Chapter 1453

Almost when Shen Qiang saw the girl's illness at a glance with his micro observation technique, all the people in the whole classroom looked at the lecturer with astonishment, because for clinical medicine, more diagnosis needs accurate test reports to support.

Judging at a glance, not only the misdiagnosis rate is high, it is more likely to cause disputes, so usually, without a variety of laboratory reports, it is not possible to make a diagnosis.

In fact, when the temperature of the human body rises during fever, not only will the activity and reproduction of some pathogenic microorganisms become less active, but also the immune system reactivity of the human body will be significantly enhanced.

There will be an increase in white blood cell count, enhanced bactericidal activity of phagocytes and neutrophils, etc., so fever is actually a beneficial protective mechanism of human evolution against the invasion of pathogenic microorganisms.

So ordinary fever, just the body in the fight against pathogens, does not cause real damage.

Generally speaking, the ultra-high temperature that is really harmful to human body is above 40 degrees. However, in order to ensure safety, in medicine, if the temperature exceeds 38.5 degrees, it is recommended to reduce the fever.

"What's the teacher doing? Fever is very common, and the causes of fever are various. How can this be determined only by observation? " Many students were puzzled and looked at the lecturer in dismay.

The lecturers on the platform are full of helplessness.

Originally, it was a good opportunity to motivate many students. In the end, Zong Zijin made light of it and brought it to the torture of Shen Qiang's character, which directly led to his complacent routine.

In this case, if we can't find another thing to catch the students' attention immediately, then it is obvious that they will be immersed in the infinite speculation about Shen Qiang.

So in this case, the clinical diagnosis of a case is obviously the best.

"This classmate, please cooperate, and their diagnosis may be more symptomatic than you buy some pills yourself." The lecturer comforted the girl for a while, then looked coldly at the whispering students, and said: "medical students should all know that time is life. If there are complete physical indicators, then no matter the professor or you, you can easily make a diagnosis."

"But if not, are you at a loss?" The lecturer said: "well, suppose you are traveling, on the road, or in a mountain village, when you meet a dying patient, you can only look at her, and then say like a waste, oh, she's in a terrible situation. Send her to the hospital as soon as possible. I don't know what's wrong with her without a laboratory report."

Hearing this, I looked at the sarcastic look on the lecturer's face.

Many students on the scene have sharp eyes.

After all, this is not an ordinary school.

Beijing Medical University, Graduate School.

People who can enter here may have some insufficient experience, but if they have theoretical knowledge reserve, they will definitely be a few blocks away from ordinary doctors.

"Teacher, I think there is something wrong with your proposal. First of all, there are many cases of fever. There are no more than two common cases. One is infectious fever, including various bacterial infections, viral infections, mycoplasma infections, and so on. The other is connective tissue diseases, malignant tumors, and so on."

"If we want to subdivide, there will be more cases. Can teachers make accurate and clear diagnosis without the support of the checklist?"

Looking at the obviously prickly students, the lecturer laughed and said, "I can't, but don't forget that at the same time of fever, different diseases will have different clinical symptoms. For example, infectious fever is usually accompanied by lymphadenopathy."

"The clinical features of connective tissue disease are irregular fever with joint pain, pleomorphic rash, solar allergy, Raynaud's phenomenon, serositis and so on. So come on, it's time to prove whether you are a cat or a lion."

"You can also think of it as a small practical assessment. The patient is right in front of you. Use your knowledge and talents to prove your excellence. And in order to ensure fairness, I will pay for a comprehensive examination for this classmate later. At that time, the results will be clear at a glance."

"If the diagnosis is the closest, then there is no doubt who has a higher level, whose diagnosis is unreliable and whose level is low, which is also very common in hospitals."

The lecturer said with a smile: "the reason why it is so difficult to hang up the expert number in a large hospital is here, because the experts can see at a glance what disease the patient has, and then make a special examination directly according to his diagnosis. More than 90% of the patients can be diagnosed immediately when the test report comes out, and there is no error."

"But the ordinary doctor can't, he will be full of question marks to let you do a comprehensive examination, and then look at all kinds of documents, bit by bit to compare those data in his brain, and then make a diagnosis."

"So come on!" The lecturer said with a clear look in his eyes, "let's see which of you is more skillful!"

Then, looking at the silent students on the scene, the lecturer laughed: "why, what I said just now is quite reasonable? It's unreliable to say that you all have the courage to face the teacher, but you don't have the courage to see the patient? "Hearing this, many students' eyes brightened.

Shen Qiang, who has been watching quietly, also shows a smile at the corner of his mouth. In fact, after the micro observation technique has been upgraded some time ago, it has indeed given Shen Qiang a lot of help in diagnosis. Basically, it can be diagnosed at a glance.

But all this is inseparable from Shen Qiang's own efforts.

Because the original micro observation technique, even if it can be diagnosed, is also an obvious theory of traditional Chinese medicine, such as fever. According to the theory of traditional Chinese medicine in the inheritance of medical sage, there are only two reasons, which are exogenous and internal injury.

This happens to coincide with modern medicine, which is enough to prove that our ancestors were really powerful.

But further down, it is as profound as metaphysics.

For example, exogenous fever is caused by feeling the evil of six evils and pestilence; internal injury fever is mainly caused by diet fatigue or changes of seven emotions, resulting in imbalance of yin and Yang and deficiency of Qi and blood.

The more mysterious content is that exogenous fever is mostly excess, which can be seen in cold, typhoid, febrile disease, plague and other diseases; internal injury is mostly deficiency, including Yin deficiency fever, Yang deficiency fever, blood deficiency fever, Qi deficiency fever, asthenia fever, Yang floating fever, blood loss fever, etc.

If you don't work hard for a few years or more, even if you're a genius, you'll definitely be confused.

But now the situation is different. Shen Qiang, who has studied modern medicine, is like updating the operating system of micro observation. The information returned is not only more intuitive, but also tied up with the knowledge Shen Qiang has learned. He can not only make a direct diagnosis, but also give a perfect treatment plan in an instant.

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