"Okay, you said she has an irregular heartbeat. Which part of the electrocardiogram shows the problem?"
Zhao Zhaowei frowned and tried hard to recall the electrocardiogram of the patient he had just seen: "Yes, there is more than one P wave. This is--"
"What is it?"
"Sinus arrhythmia?"
"Do you think she has sinus arrhythmia? Just make sure."
Zhao Zhaowei wanted to cry again. Even in the diagnostic textbooks and internal medicine textbooks, the electrocardiogram was not explained in such detail.
"Teacher, I don't know how." Zhao Zhaowei admitted defeat again.
"I can't read the problem in the electrocardiogram. What do you think is going on?"
"I was wrong." Zhao Zhaowei surrendered for the third time.
...
...
Doctor Lin turned to Xie Wanying and asked, "What do you think?"
"It is very common to have an electrocardiogram but not be able to read the problem in it, because many heart diseases are hidden. If you want to draw a conclusion, you can't rely on an electrocardiogram alone. In addition, the electrocardiogram itself will be affected by many objective factors. For example, the patient's mood. Take this female patient, it is obvious that she has respiratory sinus arrhythmia, which is a very common symptom among adolescents, and the PP interval is greater than 0.12 seconds. She was also very nervous when she was examined just now. But you have to know that the patient's main complaint is that she was sent to the emergency room because of panic and dizziness. You can't easily rule out other diseases."
After listening to Xie Wanying's words, Zhao Zhaowei remembered: "Yes, it's not that there is more than one P wave, but that the PP interval is prolonged."
Doctor Lin certainly knew that sinus arrhythmia was correct, otherwise he would not have asked the student further. He was concerned about Xie Wanying's next sentence: "What other possibilities do you think caused her to faint?"
"In addition to other heart tests, we should first do a blood test to rule out thyroid dysfunction, blood potassium problems, and whether she has taken any medication that has affected her body. Let's do a comprehensive examination." Xie Wanying looked at the patient and really felt that there was no particular problem with this female student. If there was a problem, it might be that the parents of the female student standing outside had more health problems because they were older.
Doctor Lin knew what was going on by looking at her expression, and he smiled and walked away. Basically, Xie Wanying agreed with his judgment.
Parents are always more nervous than students when they are in their third year of high school. So, what Xie Wanying said is right. Helping patients complete a comprehensive examination is also responsible for the overly nervous parents.
Seeing the teacher leave, Zhao Zhaowei and Xie Wanying walked to the side, wiping their sweat: "Yingying, from now on -"
"Or, I will avoid being with you in the future." Xie Wanying also knew that she had an advantage over Zhao Zhaowei after her rebirth, which was unfair to Zhao Zhaowei and the others.
Unexpectedly, as soon as she said this, Zhao Zhaowei grabbed her hand and begged, "No, no, no. Don't do this. You have to know that I have been in the neurology department for the past two days. I have no chance to do anything, and I don't know what I did wrong. Because the teacher sees that I am not motivated."
Clinical teachers are not like those who give lectures in the classroom. Most of them are too busy seeing patients on weekdays and have not received any pedagogical training or eloquence. If they find that the students don’t understand after saying a few words, they will definitely stop talking. What they say is just nonsense and it’s like talking to a deaf person. Clinical teachers should speak more, at least to the level of Xie Wanying.
Dr. Lin was willing to talk more because Xie Wanying made him feel like he was discussing academic matters with his colleagues, which felt good.
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