【2827】Shangxin
"I knew when I was internship before that Senior Brother Cao was responsible for the third group of patients, patients from 21 to 32."
When Huang Zhilei heard that she came back the day before but clearly remembered the previous internship, he felt very pleased and supported her glasses: It means that the junior sister returned to neurosurgery and was like returning to her parents' home.
Turning back to look at Senior Brother Cao, Senior Brother Cao's eyes narrowed into lines.
Speaking of the head nurse patient list, it is a table that mainly facilitates nurses to do ward patient statistics. The patient’s name, bed number, admission date and diagnosis name are listed above.
Since it is a statistical table, each patient information is concentrated on a small card, and the writing space that the diagnostic name can accommodate is only one or two centimeters. It is impossible to write all the diagnoses on the doctor's medical record, and only the most important diagnosis will be written.
Dr. Jin talked about the two diagnosis of hydrocephalus and cerebral arteriovenous malformation. Unless the patient's diagnosis name is written on the list card, it will not be seen either.
Xie Wanying explained again: "Yesterday, there were only 23 new patients who were admitted, and I wrote about hydrocephalus. Teacher Jin said that it was your friend and I attached great importance to it. I came to visit the patient in person and rushed to see the attending doctor to discuss the condition. I guess I might have just transferred to this department yesterday."
Who said that only Holmespan will solve the case?
When Pan Shihua received the questioning gaze of two other classmates, he replied: In medicine, I always touched Student Xie's head across the river.
"You are very concerned about work. Don't blame a lot of teachers for liking you." Dr. Jin praised without hesitation.
That's the point. This matter has nothing to do with the ability to solve the case.
If a doctor is responsible for his work, he will definitely understand the patient's condition as soon as he returns to work.
On this point, Xie Wanying said honestly: "I learned from clinical teachers."
The big-name teachers she has followed, such as Teacher Tan, Senior Brother Tao, Xin, and Du, do all of them. Even the fairy-like brothers, after lunch, they will come out of the office with a thermos cup, and then go to the nurse station to ask about the patient's condition in the group.
As student Xie said, if you want to treat hydrocephalus first.
Because of the cerebral arteriovenous malformation of "Matuan", if it is not going to be severe for blood vessel explosion, you can choose to have elective surgery. On the contrary, conservative treatment of hydrocephalus and internal medicine cannot be done, and finding surgery is the time to live.
You may ask, if you knew this, why didn’t the patient with hydrocephalus first be sent to the neurosurgery department for treatment?
Hydrocephalus is different from cerebral arteriovenous malformations, and its best treatment method is internal medicine rather than surgery.
When we talked about diseases in other departments before, we said that some places in the human body contain "water". This kind of "water" is healthy as long as it is not too much. Do you remember? Ascites.
There is the same "water" in the brain. The academic name of the "water" in the brain is cerebrospinal fluid.
What role does cerebrospinal fluid play? I also know that lubricating oil protects the organs and buffers it, and contains something inside to nourish the brain tissue and regulate internal and external pressure.
The normal cerebrospinal fluid in adults ranges from 90 to 150 ml, and the cerebrospinal fluid produced every day is about 500 ml. This is equivalent to a large part of the cerebrospinal fluid needs to be absorbed by the human body and requires healthy internal circulation to meet the needs of the normal human body.
Chapter completed!