033 Neck Resistance

"Doctor Shen, where are we going?" When getting into the car, Chung To originally planned to take the co-pilot, but Yun Tian was a step faster and took the lead in getting on the co-pilot.

Chung To's disgruntled mouth,

I look down on these people who are good at getting closer to nepotism!

Therefore, Chung To chose the position behind Dr. Shen, grabbed Dr. Shen's driver's seat, stretched out his head and asked enthusiastically.

"We went to the Dacheng County Sanatorium, and recently the sanatoriums in the city have been run out by me and Xiaoyun, and it took two days to line up in the surrounding counties and cities. Dr. Shen was very enthusiastic as he drove and introduced.

It's good to learn technology, learn technology well, you don't have to run around, and you can sit in the department and wait for the money.

"Our cerebral infarction screening is to find some clinical manifestations through a nervous system physical examination, so as to rule out a small infarction, right?" Chung Du actually looked down on Manager Huang's cerebral infarction screening.

It's just a neurological exam, who wouldn't have spent time in neurology?

If the company really wants to carry it out, sort it out, and it can still be used to bluff people.

Where is the need to come to Xihua Hospital to study?

It is said that it will be divided into Xihua Hospital in the future!

I originally thought it was the neurology department of Xihua Hospital, after all, it was the authority of the gods in the southern province of the province, and it was a good thing to be able to get a little relationship.

But I didn't expect it to be a Chinese medicine department!

When will the Chinese medicine department dare to steal the life of the gods?

However, I heard that Director Lin, the newly appointed director of Xihua, is the wife of the head of Shennaishi, so I cheered up and dealt with it, otherwise there was really nothing to talk about.

"That's pretty much what it means, you can talk to Xiaoyun about it. The car had just been bought, and Dr. Shen was not too skilled on the road, so he answered Chung Du while driving nervously.

Ask Dr. Xiaoyun?

What is there to ask for an intern!

A few warm words with Dr. Shen were just for the sake of Director Lin's face, so that he could discuss with an intern?

Forget it.

Dacheng County is not far from Yuncheng.

Yun Tian squinted his eyes and took a nap.

Dean Lu of the Dacheng County Sanatorium was already waiting at the door.

The group was polite and ready to start work.

Yun Tian and Dr. Shen have been running in for the past few days, and they can basically be regarded as tacit cooperation.

Dr. Shen is responsible for measuring blood pressure, blood sugar, and if there are positive signs, collecting medical records and issuing checklists.

Yuntian is responsible for the physical examination and the issuance of the guidance checklist.

yes

Since there was an argument with Director Lin about the method of examination, whether it was Director Lin or Dr. Shen, he would habitually consult Yuntian before issuing the examination form.

"Grandma, how long have you had back pain?" The first patient who began to be examined was an old grandmother, who was on crutches, bent on her waist, and obviously weakened her leg muscles when she walked, and walked a little swaying.

"It's been going back and forth for many years, the lumbar disc is herniated, and it's an old problem. Grandma's answer was clear, but her words were a little unclear.

"How long has it been since you had back pain this time?" asked again after the head check.

"I thought it was a terrible pain for about 10 days. Usually it is a bad attack when the weather changes, but this time the weather is fine, and I don't know why it is serious. ”

"Let's do a CT scan of the head first. Mild neck resistance, muscle strength of both lower limbs grade 4, positive Klinefelter sign, and no Brinell sign elicited. The straight-leg raise test was positive, and the tendon reflexes of both lower extremities were weakened. Yuntian reported a series of physical examination results and gave inspection recommendations.

"CT of the head, resistance to the neck? Dr. Du didn't hear the next string of signs too clearly, but he didn't trust the conclusion that the neck was resisting.

"The softness of the neck is okay, and when the elderly are old, their limbs will be slightly stiff, and this degree is very good. Du Chung came over, naturally squeezed Yun Tian aside, carefully examined it, and opened his mouth to educate.

Intern, no matter how much everyone praises him, is still just an intern, obviously inexperienced.

The old man is getting old,

Moreover, if someone has severe back pain, if you check someone's neck, there will be some resistance, which is completely normal.

"Let's send my aunt to do a head CT scan of Dacheng County People's Hospital first. As if he hadn't heard Chung To's words at all, Dr. Shen quickly filled out the checklist with a stroke of his pen and handed it to Dean Lu.

"Doctor Shen, I've checked, Auntie, this is not neck resistance, there are no other obvious signs, we don't need to do a head CT, right?"

"I don't have to look at it, listen to Xiaoyun, it's more reassuring to do an inspection and rule it out. Dr. Shen rejected Chung's proposal.

"Doctor Shen, is this the attitude of your Xihua Chinese Medicine Department towards patients? Headache Doctor, Foot Pain Examination?"

Chung To is a person with a good face, the first time he put forward his opinion was ignored, and the reminder that he pulled down his face was directly rejected!

A dignified attendee, actually completely listening to the diagnosis and treatment opinions of an intern,

Don't even look at it yourself!

This is extremely irresponsible!

It's just terrible!

"Not only did the aunt have a slight resistance in the neck, but König's sign was also positive. Yun Tian frowned, this Du Cong, is he only half obedient?

Three cerebral membrane irritation signs were positive for two of them, and although the Brinell sign was not elicited, CT of the head was a routine method.

"Grandma's low back pain, are you sure that Kernig's sign is accurate?" Yuntian reported a large number of physical examination results just now, and he really didn't hear it clearly, but he just said such a heavy word, how could he not let go.

So, Chung To asked with a skeptical face.

"Why don't you double-check?" Yun Tian was too lazy to be long-winded.

How does Kernig's sign work?

In fact, I have only been in South China Shennai for less than a year, and it has been almost ten years since I left the hospital, and I have not been in contact with it for many years, and there are many things that I can't remember clearly.

"Since Dr. Shen believes in Dr. Xiaoyun's examination results so much, I naturally believe it too. Since the Klinefelter sign is positive, let's do a CT scan of the head. Hearing that he should be rechecked, Chung To quickly replied with a weak heart.

Since there was no opinion, Dean Lu arranged for his grandmother to go for an examination.

Although everyone didn't say anything, Chung To felt a little embarrassed.

Under the pretext of drinking water toilets a few times, looking at the busy cloudy sky, Chung To suddenly felt that life was a little difficult.

"Dr. Xiaoyun, there is no abnormality in the CT scan of the head. Chung To's boredom didn't last long, and the little nurse who accompanied his aunt for the examination came back and brought the news that made Chung Du excited.

"Is there anything abnormal in the CT of the head?" said Chung To, who pulled the little nurse uncertainly, and asked again.

"Yes, there is no abnormality on the CT of the head. The little nurse nodded in agreement.

"The CT scan of the head is normal, and it seems that Xiaoyun's Klinefelter sign and neck resistance are wrong. Chung cleared his throat and said.

"However, it is understandable that the old man is old and has low back pain, and Xiaoyun's lack of experience. Du Chung straightened his clothes, straightened his waist and concluded.