The Second Hospital of Hunan University, the fourth ward of orthopedics.

At 7:25 a.m., Lu Cheng took the elevator early and went straight to the sixth floor of Block B of the Surgical Building.

The surgery department of the Second Hospital of Hunan University is mainly concentrated in Block A, but because the internal medicine building was renovated, Block B, which was adjacent to Block A, was relinquished, and the Department of Orthopedics won a ward, although the area is smaller than that of the ward in Block A, but as a separate department, it is fully equipped.

There are two professors in the fourth district, Professor Min and Professor Hu.

Professor Min's group is another joint surgery department from the three orthopaedic diseases, while Professor Hu mainly focuses on foot and ankle and diabetic foot.

Lu Cheng belongs to Professor Min's group.

Professor Min is the professor who pays the most attention to teaching among the twelve professors in the four wards of orthopedics.

The surgery days in Zone 4 are divided into Mondays, Wednesdays and Fridays.

The interval between 135 and 135 is the teaching morning class time and teaching ward rounds every Tuesday, after the ward round, the surgery is sent, the preoperative discussion is sent, and then the conversation is signed, which is very fulfilling almost every day.

Similarly, Professor Min is probably one of the professors who spends the most time in the ward.

Today is Tuesday, so before the rounds, there is a small lecture, what to talk about, all random or can be requested by the subordinates, which can be described as very refreshing.

At half past seven, Professor Min, Zhu Queguang, Lin You, Shi Ding, and Chen Hui's senior orthopedic doctors were all there.

Sit in the first row of lectures.

In the rear, Lu Cheng, Senior Brother Zhuo Yuan, and the two eldest brothers who studied further, and a girl who came to the Department of Orthopedics from Plastic Surgery also sat down one after another.

The lineup isn't huge, but it's not small either.

Professor Min said, "Because there is a new face in the department in August, we will give you a summary of the common diseases in the department, so that you can read books in a targeted manner after work." ”

"The four wards of orthopedics, the most common diseases, can be divided into the following three types: joints, sports medicine and foot and ankle. ”

"Foot and ankle surgery and diabetic foot are both in charge of Professor Hu, which are common and uncommon complications of diabetes. If you are interested, you can apply to go to his side next month to familiarize yourself, at least know the general process of diabetes below. I won't go into any more detail about that. ”

"We're going to talk about big joints and sports medicine today. ”

"In the joint department, there are mainly three major joints and three small joints. ”

"Major joints: shoulder, hip and knee. ”

"Small joints: ankles, elbows, and wrists. ”

"At present, the main surgeries involved in our department are hip and knee replacements, and arthroscopic surgery for all kinds of joints. ”

"So before we integrate into the department, do we need to grasp the common diseases of each joint and the surgical indications of these diseases......

“……”

After listening to it for half an hour, it was as if a new door was opening in Lu Cheng's medical record collection system.

This is clinical, this is the strength of the professor, as long as your talent can, you can directly in your mind, construct a logical and knowledge framework, and the rest, you can selectively fill in.

Lu Cheng is very glad that he studied graduate school and was able to get this kind of combing like being born in a professional class, if he directly participated in the work, then he may not be able to accept such a baptism in his life.

Lu Cheng listened very carefully, but Lin You, Chen Hui and the others glanced back intentionally or unintentionally, as if they were looking at these junior doctors, whether they were listening carefully and carefully.

This kind of thing is not something that can be heard in a big class, and this class, if you put it on the Internet, the price is quite expensive.

Of course, when Lin You saw Lu Cheng looking at the PPT as if listening to a book from the sky, he couldn't help but smile slightly.

Today's class was privately begged by Professor Min to come, and the main purpose was to directly smash Lu Cheng's existing knowledge framework in an instant, just like yesterday, and then let him reorganize it by himself.

If he can withstand this hurdle, then his progress will be mediocre;

But if you can't bear it?

Thinking of this possibility, Lin You frowned again.

In fact, this kind of teaching method is just a concept put forward by Lin You in combination with his own beginners, and it has not really been practical, and even when he studied abroad, no one used it like this......

A trace of worry flashed in the corners of Lin You's eyes, wondering if he was in too much of a hurry.

Looking at Lu Cheng's expression as if listening to the book of heaven, this worry was even deeper.

However, things have reached this point, it is definitely no longer possible to stop, if Lu Cheng can't bear it, he can't be blamed, after all, this teaching method is just a guess, and if you want to make up for it step by step, there must still be a chance.

Half an hour, quickly passed.

In the morning, the nurse describes in detail the new patients in the ward and the patients after yesterday's surgery, and the details of today's surgical patients, and the doctor on duty summarizes, if there is a special, special explanation, and there are not too many special places.

Then came the time for the teaching rounds.

Professor Min has a habit of asking questions during his teaching rounds, which was told by Senior Brother Zhuoyuan when Lu Cheng entered the department.

However, at that time, Senior Brother Zhuo Yuan said that Lu Chengcai had just entered the department, so Professor Min would give him a month of study time, and he might not be able to answer questions until next month.

So Lu Cheng was not worried, and was looking forward to the next teaching rounds.

There are a total of 32 ordinary beds in the four wards, plus two beds in Supervisor 1 and Supervisor 2.

Professor Min is the head of the department in District 4, and there are slightly more patients, from 13 to 32 beds, all of whom are below him, while Professor Hu has no associate professor under him for the time being, so the surgical turnover of 12 beds is a little tight.

Bed 13-15 is a patient of Brother Zhuoyuan.

are all common diseases.

Stage 4 of hip arthritis and knee arthritis is necessary to replace the joints.

As the senior brother of the third year of research, Zhuo Yuan's senior brother answered fluently from reporting medical records to introducing patients for preoperative examinations.

However, it is clear that Professor Min is asking more than just these simple questions.

After Senior Brother Zhuo Yuan had finished reporting the diagnosis and examination, he suddenly smiled and asked:

"Zhuoyuan, judging from this patient's current medical history and examination results and clinical manifestations, do you think this patient has hip arthritis or necrosis of the femoral head?"

Senior Brother Zhuo Yuan seemed to have expected it: "Professor Min, this patient's medical history is that the pain in the right hip has been aggravated for 12 years without obvious cause, and it has worsened for more than 3 years, and the pain worsens at night and after walking, and can be relieved when resting. ”

"From the trigger to the clinical presentation, it is consistent with the diagnosis of hip arthritis. ”

Moreover, the positive results of the patient's physical examination were: anterior tenderness of the right hip, positive figure-4 sign, positive straight leg raise test, no history of alcohol consumption, no history of hormone ingestion, no history of trauma, so it may be more likely to have hip arthritis. ”

"Combined with the patient's current X-ray, you can see that the patient's joint space is narrow, the femoral head has no obvious collapse, and there is no obvious bone hyperplasia and destruction around the femoral head, so it is more likely to consider arthritis. ”

In this remark, he directly said his diagnosis from the physical examination to the results of the auxiliary examination.

Listening to the two eldest brothers who studied continuously, they have been in the clinic for many years, and they can't find any fault with Zhuoyuan's words.

Not to mention the girl who is studying for further study, she is confused but has a little worship and is done.

Professor Min turned his head to look at the two trainee doctors and asked, "What do you think of Dr. Kwong and Dr. Liu?"

Dr. Kwong's full name is Kwong Ren Keung, and Liu Zhi is Dr. Liu's name.

The two of them took the film, glanced at it, and said: "The main diagnosis of arthritis is to consider the narrowing of the joint space and cartilage damage. ”

The two of them have taken the expertise of arthritis to a deeper level.