Yang Ming was still the first in line to enter the ward.

After entering the room, Yang Ming looked at the scene inside and was slightly stunned. This time, except for the patient in the middle who was a model, the rest of the equipment was fully equipped, and there were three or four medical staff waiting nearby.

It's exactly like a real scene in the emergency room.

When Yang Ming entered, the head nurse stepped forward and handed a medical record to Yang Ming.

In order to make it easier for Yang Ming to better judge the condition, a demonstration TV was placed on one side of the room, on which the nurse selected several photos of patients.

"Doctor, half an hour ago, a 52-year-old male patient was sent to the emergency room by ambulance because he fainted in the studio. According to his colleagues, when he stood up from the table, his feet were unsteady and he fell.

He fell to the ground, but did not lose consciousness."

While reporting to Yang Ming, the nurse swiped on the presentation screen and found a few photos:

"The patient reported abdominal pain for several hours and vomited some black material, as shown in this photo."

Yang Ming looked at the photo selected by the nurse. There was a black lump of vomit on it.

"The patient has chronic back pain and buys medicine from the pharmacy. This is a photo of the medicine."

The nurse drew another photo, and Yang Ming quickly saw that it was ibuprofen tablets, a commonly used anti-inflammatory and analgesic drug.

"Are there any other symptoms?"

Yang Ming looked through the patient's vital signs report.

The nurse thought for a while and drew out two more photos, which were a bit heavy-handed.

"Vomiting blood, black stool?"

Yang Ming basically made a judgment after looking at these photos. The vital signs were:

Body temperature, 36.5°C blood pressure, 85/50, heart rate 125 beats, respiration 28 times, SaO2 96%. Physical examination showed that the patient was pale, in moderate pain, with upper abdominal tenderness, no rebound tenderness, and no guarding.

Digital rectal examination revealed melena

...

"The first question is to ask the doctor to diagnose the patient's symptoms immediately and explain the reasons."

Yang Ming nodded and calmly handed the case to the nurse: "The patient presented with syncope, vomiting blood, and black stools. This is a characteristic of upper gastrointestinal bleeding. Melena is caused by the decomposition of hemoglobin. Upper gastrointestinal bleeding, the most important thing is

The causes are peptic tract ulcers, upper gastrointestinal malignant tumors, portal hypertension, variceal bleeding, and esophageal and cardiac mucosal tear syndrome."

Yang Ming pointed to the photo of ibuprofen on the display: "Considering that the patient has been taking ibuprofen for a long time, peptic tract ulcer is the most likely cause."

"The first question is answered correctly, +2"

"Second question, the condition of the disease has worsened, please ask the doctor to carry out rescue immediately!"

Yang Ming nodded. Although he had never personally led first aid, he had experienced it many times with an instructor. After briefly recalling it, he began to issue instructions.

...

...

In the review room, the directors were very satisfied with Yang Ming's response. At least so far, his performance was perfect, calm, professional, and orderly.

The judgment of the patient's condition is also very accurate.

While everyone was staring at Yang Ming's performance on the screen, Cheng Jian's phone vibrated. When he saw the number, he frowned.

"Sorry, I have to go out."

Cheng Jian whispered to the director beside him.

"What's wrong?" Niu Bolin looked at the anxious Cheng Jian with some confusion.

"A patient's condition has relapsed, and his family members called me and asked for a check-up."

Cheng Jian was very helpless. Apparently this patient had relapsed many times, but the cause could not be found.

When Cheng Jian passed Yang Xiaodong, he explained again.

Yang Xiaodong nodded: "Go, go, the patient's condition is serious."

After Cheng Jian left, Yang Xiaodong raised his gold-rimmed glasses: "Speaking of which, Director Cheng's patient is really a headache. The cause has not been found out for several months, and the patient's family is about to make a fuss."

"Is that the little girl?" Lin Fang also thought of the patient.

"That's right, it's the girl with abdominal pain, but the cause has never been found."

"What's going on?"

Diao Xiwen suddenly became interested. After all, diagnosing difficult and complicated diseases and giving hope to patients in trouble is a very fulfilling thing, and it is enough to make any doctor curious.

"Director Lin, it just so happens that all the experts are here. If you talk about it and let everyone give their opinions, we might be able to solve the problems that have been bothering various departments for a long time."

Yang Xiaodong looked at Lin Fang, who nodded.

"This case started three months ago. When I came here, I was accompanied by a male classmate. According to the nurse at the triage desk at the time, the boy was tall, thin, and handsome. The male classmate accompanied a boy who had abdominal pain.

As a 16-year-old girl, the doctor’s natural first reaction was to do a urine pregnancy test.”

"This age group is very worrying. Even if the girl tells the doctor that she is not married, has no boyfriend, and has no sex life, the doctor will definitely not believe it. After all, little girls often lie about this kind of thing."

Several directors at the scene smiled knowingly, especially the doctors in the emergency department, who had suffered from this before. Lin Fang continued:

The boy explained that they were classmates, and the girl had a stomachache, so he just accompanied her to see a doctor. The boy was a little shy and didn't dare to look up to see the doctor.

The emergency doctor asked her how long she had been in pain.

The girl told the doctor that she had just been out shopping and then started to feel pain, which has lasted for almost half an hour now.

Moreover, the girl said that she has had pain several times this month. This is an old problem. She has had recurring pain in the past few years, but this month the pain is more frequent and lasts longer.

The emergency doctor auscultated her heart and lungs, and checked her abdomen. There was slight tenderness in the right lower abdomen, which was not too obvious, and there was no rebound pain.

The emergency doctor initially guessed that it might be acute appendicitis, but he could not rule out other possibilities. To be on the safe side, he asked her to retain urine and insisted on taking a pregnancy test.

The emergency doctor asked her again when her period ended last month.

The girl lowered her head and whispered that it was supposed to come in the next two days, but it hasn't come yet.

After hearing this, the emergency doctor firmly asked the girl to take a urine pregnancy test.

After all, for such a beautiful girl, delayed menstruation may mean pregnancy. If it is really pregnant, misdiagnosis and mistreatment will lead to disaster.

Ectopic pregnancy can cause severe abdominal pain, and many emergency doctors have suffered the consequences. It can be said that once they are bitten by a snake, they will be afraid for ten years.

Although the girl was a little reluctant, she still followed the doctor's instructions.

The urine pregnancy test came out soon and was negative.

After ruling out pregnancy, the emergency doctor asked the girl to do a B-ultrasound, including a gynecological B-ultrasound, and found no obvious problems. The appendix seemed to be a little thicker, and the gallbladder, kidneys, and ureters were all fine, with no stones.

After questioning, it was found that the girl had no history of overeating, and the pain was not mainly on the left side. It should not be acute pancreatitis. However, to be on the safe side, blood was drawn to check for blood amylase, and the results were normal.

Lin Fang continued to discuss, and all the directors were also thinking about the cause of the disease.

"Is it appendicitis?" the calm side asked anxiously.

"At first, the emergency doctor suspected appendicitis just like Director Leng, but the girl said that the abdominal pain started out as pain in the right lower quadrant. It did not mean that the appendicitis started around the navel and then moved to the right lower quadrant." Lin Fang looked calmly and replied.

.

"What is that?"

Calm is also in doubt.
Chapter completed!