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 not credible enough.
The doctor seemed unsure for a moment 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 the patient being tortured by the disease, the family members felt distressed and 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?"
The B-ultrasound examination report mentioned that there was a mass in the pelvic cavity. This mass was pelvic inflammation or tumor, and there was a diagnostic question mark behind it. The B-ultrasound doctor thinks that it seems that the nature of the mass cannot be clearly identified using B-ultrasound examination, and it is recommended that clinicians make the judgment 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 monitor 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 on-duty doctor and teacher in the internal medicine department of the emergency department must have better technical skills than him. At least he is better at doing physical examinations. He needs to find a place to settle down when he examines patients. For example, now we need to find a special bed for the patient to lie on. It just so happened that the emergency room was in such chaos tonight that it was difficult to find a bed.
If there were free beds and wheelchairs, the patient would have been asked 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.
Auscultation: For medical students, after placing the stethoscope in a designated position, the noise cannot escape there and can be heard.
Palpation requires touching with fingers, which can be difficult if the foreign body is located deep inside the patient's body. This patient happened to be a fat woman. Other students can understand. Another concern of Li Qian's refusal to perform physical examinations on patients is that he, a veteran who has been 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".
Speaking of 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 senior brothers or sisters. There are so many senior brothers that we don’t have to worry about them. However, eavesdropping on the senior brother's words from behind is considered impolite behavior and cannot be explained by coldness.
Squad leader Yue Wentong saw it and asked, "Who is it?"
"The juniors who have just entered the cardiothoracic surgery internship this year." Zhang Desheng immediately reported to the squad leader.
7017k
