Yuntian has no experience with girls, and all the experience comes from Lao Zhao's boasting.

Yuntian watched a movie, and sent Lu downstairs too. But Yuntian didn't expect that sending Lu downstairs would end in such a way, and Lao Zhao's cattle batch didn't seem to have such a situation!

What to do?

Yuntian was a little caught off guard.

Such a question seems to be more overwhelming than the most complex and clueless clinical symptoms!

"Doctor, doctor?" the patient's family couldn't help but urge when they saw that Yun Tian was looking at the direction where the girl was going and did not move.

"Oh, okay, what's the condition of the patient?" Now that Lu has already gone back, let's find a chance to make up for it next time.

Well, I have time to ask Lao Zhao, and the next time I encounter such a situation, I will know how to deal with it reasonably.

The reason why Xueba is a Xueba is because when he pays attention to any problem, he is looking for ways to learn and improve.

Having an idea, Yuntian began to pay attention to the patient's condition.

"I've had headaches for more than 10 years, and I have headaches every month, and I also have headaches during menstruation. I relied on painkillers every day, and I couldn't stand the pain today, so I came to the hospital for a check-up. The family member, a young man in his twenties, replied as he looked at the girl sitting in a wheelchair in distress.

Headache?

Yun Tian flipped through the outpatient cases in his hand.

"Didn't do the check?" Yun Tian asked in some surprise.

"If you have medical insurance, can't you do it after you are hospitalized? Thinking about being hospitalized for a period of time, you just wait for the hospitalization to do the examination. The young man replied in a whisper. Seems a little embarrassed.

Outpatient examinations are paid for by the out-of-pocket portion of the medical insurance.

However, if you are hospitalized, you can be reimbursed partly, and it is okay for the patient to choose to have an examination after hospitalization.

led the patient upstairs, arranged for the nurse to arrange a place for the patient, and Yuntian went to the office to change clothes and take stethoscopes, percussion hammers and other examination objects.

"Didn't you go downstairs to send Nurse Lu there?" As soon as Yun Tian entered the office, he saw Dr. Huang's ambiguous face smiling.

"As soon as I arrived downstairs, I met Dr. Qu from the emergency department, who was stuffed with a patient, so I came back first. Yuntian replied truthfully.

"Oh my God, tomorrow I will definitely suggest that Dr. Qu change his glasses, why is he so blind?" Dr. Huang said in an exaggerated tone and demeanor.

"Why don't you go after Nurse Lu now, and I'll help you take in the patient." Doctor Huang leaned in front of Yun Tian and said dogleggedly.

"No, let's go see the patient. "Lu seems to be very close to the hospital, and at this time, maybe there is already a family. Yun Tian rejected Dr. Huang's suggestion.

However, Dr. Huang's attitude towards himself has been seen in the sky recently.

So I invited Dr. Huang to go with him to see the patient.

The most important diagnostic idea of an internist is to develop little by little.

Unlike himself, Dr. Huang has a system that provides thousands of cases at every turn, and the more he has seen, the more he can diagnose, the more he will be able to diagnose him.

If Dr. Huang wants to improve, he has to look and think more.

Although it is only a typical migraine patient, he can still help Dr. Huang with his own treatment

A look at the diagnostic thinking path will help him expand his thinking.

"Good. Dr. Huang understands that Yun Tian is still ready to remind himself.

My more dogleg efforts have finally paid off.

It seems that he can go on firmly on the broad road of hugging the clouds and thick legs.

The patient should have a severe headache, keep stroking his head, appear in pain, and sit on it.

The young man took a glass of water and whispered to comfort the girl.

"Sure enough, it's the all-purpose water of the straight man of steel!" Dr. Huang sighed.

She said that she would have to do the examination later, so she endured it first, for fear of affecting the results of the examination. I saw that she was uncomfortable, and I was about to ask if you can take the medicine first?" the young man saw Yuntian walking in, and asked urgently.

"Let's take a look at the situation first. Yun Tian did not answer directly.

Instead, the patient is prepared to have a physical examination first.

Dr. Huang knows the habits of the clouds.

At first, Dr. Huang also thought that Yuntian was a show, after all, now, like Yuntian, he will give the patient a full examination as soon as he comes, and the doctor who will come to the diagnosis of the nervous system can no longer be found in several places.

But after getting along during this time, he found that Yun Tian did find a lot of problems from the physical examination, and Dr. Huang was convinced.

Therefore, this time, without being reminded by Yuntian, Dr. Huang spontaneously began to give the patient a physical examination.

When asking questions, you can accentuate the tone appropriately. Especially for the elderly, the effect will be better. ”

"When percussion, you touch this point with your hands, yes, here, first touch this protrusion, and then percussion, percussion towards this side, yes, this positioning is more accurate. Little by little, Yuntian corrected the deviations in Dr. Huang's physical examination.

The young man was a little surprised, aren't all old doctors in hospitals instructing young doctors?

How did you get to yourself and become a young doctor to guide the elderly?

This young doctor must look like himself, right?

Under the guidance of Yun Tian, the speed of Dr. Huang's physical examination has improved a lot.

"The patient's physical examination and neurological examination showed no significant abnormalities. Although Yuntian guided himself to complete the examination throughout the whole process, Dr. Huang still reported his examination results seriously.

"What do you think?" asked Yun Tian.

This is the diagnostic idea of preparing for the examination, and Dr. Huang is slightly excited.

After all, the diagnostic level of Yuntian is unanimously recognized by both inside and outside the department. Dr. Yun was willing to guide himself, and Dr. Huang became more and more excited and unable to control himself.

"The patient's prolonged, recurrent, fixed-area headache with no other neurological signs is consistent with the clinical diagnosis of migraine pain. Although Dr. Huang was excited, his thoughts were still very clear, and he thought for a while and replied.

But what are the specific diagnostic criteria for migraine?

Dr. Huang thought about it carefully, and Dr. Yun should have asked himself this question next!

However, I don't seem to remember a little clearly.

"Although the patient's headache quality and migraine are basically the same, it is better to do a cranial C for the sake of safety

T-check. Yuntian said.

Dr. Huang, who was desperately trying to recall the diagnostic criteria for migraine, dropped his jaw in shock.

To be on the safe side, of course I knew to do a CT!

But shouldn't you guide your own diagnosis and treatment ideas, and shouldn't you continue to take the exam yourself?

Dr. Wong felt that he could not turn the corner.

"Can my girlfriend take painkillers?" asked the patient's family again.

"Yes, let's take the painkiller and get tested again. After Yun Tian finished speaking, he was about to go back to the doctor's office to issue a bill.

"Doctor Huang, let's go?" Seeing that Doctor Huang was still stunned and didn't follow, Yun Tian had no choice but to remind him loudly.

"The diagnostic criteria for migraine are long, but one of them is not attributable to other conditions. Does Dr. Huang remember?" Dr. Huang explained softly to Dr. Huang when he finally came back to his senses and kept up with Yun Tian's pace.

"Well, there is this, but the patient didn't find any other problems. "Dr. Huang was confused.

"The patient does not have any positive signs other than headaches, but this does not rule out conditions that may be causing headaches. ”

"Judging from the patient's symptoms and age, there are still some causes of headache that cannot be directly ruled out, so I recommend a CT scan. On the way back to the office, Yuntian analyzed Dr. Huang.

"Part of it can't be ruled out?" Doctor Huang followed Yun Tian's train of thought and fell into contemplation again.