Wu Mian looked at Han Quinn with a smile and asked, "the billing Commission is also the performance of the Department, which is pressed down by the hospital. As long as the president is a person, there is no such thing. Director Han, which President of Montenegro province do you think can hold me down?"


    "This should not be a matter of billing and commission. It may be because of the bad habits you formed when you studied in the United States." Han Quinn continued without hiding.


    "You are wrong from the beginning. CT must be done, not as you think. This is a useless examination." Wu Mian turned slightly, his chair faced Han Quinn, crossed his legs and looked at him with a golden knife.


    Sitting and standing one by one, Han Quinn felt like a clinical doctor who reported his medical history and was picky by the director. He felt a sense of humiliation.


    "Mr. Wu, please speak clearly. What''s wrong with me?" Han Quinn asked directly, leaving no room for maneuver.


    "Oh, that''s right. When you asked about your medical history, did you ask if the patient had a recent history of strenuous exercise?" Wu Mian asked.


    "...." Han Quinn was stunned. Is it rhabdomyolysis?


    MB！ If so, it would be fatal to have just delayed more than an hour.


    "You''re thinking about rhabdomyolysis." Wu Mian smiled at Han Kui''s expression. "Rhabdomyolysis syndrome refers to rhabdomyolysis injury caused by a series of genetic or acquired diseases affecting rhabdomyocyte membrane, membrane channel and energy supply, changes in cell membrane integrity, leakage of cell contents, mostly accompanied by acute renal failure and metabolic disorder."


    "I asked, the patient''s urine and urine are normal, and the color has not changed. Moreover, the initial symptom of rhabdomyolysis is muscle soreness, mainly limb muscles." Wu Mian said, "the patient is only limited abdominal pain, and it is unlikely to diagnose rhabdomyolysis."


    "..." Han Quinn felt that there was an invisible net covering himself, just like catching a house bird when he was a child.


    But now the house bird is himself, and the bear child hiding on one side with a smile on his face is Wu Mian.


    He knew exactly what he was thinking, and Han Quinn was powerless.


    "The patient is losing weight recently. When I asked about this period, the patient''s family members had a sense of distrust, but the patient still explained some of the situation at that time."


    "Because of the need to lose weight, the patient suddenly thought of exercising. In the gym, various exercise methods vsitup... V-type sit ups and various fitness instruments were used for a circle, resulting in sudden abdominal pain. The time points were highly consistent. After I asked the medical history, my first feeling was the adverse consequences caused by excessive fitness."


    "Excessive fitness, especially for people who lack exercise at ordinary times, suddenly increase the amount of exercise may lead to many diseases. Patients inadvertently emphasize V-type sit ups, which is psychological... Ha ha, there are not too many explanations. In short, the first judgment in this case is definitely not appendicitis."


    "What do you think is..." Han Quinn really counseled this time. Wu Mian did not take advantage of the situation to oppress people, but seriously talked about his illness.


    As a doctor, I can''t even ask the medical history... But who cares about the patient''s eating, drinking and sleeping.


    Although in theory, any activity may lead to disease, sometimes even the patient doesn''t remember what he has done recently.


    Even if you ask some things, most of them are redundant information, which is meaningless!


    "There is a complication of excessive fitness called rectus sheath hematoma. I don''t know if you have encountered it, director Han." Wu Mian said, "because it rarely occurs, I hesitated when writing diagnostics. Finally, I told my teacher to remove this one."


    "..." Han Quinn was bitter in his mouth and mixed in his heart.


    What do you have to say? People open their mouth and shut up to compile diagnostics, which alone crushed themselves to death.


    As for rectus abdominis sheath hematoma, Han Quinn only saw it twice, both with the naked eye after surgery.


    "When the blood vessels behind the rectus abdominis rupture and bleed under the action of some factors, it is very easy to form a hematoma in the tendon sheath. This injury is called rectus abdominis intrathecal hematoma.


    When coughing, vomiting or strong contraction of abdominal muscles, lower abdominal pain occurs, accompanied by nausea and vomiting, followed by abdominal mass. "


    "Both symptoms and manifestations are similar to abdominal inflammation, so we should distinguish them." Wu Mian explained patiently and carefully like a teacher in class.


    "This patient is in a special condition, without nausea and vomiting. I carefully touched the tenderness point during physical examination, and vaguely felt that it was 0.8 in diameter × There is a small package of 1.2cm. "


    "What I said is relatively simple, but it probably means so." Wu Mian crossed his legs and said leisurely, "after asking about the medical history and physical examination, I think the patient is more likely to have a rectus sheath hematoma, so I suggest seeing it and doing a CT."


    "..." Han Quinn was speechless.


    "Director Han, do you have any other questions? For example, where did you not understand?" Wu Mian asked.


    "..." Han Quinn was speechless.


    "If you have nothing to do, take the patient to pay the money, and then go to the CT room to have an abdominal wall CT. It''s getting late. I''ll go home after I have a look at the CT." Wu Mian said, "I was called out by Dr. Wei before I had dinner, and I have to be scolded by my mother when I go home."


    Han Quinn is dubious, but Wu Mian and teacher Wu are clear. What can he do?


    Accompany the patient to do CT. If it is really a rectus sheath hematoma, kneel and kneel. There is no shame.


    If not... Hey!


    Han Quinn glanced at Wu Mian sitting in the chair, said politely, and then turned to go out.


    When Wei Dabao and Yang Lei saw director Han leaving with the patient and his family, they were curious and quickly walked into the consulting room.


    "Dr. Yang, please take a seat." Wu Mian said, "just received six patients, of which..."


    Wu mian "handed over the shift" with Yang Lei for the first time. As for what director Han had long forgotten.


    After handing over the whereabouts of the six patients, Wu Mian said, "Dr. Yang, I''m sorry just now."


    "..." it seems that Yang Lei''s left face was shot again at close range. That feeling... Don''t be sour. The area of psychological shadow is huge, and three rooms and one living room can''t be fought.


    "I don''t know what to do about the charge. I asked the night nurse Xiaohui a little bit." Wu Mian said with a smile. "Sui Wenyuan has left after paying the charge. Check again. If there is anything wrong... Dr. Wei, you can help deal with the aftermath."


    "OK, OK," said Wei Dabao again and again.


    This is not the point. Yang Lei leaned over and asked, "section chief Wu, director Han... You didn''t fight with director Han just now."