I clearly couldn't explain my situation before, but now I can remember it. I wonder if this patient is confused or has some psychological problem that makes him speak incoherently and what he says is not credible.
For a moment, the doctor seemed unable to determine whether the patient's contradictory words were true.
"It's okay, I believe what you said." Xie Wanying nodded at what the patient and his family said.
The other students' eyes were instantly filled with surprise, wondering what Xie was up to this time.
"Is it enteritis, doctor?" Seeing the patient suffering from the disease, the family members urged the doctor to give her medicine, "Can you give her some medicine now to make her feel better?"
Xie Wanying carefully told the family: "Her stomach pain is probably not a digestive tract problem."
"What is it?"
The ultrasound examination report mentioned that there was a mass in the pelvic cavity. This mass was either pelvic inflammation or a tumor, and there was a diagnostic question mark behind it. The ultrasound doctor thought that the ultrasound examination seemed to be unable to clearly identify the nature of the mass, and suggested that the clinician make a judgment based on clinical symptoms.
The fact that medical instrument test results are not omnipotent is vividly demonstrated in such cases. The misdiagnosis rate of B-ultrasound has always existed.
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Because of this, Lin Hao and the class monitor heard that Student Xie was first looking for Student Xie to help analyze the inspection report.
Since the B-ultrasound examination revealed a mass, another physical examination is needed.
Ask the nurse to help arrange a mobile bed for the patient to lie flat on so that abdominal palpation can be performed.
Several students asked Li Qi'an in private, "Didn't you palpate her before?"
Student Li Qianan said honestly: "When I came, the teacher in front had already examined her."
Oh. Li Qi'an thought that the on-duty doctor in the emergency department must be more technically capable than himself, at least better at physical examination than him. Physical examination of patients requires finding a place to settle down. For example, now we need to find a bed for the patient to lie down. It happened that the emergency room was so chaotic tonight that it was not easy to find a bed.
If there were spare beds and wheelchairs, the patient would have been allowed to go to the ultrasound room for examination while lying or sitting, instead of being supported by her family members and walking to the examination room.
When it comes to physical examination, palpation, in particular, is more difficult than auscultation.
For medical students, auscultation means at least putting the stethoscope in the designated position, where the noise will not go away and can be heard.
Palpation relies on the fingers, which is difficult if the foreign body is deep inside the patient's body. This patient is a fat woman. Other students can understand that Li Qi'an's other concern for not examining the patient is that he, an old rookie who has been in clinical practice for a year, thinks he is not good at palpation.
In contrast, the junior and senior brothers and sisters who dared to say that they were sure that they could find nothing wrong with their diagnosis were just the arrogance of a newborn calf who was not afraid of "failing".
Speaking of this, several students turned their heads subconsciously.
They didn't expect that the two junior brothers and sisters were actually standing behind them and listening.
"You guys?" Zhang Desheng lowered his glasses and looked at the two of them unhappily.
These two people are not called senior brothers and sisters, so the senior brother is generous and can let it go. However, eavesdropping on the senior brother's conversation from behind is impolite behavior, which cannot be explained by being arrogant.
Squad leader Yue Wentong saw it and asked, "Who is it?"
"The juniors who just started their internship in cardiothoracic surgery this year." Zhang Desheng immediately reported to the monitor.
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