Chapter 4106 【195】Who Is the Cruelest

Yue Wentong put his hand on his forehead, knowing that Classmate Rabbit Li would not dare to call Senior Brother Cao, so he could only call him Squad Leader Yue.

Dr. Li Qian took out his cell phone from his white coat.

Soon after that, Yue Wentong walked in and touched the back of Classmate Li's head with one hand.

The frightened Dr. Li Qi'an jumped three feet high like a rabbit, and turned around to see who was touching his brain.

Yue Wentong touched his head as hard as a hammer: Classmate Li, Classmate Li, you have such a brain, I really don’t know how to say hello to you or hit you directly——

Student Li, who was unable to read what was happening in Monitor Yue’s mind, was shocked: “Squad monitor, why are you here?”

Could it be that the monitor has some kind of connection with his classmate Li and knows that his classmate Li is looking for the monitor.

Yue Wentong squinted his eyes for a while, thinking that Song Mao, who was standing behind him now, should be laughing his head off.

Question: Classmate Li continued to pull him without knowing the situation and said, "Squad leader, you came just in time to consult this patient."

Monitor Yue's hand slapped Classmate Li's head again: You bastard, is monitor someone you can call around?

Q: “What does the patient’s pupil examination look like?”

Student Li: Huh?

Doctor Liu looked at this situation and felt regretful in his heart: He was wrong. There was a pig teammate who was looking for an acquaintance. He would have been scolded less and punished more often!

Doctor Xie Wanying asked the monitor: "You were here early, right?"

Monitor Yue turned his head and glanced at classmate Xie without saying anything: You are so stubborn that you didn't even notice us standing at the door.

She didn't, she was always fulfilling her job responsibilities. Dr. Xie Wanying followed the route map led by Monitor Yue and then looked at Dr. Song at the door.

Song Xuelin nodded at her: Hello, Doctor Xie, I'm here to learn from you again.

Dr. Xie Wanying: The most unkind thing is you, Dr. Song, for actually bringing the monitor of our class to the scene.

It was obvious that Doctor Xie's warning to Classmate Li had become an oracle. Doctor Song really gave a blank expression and brought Monitor Yue to help deal with Classmate Li.

Doctor Li Qian finally figured out the ins and outs, and his face became whiter and whiter.

"Please do the patient's pupil examination again." Monitor Yue carried Classmate Li's head back to the patient's bedside.

Dr. Li Qian did not forget to continue to pull Dr. Liu: "This is your patient. Please explain the patient's condition to him."

Dr. Liu tried his best to describe the case calmly: "The patient came to the emergency department of our hospital around 10 o'clock at night. He had shortness of breath, cough and sputum, difficulty breathing, and a little chest tightness. According to his family, he had a history of smoking and lung disease in the past. The initial diagnosis was It’s emphysema.”

Everyone looked at the patient's chest.

The most typical manifestation of emphysema patients is barrel chest, which happened to be present in this patient.

Barrel chest, as the name suggests, the patient's chest is as wide as a barrel.

Normal breasts have unequal horizontal and vertical proportions in the cross-section. When the horizontal value of the cross-section is greater than the vertical value, it becomes a flat barrel. When a barrel-shaped chest becomes a round barrel, the horizontal and vertical values ​​are almost equal.

Emphysema is divided into many types, including senile emphysema, obstructive emphysema, etc. These require detailed diagnosis and treatment after the patient is admitted to the Department of Respiratory Medicine for a comprehensive examination.

Although this is not the job of an emergency physician, Dr. Liu can make a further judgment on the patient based on his professional knowledge: "If you have a history of smoking, it is likely to be emphysema caused by advanced COPD."

Obstructive emphysema can cause pulmonary heart disease. According to the previous knowledge, we can know that pulmonary hypertension will eventually cause right heart failure.