They Hated Me in My First Life, But Now I Have the Love System

Chapter 639

Chapter 640: Candidate, Present Your Case

She straightened up, her mind racing through possibilities.

---

The observation room was lit up.

Linda leaned forward. "She’s missing something, she hasn’t asked about previous cardiac interventions."

"Give her time," George countered, watching intently. "She’s pacing her flow."

Carl, expression unreadable, quietly tapped a pen against the desk. "She’s already seen it," he murmured.

"What?" asked one of the examiners beside him.

"The pattern. She’s connecting the pulmonary findings to left ventricular failure."

@MedNation: Is she gonna say it?

@StudentDocZ: She’s definitely thinking congestive heart failure secondary to long standing hypertension.

@FutureDrK: If she nails this viva, she’s not just passing, she’s making history.

---

After completing her physical exam, Nnenna stepped back and wrote a few quick notes before turning to the patient again.

"Mrs. Tasha," she said softly, "I believe your symptoms may be related to your heart. Possibly a condition called heart failure caused by your high blood pressure and maybe a rhythm problem. But don’t worry, we’ll confirm with further tests to be sure. You’re in good hands."

The woman looked at her in quiet disbelief before nodding slowly. "You sound like you actually care," she said. "Most people just write and leave."

Nnenna smiled. "Because you’re not just a case, ma’am, you’re a person. And people deserve care."

---

Back in the observation room

The room was silent for a full ten seconds.

Then one of the senior examiners let out a breath. "Brilliant."

George grinned from ear to ear. "Nicely done."

Linda’s jaw tightened. "Let’s see if she can handle the viva questions. Diagnosis is just the beginning."

Carl’s lips curved ever so slightly.

Online, the viewers exploded.

@MedNation: She’s unreal.

@OmnioraObserver: This girl’s making the toughest case look easy.

@DocReview: Professional. Empathic. Accurate. Textbook 5th MBBS level.

Nnenna finished her examination calmly and stepped aside to record her findings. Her tablet glowed faintly as she wrote with steady hands:

Provisional Diagnosis:

Congestive Heart Failure (CHF) secondary to Hypertensive Heart Disease.

Differential Diagnoses:

heart disease with

heart disease (possibly

3. Arrhythmia related cardiomyopathy.

sharp, deliberate, reflected

---

room, examiners were blown

muttered, glancing at her notes on the shared monitor.

write fancy terms. Let’s see if

couldn’t stop smiling. "She’s analyzing patterns like

differentials

She’s covering all

is how a final year candidate should

lift of his brow betrayed his approval. He knew her style, precise,

---

tablet

get the following investigations?" she said gently, her tone firm but courteous. "An ECG, chest X ray, full blood

hesitated. "That’s a long list, dear. Are

the cause and the complications. Missing any of these could cost her

a strange look, part

these tests? Are

to understand what’s happening to your heart so

that because they’re

no one was watching, I would still

That silenced her.

---

in the observation

good," one examiner whispered, almost forgetting himself. "She disarmed her again. That patient has broken more students

"She’s performing. She’s just

to her. "Or maybe she actually has it. You should try it

him, but before she could snap back, the head examiner announced,

---

few minutes, Nnenna was

facing the panel of examiners seated in a

present your case,"

"Yes, sir."

who presented with a two week history of progressive chest pain, shortness of

highlighted key findings: the radiation of the chest pain,

fluid retention, pulmonary congestion, reduced cardiac output.

diagnosis is Congestive Heart Failure secondary to Hypertensive Heart Disease. Differential

hall was silent for a

the chief examiner said, tapping his

began shortly

"how would you confirm

assess the ejection fraction, look for wall motion abnormalities, and

the normal ejection

55% and 70%,

the common causes of heart failure

overload leading to left ventricular hypertrophy, ischemic heart disease, and poor

nodded. The flow

"Treatment plan?" another asked.

dietary salt restriction, and pharmacologic therapy including ACE inhibitors, beta blockers, and diuretics. Depending on the ECG findings, anticoagulants or antiarrhythmics might also be

examiners smiled faintly.

in the observation room, students who still hadn’t began

moment was practically glowing with pride. "That’s how it’s done!"

tightly, jaw set. "She’s just

you’re wrong Linda." Another student finally spoke up seeing how the situation was turning

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