Seven Hundred, Let Me Show You

"Come on, do a physical examination!" Zhang Fan didn't dwell on this issue all the time. He was very clear that when he found this problem, when the ward rounds were over, the department would not go through the medical records of the past five years, at least they would Two years of medical records have been reviewed.

In the early days, medical records were the records of medical staff's medical activities such as examination, diagnosis, and treatment of the occurrence, development, and outcome of patients' diseases. When they were simple, the medical records were wonderful.

Doctors will write down their own guesses or self-views on the future development of the disease. An internal medicine medical record is a doctor's depth of understanding of the disease. Later, medical records took on a new role and became the legal basis for disputes.

Then there is nothing to read in the medical records, they are all the same, full of possible, perhaps, unseen, doctors don’t write their own opinions, even the treatment can’t wait for the superior doctor and family members to sign.

Therefore, the current medical record is just to look at the examination pasted on it. As for the others, they are all in perfect order, so you can't see anything useful.

The patient was a young male, thin, and the hospital gown suitable for ordinary people was worn on his body, like a loose monk's robe, but the blue and white color made him feel like a T-Bag in a prison escape.

The cheekbones are raised, the eye sockets are deep-set, the eyes are open, and there are more white eyes than black eyes. Obvious malnutrition.

"Why are you feeling unwell?" Zhang Fan asked while starting the physical examination.

"It's just a stomachache! I don't want to eat." Zhang Fan nodded, his hands cooperated, his four fingers turned into knives, and the finger pulps began to touch in a counterclockwise direction.

"Does it hurt?"

"It doesn't hurt!"

Driving in a circle, from left to right, I didn't find any pain points.

Zhang Fan looked up at the patient's expression, there was no sign of pain, and then he looked at the doctor in charge of the bed.

It means that there is no pain in the whole abdomen, and your der actually wrote that it is suspected appendicitis, and you have invited a general surgeon to come for consultation, and you want the general surgeon to pull you in for surgery. How did you learn this diagnosis? The biochemistry teacher told me Did you take the diagnostic class?

"He suffered from paroxysmal pain. When he was not in pain, there was no abnormality. But when it was painful, he was in a passive position. When the general surgeon came, he was fine. After the general surgeon left, he started to hurt. Now he All right!"

The doctor in charge of the bed pouted, with an expression of grievance. To be honest, the director of the department is afraid of Zhang Fan, but the little doctor is not afraid of Zhang Fan. Not only was he not afraid of Zhang Fan, but he also acted like he had the ability not to ask me.

The job of a doctor is very strange. If you want to be a part-time official in the hospital unit, it is easy to manage, and you don’t need to manage him. He will work hard to get closer to the organization. Those who are meritorious but seek no faults.

Anyway, I'm just a little doctor, if I don't get close to you, don't worry about me, just pay my salary and bonus on time. I don't care about your imperial guards or your guards with knives.

Moreover, Zhang Fan is a surgeon, and he is young. He is a young doctor in internal medicine, but he is actually quite unconvinced. No matter how good your surgery is, it’s still a surgical series, and it’s also a series that you don’t know anything about.

Really, it’s not an exaggeration at all. Medical practitioners obviously have this kind of experience. Surgeons suppress physicians in terms of income, and physicians will always outperform surgeons in spirit.

But to be honest, the gastroenterology department of internal medicine is somewhat similar to the general surgery department of surgery. The diseases are complicated and the diagnosis is difficult. This department is not easy to do.

In detail, this thing is too difficult. First of all, the abdominal pain feedback is inherently inaccurate. For example, a comatose patient was sent to the hospital first. The doctor said that there was no organic change in the brain, and the breathing showed respiratory failure. This is a matter of the respiratory department.

Then the patient came to the Department of Respiratory Medicine, and the doctor of the Department of Respiratory Medicine looked at him, "Hurry up and transfer to the Department of Gastroenterology, this is willingness to encephalopathy."

After sending it to the Department of Gastroenterology, the doctor said: "Hurry up, check first." The family members were not happy,

He scolded the doctor in the gastroenterology department all over his head and face. No matter what you say, you have to have an examination, how do you become a doctor.

Digestion is also quite aggrieved.

Gastroenterology is very similar to general surgery. General surgery can perform a laparotomy, while gastroenterology can only rely on the skills of doctors.

People's hearts are hard to guess, and so are diseases. And the tissues and organs in the abdomen, if you think about it carefully, are a bit like Yan Laoxi back then. They are self-contained. They usually seem to be quite honest and listen to the orders of their superiors, but when this thing comes to a critical moment, it doesn't listen to the orders of the brain.

Not only do they not listen to the brain's orders, but they may also send troops to turn the brain first. For example, in patients with liver coma, ammonia from the liver enters the brain and turns the brain numb. This is not what sending troops is.

Zhang Fan looked at the grievance and complaining face of the doctor in charge of the bed, looked at the slightly embarrassed director of the gastroenterology department, and smiled lightly.

Not much to say, the technical unit, trying to convince the other party verbally, is often wishful thinking, unless they use their identity to lie down on the female doctor, but Zhang Fan will not do this, it is too untechnical.

Those who engage in technology are those who don’t see the coffin and don’t shed tears. You can’t convince her technically, and you can’t overwhelm her with technology. She will always pout her mouth and say: That’s it? I have seen bigger ones!

Therefore, Zhang Fan smiled lightly, as if saying: It's time to show real skills.

"Put your legs together, bend your knees, take a deep breath, exhale, clear the air, and that's it, one more time."

The young and thin patient was squeezed by Zhang Fan's hands like a doll.

"What is this for? Do you increase the amount of exercise and cause symptoms?" The doctor in charge looked at his director in confusion.

The director gave her a blank look, as if to say: "I don't know what to do!"

Of course, Ren Li, Yan Xiaoyu and Ouyang all understand.

Zhang Fan will undergo a deep abdominal examination.

When CT, MRI, and DR dominate the medical field, not to mention deep physical examination, even ordinary physical examination is almost lonely.

In-depth physical examination, now almost few people can see it, because this thing is not only difficult to operate, but also prone to accidents.

With advanced equipment, who would take risks?

So, let alone patients, some young doctors have heard of it, but have never seen it.

Ordinary examination is quite delicate, four fingers, the pads of the fingers across the skin, together and ups and downs, like a girl between a couple who first said to take a bath, and then seduced the boy, pursed her mouth and lightly pressed her four fingers Gently stroke the boy's eight abdominal muscles.

Well, how amorous and amorous it is.

The in-depth inspection is more rough. To put it crudely, it is like a big cheeky man who hasn't seen the opposite sex for more than ten years, and then suddenly gave him the opposite sex.

Hands up!

The hands are folded together, just like artificial respiration, and then in the patient's abdominal cavity, there are deep ups and downs. The patient's abdomen without much muscle fat is like a squashed and bulging watermelon.

Looking at it makes people feel nervous, for fear that if one is not careful, the patient's stomach will be crushed.

"Suck, take a deep breath! Huh, hurry up, spit out, spit out desperately, hurry up!" Those who didn't know thought what the fuck was doing.

The thin patient's eyeballs almost protruded from Zhang Fan's pressure. It's not an exaggeration at all. Not only the eyeballs were about to come out, but even the tongue was about to be pushed out, and the patient was a little terrified. If there were not so many doctors around him, he would definitely think that Zhang Fan was going to murder him.

It is really difficult to press your hands into the belly to a depth of about ten centimeters and touch the internal organs. Don't think that after reading the novel, you will feel that you will do it, and then put your girlfriend on the bed at night to experiment.

Don't do a good physical examination, but it would be bad if your girlfriend pulled the bed. A puddle of stool is the lightest thing, and if it is not done well, it will be fatal. If it touches a solid organ, it will cause hemorrhage, and if it touches a hollow organ, it will be ruptured and infected.

In Zhang Fan's in-depth physical examination, in the early stage of exerting force, he had to sink quickly and vigorously as the patient exhaled, and when it reached the vicinity of the organs, he had to quickly withdraw force.

How should I put it, it's like a bull galloping at high speed, galloping aggressively, I thought it would smash the woman in front of the bull, but when it got in front of it, the bull braked quickly and kissed the woman's lips lightly, gently of women don't even feel kissed anymore!

This is the request, and Zhang Fan not only needs to touch the organs, but also feel the abnormalities of the organs. Therefore, this kind of physical examination is too difficult.

up and down together,

Together and up and down,

The patient's terrified expression opened his eyes.

Then, under Zhang Fan's deep pressure more than ten times, the patient finally shouted: "This is the place, this is the place, this is the pain!"

The sweat on Zhang Fan's head, this thing is a physical effort.

When the patient yelled, Zhang Fan stopped immediately, determined the location, and then made a nail mark on the skin.

The female doctor in charge of the bed was dumbfounded, not only the female doctor in charge of the bed, even Yan Xiaoyu was dumbfounded.

Really, after so many years, it is rare to see people use this method of physical examination, but today I finally saw it, and it is still so explosive.

What Yan Xiaoyu watched was technology, but the female doctor in charge of the bed was like watching a porn for the first time. It was not why the female lead was not wearing clothes, but whether the male lead was inflated.

Tai Nima is amazing.

During the ups and downs, she was even worried that the patient's liver would be crushed by Zhang Fan.

"CT and MRI couldn't find the lesion, but the physical examination found it!" Yan Xiaoyu murmured.

"Can the diagnosis be confirmed now?" Zhang Fan asked the doctor in charge of the bed, and the doctor in charge of the bed was never convinced and suddenly changed.

Just like a little white rabbit seeing a big tiger, they all began to be tactful, "Dean, the dean seems to have diverticulitis of the colon!"

Forehead! Zhang Fan couldn't say anything.

"I was admitted to the hospital for three days, and I couldn't make a diagnosis. Not only did I not think of a way, but I also tried to evade the patient's name. Director Li, is this okay? Today, I found out this disease. If there is another one that cannot be diagnosed tomorrow, do you still need me to check it out?" Body?

Am I going to be the director? "

Zhang Fan didn't talk about the bed doctor, but he couldn't let go of the director.

The director was sweating profusely, as if he did the operation just now!

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