post-operative fever 開刀後發燒主任查房的對話

post-operative fever 開刀後發燒主任查房的對話

這是實習醫生影集裡面主任對於一位病房代號4-B的婦人開刀後仍然持續發燒，在查房中與intern的對話。C代表主任，intern A代表原來負責那位病患的intern；intern B就是片中的女主角Grey。

C：She's still short of breath.

Did you get an ABG or a chest film?

Intern A：Oh, yes, sir, I did.

C：And what did you see?

Intern A：I had a lot of patients last night.

C：Name the common causes of post-op fever.

Intern A：Uh, yes.(這時拿書出來翻)

C：From your head, not from a book.

Don't look it up.

Learn it.

It should be in your head.

Name the common causes of post-op fever.

Intern A：Uh the common causes of post ----

C：Can anybody name the common causes of post-op fever?

Intern B：Wind, water, wound, walking, wonder drugs.

The five W's.

Most of the time, it's wind, splinting or pneumonia.

Pneumonia's easy to assume, especially if you're too busy to do the tests.

C：What do you think's wrong with 4-B?

Intern B：The fourth W, walking.

I think she's a prime candidate for a pulmonary embolus.

C：How would you diagnose?

Intern B：Spiral CT, VIQ scan, provide O2, dose with heparin and consult for an IVC filter.

C對Intern A：Do exactly as she says, then tell your resident that I want you off this case.