Summary of the ENT

In the ear, nose and throat for 2 weeks, there are countless teachers who take me, from time to time, not too long, not short, just right. ENT includes stomatology, ophthalmology, ophthalmology, rhinology, laryngology, etc.

The ear, nose and throat are a highly operative subject, and the nasal septum deviation correction surgery in the book is very important in clinical practice. I only know that the ENT is also a surgical department. The teachers inside are all good surgeons. It is also the beginning of an internship. It turns out that in my internship line, the first four departments are all science, huh, the sister said that the beginning is not the surgery. Very cost-effective, because it is very tiring to be "inside and outside" when I first went to the clinic.

I just entered the hospital and I am not familiar with the operating system. No other students have started so fast, but I still try hard to learn.

In the two weeks of ENT, I have seen several common diseases: sudden deafness, unexplained nosebleeds, radiotherapy and chemotherapy for nasopharyngeal carcinoma, tonsil tonsillar abscess, nasal polyp sinusitis, mastoid inflammation, and otitis media. Followed by the emergency department at night, learned how to deal with acute massive bleeding in the little area, how to solve the problem of the card bone, puncture the upper blood vessels and so on. In the operating room, he underwent a total resection of the parotid mixed tumor, double fess + nasal septum correction, and episode cystectomy.

The most important examination of the ENT is to be admitted to the hospital. This is the key to a targeted examination of the patient. Including: ear examination, nasal examination, throat examination. These external simple checks are basically what must be done when you are admitted to the hospital. More special tests, such as the tuning fork test in the hearing test, and laryngoscopy, are also very common. In terms of instrument inspection, I learned to look at pure tone hearing threshold test, middle ear acoustic impedance curve, and a series of operations familiar with nasal laryngoscope.

Some very detailed knowledge points are listed below:

1. In the contact between otolaryngology and endocrine, I found that the nasal mucosa grows like estrogen under the stimulation of estrogen, and mucosal secretion increases, which is why pregnant women are prone to rhinitis. Similarly, why menopausal women are prone to atrophic rhinitis and nosebleeds.

2. The cause of facial nerve spasm can also be parotid mass compression, mastoid lesions, etc., and there will be symptoms of red sweating of the lower jaw after the parotid gland is completely cut.

3. Sudden deafness is caused by unexplained ear hearing loss in up to 3 days, and most of the causes are related to cochlear vestibular vascular obstruction. Clinical use of sputum or scorpion pollen needle intravenous drip, Sibiling oral Dilating blood vessels improves blood flow. At the same time, routine examination of the blood flow of the brain Doppler excludes cervical vascular restriction factors.

4. The acoustic impedance test is specifically designed to measure the function of the middle ear. The normal curve is peak. The ossicular chain fixation curve is a low peak type, indicating that the ossicular chain stiffness is increased. When the tympanic membrane shrinks or the ossicular chain is interrupted, the sound is abnormally increased and the curve is over-restricted. Tympanic effusion or adhesion lesions, tympanic membrane activity is limited, the curve is flat. When the external auditory canal and the tympanic pressure are equal, the sound is the largest, forming a peak top, which can show the degree of negative pressure in the tympanic chamber.

5. If there is a drug related to coagulation function in the doctor's order, the whole blood analysis and coagulation must be opened in St. .

In fact, when I first arrived, I still did a lot of wrong things. For example, when I was at night, I was wrong with the doctor. For example, when I was in the morning, I would grab the lines and say the wrong words. For example, I would go to the operating room to visit the clothes. But the teacher is still very tolerant. I didn't say how to blame me, I didn't blame me too much, and I slowly became eye-catching.