I clearly didn't understand my situation before, but now I can think of whether the patient is confused or has some psychological problem that makes his speech incoherent and what he says is not credible.
For a while, the doctor seemed unable to determine whether the patient's contradictory words were true.
"It's okay, I believe what you said." Xie Wanying nodded to the patient and family members.
The eyes of other students were filled with surprise at her, wondering what kind of medicine Xie would be selling this time.
"Is it enteritis, doctor?" Seeing that the patient was tortured by the disease, the family members were very distressed. They urged the doctor to prescribe medicine, "Can you give her some medicine now to make her feel better?"
Xie Wanying carefully told her family: "Her stomachache is probably not a digestive tract problem."
"What is it?"
It is mentioned on the B-ultrasound examination report that there is a mass in the pelvic cavity. This mass is pelvic inflammation or tumor, and there is a diagnostic question mark after it. The B-ultrasound doctor thinks that it seems that the nature of the mass cannot be clearly identified using B-ultrasound examination, so he recommends
Clinicians make judgments based on clinical symptoms.
The results of medical instrument examination are not omnipotent, which is clearly shown in such cases. The misdiagnosis rate of B-ultrasound has always existed.
Because of this, Lin Hao and the squad leader heard that Student Xie was looking for help in analyzing the inspection report.
Since the B-ultrasound examination revealed a mass, a new physical examination is required.
Ask the nurse sister to help arrange a mobile bed for the patient to lie flat on, so that abdominal palpation can be performed.
Several classmates asked Li Qian privately: "Didn't you palpate her before?"
Classmate Li Qian said honestly: "When I came here, the teacher in front of me had done a physical examination on her."
Oh. Li Qian believes that the doctor on duty in the emergency department must have better technical skills than him, at least in terms of physical examination. He needs to find a place to settle down when he examines the patient. For example, now he needs to find a special bed to provide medical examination.
The patient is lying. It just so happens that the emergency room is in such chaos tonight that it is not easy to find a bed.
If there were free beds and wheelchairs, the patient would have been allowed to lie down and sit in the B-ultrasound room for examination, instead of being supported by family members and walking to the examination room.
When it comes to physical examination, especially palpation is more difficult than auscultation.
For medical students, after auscultation, after placing the stethoscope in a designated position, the noise cannot escape there and can be heard.
Palpation requires touching with fingers. It will be difficult if the foreign body is located deep inside the patient's body. This patient happens to be a fat woman. Other students can understand that another concern of Li Qian's not examining the patient is that he
This veteran who has been working in clinical practice for a year thinks he is not good at palpation.
In contrast, the former pair of junior brothers and sisters dared to keep saying that there was nothing wrong with their palpation, which was the arrogance of newborn calves who were not afraid of "confusion".
When talking about this, several students turned around subconsciously.
Unexpectedly, the two junior brothers and sisters actually stood behind them and listened.
"You?" Zhang Desheng put down his glasses and looked at the two of them displeased.
These two people are not called seniors and seniors. There are so many seniors that we don’t care about them. However, eavesdropping on seniors behind their backs is considered impolite behavior and cannot be explained by coldness.
Monitor Yue Wentong saw this and asked: "Who is that?"
"The juniors who have just entered the cardiothoracic surgery internship this year." Zhang Desheng immediately reported to the squad leader.