Auto chess in the operating room

Chapter 50 The only correct answer

Yang Ming naturally did his part, and was the first to enter the ward. After about ten minutes, a beautiful score appeared again:

The first Yang Ming 10+9=19 points

"Awesome, as expected of Yang Ming."

Everyone was amazed, Li Yundi also had a little serious face this time, he gestured to Cheng Sisi, and was the second to enter the ward.

Obviously, everyone in the room understood that Yang Ming, Cheng Sisi and Li Yundi were of the same rank, and there were only these two people present who deserved Li Yundi's attention.

Ten minutes later, the leaderboard changed again:
No. 10 Yang Ming 9+19=[-]
The second Li Yundi 9+8=17
With the first room's score base, the others will naturally not compete with Cheng Sisi for the entry sequence. Instead, they are curious about how many points she can get. The most likely person who can reach or surpass Yang Ming is Cheng Sisi.

"Then I'm going. If I can't catch up this time, then I won't be able to catch up with me again."

Cheng Sisi said something pointedly to the tenement building and walked into the ward.
Soon, the top five favorites appeared one by one again, and the scores were as expected:

No. 10 Yang Ming 9+19=[-]
The second Cheng Sisi 9+8=17
The second Li Yundi 9+8=17
The fourth dish talks about 8+8=16
The fourth Lu Rong 8+8=16
Looking at the ranking list, Tang Lou also had a rough estimate in his mind. The abilities of Cheng Sisi and Li Yundi almost corresponded to his emergency comprehensive (two stars, 3). As for Yang Ming, if he wants to beat him, he must upgrade to emergency comprehensive (three ,9)

"What a monster!"

When Tang Lou was secretly calculating, it was Wu Qian's turn to play in the First Hospital. She no longer had the courage to fight against Cheng Sisi, but she still did not forget to mock Tang Lou and Yunzhou who were behind her: "I hope the next ward I can still see you."

In the end, Wu Qian performed supernormally and got an 8 points. Looking at the scores on the leaderboard, Yunzhou was obviously a little unconvinced, and her eyes were full of fighting spirit.

"Come on! Don't put too much pressure on us. We are the representatives of the county hospital and the hope of the whole village!"

Tang Lou encouraged, he didn't have the slightest awareness that his first room was only 6 points.

Logically speaking, with Tang Lou's words, most people would think that you should take care of yourself, but Yunzhou believed it for some reason.

Looking at Tang Lou: "Senior Brother Tang, I will work hard! I will go in first, and I will wait for your good results in the third preparation room."

Yunzhou's extremely fair complexion was slightly flushed, and he turned and entered the ward after speaking.

In fact, what Yunzhou didn't say was that she was originally in the same high school as Tang Lou, and she was a school girl a year later than him. Because of Tang Lou, she was admitted to the same medical school as him.

Tang Lou has always been her idol and role model!

The real-time leaderboard is updated again:
No. 10 Yang Ming 9+19=[-]
The second Cheng Sisi 9+8=17
The second Li Yundi 9+8=17
The fourth dish talks about 8+8=16
The fourth Lu Rong 8+8=16
The sixth Wu Qian 7+8=15
Seventh Yunzhou 7+7=14
Next, representatives from other county-level cities entered the arena, and their scores were naturally getting lower and lower. Even before Tang Lou, 5 people were eliminated in a row.

Finally, I came to Tanglou, with the experience of the first ward, Tanglou has calmed down a bit.

Sure enough, after entering the room, it was pitch black again.

Slow down, there was a sound of rapid breathing in the dark, and it became more and more serious
In the darkness, a sentence appeared from far to near: "Help. I, the doctor. I'm good. Huh~huh~ I'm uncomfortable. I just took the wrong medicine. Huh~huh~ medicine."

This sentence could not be completed within a full breath, and was repeated three times.

Amidst Tang Lou's doubts, the words finally stopped abruptly, and then a bright light appeared in the middle of the ward, and a hospital bed appeared in front of Tang Lou, on which lay a female model in her 20s.

Under the treatment of light effects, the model's chest rises and falls, and there are continuous rapid breathing sounds in the mouth and nose.

When Tang Lou made a serious distinction, a copy of the patient's vital signs was presented:

Patient: Shi Yuan, female, 20 years old

体温：36.0°C；血压110/60mmHg；心率109/分、律齐，呼吸24次/分。

The oxygen saturation is 94%.

Respiratory examination revealed marked generalized expiratory wheeze.

Further checks:
On admission to the emergency room, the patient's arterial blood gas showed pH 7.43, PO2 8.2, PCO2 4.0, and HCO3 22 (breathing room air).

Peak expiratory flow was 145 L/min (predicted 450 L/min).

After browsing the tenement building, another doctor was projected in the room, and the mechanical voice asked:
The first question, please give your diagnosis, based on what?And how did you classify the severity of the patient's condition?

In the review room, everyone was also looking at the screen, but most of the directors were not optimistic about Tang Lou.

"This scene is much more demanding than the first scene. It is not just simple memory, but observation and analysis. Only by being calm and calm can you be able to answer the two small questions of the first question."

"Although these two small questions only have two points, they are actually the essence of this question! Both Cheng Sisi and Li Yundi stumbled on this first question."

Diao Xiwen analyzed it rigorously.

"That's right. In my opinion, the representative of the county hospital has a high probability of being eliminated." Niu Bolin's rough voice was full of conviction.

Yang Xiaodong also nodded. After all, 5 people had already been eliminated before, and the first room in Tanglou barely passed with only 6 points.

"Besides, the first question is really cunningly designed! Everyone deducted points for the first question, the reason for the asthma attack! Even Yang Ming is no exception!"

"I think so too. It's impossible for him to understand the mystery of these two questions." The calm baby voice agreed.

"I don't think so. This kind of question about carefulness and mentality can't trouble Dr. Tang. If there is a correct answer, I guess he is the only one who can answer these two little questions correctly!"

Cheng Jian's voice sounded discordantly.

"Oh? Director Cheng seems to be very optimistic about this little doctor Tang." Lin Fang looked at Cheng Jian in surprise, but when he thought of the scene of Cheng Sisi talking and laughing with Tang Lou before, he understood the reason.

It's just that Tang Lou's previous performance was quite satisfactory at the level of the county hospital, but it was not enough for Yang Ming and Li Yundi.

While everyone was arguing, in the second room, Tang Lou gave his answer.

"The patient's vital signs, as well as shortness of breath, were typical of an acute exacerbation of asthma. Asthma is an airway obstruction characterized by constriction and inflammation of bronchial smooth muscle.

The disease may be caused by:

1. Allergic triggers, such as pollen, mold, 2. Respiratory tract infection, 3. Drug triggers. "

"So the first question asked us to find the cause of asthma. When the patient first entered the ward, the intermittent words seemed to imply that she was taking some unknown medicine, and she wanted to mislead that it was caused by the medicine, but in fact it was not! "

Tang Lou walked slowly to the side of the mannequin, leaned over, touched the patient's hair, and then detected a small petal and pollen stuck to it from the messy hair.

"The patient's true cause was an asthma exacerbation triggered by a pollen allergy."

After Tanglou finished answering, he looked at the virtual doctor again: "As for the severity of an asthma attack, it is based on objective parameters. In the objective evaluation in the emergency room, there are the following major indicators. As long as any one of the symptoms is present, it can be determined to be an asthma attack. Acute critically ill patients:
1. The peak expiratory flow rate (PEFR) is 33%-50% of the optimal value or predicted value
2. Respiratory rate ≥ 25/min.

3. Heart rate ≥ 110 /min
4. Inability to speak a complete sentence within one full breath, that is, unable to complete a sentence in one breath.

At first glance, it seemed that the patient's vital signs had not reached the first three points, and it seemed that he had moderate asthma, but in fact it was not the case. At first, I was still wondering why he repeated that incoherent sentence before entering the room.

Does it imply taking some unknown drug?

Wrong, its own incoherence is the key to the problem!

That is, the patient cannot speak a complete sentence in one full breath.Therefore, it meets the fourth point, which further confirms the pollen allergy. My answer is that the patient has acute severe asthma caused by pollen allergy. "

After Tang Lou gave the answer, it took a long time for the virtual doctor to speak slowly: "The first question, the answer is completely correct. +2"

(End of this chapter)