My Medical Skills Give Me Experiences - Chapter 16

Chapter 16: The Opportunity To Use Diagnostic Medicine Is Here (3)

Translator: Atlas Studios Editor: Atlas Studios

After some serious thought, the candidates applied for an inspection.

“Time’s up.”

The examiner only gave them about 10 minutes.

This undoubtedly increased the difficulty of the exam.

However, the doctor’s reaction time would be even shorter when encountering an acute or critical patient in actual consultations.

“Next, you can see the scores and results of the inspection.”

Coincidentally, Zhou Can had finally completed the written test.

He submitted and his results were released almost instantly.

A.

The score should be between 90 and 95.

If his score was above 95, his score would have been A+.

However, such a difficult test paper covered almost all the medical departments. He was already very outstanding to be able to get an A.

He seemed to have heard something like the questions were set by the examiner just now.

He would have to pass the interview to continue.

“The patient has chest pains and can’t breathe?”

The first thing he had to do was definitely check for heart disease. He quickly did a physical examination, a blood routine, and an electrocardiogram.

Submit.

“Congratulations, all the tests are correct. You got full marks.”

Zhou Can smiled.

At the very least, his pathology diagnosis had been upgraded to Level Three, which was already at the level of a resident doctor. If he could make a mistake with this level, then his pathology diagnosis must have been bought with money.

He quickly checked the results.

Physical examination, heart rate 122 beats per minute, blood pressure 97/49 mm Hg.

In the range of 60 to 100 beats per minute… The patient’s heart rate was clearly too fast.

A normal person’s systolic blood pressure was 90 to 140 mm Hg, and the diastolic pressure was 60 to 90 mmHg. The patient’s blood pressure was clearly low.

An adult male in his thirties was in his prime. His blood pressure was so low that it was enough to cause shock. Besides, if his blood pressure was too low, his entire organs would not receive enough blood and oxygen. His cellular function metabolism would be impaired.

His organs would be overwhelmed and stop functioning if this continued on.

The patient would die.

Next, he looked at the blood test results.

Wow, the troponin is so high.

It was clearly higher than normal.

Zhou Can couldn’t help but think of a terrifying illness— An acute myocardial infarction. Mr. Cui he had saved in the morning had something rather similar to this illness.

Acute myocardial infarction is also a type of coronary heart disease.

The mortality rate would be extremely high and the prognosis would be poor if not treated in time.

It was difficult to determine with just the first two results. Then, he looked at the most important electrocardiogram.

It was obvious that there were changes in the electrocardiogram similar to that of a myocardial infarction.

Under normal circumstances, a human heart could continuously discharge electricity. The ECG monitored its discharge and turned it into ripples for doctors to use for diagnosis.

When a piece of myocardium dies or a blood vessel obstruction causes the myocardial muscle to lose its vitality, the peak of ripples on the electrocardiogram would be obvious.

The doctor could roughly determine which blood vessel was blocked based on the electrocardiogram.

F*ck, it’s really an acute myocardial infarction.

Zhou Can preliminary deduced that the patient might have suffered an acute myocardial infarction based on the results of the three tests.

However, he vaguely felt that something was wrong.

What Dr. He had said to him after the consultation yesterday echoed in his ears again.

“Medicine is a rigorous subject. I never jump to conclusions. A diagnosis must be comprehensive according to the patient’s medical history, condition, gender, and various test data.”

“I believe you have already made a judgment after reading the data. Please fill in the diagnosis.” The examiner said expressionlessly at this moment.

Many candidates had already begun to fill in the diagnosis confidently.

Zhou Can frowned as he felt that something was amiss.

However, he could not find the reason.