes is called a long test. Back then, Wu Qingyuan thought for 36 hours about a move.
As a teacher asking questions and students answering, three minutes is a very powerful long test.
Show off!
Just pretend and see if you can come up with a reasonable answer.
Cool!
So classy!
……
The trainees' thinking is very active, and they all commented differently on Liu Maqiao's failure to answer questions for a long time.
Three minutes later, Liu Muqiao answered.
"I think the child has fungal meningoencephalitis."
A Ling was slightly shocked, what? Fungal meningoencephalitis? How is it possible? I just went to the doctor yesterday and no one mentioned this problem.
However, she subconsciously felt that this diagnosis was reliable.
"Tell me why."
"During the physical examination, the sick child showed mild meningeal irritation and pathological signs, which are difficult to detect by accident. This is an important diagnostic idea."
Yes, that's right, Liu Miqiao mentioned during his physical examination that he had a sense of resistance in his neck, but it was not obvious. The physical signs were between positive signs and negative signs. In addition, the vertebral signs were also weak Yang.
A Ling thought for a while.
She has a new idea in her mind, and she has to report it to her superior doctor.
She made a call to the director and told Liu Miqiao that he thought the patient had fungal meningoencephalitis.
Who knows, what I got was: "Nonsense!"
A Ling is very aggrieved.
But she understands.
This patient had been consulted yesterday, and all these diseases were ruled out. There is no conclusion on the specific disease, but the diagnosis of fungal encephalitis is absolutely impossible.
Now when an intern proposes this diagnosis, of course she will say "nonsense". Guess, you shouldn't have guessed this aspect either.
Diagnosis is to "check the cause of fever".
There are too many such patients, as many as colds. The final discharge diagnosis for most cases of fever is still "fever."
This is not surprising.
After treatment, the fever will be gone.
A Ling thought for a while, then turned around and asked: "Liu Miqiao, do you insist on your diagnosis?"
"It's not a question of whether you insist or not, but it's what it is. You can check the cerebrospinal fluid." Liu Miqiao said.
"Yes, routine cerebrospinal fluid culture plus culture!" A Ling made up her mind.
The interns at Qingjiang University were jubilant.
Now you can practice lumbar puncture on a real person.
Originally, I was only going to do a physical examination today, but I didn't expect to have an unexpected gain. I could see the lumbar puncture of a living person instead of the one on the model.
Or Liu Muqiao demonstrates.
Looking forward to it!
Yesterday, someone said that Liu Muqiao knew hypnosis, so he should be able to use it, right?
A-ling took the lead, talking to the family members and signing signatures.
Liu Muqiao arrived soon after holding a treatment tray.
My family members are very cooperative. I have had a fever for 20 days, so I can’t do it without cooperation.
"Brother will give you a check-up. I'll put you to sleep first. When you wake up, everything will be done." Liu Muqiao said.
"Doctor, are you going to give my child general anesthesia? We don't want to do it, for fear of affecting his intelligence." The patient's family is willing to have a lumbar puncture, but not general anesthesia.
Liu Muqiao smiled slightly, pushed up his glasses, and said, "Don't worry, I won't use anesthesia. I just let him fall asleep so that he won't be afraid. Adults don't need to sleep."
After saying that, Liu Muqiao held the invisible melon resin in his right hand and waved it in front of the child's eyes, "Go to sleep, go to sleep."
All the trainees held their breath, they wanted to see the real effect of this spell.
Oops!
Oops!
Oops!
Behind him, there was a cry of exclamation.
The child struggled hard for three seconds and fell asleep deeply.
"Ding!"
"Ding!"
"Ding!"
Three yellow boxes were awarded in a row. Junior treasure boxes.
Not open!
Save it for one-time use!
It is possible to get intermediate items by opening it once.
Liu Muqiao reached out and put away the three boxes in front of him.
"Teacher, did you click three false points just now to increase the effect of hypnosis?" The girl just now raised her hand high and asked directly.
Her hope was rekindled, and her male god was back - the long exam just now, Liu Miqiao's pictogram was back.
What Liu Muqiao did just now was indeed a bit strange.
This is the second time someone has spotted it.
"It doesn't make any sense to get used to actions." Liu Miqiao replied.
"Teacher, that's cool!" the other female student said loudly.
“It’s very ceremonial.”
"Isn't it witchcraft?"
……
There was another discussion.
Liu Muqiao waved his hand, everyone is quiet, I am going to start the lumbar puncture demonstration.
From the beginning of positioning to the collection of cerebrospinal fluid, Liu Miqiao explained and demonstrated clearly step by step without any rush or delay.
Then, there was another round of admiration.
Aling took the cerebrospinal fluid and went directly to the laboratory. She was so eager to get the answer.
Although she did not support Liu Miqiao's diagnosis rationally, subconsciously, she hoped that Liu Miqiao was right.
She remembered her conversation with Zhao Yilin.
"Liu Muqiao is a very mysterious person, he seems to be omnipotent."
But in reality, A Ling felt that apart from being good at punctures, physical examinations, and debridement and suturing, Liu Muqiao was no different from ordinary interns in other aspects.
If Liu Muqiao's diagnosis this time is correct, then what Zhao Yilin said is correct.
Xiao Yu in the laboratory stopped what he was doing and gave priority to helping A Ling.
Who says it’s not an era of facial recognition?
A Ling is quite happy everywhere, even Xiao Yu in the laboratory helps A Ling do microscopic examination of her specimens.
"Microscopic examination and culture." A Ling said.
"Oh, there is no need for culture. Fungal infection and Cryptococcus neoformans infection. I saw two of them directly." Although Xiao Yu said this, he continued to culture. This is a procedure and a business.
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