"I haven't done it yet. Wu Mian didn't pay attention to Han Kuien's nonsense, but asked the patient very gently.

"......" Han Kuien lowered his head and followed behind Wu Mian.

"In the hall, you did a simple physical examination and asked for a medical history, and I was right. Wu Mian continued, "Director Han, tell me your judgment. ”

Wu ...... Teacher, I just told them to ask the patient to go and get the CT done first. Han Quinn felt that Wu Mian was a little annoying.

I took it all, and I was respectful, and I drank two mouthfuls of cat urine, and I came over with enthusiasm.

Killing people is not enough, why do you keep knowingly asking.

"Hehe, I think the patient's situation is also very special. Wu Mian came to the consultation room as he spoke, and sat down by himself, "Director Han, let's communicate, just do the analysis and discussion of the condition, don't be so restrained." You sit down and say, don't be too polite. ”

Han Quinn was in a trance.

Sitting alone in a formal chair in the consultation room, the person who was talking to himself was simply too young, dazzlingly young.

If yes...... Han Quinn had countless thoughts in his heart, especially the unconvincing energy that came up again.

He is such a person himself, and everything he drinks and blood is an excuse.

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

"Oh, what do you think?" Wu Mian didn't mind, his tone didn't change at all, even the smile on his face was like wearing a mask, and it didn't change.

"I took a medical history and did a physical exam. Han Kuien was angry when he saw Wu Mian sitting alone in the "Lord" position, he suppressed the anger in his heart, and tried his best to say flatly, "Although the patient's abdominal pain point is not at the Mai point, it is very close to the Mai point. ”

"And then?" Wu Mian asked.

"I think patients should now do ultrasound to rule out pelvic and adnexal diseases. If everything is fine, diagnosing appendicitis is fine. As for CT ......" Han Quinn paused for a moment, then said firmly, "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 smiled and said, "If you check again, there may be some places that you can't find just now." ”

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

He spoke straight enough, and his meaning was very clear, but Mr. Wu didn't seem to understand.

Han Kuien thinks that people of Wu Mian's age will not have a city government at all.

Is he telling the truth? Or is it nitpicking?

"Okay, then I'll check the body, there are places where I can't do well, and I ask Mr. Wu for more guidance. Han Kuien couldn't think of it, so he simply looked directly into Wu Mian's eyes and said loudly.

After speaking, he asked the patient's family to help the patient in, just like Wu Mian did when he was examined 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 is also meticulous, unlike the previous patient sitting posture and simply touching twice.

However, the result was the same, with significant tenderness on the right side of the lower part of the navel, slight rebound tenderness, and muscle tension.

Rebound tenderness and muscle tension prove that the inflammation in the patient's abdominal cavity is severe, irritating the peritoneum, so the body reacts.

And this location is far from the pelvis, so it's great to check a B ultrasound to rule out the problem of the fallopian tubes. But Han Quinn thinks that it is not necessary, and acute appendicitis is a high probability of diagnosis.

After checking the body, he had the bottom in his heart, it was not that he ignored something that made Wu Mian grasp the handle.

"Teacher Wu, it's over. Han Quinn then briefly talked about the symptoms found in the physical examination, and then said, "I still think that a blood test and at most a B ultrasound are enough, and there is no need to do CT." ”

Wu Mian looked at Han Kuien with a smile and asked, "If there is tenderness, rebound tenderness, and muscle tension, it must be caused by inflammation?"

Wei Dabao had already heard the gunfire in Han Kuien's words on the side, and the question just now was strange, he remembered that there was a description of rebound pain in "Diagnostics".

Rebound tenderness is a clinical sign, during the physical examination, 3~4 fingers are pressed together towards the deep abdomen, and then suddenly detached from the examination site, the patient feels a throbbing sensation, which is called rebound tenderness.

Normal abdomen does not cause pain on palpation, but rebound tenderness occurs when infection is involved.

The disease book corresponding to this situation is also clearly written in the disease book - in patients with appendicitis and peritonitis, palpation of the abdomen can cause rebound tenderness, but in pediatric appendicitis, rebound tenderness is often atypical or inaccurately expressed, and observation should be strengthened.

Why did Section Chief Wu also play this trick of eating and spitting?

"Mr. Wu, what do you think?" asked Han Quinn.

"I won't talk about the definition of rebound pain and muscle tension, you are also a doctor who has been practicing medicine for twenty or thirty years. Wu Mian said, "But are you sure it's really rebound pain and muscle tension?"

"......" Han Quinn was stunned for a moment.

Is this a joke?

Could it be that the person in front of him is not the legendary Mian Shao, not the teacher Wu, but a young doctor with the same name and surname?

"You are Mr. Wu Mian of Xiehe?" Diagnostics...... Are you the associate editor?" asked Han Quinn tentatively.

"You're right. Wu Mian said, "Don't doubt my identity, just like you know, there's nothing wrong with it." ”

Han Quinn frowned, thinking to himself.

This person doesn't pay attention to medical ethics at all, and talks nonsense with his eyes open. With Han Quinn's level, he is far from being able to touch the level of the learning valve, he is just a surgeon.

Legend has it that the middle school valve did whatever it took to suppress dissent, but now I have encountered it.

Although he was a little scared, Wu Mian's actions aroused the righteous indignation in Han Kuien's heart.

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

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

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

Wei Dabao and Yang Lei looked at each other, and the patient's family and patient also looked at Han Kuien in a daze.

"Get out. Han Quinn sighed in a deep voice.

Seeing that he was angry, several people didn't dare to slack off, and hurriedly walked out of the consultation room. Wei Dabao left last, glanced inside, and closed the door with his hand.

Anyway, I don't have to worry about Section Chief Wu suffering losses, with an old bone like Han Quinn, it is not a problem for Section Chief Wu to hit ten with one hand. It's just that I don't know what Han Kuien wants to say when the door is closed, I'm really curious!

Wei Dabao reluctantly looked back.

"Mr. Wu, I would like to reiterate once again that the patient's condition is more certain, and at most a B-ultrasound can be done, without CT. When Han Kuien saw that they were closed, he was no longer polite and said directly.