Doctor Jiang squatted down and quickly looked to see where he had gone wrong.
At the beginning, it was said that Dr. Lin Hao sprained his ankle because of?
Dr. Lin Hao has bruises on his ankle.
"Shouldn't an acute ankle sprain cause unbearable swelling and pain?" Professor Pei asked in a muffled voice.
It is common in clinical practice that patients with sprained ankles are so swollen and painful that they refuse to let doctors touch them, and it is extremely difficult for doctors to examine them. So it is more convenient and quicker for doctors to simply issue an examination application form and do a machine examination.
Doctor Yin Fengchun nodded in agreement: The more I look at it, the more I feel that there is potential in my department.
Not a sprained ankle?
No, no, no. I’m afraid we might even have to question whether it’s an ankle injury?
"He said his feet hurt when he stepped on the ground." Dr. Jiang described the patient's self-reported symptoms.
...
...
It was said that Dr. Lin Hao's leg was broken somewhere else. Limb fractures usually have very obvious symptoms of deformity and loss of function, but Dr. Lin Hao did not have those.
Guess the answer further, the godly brother Cao Erge chimed in: "It's not the ankle joint. Push upwards, is there something wrong with the calf or thigh, or is there something wrong with the femoral head, lumbar spine, or pelvis?"
Doctor Lin Hao's face turned pale: "You bunch of big guys, please stop treating him as a guinea pig. He is so frightened that his soul is about to leave his body."
"Yingying, what do you think?" Zhao Zhaowei asked for advice from Xie, the top student in the class, on behalf of Lin Hao.
Doctor Xie Wanying said: "It could be a tear."
"Torn ankle ligaments?"
"The abnormal behavior characteristics of his leg movements may indicate a problem with his knee joints, according to Teacher Chang," said Dr. Xie Wanying.
Xie Juanwang is a professional who knows how to praise people. He can clearly see that this honor should be awarded to a specialist doctor. After all, he is not a professional and cannot speak carelessly.
Doctor Jiang held his head with his hands and took a break: My God, both patients were misdiagnosed. He mistook a knee problem for an ankle problem. This, this will become the most joked joke in the industry——
But colleagues can understand this. After all, Dr. Jiang, you are not an orthopedic surgeon.
Dr. Lin Hao couldn't breathe a sigh of relief at all.
Listening to Xie continue to help him explain the reason for the misdiagnosis: "Doctor Yin also noticed that he seemed to be talking about something and didn't dare to say anything, so he suspected that it was a problem in his department."
Doctors are human beings and they also have their own difficulties when they become patients.
Back to the first sentence, the structure of the human body can cause diseases to spread randomly, which means that if you are sick here, the source may not be here.
First, one part is pulled, and then the body twists to protect that part, which definitely injures another part.
This is a very common causal relationship in orthopedics, and similar situations can be seen in other departments because the human body is a connected whole.
Doctor Chang Jiawei was able to make the diagnosis immediately. It can't be said to be an advanced orthopedic technique. It was because the patient didn't feel much pain when he pressed the bruised ankle joint. This aroused diagnostic doubts, so he pressed upwards along the ankle joint. This is a common diagnostic procedure used by orthopedic doctors, based on the above theoretical foundation.
When pressing the triceps muscle at the back of the patient's calf, it was found that it had begun to swell. And as Dr. Xie pointed out, the patient's knee extension was actually more obvious than the ankle abnormality.
"What is this?" Doctor Jiang looked up at Xie Juanwang and Chang Orthopedic Surgeon, with a look of surprise in his eyes: I am wrong again! ?
It's not a joint or a ligament, it's a muscle tear, it's what orthopedics call tennis leg.
Those who understand don’t need Dr. Xie to tell them the answer. They can guess the answer just by listening to what Dr. Xie says about the knee joint and related accidents.
Tennis leg refers to an injury to the triceps surae, which is common among tennis players. Since the most powerful function of the triceps surae is to flex the knee, when a person extends the knee and suddenly pushes against the ground, the triceps surae can be injured, that is, this part of the muscle group is over-stretched.
Doctors Jiang and Yue recalled: Doctor Lin Hao used too much force when jumping over a crack in the ground, and his face was distorted when he landed. Everyone mistakenly thought that the injury was caused by the wrong footing, but in fact, the injured person had injured his foot when he exerted force. As for the result of exerting force, it was because the aftershock suddenly came again, which frightened the injured person. When he jumped at the critical moment, his mind was confused and his body twisted left and right, not knowing where to escape. He was pulled somewhere and then jumped hard again to escape.
It perfectly illustrates how the chain reaction inside the human body turns the point of the accident into a confusing detective case.
"It's best for him not to walk again. He should go back to a hospital with the necessary conditions to get an X-ray to determine the extent of the tear," said Dr. Chang Jiawei.
"Do you need surgery, Teacher Chang?" Dr. Lin Hao asked Chang Hanhan with great respect.
Doctor Chang Jiawei had a serious expression on his face, always adhering to his belief that a playboy should be a serious doctor. He said: This disease is mainly treated conservatively and the prognosis is good, but it depends on the patient's cooperation.
Dr. Lin Hao understood: Chang Hanhan is also a big shot who is very good at scaring people.
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