Doctor Peerless

Chapter 585 I Played This Since I was a Child

Zhou Sheng picked up the mercury sphygmomanometer.

Check to see if the mercury column is at "0".

This is similar to our mercury thermometer. Before measuring, the mercury must be at the correct scale point.Otherwise, the read data will be inaccurate.

After confirming that the position of the mercury column is correct.

Zhou Sheng asked Cao Xin to lay his arms flat on the table so that his elbows were at the same level as his heart.

This is the standard position for using a mercury sphygmomanometer.

Let the mercury meter, elbow, and heart be at the same level.

The next step is to wrap the air sleeve evenly and tightly around the skin on the upper arm.It can't be tied too tightly here, nor can it be tied too loosely.

Of course, the position of the tie is also particular.

According to visual inspection, the lower edge of the air cuff is about 2~3cm above the elbow fossa.

The air cuff is on the surface of the brachial artery.

Once tied, place the stethoscope head on the brachial artery.

One thing to note is that the earpiece cannot be stuffed into the air sleeve.

It should be on the brachial artery at the lower edge of the cuff.

This is naturally not wrong for the veteran Zhou Sheng.

At this point, the previous actions are completed.

Enter the actual measurement process.

Zhou Sheng tightened the air valve on the air sleeve, pumping air into the air sleeve quickly while auscultating.

When the pulsation sound of the brachial artery disappears, the mercury column rises again by 20-30mmHg.

Zhou Sheng unscrewed the air valve and released the air.

At this time, the mercury drops slowly.

When he heard the first brachial pulse again, Zhou Sheng hurriedly read out the value on the mercury column at this moment.

120mmHg.

This value is the systolic blood pressure, which is also what we usually call high pressure.

This is not over yet, Zhou Sheng continued to deflate, listening carefully to the stethoscope in his ear, when the pulse sound weakened, Zhou Sheng read out the blood pressure scale again.

80mmHg.

Needless to say, this value is the diastolic blood pressure, which is what we usually call low pressure.

At this point, the test is over.

Zhou Sheng reported the measurement results to the examiner, "Systolic blood pressure 120mmHg, diastolic blood pressure 80mmHg."

The chief examiner nodded.

The entire operation of Zhou Sheng was flawless, and the measurement process was very smooth.

A perfect operation.

But that's not all.

According to the requirements of the exam, the examiner will also ask the candidates two questions.

The examiner said: "Why can't the earpiece of the stethoscope be stuffed under the air sleeve?"

This question, when he was not in medical school, his father had already answered him.

He blurted out: "Stuffing the stethoscope into the cuff will make the cuff tighter, and the increased pressure will lead to errors, which will reduce the pressure of the brachial artery and cause the measured blood pressure to be higher than the real one."

"Hmm." The examiner was very satisfied with Zhou Sheng's answer, and he continued to ask: "What is the correct position of the brachial artery when measuring blood pressure?"

"Two positions, sitting and supine. The brachial artery is level with the 4th costal cartilage in the sitting position and the midaxillary line in the supine position."

problem of this magnitude.

For Zhou Sheng, who has been helping out in the clinic since he was a child, it was simply a pediatric problem.

I've been playing with this thing since I was a kid.

The three examiners nodded at the same time.

Scored, needless to say.

This question is not given a full score, which is beyond reason.

Next, is the second question.

This is an eye exam.

The chief examiner said to Zhou Sheng: "Do eye movement, eye accommodation and convergence reflex checks."

This is also a basic inspection item.

Of course, Zhou Sheng did it at his fingertips.

Both checks use fingers.

The way is slightly different.

Mr. Zhou first came to check the eye movement.

He stretched out an index finger, and then placed the fingertip half a meter in front of Cao Xin.

Then said: "Don't move your head, your eyes follow my fingertips."

Cao Xin let out a "huh".

After sitting here for a long time, he finally made his first sound.

Zhou Sheng's fingertips moved in the order of left, upper left, lower left, right, upper right, and lower right, and wrote a capital "H" in the air.

Cao Xin's eyeballs followed Zhou Sheng's fingertips.

An eye movement check is as simple as that.

Next, is the eye accommodation and convergence reflex check.

This test is even simpler.

Zhou Sheng stepped back a little, at a position of about one meter.

He also stretched out his index finger and said, "Stare at my index finger."

Then he moved his finger towards Cao Xin's nose at a constant speed until it stopped at about 10cm.

This detection, in practice, is to detect the constriction of the pupils on both sides of the two eyes and the convergence of the two eyes.

Much like playing cross-eyed as a kid.

Zhou Sheng completed the two eye examinations with ease.

Then came the question period.

It was still the examiner in the middle asking: "The convergence function of the two eyes is poor, what can't be considered together?"

"Oculomotor nerve damage."

Problems with eye movement must have something to do with nerves.

It's very simple, Zhou Sheng answered in seconds.

"If the pupils on both sides are not equal in size, what is the clinical significance of shrinking one side?"

This problem is even simpler.

As an expert outside the gods, Zhou Sheng has come into contact with many cases with different pupil sizes, and the final diagnosis is a problem with the central nervous system in the head.

He has also encountered it in the actual clinic.

He answered without hesitation.

"If the pupils are unequal, the innervation disorder of the central nervous system or iris may be considered."

The two questions about the eyes were well answered.

The three examiners exchanged glances.

From the moment the examinee came in, he was full of confidence and relieved his peers.

Is a seasoned veteran.

It seems that during the internship in the hospital, I got a lot of exercise.

The three gave their first full score of 20 points today without any hesitation!
Today, in the previous rounds, they also gave high scores of 18 and 19.

But don't look at the 1-point gap.

That's because the full score for this item is only 20 points.

If there is enough time and more exams, Zhou Sheng will definitely be able to widen the gap of 1 point to 2 points, 3 points, 4 points, 5 points... or even more.

The difference between 100 points and 99 points is not just a difference of 1 point.

Zhou Sheng couldn't see the score on the spot.

But he had already seen it from the expressions of the three examiners.

His performance should be king-level.

Next, Cao Xin will operate.

And Zhou Sheng had to cooperate with him.

Cao Xin's clinical skills were not bad at first.

I also practiced in the central hospital for more than a year.

But it is the first time to take this kind of test.

The examiner who looked like three giant Buddhas was right in front of him, and he couldn't let go.

So play in general.

The operation is so-so, and when answering questions, he stutters even more.

Coupled with the perfect performance of You Zhousheng in the front, the examiners had a comparison in their hearts.

So his score was not high, and he only got 12 points for the two questions.

The two finished the first physical examination of this second stop.

We will soon enter the second item, the basic clinical operation.

This item is also three examiners.

And what's even more frightening is that this time he doesn't even have a companion.

Enter the exam one at a time.

1V3 rhythm!
Zhou Sheng and Cao Xin had just met, and they had to separate soon.

There will be a period later.

……

(End of this chapter)