Doctor's Life Simulator

Chapter 105 Urgent!A case of spontaneous fulminant skin ulcer (seeking subscription)
The surgery ended very well.

Yang Yi Yang Yue, in order to express her gratitude to Qin Lang, invited Qin Lang to have lunch.

As the host, Qin Lang had just learned advanced orthopedic repositioning and fixation techniques from the two sisters Hua, so Qin Lang refused their invitation and prepared to be the host himself.

Unable to resist Qin Lang, the two sisters obediently obeyed Qin Lang's arrangement:

"Then it's all up to Dr. Qin's arrangement."

The three of them came to a mutton noodle restaurant that Qin Lang often came to. It was a small restaurant with many customers, so it took a long time to wait, but it was also a good time to relax.

For doctors, this is very rare, especially since the Wound Treatment Center has just been launched.

Qin Lang looked at Yang Yi and Yang Yue, and was also very curious, chatting casually: "I'm curious, what kind of experience are twins?"

Yang Yi glanced at Yang Yue, and smiled:
"Let's put it this way, I feel like we're a bit like most couples."

Qin Lang was taken aback for a moment, then heard Yang Yue say:
"We appreciate each other's looks, and we respect each other's parents. There is only family affection, no love."

Qin Lang: "."

"Because they look alike, they will be said to be scary. Those who don't know the photo for the first time will think that the P-picture technique is good."

"You can easily unlock the other party's phone!"

"It's great fun to take pictures and let others guess who it is."

"When I was young, I would often give Yang Yi a bath, then turn around and grab Yang Yi to wash again. I laughed so hard, hahaha."

"When I was young, I would often feed Yang Yue Mama, then turn around and feed Yang Yue another big spoonful. It made me laugh, hahaha."

In the midst of the amazing life of the twins, the three had a very pleasant lunch time.

When the three of them were rushing back to the treatment center, Qin Lang's phone rang, and it turned out that it was Wu Youtu's attending physician.

"Hey, Qin Lang, hurry to the treatment center for a consultation. There is a very special patient with an urgent condition. Come back soon!"

Hearing Wu Youtu's anxious words, Qin Lang also had a dignified face. These days, Director Wei Guoqiang is either going to Hangzhou or Shanghai to contact about the development of the treatment center, introduce talents, and learn to apply for various matters.

So in the treatment center, most of the burden in the field of burns was carried by Wu Youtu and You Daren. Just now a rare patient was treated. In desperation, Wu Youtu instinctively thought of Qin Lang who had repeatedly performed miracles.

"Doctor Yang, you are going to assist Deputy Director Cui to perform some operations and treatments in the field of hand surgery that afternoon. I'm going to Dr. Wu's side to participate in a consultation."

Yang Yi, Yang Yue is now full of respect for Qin Lang, if they wanted to say before that there are problems that the attending doctor can't solve, what's the use of going to a small doctor.

But now they believe that Qin Lang is really relied on and trusted by the doctors in the treatment center.

"Okay, Doctor Qin, I wish you a smooth consultation."

When Qin Lang felt the conference room, he saw Wu Youtu, You Daren, and Zhong Chengfa, an old acquaintance from the dermatology department.

When the three of them saw Qin Lang, they immediately waved: "Qin Lang, come, let's have a look together, if you have any ideas."

Qin Lang checked the patient's condition:

"The patient, male, 30 years old, came to the treatment center for diffuse swelling with pain and fever for 4 days and worsened for 2 days. There was no obvious cause 4 days ago. The patient had obvious swelling with pain and fever at the eagle's capsule, and then appeared on the surface. The black scabs, after falling off, formed a necrotizing ulcer."

Qin Lang looked at the photo of the patient's affected area, his whole scalp was numb, which was shocking.

Wu Youtu also looked nervous on the side:
"Moreover, the patient's condition showed explosive expansion. From admission to the present, it has only been four hours, and the necrosis has expanded at a rate of 2-3 centimeters per hour."

You Daren also showed a trace of fear in his eyes, he has never encountered such a strange symptom, pointing to the ulcer on the photo:

"Qin Lang, the base of the affected area contains a large amount of purulent secretions with a pus-smelling smell. The ulcer area is as big as a broken bamboo. There are blisters and blood blisters on it. After the ulceration, it turns blue and black, and the edge turns red. The pain is obvious."

Hearing such an introduction from the two attending doctors, Qin Lang's heart trembled. This patient's situation is very urgent. If the real cause of the disease is not found out in time and an effective plan is formulated, it is very likely to lead to death.

"It will take at least 18 hours for the bacterial culture of the infected tissue to produce results. With the current deterioration of the patient's condition, I'm afraid it won't take so long. We need to come up with a targeted plan as soon as possible."

As a dermatologist, Zhong Chengfa has experienced all kinds of ulcers, no matter how serious the defect is, but such an acute and rapidly expanding skin ulcer is also somewhat clueless.

"Director Wei, report to the leaders of the provincial capital now. Even if you come back in time, it will be at least six hours later."

Wu Youtu thought for a while: "It's really not, we have to transfer the patient immediately and send him to Hangzhou Hospital for treatment."

"Qin Lang, do you have any ideas?"

Unknowingly, the three attending physicians have already regarded Qin Lang as the last straw. In fact, these days, Qin Lang's talent and profound knowledge have made them look forward to it in a desperate situation.

If Qin Lang said yes, they would be willing to give it a try.

The three of them held their breath, waiting for Qin Lang's results, and saw him continue to look at the results of the physical examination and dermatology examination at a glance.

"Physical examination: The patient has a 5-year history of rheumatism, poor joint mobility, and has been taking hormones for a long time. There are no obvious abnormalities in other system examinations."

"Dermatological examination: Two purple-black necrotic ulcers can be seen on the surface of the eagle's cyst, the size of which is 3cmX6cm, 2.5cmX2.5cm. There are clusters of blisters, blood blisters, and thin walls of the blisters, which are easy to rupture when touched, and the edges are swollen. Pronunciation, high skin temperature, accompanied by purple-red patches, clear border, tenderness, more obvious on the right side than the left side."

Looking at these materials, Qin Lang quickly recalled them in his mind, but still found nothing.

[Ding, new task, through single-case simulation, find the real cause of the patient, designate a targeted plan, and complete the operation with the surgeon.Task reward: 1.1 points of life simulation, 2. Finger sleeve avulsion repair: master level. 】

At this time, Peng Yun also hurried into the meeting room.

"Doctor Wu, it's not good. The patient's condition has deteriorated again, there are already signs of sepsis, and the patient has mild mental disorders. The ulcer site grows explosively, and if the specific plan is not determined, life will be in danger!"

Hearing Peng Yun's report, Wu Youtu's complexion changed drastically, and he made a decisive decision:

"You continue to discuss, I will go for routine first aid first."

"Peng Yun, the patient's venous blood culture has not yet obtained results. Only simultaneous intravenous rehydration, oxygen inhalation, and intravenous administration of broad-spectrum antibiotics cover Gram-positive and negative aerobic and anaerobic bacteria."

"Qin Lang, I'll give you another half an hour. If you still can't get results, you can go with me to perform debridement of necrotic tissue, skin and subcutaneous fat, and even prepare for another or multiple debridements. Especially Daren, go and contact Zijingang No. [-] Hospital, and be ready to be transferred at any time."

"Everyone, we must let the patient be discharged safely and healthily!"

After Wu Youtu made arrangements, he took Peng Yun to rush to the rescue.

(End of this chapter)