Generally, percussion and auscultation of the chest are relatively common test points, so Zhou Bobo talks more here, but he talks about so many things that it is very easy to remember and get confused.
Zhou Bobo looked at everyone and said, "Actually, these things are not as complicated as you think, they are very simple!"
"When percussing the lungs, why are there different sounds, such as voiceless, solid, tympanic, overvoiced, and voiced!"
"What is voiceless sound? It means that the normal lung tissue contains air, but there are organs blocking it outside. When percussed, the sound is emitted. What is voiceless voice? It is because there is too much gas in the lungs, which expands the lungs.
, the air content of the lung tissue increases, the elasticity weakens, and it becomes hypervoiceless when it is pressed up. This is common in patients with emphysema. When you see this kind of patient clinically, it is a typical barrel-shaped chest, the same width from front to back and left to right."
"And what is the tympanic sound? It is a lung leak. The air comes out of the lung tissue and enters the chest cavity. It makes a sound like a drum, which is the tympanic sound. This disease is called pneumothorax! The air is in the pleural parietal layer.
A drum is formed between it and the dirty layer, isn’t it very simple?”
"So where does the dullness come from? It must be due to lack of air, such as pneumonia, etc., which causes the air content of the lungs to decrease."
"Solid sound means less air, such as lung parenchyma, or a large amount of pleural effusion. In this case, when the air is gone, it becomes solid sound."
………………
Zhou Bobo's explanation was very vivid. Not only Bai Ye, but also everyone around him showed relaxed expressions.
In fact, medicine is a highly logical subject, and this is true for both Chinese and Western medicine, which examines the skills of transformation based on logical thinking.
Especially modern medicine, diagnosis and treatment are based on physics and chemistry.
Seeing that everyone was almost ready, Zhou Bobo said to Bai Ye: "The model is not enough. Bai Ye, take everyone to the training classroom and practice with each other in groups. Boys will go to 1102 and girls will go to 1103. Let's practice hard and get in shape."
Although the examination is very simple, it is very basic. If you don’t know how to read it, be active. Team up in pairs, one person will be the model, and the other person will practice. This way, both of you can remember it more clearly!"
After the grouping was completed, a boy was left alone without a companion. Bai Ye saw this and took the initiative to walk up.
"We can work as a team." Bai Ye greeted with a smile.
The man was stunned for a moment and then breathed a sigh of relief. So many people had companions, but he didn't. It was very embarrassing. Fortunately, Bai Ye came to the rescue: "Okay, then... I will be a model first?"
Bai Ye shook his head: "No, you have to take the exam. I'm an intern. You come first. I'll be the model."
With that said, Bai Ye lay down on the single bed where the physical examination was held.
I have to say that you won’t have an intuitive feeling about everything just by hearing about it or watching it. After you actually do it yourself, you will find that you will encounter all kinds of things.
However, it was a good thing to expose the problem as early as possible. Bai Ye was so busy that when get out of class ended at six o'clock in the afternoon, Bai Ye finally wrote down these things.
The man who was his companion was faster than Bai Ye. After all, he was transferred to a clinical department during his training and growth period, and his basic skills were relatively solid.
When Bai Ye made a mistake, the man also took the initiative to remind Bai Ye and teach him some tips.
In the past few days, Bai Ye followed this group of regular training troops and mingled in various lecture groups every day. Within a week, Bai Ye basically mastered these common practical skills such as physical examination, cardiopulmonary resuscitation, four major punctures, and consultation.
On March 31, when Bai Ye was performing cardiopulmonary resuscitation on the simulator, suddenly the system beeped.
[Ding! Western medicine diagnostic skills have been upgraded to lv2!]
Bai Ye was overjoyed. He didn't expect that after these few days of study, his diagnostic skill level had actually improved.
Indeed, Bai Ye has benefited a lot from the fact that when he attends classes with regular trainees every day these days, the teachers will explain some common clinical diagnosis and treatment.
At least for now, it seems that his practical skills won't be a big problem. As for the written test, Bai Ye doesn't seem to be too worried.
Bai Ye has also been preparing for the final interview recently. He searched for interview tips on the Internet and hoped that he would not suffer a big loss from this.
Just when Bai Ye was about to get off work, his cell phone rang. Bai Ye picked it up and saw that it was Mr. Tu!
Bai Ye quickly found a deserted place and answered the phone.
"Teacher Tu? Hello."
"Well, Bai Ye, is it convenient? I have some good news for you."
Bai Ye was stunned, good news? Then he found a deserted corner and walked: "Well, Teacher Tu, it's convenient, you say."
Tu You smiled: "Various polycarboxylic artemisinin has achieved remarkable results in experiments recently. We sent the samples to the World Health Organization Anti-Malaria Group Experimental Center. After experiments and analysis, the other party has basically determined
In terms of research direction, we may start animal experiments next.”
"You have made a great contribution this time! I have already agreed to my application to add you to the top seven projects. They also said that this time the mutated artemisinin has achieved significant results, and you will be invited to participate in this year's academic exchange meeting.
.The electronic version of the invitation letter has been sent to your mailbox, please check it. A formal invitation notice will be sent to you after a while."
When Bai Ye heard this, his eyes suddenly lit up. An international exchange conference like the WHO is equivalent to the pinnacle annual meeting of the academic community. It is very rare to have such an opportunity!
Moreover, there will be a large number of academic, scientific research, and clinical experts coming to participate. There will be countless collisions and exchanges of ideas. Bai Ye got a little excited just thinking about it.
"Teacher Tu, thank you so much. Besides, this is the result of everyone's joint efforts. Please don't praise me."
Tu You also laughed happily: "Young man, you should be proud when you should be proud. If it weren't for you this time, the subject center might have canceled our project this time. By the way, I will give it to you.
Send a link via WeChat, but you need an external network to log in."
Bai Ye quickly said: "Mr. Tu, please send it over. Daisy and the others have already set up my mobile phone to connect to the external network."
After chatting for a while and hanging up the phone, Bai Ye opened WeChat and found a link.
After Bai Ye opened it, there was a section of the anti-malaria team on the official website of the World Health Organization. There was a message announced in it:
"With the efforts of Tu You's artemisinin team, artemisinin has been further improved... The value of polycarboxylic artemisinin has been successfully identified and animal experiments have been conducted. The nckkb plan will shift the focus of the project to experimental teams like Tu You,"
Bai Ye took a quick look and found that the experimental team had preliminarily determined the efficacy through various experimental analyzes of polycarboxyartemisinin and its response to malaria parasites. The next step was animal experiments.