Tanglou was completely unaware at this moment. He looked straight at the patient and saw a diagnosis certificate appearing in front of him:

[Patient: Liu Xuegen, male, 41 years old

Cause: Aortic dissection, Standford type A, involving the aortic arch.

Symptoms: The blood pressure of the patient's right arm is significantly lower than that of the left arm, the arterial pulse is weak, the right upper limb is weak, and there is a heart murmur. Treatment is urgently needed. If it is delayed, there will be signs of rupture, and sudden death is very likely]

"What's your name? Why are you still standing here?"

Shen Jun looked at Tanglou standing blankly at the door of the ward and asked in a deep voice.

Only then did Tang Lou realize that he had been a little rash, but when he thought about the system saying that if the diagnosis was not confirmed, the patient's aorta would have signs of rupture and sudden death would be very likely, so he couldn't care less about anything else.

"Director Shen, I know what caused the patient's condition!"

As soon as the words fell to the ground, everyone was shocked.

It was quiet for a while before the people around him reacted. Bai Hao had already stepped forward and said in a low voice: "Tanglou, you are crazy. Now is not the time to show off. You know what the heck you are. Why don't you apologize to Director Shen?" , follow me quickly."

Li Lin also had the courage to say to Shen Jun: "Director Shen, Tanglou is joking with you, how could he know. We played truth or dare before, and he lost, so he was talking nonsense. We knew we were wrong, and we immediately Just leave."

"Nonsense." Shen Jun was already a little worried. Now seeing these three interns acting so recklessly, he felt even more angry. The interns from the county hospital were indeed not very good.

"Director Shen, I'm not fooling around. I really know the reason."

Tang Lou is a very arrogant person, and he doesn’t care much about the patient’s comfort. “The patient’s life will be in danger if he doesn’t receive treatment.”

Hearing this, the patient's wife on the side also panicked and said anxiously: "Director Shen, please let this young man talk. If she really knows the cause of the disease, her life will be at stake."

Shen Jun was a little unhappy, but human life was at stake. As the saying goes, a dead horse is a living horse, so he looked at Tanglou impatiently: "Then you should tell me. If you are talking nonsense, don't blame me for being unkind, you I guarantee that this internship career will end before it even begins."

Shen Jun is a very strict person, and he hates people who try to impress people and show off. In his mind, doctors should be steady.

Bai Hao and Li Lin were already pale at this moment, they were really worried about this new friend.

Xu Lanlan also looked at Tanglou with curious beautiful eyes, and thought to herself, such a fair and handsome guy seems to be a little bit not very smart.

Sure enough, God is fair. He gave him great looks but not a good mind.

Thinking of this, Xu Lanlan lowered her head and looked at her Yima Pingchuan, feeling a little pity for her. If she gains Yan, she will lose a lot.

Thinking about it this way, Tanglou was a little pleased with him, but he immediately started to worry again. Shen Jun was notoriously difficult to mess with. If he couldn't tell the truth, his internship career might really be cut off.

Tang Lou nodded, then walked towards the patient, then pointed to the patient's upper right arm, and calmly pointed out a detail that ordinary people did not pay attention to:

"The patient wears a non-invasive cuff, and the blood pressure is measured on the left upper arm. It should not be measured on the right upper arm, right?"

Xu Lanlan pouted, why did she blame herself?

Meimei glared at Tanglou and quickly explained to Shen Jun: "Director Shen, it's like this. When the patient was brought in, he had a reserved injection because his right upper arm was weak, so the blood pressure in his right arm was not measured."

"This is the reason why the cause of the disease has not been diagnosed. Change the cuff to the right side and measure the blood pressure on your right arm." Tang Lou looked at Xu Lanlan and ordered.

Looking at Tanglou's unpredictable eyes, Xu Lanlan felt a little guilty. Could it be that it was really her own fault that delayed the director's diagnosis of the condition?

But after thinking about it again, I realized that I was right, so I straightened my chest and said confidently:

"The patient has already received a reserved needle in his right arm. If the blood pressure is still measured in the right arm, the blood flow in the right arm will be interrupted when the cuff is inflated and pressurized, which may affect the smoothness of the reserved needle."

Shen Jun also nodded. Xu Lanlan's worries were not unreasonable, but he was also a little curious about what kind of medicine was sold in Tanglou Gourd. He said it in a clear and logical way, and he had a ridiculous idea in his heart. Maybe this young man could really give it to him. surprise.

"Director Shen, you can try touching the radial arteries on both hands of the patient." Tang Lou said seriously, with a calming magic in his tone, as if he was the attending physician.

Shen Jun nodded, then walked up and checked the pulses on both sides.

"The pulse in the right arm is a little weak and not easy to feel. The radial artery on the left is very strong."

Shen Jun muttered to himself, and then seemed to think of a possibility: "Blood pressure! Xu Lanlan, quickly measure the blood pressure of the patient's right arm."

"Okay, director." Xu Lanlan quickly began to measure the patient's blood pressure. During the process, she secretly moved towards the Tanglou and clicked her pointed tiger teeth angrily!

Bai Hao and Li Lin were also stunned. This tenement building was a bit confusing to them. Could it be that there are really two brushes?

Especially Li Lin, thinking about being called Tang Lin, she suddenly got excited.

Soon the blood pressure was measured, and Xu Lanlan exclaimed: "90/50mmHg!"

Seeing this blood pressure, Shen Jun was also shocked. This blood pressure was much worse than that of his left hand.

The blood pressure of a normal person's two arms is not very symmetrical, but the difference will not exceed 20mmHg. At this time, the systolic blood pressure on both sides of the patient is almost 70mmHg, which is definitely a problem!

"Xu Lanlan, stethoscope!"

Shen Jun took the stethoscope and put it on the patient's chest. After listening for a while, his face became very ugly.

"What's wrong, Director Shen?" Xu Lanlan was a little at a loss.

"There is a heart murmur, and the patient may have aortic dissection." Tanglou whispered from the side.

Xu Lanlan heard this very clearly and secretly glanced at Tanglou's calm and handsome face, feeling a little confused.

At this time, Director Shen also put down his stethoscope: "Hurry up and arrange for the patient to undergo chest and abdominal CT. It is suspected to be arterial dissection."

"Okay, okay."

Xu Lanlan hurriedly went to make arrangements, feeling as if she had seen a ghost. Who is this handsome intern?

"Director Shen, let's go first."

Seeing that Shen Jun had deduced the cause of the disease, Tanglou was ready to retire.

Tanglou gave Bai Hao and Li Lin a look. The two understood and quickly retreated.

Just looking at the tenement building, I suddenly had an unfathomable feeling. In addition to being handsome, this guy seemed to have talents that they didn't have!

At this moment, Shen Jun was in a hurry to arrange for the patient, and did not pay attention to the people in the Tanglou. He was glad in his heart, because if it was found out later, the patient would probably die suddenly.
Chapter completed!