Chapter 197 It's Over, Xu Qiu's Judgment Is All Wrong!(1/2)
There is no mention of diphtheria at all.
Not only that, but it also involves leukemia and an inexplicable immune disease?
"What kind of diagnosis is this!"
The examiner cursed angrily, glanced at the test paper number, and his expression suddenly changed.
No. 7...
Xu Qiu’s team!
This is nonsense. Diphtheria is just a question. If you don’t guess diphtheria, the points will be thrown away?
Qiu Qingwen saw that the examiner's expression was strange, so he came over to take a look, and also frowned, saying: "Xu Qiu is just being smart - he thinks that diphtheria will not be sent to the assessment, so he doesn't write about diphtheria?"
The examiner said nothing.
Obviously diphtheria cannot be ruled out, but Xu Qiu did not write down this preliminary diagnosis. Is there any other explanation besides Qiu Qingwen's guess?
Could it be that Xu Qiu can really reject diphtheria at a glance?
Even Director Xiehe can’t do it!
The examiner said with a sullen face: "Other examination items are also wrong, only the blood routine is correct."
He sighed.
After all, I still overestimated Xu Qiu...
The clinical thinking of Director Xie He is almost the benchmark in the medical field and the highest requirement for doctors.
Xu Qiu is completely different from Director Xiehe, which shows that his clinical diagnosis ability is a mess, and can even be said to be shoddy!
"You can only count it as a correct one...leave it ten points."
The examiner sighed deeply.
In this assessment, Xu Qiu and the others were finished.
The other teams basically scored 80 or 90 points, and there was even one perfect answer sheet.
Xu Qiu only had 10 points in the first round. How could he win in the subsequent rounds?
One wrong step, one wrong step!
…
At the same time as scoring, the corresponding inspection reports were also sent to each group.
Concorde has already done various examinations, which is equivalent to reporting the results to these doctors, allowing them to continue making diagnoses based on the current examination results.
Of course - the doctor also has the right to request the latest test results.
However, if an inspection is requested but no valuable information is obtained - then ten points will be deducted from the final score of this round of assessment.
Therefore, no one did it.
For patients whose disease has been delayed for several months without much change, the test results will not change much in the short term, so there is no need to do it again.
Xu Qiu also received the lung CT, serum alanine aminotransferase and routine blood tests he requested.
The CT scan of the lungs was indeed abnormal.
There are small nodules in both left and right lung lobes, but they are not serious and there is no extensive lung infection.
However, there is atelectasis and pneumonia.
Serum alanine aminotransferase also increased abnormally, which meant that the patient had liver cell damage, but judging from the magnitude of the increase, the degree of necrosis was not high.
The patient also did not show obvious yellowing of the skin or jaundice of the sclera, just a slight sallowness - this can also prove that the liver function is damaged, but it is not serious enough.
Routine blood tests revealed mild normocytic normochromic anemia, moderately elevated white blood cells, and elevated erythrocyte sedimentation rate.
Xu Qiu's eyes narrowed.
At this point, leukemia is ruled out!
If it is leukemia, the blood test will regard the leukemia cells as white blood cells, and will eventually indicate an increase in the height of the white blood cells.
Moreover, even if it causes anemia, it should be normocytic anemia.
In this case...
The only answers left in front of Xu Qiu were opportunistic bacterial infections and immune diseases.
At the same time, the second round also began.
This round is to confirm the next step of disposal based on the respective inspection results.
Of course, you can also request another physical examination of the patient.
However, except for the first ten minutes, every subsequent physical examination is required to yield valuable information - otherwise, points will be deducted in the end.
Soon, each group began intense internal discussions.
Some groups also applied to enter the clinic for another physical examination.
Two hours later, the second round of answers was submitted.
Most of the groups have chosen diagnostic treatments, such as medication against certain drug-resistant bacteria, multi-drug-resistant bacteria, or anti-tuberculosis drug therapy.
Of course, we will also assist with various inspections.
But there is an outlier in the middle.
No. 7, Xu Qiu!
After learning that the patient Wang San had used hormones before, with little effect, Xu Qiu believed that drug-resistant bacteria had developed.
Instead, check up again.
And this time, Xu Qiu really discovered something unusual.
Previously, everyone, including himself, had been attracted by the patient's horrific oral damage and the surgical wound on his waist.
Therefore, the examination focused on the chest and abdomen.
During the second physical examination, Xu Qiu unexpectedly discovered that the patient's ears were somewhat red. When he came closer to examine them, he smelled a smell. Through light inspection, he also saw that the patient's external auditory canal was inflamed, had a lot of cerumen, and was also tinged with color.
Gray black.
"My ears hurt too?" Xu Qiu asked.
Wang San nodded, and then showed a sympathetic look.
He has now roughly guessed the assessment process. Director Xiehe didn't pay attention to it, but the young doctor held on to it - it was all in vain!
Not far away, Qiu Qingwen, the examiner, also shook his head in disappointment.
It seems that Xu Qiu is really only suitable to be a surgeon - his diagnostic ability is terrible.
Li Xue, Yunmei and others saw the looks in the eyes of the patients and examiners, and they all panicked.
However, there was still one person on the court who remained calm.
Wang Shengde!
He looked at Xu Qiu resolutely, his face resolute.
Although his focus is different from Director Xiehe,...he believes in Xu Qiu who is always creating miracles!
This is the trump card of Linhai First Hospital. If Wang Shengde dares to let him randomly pick a group of people to participate in the competition, it is doomed. This dean has already poured all the hopes of Linhai First Hospital into Xu Qiu.
At this moment, there is only unquestionable trust!
…
"Take out the cerumen." Xu Qiu said in the consulting room.
Cerumen is actually the medical term for earwax.
Director Xiehe didn't care, and the other doctors didn't care either. Xu Qiu also noticed that everyone on the scene was looking at something wrong, but he had no intention of wavering.
After personally removing the cerumen from Wang San, Xu Qiu looked inside the ear canal again.
The next moment, his pupils shrank.
Under the cover of a large amount of cerumen, deformed cartilage is hidden.
besides,
Deep in the patient's external auditory canal, close to the tympanic membrane, there was a small bulging blood blister.
There is pus and blood inside!
"How long?" Xu Qiu asked.
Wang San didn't care much and said: "I don't know, I've always had it. I've had a lot of earwax since I was a child. Because of this, I can't wear headphones, otherwise they will be scrapped in two days..."
Seeing that the patient was about to mention that his girlfriend broke up because of this, Xu Qiu quickly interrupted him and regained the initiative in the consultation.
"Do you usually feel out of breath?" www.bǐqυgetν.℃ǒm
"I haven't noticed. I've been tortured to death by this disease recently. I barely moved in bed and didn't know if I was breathing or not."
To be continued...