"Then check it, but doctor, be gentle." the man said with a sad face, "it hurts badly."
"Well, lie down first. Don''t worry." Wei Dabao said, "I''ll show you one, and then take the medicine. B-ultrasound. I don''t bring the medical record. It''s time to bring the B-ultrasound report."
"Here it is." the woman took a piece of paper from her bag and gave it to Wei Dabao.
Wei Dabao glanced. Generally speaking, the main objective symptom written on B-ultrasound is whether the gallbladder wall is thickened. Generally, the normal value of gallbladder wall is 3mm. If the gallbladder wall is rough, thickened and not smooth.
According to the description of B-ultrasound, it was really cholecystitis. He put the B-ultrasound list aside, learned from Wu Mian, rubbed his hands and said, "I''ll press it gently. You can bear it and tell me where it hurts."
The little nurse stood at the door, her eyes filled with contempt.
"What''s this, buddy?" another little nurse came back with a drip truck and asked.
"I said I was going to jianxie hospital. It''s expanded," said the little nurse.
"What? He''s going to jianxie hospital?"
"Well, I heard what brother Bao said just now."
"How did it swell?"
"The patient came with the diagnosis of Medical University to ask for some drops, and brother Bao had to check his body. You say, it seems that it is more powerful than medical university." the little nurse said sour, "also, in the future, people will be doctors in jianxie hospital, and our traditional Chinese medicine hospital can''t compare."
"Ha ha, brother Bao is not like that. Haven''t you noticed that recently, all patients have to have a physical examination."
"Cutting is showing off."
Trinket heard two nurses standing at the door muttering. Instead of being angry, he was a little happy.
It''s mediocre not to be envied, man, that''s all!
For routine physical examination, first press your hand on your stomach twice, and then touch the pain position described by the patient.
One is to prepare the patient, the other is to see the softness of other positions, so as to judge the condition.
Trinket put his hand on the patient''s lower abdomen and asked, "does it hurt here?"
"No pain."
He moved his hand to his right lower abdomen and continued to ask.
Left lower abdomen, middle abdomen
"It hurts..."
When Trinket''s hand was pressed on the upper part of the middle abdomen, the patient suddenly shouted pain.
"I''ll take it easy. It''s OK." at first, Wei Dabao didn''t notice. The pain at that position should be involved pain, which is caused by cholecystitis.
But when his hand moved away, he was slightly stunned.
"It hurts where I just pressed it. How does it hurt?" asked trinket.
"Just pain..." the patient described.
“……”
Patients will answer such questions vaguely. Similar situations are often encountered in clinic, and Wei Dabao has long been surprised.
It should be involved pain. Then Weber checked the patient''s upper abdomen, Murphy point pain and standard signs of cholecystitis.
Also, how can Medical University''s diagnosis be wrong? Wei Dabao is still a little forced to count. Physical examination for patients is a habit. He is desperately accumulating clinical experience.
"Look what I said, just make an appearance." the little nurse stood at the door and said, "it seems that he is better than others. In fact, he is not flattering. He knelt and licked chief Wu all the way..."
"That''s disgusting." another little nurse was unhappy. "Section chief Wu doesn''t eat this."
"Er... That''s true."
For Wu Mian, the two little nurses quickly reached an agreement without arguing at all.
Wei Dabao ignored what they said. This kind of thing is most common in grass-roots hospitals such as traditional Chinese medicine hospitals. Everyone is usually friendly when they are tall. Once anyone jumps out of this stagnant water, there will be gossip.
Envy, jealousy and hate? It''s human nature. It''s no big deal.
After physical examination, he asked about the medical history, then gave the patient a receipt for observation, issued antibiotics and sent him to the ward. Wei Dabao came back and sat down.
After thinking for a long time, Wei Dabao didn''t want to understand what that feeling was.
After an hour, Wei Dabao looked at the patient twice and found no abnormality. Seeing no patient, he took out his cigarette and stood outside the small corner of the emergency department, smoking and catching his discomfort.
It may be the pain in the lower part of the middle abdomen, which makes him uneasy, Wei Dabao thought.
The patient has obvious tenderness in that position, which seems to be explained by involved pain.
Referred pain refers to the phenomenon of hypersensitivity or pain feeling in a certain area of the body surface when some internal organs are diseased, which is called referred to as referred pain. It is a type of pain in which the patient feels obvious pain somewhere on the body surface without actual damage.
This is because the diseased visceral nerve fibers meet with the nerve fibers somewhere on the body surface in the same spinal cord segment, and the afferent nerve fibers from the viscera reach the cerebral cortex through the spinal cord.
In addition to visceral pain, it will also affect the surface nerve fibers of the same spinal cord segment, conduct and spread to the corresponding surface parts, resulting in pain.
There is a very detailed description of involved pain in diagnostics. Wei Dabao compares it in detail and thinks that he is careless.
The patient should have no problem. Besides, there are B-ultrasound reports. After putting out the smoke, Wei Dabao finally determined that he was thinking too much.
Maybe he was finally able to go to the sword association hospital to make a lot of money and was happy in his heart. Only then could he have some strange feelings. Wei Dabao smiled.
But it''s nice to go to jianxie hospital. He thought of it happily. I just don''t know when I can leave. It depends on the speed of section chief Wu''s work.
But as long as Wu Kechang has a word, he can certainly transfer it.
Wei Dabao is well aware of the relationship between section chief Wu and district chief Deng of the new development area. In this area, section chief Wu can do nothing as long as he doesn''t kill people, set fire and rob banks.
After work, Wei Dabao changed his clothes and was ready to go home.
She''s not necessarily happy to tell the family that it''s done. With an income of 100000 a month, I''m developed! Trinket felt happy and walked briskly.
In the corridor, the patient''s family passed by with a drip bottle.
"Is it better to order?" asked trinket.
"Much better," said the man. "Every time, the doctor said there was inflammation, but there were no stones. Whether the operation was done or not was OK."
He spoke much faster than before. It was obvious that the pain was relieved and his body was comfortable.
"That''s good." Trinket smiled.
The patient enters the observation room and Wei Dabao moves forward. But after a few steps, he stepped back. My heart was a little uneasy, and the uncomfortable strength surged up like a tide.
"I''ll check again."
"Ah?" the man was stunned.
"I''ll have a physical examination when I see you. We''ll write a medical record," said Wei Dabao. "You said I didn''t have a physical examination when you left the traditional Chinese medicine hospital. How to write the medical record? Is it better or worse? Right."
"Cut, I''ve never seen you check."