Chapter 2940 【2940】Useless Auscultation
If it is not obvious that it is hidden, don't say they are old rookies, clinicians may not be able to hear it.
The first mistake a novice clinically makes is that it is too easy to draw absolute conclusions. Medicine loves to beat megalomaniacs. Zhang Desheng and the others were beside him, tsk tsk in their hearts, eagerly waiting for the pair of juniors and juniors to overturn. After all, classmate Xie made the move.
"Auscultation is useless." Xie Wanying said.
"Why is auscultation useless?" Mi Wenlin Mi Siran jumped up on the spot, looking at her at this moment, she really thought that her senior was here to make things difficult for them, "The most basic heart examination is auscultation."
The new rookie, from the medical school, just flipped through the books and followed the scriptures. After leaving the classroom, he just came to the clinic, and he has very little clinical concepts. Cardiac auscultation is one of the heart examination items, which is true. To say that it is the most basic examination of the heart must be questioned.
Because medicine is developing. The means of diagnosis and treatment of doctors have long been separated from the most primitive category of hearing with ears and seeing with eyes, and the level of tools used has been greatly improved. When there are various more advanced medical diagnosis and treatment methods, if you say that auscultation is the most basic examination of the heart, you are slapping the face of medical development.
Furthermore, some heart diseases cannot be heard by auscultation. Moreover, the most damning thing is that the most common sudden death disease in the society in the cardiology department is not audible by cardiac auscultation.
Having no time to argue with a group of juniors who lacked clinical experience, Xie Wanying said to Dr. Guan, "Teacher, this is a myocardial infarction."
Mi Wenlin and Mi Siran, who had been ignored by her, were excited and rushed to say: "How could this be a myocardial infarction? He was injured in a car accident."
There are more patients with myocardial infarction induced by car accidents. It is precisely because of the reasons mentioned by Mi Wenlin Mi Siran that clinicians thought it was trauma and neglected to investigate this aspect. As a result, news reports often mentioned that patients who died of myocardial infarction in car accidents did not know how to investigate the responsibility for the accident.
"Myocardial infarction?" Doctor Guan has more experience than medical students, so it's not like Mi Wenlin Mi Siran retorted loudly. He lowered his head to look at the injured again, and said that something was wrong with the pain in his chest and the sweat on his forehead.
What? Does the teacher think the other party is right and they are not? Mi Wenlin and Mi Siran were very nervous.
"Pull the electrocardiogram." Dr. Guan made a prompt decision.
Don't think that Dr. Guan likes to push patients to the inpatient department because he really has no technical ability. At least people who are clinicians know that severe chest pain must be checked for heart problems, and the diagnosis of myocardial infarction is mostly inaudible through auscultation.
"What are you two standing in a daze for?" Doctor Guan yelled at Mi Wenlin Mi Siran who didn't move.
Who told these two people to be out-of-minded, and it is their responsibility to check for heart disease after they come down.
Mi Wenlin and Mi Siran looked at each other: Should I trust this guy?
After going to the emergency room, they, like everyone else, felt that the doctor was not good enough.
Oops, this pair of brothers and sisters are really stupid.
Classmate Zhang Desheng and the others waited quietly for the junior and senior sisters to overturn, a little afraid that if the pair of senior and junior sisters were to delay, they would kill the patient. Not to mention, saving the patients is the most important thing. Zhang Desheng and Li Qi'an ran to find the electrocardiogram cart and pushed it over.
In the corridor, Dr. Guan yelled for the nurse to come and help: "Send the patient to the emergency room and put on ECG monitoring."
I saw the injured person's face suddenly turned white with pain.
Panic was evident in Dr. Guan's tone of voice.