"Little doctor, do you know how to do it? If not, don't waste your time. Dr. Song should do it yourself."

The patient's family members also couldn't stand it anymore. Although it was normal for a junior doctor to assist in the examination, they were still a little worried about such a disobedient junior doctor.

"Tanglou, let me say it again, strictly follow the procedures for investigation."

Song Luo's tone was already very rude. The emergency department is quite special. It is very common for patients' families to make trouble. Naturally, he wanted to take control of the situation.

"Family members, please rest assured that Dr. Xiao Tang will conduct a physical examination under my guidance and there will be no problems. I have more than ten years of emergency experience..."

Song Luo was very senior, so he naturally calmed down the family members quickly. Then he looked at Tanglou and ordered: "Xiao Tang, now you investigate in order and give a conclusion. All family members and I are listening.

If there is any problem, I will point it out as soon as possible.”

Tanglou nodded. After all, it was the first hospital in the city. Doctors had strict operating procedures, and ranks could not be overridden. In particular, spontaneous bladder rupture was too bizarre, and he could not find a reasonable explanation for the moment.

However, Tanglou still did its best to speed up the steps:

“Generally speaking, for acute abdomen, we will divide the abdomen into regions, which are:

If the left upper abdomen is painful when pressed, it may be a disease of the liver and gallbladder, right lower lung, pleura, diaphragm, and ribs.

Tanglou pressed it gently, and the patient's abdomen was filled with urine. Naturally, he felt pain. His face twisted and he squeezed out: "It hurts!"

The family members standing by were also worried, nervously watching the steps in the tenement building and paying attention to Song Luo's reaction.

Song Luo was naturally a little confused. Could it be hepatobiliary?

However, when the patient was just sent to the hospital, he reported pain in his lower abdomen.

Before Song Luo had much time to react, Tang Lou had already pressed on his upper abdomen and spoke at the speed of a machine gun:

"Pressing pain in the upper abdomen may be caused by gastric disease, duodenum, ulcer, pancreas, gallbladder, angina pectoris, aortic dissection, or early appendicitis."

While the patient was applying pressure in Tanglou, he hissed slightly and slowly spit out: "It hurts a little here too."

"???"

Song Luo became more and more surprised. Ulcer, gallbladder? The patient had drank a lot before, so it was not impossible.

Tanglou's fingers have touched the right upper abdomen, and his speaking speed is getting faster and faster:

"Pressing pain in the right upper abdomen may indicate gastric, pancreatic, angina, spleen, left lower lung, pleura, diaphragm, and rib lesions."

Naturally, the patient expressed pain as expected in Tanglou. Cold sweat dripped from his forehead, and he couldn't fake it.

"Um?"

Song Luo's brain was already a little out of control. This reaction was a bit beyond his expectation. It stands to reason that it is rare for acute abdomen to cause pain in so many places at the same time.

Naturally, Tanglou would not give Song Luo time to communicate, and directly pressed his hand on the left waist. His explanation of the pathology was naturally extremely precise:

"Pain in the left waist is most likely due to lesions in the spleen, kidneys, upper ureter, and descending colon."

The patient was very cooperative and screamed when he was told in the tenement building that it hurt so much.

"Doctor, have you found out? It hurts, it really hurts!"

The patient's wife even made gestures on her abdomen while listening to Tang Lou's explanation, and then she became confused. If she understood it correctly.

Is it possible that his husband’s internal organs are broken?

The lady who owns the barbecue stall is said to be from the Miao ethnic group. Could it be that she was poisoned by the Miao ethnic group?

How can that be good!

"Dr. Song, what's going on? What's wrong with my husband?"

The patient's wife was so anxious that she almost cried.

Song Luo also had a cold sweat on his forehead. Even with his senior experience, he was a little unsure. It was too abnormal.

He even had a weird idea. Could it be true that as Tang Lou said, even if he did this abdominal compression, nothing could be eliminated and it would be a waste of time?

Tanglou's hand was already pressing on the patient's waist.

The patient's wife and other family members also followed Tang Lou's movements and moved their fingers to their corresponding positions.

Many contestants in the judging room also compared their waists. When recalling the places where they had been in pain, Tanglou was still Tanglou. The foundation was too solid.

However, they were a little confused as to why he was a little abnormal at first and seemed unwilling to follow the process. It was obviously not because he didn't know, but because he was deliberately avoiding it.

So what is he thinking?

Each director also quickly searched for this abnormal reaction in his brain. After all, it is very abnormal to feel pain in almost the entire abdomen after pressing it.

Tanglou’s words reached everyone’s eardrums:

"Pain when pressing the waist can indicate small intestinal disease and early stage of appendicitis."

The patient pursed his lips, but still felt pain. He instinctively pressed his neck gently, and his whole body had a tendency to curl up into a ball.

Begging for mercy from Tanglou: "Little doctor, please slow down and be gentle!"

Tanglou's cold movements not only did not stop, but also sped up a bit.

"I…"

The patient took another deep breath.

Tanglou's hand has already pressed on the patient's lower right abdomen, and his speaking speed is even more frightening:

"Pain in the right lower abdomen, suspected appendix, ileocecal part, right adnexa, mesenteric lymphadenitis, inguinal hernia, spermatic cord disease."

Song Luo looked at the serious Tanglou, and his heart twitched for some reason. He couldn't understand this young man.

He is more solid and independent than he thought. Could it be that his previous abnormal behavior was something he discovered, but he is just not sure?

Song Luo thought so, but he had reached the end of the compression and was too embarrassed to stop it, and he couldn't stop it. Tanglou was too skilled and too fast.

"Pressing the patient's lower abdomen can indicate bladder lesions."

Tanglou paused here deliberately, and even used a little more force on purpose.

"Ouch! Little doctor, please be gentle... Ouch, it hurts. Xiele..."

The patient almost jumped up, but he still held it back and pinched the sheets with one hand.

That kind of powerless yet full-force grasping, the collection of grievances and sadness, could be used as a close-up in a movie...

Tanglou ignored it and coldly pressed the last left lower abdomen again. He pressed a little lighter here. Although the patient was in pain, it was much better than the previous pain.

The reaction was not that strong. I just shed tears and looked at the tenement building with some hatred. In the blur of tears, I saw what a face of moral decay and what a pair of hands with twisted human nature!

"Oh my god...I will never drink again...it hurts me to death..."

After Liu Dishi finished the compression in Tanglou, he took a few deep breaths, as if he had given birth to a child, his whole body was weak and his face was pale.

"Huh~huh~huh~"

"Dr. Song, after the compression examination, the patient's entire abdomen was tender and tender, which is very abnormal. However, during the compression process, the pain in the patient's lower abdomen was particularly obvious."

Liu Dishi is lying on the bed. If he can stand up, he really wants to kick Tanglou. I'll press your lower abdomen hard. If it doesn't hurt the most, it will be a ghost!

"So you suspect there is something wrong with the patient's bladder?"

Song Lou was a little surprised. During such an abnormal physical examination, even though he was a little confused, Tang Lou's tone was very firm and decisive.

"No, I don't suspect bladder disease, but I have a bold guess. It is possible that the patient's bladder has ruptured, causing the urine to become full and the patient's abdomen to swell. This also explains the pain throughout the abdomen."

"You said the patient was full of urine?"

Song Luo couldn't believe it.

"You're just full of urine, oooh."

The patient didn't know whether he was in pain or angry. He was speechless and couldn't bear the grievance.

Tanglou no longer tried to hide it. After a round of pressing, everyone was officially puzzled, and Tanglou also activated his own talent to listen.

[Talent: Listening, you can instantly soothe the emotions of patients, family members or passers-by, and listen quietly to the host's words. Activated: Countdown 10...9...8...]

"I know Dr. Song will definitely refute it. After all, bladder rupture must be caused by external force or other impacts. It is obvious that the patient is just drunk and lying on the bed, which is too far-fetched. However, I am not making a mistake."

"Common acute abdominal pain is divided into three categories: visceral pain, radiating pain, and body pain. The patient's pain is obviously radiating pain. Due to the problem of common nerve pathway conduction, lesions in one location cause pain in other locations. Therefore,

, easy to misdiagnose or miss diagnosis..."

"In addition, the patient's abdominal dullness supports my inference. Maybe Dr. Song will think it is abdominal bleeding, but that doesn't matter..."

【Countdown:...3...2..】

"To sum up, my inference is very likely. I suggest that the patient first undergo abdominal puncture and fluid extraction, and routine fluid testing will be helpful for early diagnosis and treatment!"

...

...

After Tang Lou finished speaking, everyone woke up from a strange feeling. When Tang Lou spoke just now, it was like the only quiet voice in the universe was Tang Lou's voice. It was so convincing and calm.

Recognize.

Song Luo was somewhat convinced by Tang Lou, but spontaneous bladder rupture? Is it really possible?

After all, Tang Lou is just an intern. Is it possible that he is just trying to impress people for the sake of perfect assessment?

When Song Luo was hesitating, a figure came over. It was Lin Fang, director of the emergency department of the First City Hospital:
Chapter completed!