Yang Ming naturally did his part and entered the ward first. After about ten minutes, a beautiful score appeared again:

First place Yang Ming 10+9=19 points

...

"Awesome, as expected of Yang Ming."

Everyone was filled with admiration. Li Yundi's face looked a little more serious this time. He gestured to Cheng Sisi and was the second one to enter the ward.

Obviously, everyone present understood that Yang Ming, Cheng Sisi and Li Yundi were in the same rank, and these two people were the only ones worthy of Li Yundi's attention.

Ten minutes later, the ranking changed again:

No. 1 Yang Ming 10+9=19

Second Li Yundi 9+8=17

...

With the first room's score base, the others will naturally not compete with Cheng Sisi for the entry sequence. Instead, they are curious about how many points she can get. The most likely person who can reach or surpass Yang Ming is Cheng Sisi.

"Then I'll go. If you can't catch up this time, you won't be able to catch up with me again."

Cheng Sisi said something pointedly to the tenement building and walked into the ward...

...

Soon, the top five favorites appeared again one by one, and the scores were as expected:

No. 1 Yang Ming 10+9=19

Second Cheng Sisi 9+8=17

Second Li Yundi 9+8=17

The fourth dish talk 8+8=16

Fourth Lu Rong 8+8=16

...

Looking at the rankings, Tanglou also had a rough estimate in his mind. The abilities of Cheng Sisi and Li Yundi almost corresponded to his own emergency comprehensive (two stars, 3). As for Yang Ming himself, if he wanted to beat him, he had to upgrade to the emergency comprehensive (three stars).

,9)

"What a monster!"

While Tanglou was secretly calculating, Wu Qian from the First Hospital took her turn to appear. She no longer had the courage to compete with Cheng Sisi, but she still did not forget to sarcastically say to Tanglou and Yunzhou who were lined up behind her: "I hope the next ward

I can still see you."

Wu Qian finally performed exceptionally and scored 8 points. Looking at the scores on the ranking list, Yunzhou was obviously a little unconvinced, and his eyes were full of fighting spirit.

"Come on! Don't put too much pressure on us. We are the representatives of the county hospital and the hope of the whole village!"

Tanglou encouraged, not realizing that he only had 6 points in the first room.

Logically speaking, with Tanglou's words, most people would think that you should take care of yourself, but Yunzhou believed it for some reason.

Looking at Tanglou: "Senior Brother Tang, I will work hard! I will go in first, and I will wait for your good results in the third preparation room."

Yunzhou's face was extremely fair, with a hint of blush. After speaking, he turned around and entered the ward.

In fact, what Yunzhou didn't say was that she originally went to the same high school as Tanglou and was a classmate one grade behind him. It was because of Tanglou that she was admitted to the same medical school as him.

Tanglou has always been her idol and role model!

The real-time rankings are updated again:

No. 1 Yang Ming 10+9=19

Second Cheng Sisi 9+8=17

Second Li Yundi 9+8=17

The fourth dish talk 8+8=16

Fourth Lu Rong 8+8=16

Sixth Wu Qian 7+8=15

The Seventh Cloud State 7+7=14

...

Then representatives from other county-level cities entered the stage, and the scores naturally became lower and lower. Even before Tanglou, 5 people were eliminated in a row.

Finally, we arrived at Tanglou. With the experience of the first ward, Tanglou had calmed down a bit.

Sure enough, after entering the room, it was pitch black again.

Shao Qing, the sound of rapid breathing appeared in the darkness, getting more and more serious...

A word appeared from far and near in the darkness: "Help...save...me, doctor...I...well...huh~huh~I feel bad...I just...ate wrong... .Hu~hu~medicine..."

This sentence could not be completed in one complete breath, so it was repeated three times.

In Tanglou's confusion, the words finally stopped abruptly, and then a bright light appeared in the middle of the ward, and a hospital bed appeared in front of Tanglou, with a female model in her 20s lying on it.

Under the processing of light effects, the model's chest rose and fell, and rapid breathing sounds continued to appear in the mouth and nose.

While the Tanglou was carefully distinguishing, a copy of the patient's vital signs was presented:

Patient: Shi Yuan, female, 20 years old

Body temperature: 36.0°Hg; heart rate 109/min, regular, breathing 24 times/min.

Oxygen saturation is 94%.

Respiratory examination showed marked generalized expiratory wheeze.

Further inspection:

When he first entered the emergency room, the patient's arterial blood gas showed pH 7.43, PO2 8.2, P CO2 4.0, and HCO3 22 (breathing room air).

Peak expiratory flow rate is 145 L/min (predicted 450 L/min).

After browsing the tenement building, a doctor was projected in the room again, and the mechanical voice asked:

First question, please give your diagnosis. What is the basis? And how do you classify the severity of the patient's condition?

...

...

In the review room, everyone was looking at the picture, but most of the directors were not optimistic about Tanglou.

"This game is much more demanding than the first game. It's not just simple memorization, but observation and analysis. Only by being calm and composed can you answer the first two questions."

"Although these two short questions only have two points, they are actually the essence of this question! Cheng Sisi and Li Yundi both stumbled on this first question."

Diao Xiwen analyzed it rigorously.

"Yes, in my opinion, this county hospital representative has a high chance of being eliminated." Niu Bolin's thick voice was full of conviction.

Yang Xiaodong also nodded. After all, 5 people had been eliminated before, and the first room in the tenement building barely passed with only 6 points.

"Moreover, the design of the first question is indeed very cunning! Everyone deducted one point for the first question, the cause of the asthma attack! Even Yang Ming is no exception!"

"I think so too. It's impossible for him to understand the mystery of these two questions." The calm baby voice agreed.

"I don't think so. Questions like this that test carefulness and mentality are not difficult for Dr. Xiao Tang. If anyone answers correctly, I guess he is the only one who can answer these two questions correctly!"

Cheng Jian's voice sounded discordantly.

"Oh? Director Cheng seems to be very optimistic about Dr. Xiao Tang." Lin Fang looked at Cheng Jian with some surprise, but when she thought of the previous scene of Cheng Sisi and Tang Lou talking and laughing, she understood the reason.

It's just that Tanglou's previous performance was quite satisfactory for a county hospital, but when compared to the likes of Yang Ming and Li Yundi, it was simply not good enough. Cheng Jian was so in love with his family that he fell in love with his family.

While everyone was arguing, in the second room, Tang Lou gave his answer.

...

...

"The patient's vital signs and rapid breathing are typical of an acute asthma attack. Asthma is an airway obstruction characterized by bronchial smooth muscle contraction and inflammation.

The cause of the disease may be:

1. Allergy triggers, such as pollen, mold, 2. Respiratory tract infections, 3. Drug triggers.”

"So the first question is asking us to find the cause of asthma. But when she first entered the ward, the patient's intermittent words seemed to imply that she had taken some unknown medicine, and she wanted to mislead that it was caused by the medicine, but it was not the case!

"

Tanglou slowly walked to the mannequin, leaned over, touched the patient's hair, and then detected a small petal and the pollen stuck to it from the messy hair.

"The patient's true cause was an acute asthma attack caused by pollen allergy."

After Tanglou finished answering, he looked at the virtual doctor again: "As for the severity of an asthma attack, it is based on objective parameters. In the objective evaluation in the emergency room, there are the following major indicators. As long as any one of the symptoms is present, it can be determined to be an asthma attack.

Acute and severe patients:

1. Peak expiratory flow rate (PEFR) is 33%--50% of the optimal value or predicted value

2. Respiratory frequency ≥25?/min.

3.Heart rate ≥110/min

4. Unable to speak a complete sentence in one complete breath, that is, unable to finish a sentence in one breath.

At first glance, it seemed that the patient's vital signs had not reached the first three points, and it seemed that he had moderate asthma, but in fact it was not the case. At first, I was still wondering why he repeated that incoherent sentence before entering the room.

Does it imply taking some unknown drug?

Wrong, its own incoherence is the key to the problem!

That is, the patient cannot speak a complete sentence in one complete breath. Therefore, it meets the fourth point, which further confirms the pollen allergy. My answer is that the patient has acute severe asthma caused by pollen allergy."
Chapter completed!