Chapter 153 [153] Sometimes the Patient's Family Members Are More Nervous than the Patient
"Okay, you said her arrhythmia, which part of the electrocardiogram showed the problem?"
Zhao Zhaowei frowned and tried to recall the patient's ECG that he had just seen: "Yes, there was more than one P wave, this is—"
"What is it?"
"Sinus arrhythmia?"
"You think she's in sinus arrhythmia? Just to be sure."
Zhao Zhaowei wanted to cry again. Even if it is a diagnostics textbook and an internal science textbook, it seems that the electrocardiogram is not explained so carefully.
"Teacher, I won't." Zhao Zhaowei admitted defeat again.
"I can't read the problems in the electrocardiogram after making it. What do you think is the situation?"
"It's my fault." Zhao Zhaowei voluntarily surrendered for the third time.
Dr. Lin turned to Xie Wanying, "What do you think?"
"I had an electrocardiogram but couldn't read the problems in the electrocardiogram. The influence of factors. For example, the patient’s emotions. Like this female patient, it is obvious that respiratory sinus arrhythmia is a very common manifestation in adolescents, and the pp interval is greater than 0.12 seconds. Nervous. But you must know that the patient's main complaint is that he was sent to the emergency department because of panic, dizziness and fainting, and other diseases cannot be easily ruled out."
After hearing Xie Wanying's words, Zhao Zhaowei remembered: "Yes, it's not more than one P wave, but the PP interval is prolonged."
Of course, Dr. Lin knew that sinus arrhythmia was right, otherwise he would not have questioned the student. He was concerned about Xie Wanying's last sentence: "What other possibility do you think caused her to faint?"
"In addition to further heart examinations, blood tests should be done first to rule out abnormal thyroid function, blood potassium problems, and whether she has taken any drugs that have affected her body. Let's do a comprehensive checkup. "As she said that, Xie Wanying looked at the patient, and she really felt that she couldn't see that this female student had a particularly big problem. If there is a problem, maybe the parents of the female students standing outside have some health problems because they are older.
Dr. Lin knew it by looking at her expression, smiled slightly and walked away. Basically, Xie Wanying agreed with his judgment.
For senior high school students, parents have always been more nervous than students. Therefore, Xie Wanying is right. Helping patients conduct a comprehensive examination is also responsible for overly nervous parents.
Seeing the teacher leaving, Zhao Zhaowei and Xie Wanying walked to the side and wiped their sweat: "Yingying, from now on-"
"Otherwise, I will avoid being with you in the future." Xie Wanying also knew that her rebirth had an advantage over Zhao Zhaowei, which was unfair to Zhao Zhaowei and the others.
Unexpectedly, as soon as she said this, Zhao Zhaowei grabbed her hand and begged: "No, no, you must not do this. You must know that I have been in the neurology department for the past two days, and I have no chance to do it. I don’t even know what I’m doing wrong. Because the teacher can’t get excited when he sees me.”
Clinical teachers are not like lecturers in the classroom. Most of them are extremely busy seeing patients on weekdays, and they have no education training and no lecture skills. If you tell students a few sentences and find that they don't understand, you will definitely stop telling them. If you tell them, it is equivalent to nonsense. If you want clinical teachers to speak more, they must be at least as good as Xie Wanying.
Dr. Lin was willing to talk more because Xie Wanying made him feel the same atmosphere of academic discussion as his colleagues, which felt good.
Dear friends, it will be put on the shelves tomorrow. It will be updated at around 9 o'clock tomorrow night. There may be more pictures updated at once. Thank you dear friends!