Auto chess in the operating room

Chapter 379 The Humble Examiner
"Oh hello, who are you?"

Naturally, Tang Lou didn't know Director Huang, and thought that the chief examiner was here for Ling Xiao.

"Director Tang, it's normal if you don't recognize me. I'm Huang Yixing, director of the Department of Cardiovascular Medicine at the Third City Hospital."

Director Huang introduced himself.

"Director Huang, I've been waiting for you for a long time."

Tang Lou was polite for a while, and then he didn't intend to continue talking.

After all, candidates and examiners are in a remote corner, and it is easy to be misunderstood for PY.

Director Huang naturally realized that Tang Lou was here for the exam.

Normally speaking, the examiner would say some words of encouragement at this time, perform well, don't be nervous, cheer up, etc., but of course he couldn't say it in front of Tang Lou.

One of the two didn't want to say anything, and the other didn't know what to say.

The air suddenly fell into silence.

Director Huang laughed dryly, and said like a junior asking for instructions from a big brother: "Then Director Tang, I'm going to invigilate the exam first?"

"go Go."

Tang Lou waved his hand, as if the director had granted the little doctor's request.

Both of them were relieved.

It wasn't until Director Huang walked away that Ling Xiao swallowed his saliva, looking at Tang Lou, his whole face flushed.

"What's wrong with this world? The examiner is respectful when he sees the candidates."

"Can't be offended, can't be offended."

Ling Xiao rubbed oil on the soles of his feet directly, how dare he pretend to be thirteen in front of Tang Lou, he is a ruthless person!

At 09:30, the practical skills test officially started.

Tang Lou's number is 35, and soon it will be his turn to enter the corresponding examination room.

As soon as he walked in, he saw Director Huang, the chief examiner sitting there, and his two younger brothers.

One of the boys came over to verify the identity of Tanglou, and even pretended to lecture him about the order of the examination room in Tanglou.

"Director Tang?"

As the chief examiner, Director Huang, under normal circumstances, naturally sits on the top, and the younger brothers below carry out various specific tasks, but when he saw Tang Lou, he stood up from the chair at once, then walked around the table and left. come over.

"Director Tang, come here, sit here."

Seeing the enthusiastic Director Huang and the younger brother who was checking the identity of Tang Lou, the serious expression on his face just now softened immediately. After all, he has dealt with patients all the year round, and his ability to read words and expressions is still very strong.

On one face, the word licking the dog is almost written.

"Director Tang, this way please."

The younger brother quickly guided Tang Lou to his seat, and then several people got busy serving Tang Lou.

"Director Tang, let's start case collection first, physical examination or electrocardiogram?"

Of course, Director Huang understands that with Tang Lou's level, participating in the assessment is just a formality.Under normal circumstances, they specify the type of examination questions, and then the candidates answer the questions. However, the chief examiner and invigilator also have the authority to adjust the type of questions on the spot.

Therefore, when they arrived at Tanglou, they directly gave the options and chose according to Tanglou's mood. After all, Dr. Huang also said that if Dr. Tang had a blind spot on a certain question type and prevented him from passing the practicing certificate, then he would It's a tragedy.

After all, everyone now knows Dr. Tang's potential and his future status in Hecheng's medical circle.

Hug the thighs as early as possible, otherwise, when the tenement building develops, you may not even be able to squeeze the hair on your legs.

It's convenient for others and convenient for yourself.

After hearing what Director Huang said, Tang thought about it and chose the medical history collection category.

"Okay, medical history collection questions."

Director Huang's younger brother immediately picked out this type of question.

"Title: Ask the doctor to discuss the content of the current medical history? The content of the diagnosis and treatment process? The content of the past medical history?"

After diagnosing so many patients, Tang Lou naturally has rich experience in collecting medical history, so he began to answer very methodically:
History of present illness: According to the patient's chief complaint and relevant identification inquiries:

1) Causes and incentives?
2) What are the characteristics of the main symptoms?
3) Accompanying symptoms?
4) General state: that is, the general state after the onset (since the onset, diet, sleep, urine and stool and weight changes)?
After hearing Tang Lou's answer, Director Huang nodded in satisfaction.

Tang Lou continued to elaborate: the patient's diagnosis and treatment process:

1) Have you been to the hospital?What inspections have you done?
2) What kind of treatment has been done and how effective is the treatment?

Past history (relevant medical history):
1. Relevant medical history: previous smoking and drinking, similar seizures and family history, etc.??
2. History of drug allergy and surgery?
After hearing Tang Lou's answer, Director Huang and the two invigilators couldn't help admiring. As expected of Dr. Tang, he has rich experience, and his answers are not only well-organized, but also comprehensive and concise, which is no different from the standard answers. .

The invigilator directly began to ask the second question: "Candidates are asked to explain the content of the medical history collection for jaundice patients."

Tanglou answered in an orderly manner:
1. Etiology and cause:
2. Main symptoms and characteristics: onset priority, course of disease (progressive, fluctuating, intermittent, recurrent?) degree and color of skin and sclera yellow staining?Is it accompanied by clay-like stool?Is it accompanied by strong brown or soy sauce colored urine?

3. Accompanying symptoms: Is it accompanied by chills, high fever, abdominal pain, bloating, loss of appetite, nausea, vomiting and fatigue?Is there any weight loss?Are there spider veins, subcutaneous hemorrhage?

4. General status: changes in body weight, sleep, and urine since the onset
5. Diagnosis and treatment process: Have you been to the hospital for examination since the onset of the disease, and what examinations and treatments have you done?Is the treatment working?
6. Relevant medical history: Is there any similar medical history in the past?Do you have any history of hepatitis or exposure to hepatitis patients?Do you have a history of hepatobiliary system diseases or digestive system diseases?
7. History of drug allergy
Hearing Tang Lou's answer, the eyes of Director Huang and the two invigilators lit up. Dr. Tang is really good. Many candidates can tell the general content, but they can be as concise and comprehensive as Tang Lou, logical and logical. There are very few strong ones.

The answer of this kind of medical history collection is enough to see that Tang Lou has accumulated countless experiences, as if he has been sitting in the clinic for many years.

After Director Huang and the invigilator scored Tang Lou's answers, Director Huang continued to probe: "Then Doctor Tang, shall we conduct a practical skills assessment?"

"Row."

Tang Lou nodded.

The two proctors on the side looked at Director Huang as the chief examiner so humble, and his face was a little weird.

"Candidates are asked to answer: Why do I have to wait between two iodine tincture disinfections? What is the waiting time?"

Of course, Tang Lou can easily solve this kind of problem. After all, he has the basic skills of emergency comprehensive, debridement, suture, etc., and has mastered various surgical techniques, so he quickly gave the correct answer:
"The reason for the interval between two iodine tincture disinfections is to fully sterilize and wait for the first disinfection to dry slightly before performing the second disinfection. Generally, wait for 1 minute."

The invigilator continued to ask: "How many seconds should the carotid artery be pressed? How many seconds should the hand be left? How to palpate the carotid artery pulse?"

Tang Lou's face was calm: "Do not press on both sides at the same time. Press on one side for no more than 10 seconds, and release it for no more than 1 second. Carotid artery palpation: the examiner places his thumb on the pulse of the carotid artery (the sternocleidomastoid at the level of the thyroid cartilage) palpate and compare the carotid pulses on both sides. Do not palpate both sides at the same time to avoid syncope."

"Why debride first and then suture?"

"The purpose of debridement is to remove foreign bodies, necrotic objects, etc., create a good environment for tissue regeneration, and then suture. Debride the wound before suturing to avoid infection. If suturing without debridement, the infection will aggravate and cannot heal."

"Why is the navel repeatedly disinfected?"

"The navel is a blind area of ​​the human body that contains a lot of bacteria and dirt, so it needs to be disinfected repeatedly."

"The function of the humidification bottle?"

"Oxygen used in medicine is pure oxygen, but it is also dry oxygen without moisture. It does not contain a certain amount of moisture in the natural air. Dry oxygen will stimulate the human upper respiratory tract and cause discomfort. Therefore, when inhaling oxygen, you must first give Oxygen humidification. Of course, you can also observe the amount of oxygen from the humidification bottle, which is easy to adjust.”

As soon as the invigilator finished asking the questions, Tang Lou gave the correct answer. One question and one answer was like a master's trick.

“What a solid basic skill and comprehensive knowledge!”

The more the examination was done, the more admiration the invigilators felt. Tang Lou's level and ability were definitely much higher than that of ordinary doctors.

"So far, it seems to be full marks."

Director Huang also sighed in his heart, he deserves to be Director Tang!

(End of this chapter)