I Can See Health

The middle-aged man stood on the podium, looked around, and said loudly: "Everyone should have seen the rules of the skills examination."

"This time, we will not test cardiopulmonary resuscitation, electric defibrillation, or the four major punctures."

"This clinical skills examination returns to the most primitive treatment process!"

"All candidates will face four most real patients. From the most basic physical examination and consultation, to diagnosis, treatment, and judgment of prognosis, everyone will complete it independently."

"The examiner supervises the whole process, records all processes, and gives grades, with the highest being A and the lowest being D!"

At this point, the middle-aged man on the stage paused, and then continued in a deep voice: "There are four patients in total. As long as they get a D-level evaluation, they will be dismissed directly and withdraw from this reexamination!"

As soon as he finished speaking, everyone in the audience was in an uproar.

As long as you get a D-level evaluation, it means you have been brushed off, and all your efforts for a whole year have been wasted.

For medical students, how much time can be wasted in a year?

"Teacher, isn't this too unfair?"

A girl suddenly stood up and said loudly.

"We have only been in the clinic for a short time and have never seen many diseases. Isn't it ridiculous for us to go see a doctor now?"

This girl spoke out for everyone.

Everyone can do case studies.

But when it comes to clinical practice, you may not even be able to diagnose and treat the simplest cold.

"You said the time in clinical practice is short?" The middle-aged man smiled instead of getting angry, "I remember in medical school, I started internship in my fourth year, and in my fifth year I would be an intern for a whole year. If you think the time is short, then Everyone’s situation is the same, I think it’s fair!”

With these words, everyone present no longer had any doubts.

But everyone felt ashamed.

Although the school arranges a full year of internship time, few students complete the entire internship plan because of postgraduate entrance examinations.

Most people end their internships early a few months before the postgraduate entrance examination and prepare for the postgraduate entrance examination in school.

The pattern of Kyoto University's skills test this time was a wake-up call for everyone.

Compared with getting high scores in the exam, if you fail to pass the basic clinical skills, it will be a veto!

"The students in the first group came out with me. Everyone else turned in their communication equipment and waited in the demonstration classroom."

After the middle-aged man finished speaking, the four students in the first group followed him and walked out of the demonstration classroom one by one.

All remaining candidates turned in their cell phones and waited to be called.

…

Kyoto University Graduate School, Office of the Dean.

"You guys are just fooling around! Are you actually using real patients as test questions?"

Dean Xu Feng sat on his office chair with a dark face.

"Dean Xu, this is what Vice President Yang meant." The secretary whispered, "As a pilot for postgraduate entrance examination reform, our school needs to innovate. Past examinations can no longer reflect the gap between candidates, so Vice President Yang Changcai proposed this innovative screening model."

"Hmph." Xu Feng snorted coldly, "Don't think that I don't know about the dirty things in the re-examination. Now make a fuss about the reform pilot, don't get caught by me!"

"President Xu and Vice President Yang are doing this for the good of the hospital."

The secretary dare not speak ill of Vice President Yang.

Xu Feng is only the dean of graduate students, but Yang Feng is the deputy dean of the entire school.

Xu Feng said in a deep voice: "Taking a step back, once the patient suddenly becomes ill during the exam, it will be difficult to handle!"

"Principal Xu, don't worry, the patients who will be taking the exam this time are all in relatively stable condition."

"Hey, I hope nothing goes wrong!"

…

Over here in the examination room.

The first group's exam is over.

The four candidates in the first group were taken to the next classroom to prevent them from leaking the test questions.

"The second group, Lu Chen, Jin Miao, Jiang Qingyan, and Yu Bo, these four students follow me. The third group, get ready!"

The girl is number seven, which means her real name is Jiang Qingyan.

The four candidates in the second group followed the examiner outside the ward of the Department of Cardiovascular Medicine.

"Dear students, there are four wards here, and the corresponding numbers are posted on the doors."

"Each ward has a patient, and this patient is everyone's test question!"

"Each room is limited to eight minutes. Candidates need to conduct consultation and physical examination of the patient. During this period, I will ask various questions."

According to the lottery numbers, Lu Chen came to Ward No. 1.

Afterwards and so on, Jiang Qingyan entered room three.

Enter ward number one.

There was a middle-aged man lying on the bed in the middle.

He is obese, weighing about 200 pounds.

If you move your body a little, you can see the fat on your face trembling.

Lu Chen noticed that he had his eyes closed. Apart from his scary appearance, there seemed to be nothing unusual about him.

It's just that he is connected to a monitor, which indicates that his condition is not simple.

Lu Chen concentrated his attention and saw that the color on his head was red!

"It's actually a real patient!" Lu Chen was shocked.

He originally thought that the hospital would let normal people pretend to be patients and let them take the exam.

I didn’t expect the hospital to be so ruthless and let real patients be the test questions!

"Classmate, you can start the consultation and physical examination." There is also a female examiner in a white coat standing in the ward.

Lu Chen nodded slightly, walked to the right side of the hospital bed, and began to conduct consultation and physical examination.

…

The consultation is over.

The female examiner asked in a deep voice: "Please briefly describe the patient's chief complaint and current history."

Lu Chen thought for a while and organized some words.

"Male patient, 47 years old. Main complaint: severe chest pain for 3 hours."

"History of current illness: The patient developed chest pain without obvious triggers 3 hours before admission. The pain was located in the middle and lower part of the sternum, with a range of palm size, tearing pain, accompanied by radiating pain in the back, nausea, dizziness, paleness, and profuse sweating. UU Reading www.uukanshu.net He called 120 and was sent to our hospital. His blood pressure was measured at 260/130mmHg in the emergency department. He was admitted to the cardiology department with "chest pain" in the emergency department."

"Is there anything abnormal in the physical examination?"

"The blood pressure of both upper limbs is unequal, and there is mild pressing pain under the xiphoid process. The rest are negative."

"Current diagnosis and next steps for treatment?"

"The cause of chest pain remains to be investigated: aortic dissection is highly likely. It is recommended to temporarily provide symptomatic treatment such as antihypertensive and analgesic treatment; and improve aortic CTA, please consult a vascular surgery department."

The female examiner nodded, "That's a good answer."

Lu Chen breathed a sigh of relief.

The first patient's symptoms were obvious. He was admitted to the hospital with severe chest pain and varying blood pressure in both upper limbs.

It is easy to think of dangerous diseases such as aortic dissection.

But the exam is not over yet.

The female examiner handed Lu Chen a stack of test sheets and inspection sheets.

"After reading these test sheets and inspection sheets, answer the last question again."

Lu Chen opened the stack of test sheets.

The first picture is the result of the patient's myocardial enzyme spectrum, troponin is elevated!

The second ECG shows ST segment elevation in the anterior leads!

"How could this happen?" Lu Chen's eyes were full of doubts.

The auxiliary examination results given by the examiner, elevated troponin and changes in electrocardiogram all pointed to the diagnosis of acute myocardial infarction!

This is completely contrary to the "aortic dissection" he just diagnosed!

The treatments for aortic dissection and acute myocardial infarction are exactly opposite!

Both of these are very dangerous diseases.

Once misdiagnosed, the consequences can be disastrous!

Lu Chen's heart tightened. If the diagnosis was wrong, would it get a D-level rating?