"The examination hasn''t been done yet." Wu Mian ignored Han Quinn''s nonsense, but asked the patient gently.


    "..." Han Quinn bowed his head and followed Wu Mian.


    "In the hall, you did a simple physical examination and asked about the medical history. Am I right?" Wu Mian continued, "director Han, tell me about your judgment."


    "Wu... Teacher, I just told them to let the patient do the CT first." Han Quinn thought Wu Mian was a little annoying.


    I took it all and behaved respectfully. Du came here after drinking two mouthfuls of cat urine and hot blood.


    Why do you keep asking questions when you don''t kill too much.


    "Ha ha, I think the patient''s situation is also very special." Wu Mian said as he came to the consulting room and sat down by himself. "Director Han, let''s talk about it. Let''s do disease analysis and discussion. Don''t be so restrained. You sit and say it. Don''t be too polite."


    Han Quinn was in a trance.


    Sitting alone in a formal chair in the consulting room, the man talking to himself is simply too young and dazzling.


    If it is... Han Quinn has countless thoughts in his heart, especially the unconvinced strength surged up again.


    He is such a person himself. He is an excuse for drinking wine and hot blood.


    "Mr. Wu, I don''t think patients need CT," Han Quinn looked up and said.


    "Oh? How do you judge?" Wu Mian didn''t mind. His tone remained unchanged. Even the smile on his face was like wearing a mask.


    "I asked about the medical history and did a physical examination." Han Quinn was angry when he looked at Wu Mian sitting alone in the "main" position. He suppressed his anger and tried to make his words plain. "Although the patient''s abdominal pain point is not at the Michaelis point, it is very close to the Michaelis point."


    "And then?" asked Wu Mian.


    "I think the patient should do B-ultrasound now to rule out pelvic and accessory diseases. If it''s all right, there''s no problem in diagnosing appendicitis. As for CT..." Han Quinn paused and then firmly said, "I don''t think it''s necessary."


    "Director Han, first of all, the patient should lie flat and try to keep the abdominal wall soft." Wu Mian said with a smile, "if you check again, you may not find some places just now."


    "..." Han Quinn didn''t know what Wu Mian meant.


    He spoke straight enough and expressed his meaning clearly, but Mr. Wu didn''t seem to understand.


    Chengfu? Han Quinn believes that people of Wu Mian''s age will not have a city government at all.


    Is what he said true? Or find fault again?


    "OK, I''ll check my body. There''s something I can''t do in place, and please ask Mr. Wu for more advice." Han Quinn didn''t want to understand, so he simply looked straight into Wu Mian''s eyes and said in a loud voice.


    With that, he asked the patient''s family to help the patient in. Like Wu Mian''s physical examination before, he lay down with his head against the window, his legs bent and erected, and Han Quinn''s hand pressed on the patient''s abdomen.


    The basic physical examination is almost the same, and Han Quinn did it carefully. It''s not like the patient''s sitting posture before simply touching it twice.


    But the result is the same. The tenderness at the lower right side of the navel is obvious, with slight rebound pain and muscle tension.


    Rebound pain and muscle tension prove that the inflammation in the patient''s abdominal cavity is very heavy and stimulates the peritoneum, so the body will respond.


    And this position is far from the pelvic cavity. Check a B-ultrasound to eliminate the problems of the fallopian tube. But Han Quinn thinks it is unnecessary. Acute appendicitis is a high probability diagnosis.


    After checking his body, he had a bottom in his heart. He didn''t ignore anything and let Wu Mian seize the handle.


    "Miss Wu, it''s over." Han Quinn then briefly said the symptoms found in the physical examination, and then said, "I still think that blood test and B-ultrasound can be checked at most. There''s no need to do CT."


    Wu Mian looked at Han Quinn with a smile and asked, "if there is tenderness, rebound pain and muscle tension, it must be inflammatory stimulation?"


    On one side, trinket had long heard the gun anger in Han Quinn''s words, and the question was strange. He remembered that there was a description of rebound pain in diagnostics.


    Rebound pain is a clinical sign. During physical examination, 3 ~ 4 fingers are pressed together to the deep abdomen, and then suddenly separated from the examination site. The patient feels a kind of pumping pain, which is called rebound pain.


    Normal abdominal palpation does not cause pain, and rebound pain is caused only when there is infection and fatigue.


    The disease book corresponding to this situation is also very clear - in patients with appendicitis and peritonitis, abdominal palpation can cause rebound pain, but in children with appendicitis, rebound pain is often atypical or inaccurate, so observation should be strengthened.


    Why does section chief Wu also play the trick of eating and vomiting?


    "Miss Wu, how do you judge?" Han Quinn asked.


    "I won''t say the definition of rebound pain and muscle tension. You are also an old doctor who has been in medicine for 20 or 30 years." Wu Mian said, "but are you sure it is rebound pain and muscle tension?"


    "..." Han Quinn was stunned.


    Is this a joke?


    Can it be said that the man in front of him is not the legendary Mianshao, not the teacher Wu, but a young doctor with the same name and surname?


    "Are you Mr. Wu Mian of concord? Diagnostics... Are you the deputy editor in chief?" Han Quinn asked tentatively.


    "You''re right," said Wu Mian. "Don''t doubt my identity. As you know, there''s nothing wrong."


    Han Quinn frowned and thought it was bad.


    This man doesn''t talk about medical ethics at all. He talks nonsense with his eyes open. At the level of Han Quinn, he is still far from the level of learning valve. He is just an surgeon.


    It''s said that the middle school valve did everything possible to suppress dissidents. I met it today.


    Although some fear, Wu Mian''s actions aroused Han Quinn''s righteous anger.


    He first recalled the process of physical examination just now and confirmed that the patient had tenderness, rebound pain and muscle tension, and the position was also close to the Michaelis point.


    Standing on the truth, I''m not afraid of what he can do to himself.


    "You go out first, and I''ll discuss the condition with Mr. Wu." Han Quinn said in a deep voice.


    Wei Dabao and Yang Lei looked at each other, and the patient''s family and the patient also stared at Han Quinn.


    "Get out," Han Quinn drank in a deep voice.


    Seeing that he was angry, several people dared not neglect and hurried out of the consulting room. Trinket finally left, looked in and closed the door.


    Anyway, I''m not worried about the loss of section chief Wu. For old bones like Han Quinn, it''s no problem for section chief Wu to hit ten with one hand. I just don''t know what Han Quinn wants to say after closing the door. I''m really curious!


    Trinket looked back reluctantly.


    "Mr. Wu, I reiterate that the patient''s condition is relatively certain. It''s OK to do a B-ultrasound at most, not a CT." Han Quinn said directly when he saw them close.