Wu Mian looked at Han Kuien with a smile and asked, "The commission for billing is also the performance of the department, which is pressed down by the hospital." As long as the dean is a human being, there is no such thing. Director Han, do you think which dean of Montenegro Province can hold me down?"

"It's probably not a matter of billing, it's probably because of the bad habits you developed while studying in the U.S. Seeing that the words were open, Han Kuien did not hide it and continued.

"You are wrong from the beginning, CT is a must-do, not a useless test as you think. Wu Mian turned slightly, the chair faced Han Quinn, cocked Erlang's legs, and looked at him with a golden knife.

One sitting, the other standing, Han Quinn felt like a little clinical doctor who reported his medical history and was picked on by the director, and a sense of humiliation arose.

"Teacher Wu, please speak and explain clearly, what is wrong with me. Han Quinn asked directly, leaving no room for manoeuvre.

"Oh, that's right. When you ask about your medical history, do you have a recent history of strenuous exercise?" asked Wu Mian.

"......" Han Kuien was stunned for a moment, could it be rhabdomyolysis?

If that's the case, it's just been delayed for more than an hour, and it's going to be fatal.

"You're thinking about rhabdomyolysis. Seeing Han Kui's expression, Wu Mian smiled slightly, "Rhabdomyolysis syndrome refers to a series of rhabdomyolysis syndrome caused by a variety of hereditary or acquired diseases that affect the cell membrane, membrane channels and energy supply of striated muscle, altered cell membrane integrity, leakage of cell contents, and acute renal failure and metabolic disorders. ”

"I asked, and the patient had normal bowel and bowel movements, and the color had not changed. Moreover, the first symptom of rhabdomyolysis is muscle soreness, mainly in the muscles of the limbs. "The patient only has localized abdominal pain, and the diagnosis of rhabdomyolysis is not very likely." ”

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

It's just that now the house finch is himself, and the bear child hiding on the side with an expectant smile on his face is Wu Mian.

What he was thinking, he knew it all in his heart, and Han Kuien was powerless.

"The patient has been losing weight recently, and when I asked about it, the patient's family was distrustful, but the patient still explained some of the situation at that time. ”

"Because of the need to lose weight, the patient suddenly remembered to exercise. Various exercise methods in the gym Vsitup...... After using V-sit-ups and various fitness equipment, I suddenly had abdominal pain. The timing was highly consistent, and my first impression after asking about my medical history was that it was an adverse consequence of excessive fitness. ”

"Excessive fitness, especially for people who don't exercise normally, can lead to a lot of diseases. The patient inadvertently emphasizes the V-sit-ups, which psychologically ...... Hehe, don't explain too much, in short, the first judgment in this case is definitely not appendicitis. ”

"Then what do you think it......" Han Kuien was really cowardly this time. Wu Mian did not take advantage of the situation to suppress people, but seriously talked about his condition.

When you are a doctor, you can't even ask about your medical history...... But who cares about the patient's eating, drinking, and sleeping.

Although it is theoretically possible for any activity to cause the disease, sometimes even the patient himself does not remember what he or she has done recently.

Even if you ask something, most of it is redundant information, and it doesn't make sense at all!

"There is a complication of over-fitness called rectus sheath hematoma, I don't know if Director Han has encountered it. Wu Mian said, "Because it rarely appears, I hesitated again and again when compiling "Diagnostics", and finally talked to my teacher before removing this article. ”

"......" Han Kuien's mouth was bitter, and his heart was full of mixed tastes.

What do you have to say? People who open their mouths and close their mouths to compile "Diagnostics" will crush themselves to death for that alone.

As for the rectus abdominis sheath hematoma, Han Quinn has only seen it twice, and he has seen it with the naked eye after the operation.

"When the blood vessels behind the rectus abdominis muscle ruptures and bleeds under the action of certain factors, the hematoma that is very easy to form in the tendon sheath is called intrathecal hematoma of the rectus abdominis muscle.

Pain in the lower abdomen occurs when coughing, vomiting, or strong contractions of the abdominal muscles are accompanied by nausea, vomiting, and then an abdominal mass. ”

"Both the symptoms and the manifestations are similar to inflammation in the abdomen, and it is important to distinguish them. Wu Mian is like a teacher lecturing in class, very patient and meticulous explanation.

"This patient is in a special situation, there is no nausea or vomiting, I carefully touched the touch point during the physical examination, and I vaguely felt that there was a small mass with a diameter of 0.8×1.2cm. ”

"I'm talking about it in a nutshell, but that's what it means. Wu Mian crossed Erlang's legs and said leisurely, "After asking about the medical history and physical examination, I think that the patient is more likely to have a rectus abdominis sheath hematoma, so it is recommended to see and do a CT scan." ”

"......" 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 it's okay, take the patient to pay the money and go to the CT room for a CT of the abdominal wall. It was getting late, so I took a look at the CT and went home. Wu Mian said, "I was called out by Dr. Wei before I ate, and I had to be disciplined by my mother when I went home." ”

Han Kuien was skeptical, but Teacher Wu Mian Wu said clearly, what could 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 who was sitting on the chair with the Malaysian Golden Knife, said very politely, and then turned around and went out.

When Wei Dabao and Yang Lei saw Director Han leaving with the patient and the patient's family, they were curious and immediately walked into the consultation room.

"Doctor Yang, you come and sit down. Wu Mian said, "I just received six patients, ...... of them"

Wu Mian "handed over" Yang Lei as soon as possible, and Director Han had long forgotten about it.

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

"......" Yang Lei's left side of the face seems to have been shot at close range, that feeling is ...... Don't want to be sour. The psychological shadow area is huge, and it can't be beaten with three bedrooms and one living room.

"I don't know what to do with the charges, so I asked Xiaohui, the night nurse, a little bit. Wu Mian said with a smile, "Sui Wenyuan has left after paying the fee, you can check again, if there is anything wrong...... Dr. Wei, you can help with the aftermath. ”

"Good, good. Wei Dabao said 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, did you? ”