The medical records department of the Second Hunan University Hospital is not in the internal medicine building or the surgery building, but on the seventh floor of the science and education building, which is far away from the internal medicine building and the surgery building.

Lu Cheng had long heard the senior brothers complain about the unreasonableness of this setting, but Lu Cheng could only forcibly find a reasonable reason from the philosophy he had just memorized half a year ago: existence is reasonable.

"Hello, teacher, I am a doctor in the fourth ward of the orthopedic department, and the teacher here just called me to look at the medical records. ”

The orthopedic department of the Second Hospital of Hunan University is divided into four wards, and Lu Cheng was assigned to four wards in the first month, mainly because his mentor is really in the fourth ward.

The reason why you are called a teacher is that you can call someone a teacher when you meet someone in the hospital.

A middle-aged woman with glasses has a large collection of medical records in front of her, which looks thick, but in fact there are only three copies.

Two of them, Lu Cheng's, add up to less than one-twentieth of the other.

"Hey, come here and change the diagnosis on this homepage, your discharge record clearly says acromial impingement syndrome, and it is not okay if it is not reflected on the homepage. "The problem wasn't huge, so I just didn't lose my temper.

It may also be that you are used to it, the surgeon's medical records have always been simple and clear, and if you want to say nothing, it has everything.

And the most important problem is that even the senior doctors of surgery may not know how to change it, and they have to call here to ask, and they can't relieve their anger by scolding these junior doctors.

This question Lu Cheng knew, it was the first page he entered, and hurriedly said: "Teacher, these two medical records are acromial impingement syndrome, but the diagnosis system on the home page does not have this diagnosis, I fuzzy query, Chinese query, all searched, still not found." ”

In fact, he also asked Brother Zhuo Yuan this question, and Brother Zhuo Yuan also looked for it at that time, but he really didn't find it.

When the teacher in the medical records department heard this, his face instantly collapsed, and the corners of his mouth trembled slightly: "Impingement syndrome is a common diagnosis in orthopedics, how can there be no more in the diagnostic system? ”

She didn't know how many times she had said this question.

But one session has passed, and the next session will have problems.

When it comes to acromial impingement syndrome, orthopedics has such medical records every day, and even such common medical records, these people can't be perfect, and she doesn't know how to say it.

Lu Cheng obediently took it to the medical record room next door, that is, the place where the medical records were stored, and obediently took the homepage to change it.

It's just a complaint in my heart: "Shoulder collision syndrome, what kind of word play is this......"

Of course, Lu Cheng couldn't say it, even Senior Brother Zhuoyuan said that if the medical records department asked you to make a medical record, you don't have to explain, just change it, this thing, they are professional.

The homepage is changed quickly, and the signature is naturally not a problem.

After everything was done, Lu Chengcheng got out of the medical records department and entered the elevator.

But just as Lu Cheng got on the elevator, a voice suddenly came:

"The medical record collection system has been installed and the information is being entered. ”

"Current level: Lv1. ”

"Disease: Acromial impingement syndrome*2. ”

"Directions: Surgery - Orthopaedics - Sports Medicine. ”

"Chief complaint: absent, physical examination: absent. INVESTIGATIONS: Absent. ”

"Treatment process: missing, surgical record: missing. ”

"Postoperative Rehabilitation Exercise Program: Absent. ”

“……”

A series of voices directly blinded Lu Cheng.

There was no one else in the elevator, and it can be ruled out as a joke at first.

Auditory hallucinations? Schizophrenia?

Transient auditory hallucinations?

System?

Lu Cheng became nervous, the outstanding point of undergraduate study is a miscellaneous, a broad, and you have to learn a little bit of everything, but you find that when you go to the clinic, those things in this science are not enough at all.

Psychiatry, of course, has been studied, and Lu Cheng still remembers the most basic noun explanations in it.

Lu Cheng forcibly shocked himself.

First of all, let's not think about any systematic things, which are only in fiction, in reality?

Just think about it.

However, after Lu Cheng calmed down, until he went to the department again, there was no sound coming, which made Lu Cheng feel a little relieved.

If the sound no longer exists, then it doesn't exist. The moment you are at it, you may have made a hearing error.

Occasional auditory errors are much better than auditory hallucinations.

……

When I returned to the department, my patients had not yet been taken to the operating room, so it was useless to go to the operating room.

With a senior department, a deputy senior and a senior attendor, a general inpatient and a follower, and other people's patients, it is estimated that the position left for himself is opposite the instrument nurse.

Go get some medical records.

The orthopedic group has already begun to talk about the way to collect medical records, pay attention to the official account of Huayi.com, and you can record it directly.

It's very convenient, as for the previous app, Lu Chengcheng just didn't exist, since there is already a more convenient way to record medical records, so why should he bother with another app?

The Second Hospital of Hunan University, although it is one of the most prestigious hospitals in Hunan Province.

But in the whole country, the popularity is not high, far less than those super hospitals in Shangjing and Modu.

However, the number of patients here is also quite large.

But there are also a lot of doctors in Lu Cheng's group, and on average, there are only three fixed beds for each person.

16，17，18.

Serial numbers.

Bed 16 is a 24-year-old male, jumped up and landed while playing and accidentally sprained the lateral meniscus rupture, was admitted to the hospital the day before yesterday, completed the preoperative examination yesterday, and operated today, if nothing else, he can be discharged tomorrow.

Lu Cheng probably combed the 16 beds in his heart, and then looked at the relatively complicated 17 beds.

But at this moment, the long-lost voice came again.

"Disease: lateral meniscus injury of the right knee. ”

"Chief complaint: Trauma caused pain in the right knee joint for 2 months, exacerbated with limited movement for 10 days"

"History of present illness: the patient complained that he accidentally sprained his right knee joint when playing ball 2 months ago, and immediately felt pain in the game joint, slightly swollen, without numbness and other accompanying symptoms, that is, after being treated with ice and rest, the pain was relieved, and it was not taken seriously, and the pain progressively worsened, the pain intensified when squatting and standing, and it could be relieved at rest, and occasionally the joint was stuck and the pressure was suddenly limited in straightening 10 days ago, and the patient sought ......"

"Historically: denial of high blood pressure...... History of trauma is clear. ”

“……”

"Specialist physical examination: no obvious deformity of the spine, no obvious scoliosis, equal length of limbs, normal movement and blood circulation of both upper limbs. There was no abnormal gait, no obvious skin lesions in both lower limbs, no obvious redness and swelling. The left knee is not significantly tender, and the range of motion is normal. McMurray's sign (-), anterior-posterior drawer test (-), no significant hyperextension and hyperflexion, normal range of motion. ”

"Anterolateral and posterolateral tenderness of the right knee is evident, lateral McMurray's sign (+), range of motion (ROM): flexion to extension 20-130 degrees. 0-30 degrees of internal rotation and 0-40 degrees of external rotation. Limited straightening, hyperextension and flexion (+), anterior drawer test (±), posterior drawer test (-), lateral stress test (-). ”

"Sensation and peripheral blood circulation in both lower limbs were normal, and pathological signs were not elicited. ”

"Based on past medical history and physical examination, the following are currently proposed to be diagnosed: 1. Ruptured and entrapped meniscus on the lateral side of the right knee; 2. Anterior cruciate ligament injury of the right knee (to be confirmed)"

“……”

Lu Cheng was petrified in an instant.