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¡¾2940¡¿Useless auscultation

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    If it is not obvious that they are hidden, clinicians may not be able to tell it, let alone calling them newbies.

    The first mistake newbies make in clinical practice is to draw absolute conclusions too easily.  Medicine loves nothing more than an egomaniac.  Zhang Desheng and the others were standing nearby, tutting in their hearts, eagerly waiting for the pair of junior brothers and sisters to fall over.  After all, classmate Xie took action.

    "Auscultation is useless." Xie Wanying said.

    "Why is auscultation useless?" Mi Wenlin jumped up on the spot. Looking at her at this moment, he really thought that her senior was here to make things difficult for them. "The most basic heart examination is auscultation."

    ?????????????????????????????????????????: From medical school, I just read the textbooks and followed the textbooks. When I left the classroom to come to clinical practice, I just came out and have a very shallow clinical concept.  It is true that heart auscultation is one of the heart examination items.  It is said that it is the most basic examination of the heart, but there must be a question mark.

    Because medicine is developing.  Doctors' methods of diagnosis and treatment have long gone beyond the original scope of hearing and seeing with their own ears, and the level of tools they use has been greatly improved.  Now that there are various more advanced medical diagnosis and treatment methods, if you continue to say that auscultation is the most basic examination of the heart, you are slapping the development of medicine in the face.

    Furthermore, some heart diseases cannot be heard by auscultation.  Moreover, the most damning thing is that the most common sudden death disease in the society in the cardiology department cannot be heard by heart auscultation.

    Having no time to argue with a group of juniors who lacked clinical experience, Xie Wanying faced Dr. Guan and said, "Teacher, this is myocardial infarction."

    Mi Wenlin and Mi Siran, who were ignored by her, became emotional and rushed to say: "How could this be a heart attack? He was injured in a car accident."

    There are more patients with myocardial infarction caused by car accidents.  Precisely because some clinicians, as Mi Wenlin Misran said, thought it was a trauma and neglected to investigate in this area, news reports often mentioned that patients who died of myocardial infarction in car accidents did not know how to hold the people responsible for the accident.

    "Myocardial infarction?" Dr. Guan has more experience than a medical student, so naturally he is not like Mi Wenlin and Mi Siran to retort loudly.  He lowered his head and looked at the injured person again, saying that something was wrong because his chest hurt so much that he was sweating on his forehead.

    What?  Does this teacher think the other person is right and they are not?  Mi Wenlin and Mi Silan were nervous.

    "Pull the electrocardiogram." Doctor Guan made a prompt decision.

    Don¡¯t think that doctors who like to push patients to the inpatient department really don¡¯t have any technical ability.  At least clinicians know that severe chest pain must be investigated for heart problems. Most of the diagnosis of myocardial infarction cannot be heard through auscultation.

    "What are you two doing?" Dr. Guan yelled at Mi Wenlin and Mi Siran who remained motionless.

    Who told these two people to be outspoken? It was their responsibility to check for heart disease when they came down.

    Mi Wenlin and Mi Siran looked at each other: Should they believe this guy?

    After going to the emergency room, they, like others, felt that it was not good to manage the doctor.

    ¡°Oh, these junior brothers and sisters are really stupid.

    Classmate Zhang Desheng and other seniors have been quietly waiting for the junior brother and sister to overturn, a little afraid that the pair of junior brothers and sisters will kill the patient if they delay any longer.  Let¡¯s not talk anymore, it¡¯s important to save the patient.  Zhang Desheng and Li Qian ran to find an electrocardiogram cart to push over.

    Doctor Guan shouted loudly in the corridor for the nurse to come over and help: "Send the patient to the emergency room and put on ECG monitoring."

    I saw the injured person¡¯s whole face suddenly turned white in pain.

    Doctor Guan¡¯s tone clearly showed panic.

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