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Chapter 14: The Opportunity to Use Diagnostic Medicine(2/2)

Then workers came in carrying various props needed for the interview.

"Candidates of the medical technology department, please sit here."

This department mainly performs various examinations and pathological tests on patients.

Most of the instruments carried in by workers are for use by candidates in the medical technology department.

There are quite a lot of candidates applying for the medical technology department, at least around 800.

What they have to do during the interview is to read B-ultrasound films, CT films, X-ray films, etc. Then complete the operation of the Doppler ultrasound machine and take a clear video on the spot.

Of course, the location for filming is randomly designated by the examiner.

"Nursing candidates come to the front."

Most of the female candidates flocked to the exam, and some of them were not particularly good-looking girls. Tuya Hospital recruits a large number of nurses every year. Nursing is basically a profession that relies on youth.

Many nurses are older and either return to their families or switch careers to other jobs, such as health managers, etc.

Only a handful of lucky people can be promoted to head nurses, or they can take a back seat and do some relatively easy work.

Such as answering doctor's orders, typing on the computer, picking up medicines, managing the warehouse, sorting out information, etc.

Generally speaking, being a nurse is a job that only takes a lot of time.

Personnel turnover is frequent.

Basically all hospitals are similar and often recruit nurses.

There are about 700 candidates applying for the nursing department's regular training program.

Not all are girls, there are also boys.

But relatively speaking, the number of boys is very rare.

The remaining more than 1,500 candidates applied for the standardized training in all departments.

It can also be seen from here that the profession of doctor is the most popular. Because as medical skills continue to grow and improve, the older a doctor is, the higher his income and status will be.

Doctors are a growth-oriented profession with a bright future.

The competition for taking the general training program is the most intense, far exceeding that of nursing and medical technology.

More than 1,500 candidates are gearing up and ready.

"Good morning, all candidates. Let's start the first part of the interview, pathological diagnosis. I will play the role of the patient and give a series of symptoms. You can prescribe examination plans through the tablet. Remember, you are not allowed to prescribe examination plans randomly and prescribe more

For inspections, points will be deducted if there are fewer inspections.”

The hearts of all the candidates felt tense.

No one expected that the first question in the interview would be real person diagnosis.

Those social candidates in their thirties are better off. Many of them have been doctors in county and municipal hospitals for several years or even more than ten years, and have relatively rich clinical diagnosis experience.

For interns, this can be a bit scary.

They have very little clinical diagnosis experience, and they have never had a single consultation. On weekdays, they mostly just talk on paper.

Now that they are asked to conduct real-person diagnosis, naturally I feel a little panicked.

"I suddenly felt chest pain, breathless, and felt that my physical condition was very bad, so I hurried to the emergency room of the hospital for medical treatment. You are the doctor on duty. What tests will you do on me? Please prescribe them in order on the tablet.

Checklist. Note that if the order of checks is reversed, the score will be halved."

There is a relatively strict process for what examinations a doctor should do after seeing a patient.

The first step must be a physical examination, such as palpation, inspection, etc.

The next inspection items are like peeling off the cocoon.

For example, after completing the blood routine, you feel it is necessary to take an electrocardiogram and take another look. When applying for a test, you should order the blood routine first and then the electrocardiogram.

After careful consideration, all the candidates applied for the examination one after another.

"time up."

The time given by the examiner is only about 10 minutes.

This undoubtedly increases the difficulty of the exam.

However, in actual consultations, when encountering emergency or critically ill patients, the response time left for doctors will be shorter.

"You can see the scores and results of the inspection items below."

At this time, Zhou Can finally completed the written examination.

He submitted his answer sheet.

Results come out almost instantly.

a.

The score should be between 90-95.

If you score 95 or above, your grade should be an A.

However, such a difficult test paper covers almost all medical departments, including internal medicine, surgery, obstetrics and gynecology, pediatrics, etc. If he can get an A, he is already considered very good.

He also roughly listened to some of the test questions given by the examiner just now.

Now that you have passed the written test, go on to the interview.

"The patient has chest pain and can't breathe?"

First of all, heart diseases must be checked. He quickly ordered a physical examination, blood routine, and electrocardiogram.

submit.

"Congratulations, all the check items are correct and you got full marks."

Zhou Can smiled slightly.

After all, the pathological diagnosis has been upgraded to the third level, which is already the level of a resident doctor. If he can still make mistakes after prescribing an examination, then he must have paid for this third-level pathological diagnosis.

He quickly checked the results of various tests.

Physical examination, heart rate 122 beats/min, blood pressure 97/49mmhg.

A normal person's heart rate is within the range of 60-100 beats/minute, but the patient's heart rate is obviously too fast.

The systolic blood pressure of a normal person is 90-140mmhg, and the diastolic blood pressure is 60-90mmhg. The patient's blood pressure is obviously low.

For an adult man in his thirties, who is in his prime, having such low blood pressure is enough to cause shock. Furthermore, if the blood pressure is too low, the organs throughout the body will not receive sufficient blood oxygen, and cell function and metabolism will be disrupted.

Over time, the organs will be overwhelmed and shut down.

The patient dies.

Read on to view blood test results.

Wow, troponin is so high.

Significantly higher than normal.

Zhou Can couldn't help but think of a terrible disease, acute myocardial infarction. The Mr. Cui who was rescued in the morning was quite similar to this disease.

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

If timely treatment is not available, the mortality rate is extremely high and the prognosis is poor.

It is difficult to make a conclusion based on the results of the first two tests alone. Next, check the most important electrocardiogram.

It can be clearly seen that the electrocardiogram has changes similar to myocardial infarction.

The human heart, under normal circumstances, can continue to discharge. The electrocardiogram monitors its discharge and converts it into ripples for doctors to use for diagnosis.

When a certain piece of myocardium becomes necrotic or has a blood vessel obstruction, causing the myocardium to lose vitality.

The ripple peak of the electrocardiogram will be clearly reflected.

Doctors can roughly determine which blood vessels are blocked based on the electrocardiogram.

"Damn, it's really an acute myocardial infarction."

Based on the results of the three examinations, Zhou Can preliminarily concluded that the patient was probably suffering from acute myocardial infarction.

But he vaguely felt that something was wrong.

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

"Medicine is a rigorous subject, and I never jump to conclusions easily. The diagnosis must be comprehensive based on the patient's medical history, condition, gender, and various examination data."

At this time, the examiner said expressionlessly, "I believe you have already made a judgment in your mind after reading the diagnosis results. Please fill in the diagnosis results."

Many candidates have begun filling in diagnostic results with confidence.

Zhou Can frowned, always feeling that something was wrong.
Chapter completed!
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