"Well, old man, where are you hurting?"

Shi Yilan stepped forward, squatted in front of the old man and asked in a low voice. Although he was in his forties, he was still much younger than the old man. Therefore, it is also appropriate to call the old man "old man".

"Belly...... Belly! ”

"Oh? Over here? What about here? And here. ”

"It hurts?"

After obtaining the old man's consent, Shi Yilan gently pressed on the old man's stomach several times. And every time he pressed a place, he always needed to stop and ask the old man a few words.

In Zhu Jian's opinion, this practice is unnecessary, and it is also quite troublesome. However, he could still tell the difference clearly, the person in front of him was Shi Yilan, the chief physician of the Department of Gastroenterology of the First People's Hospital of City A, not a trainee doctor like Zhang Fan, so he didn't dare to say anything.

However, if this was Zhang Fan making such a meaningless action at the moment, it is estimated that he would have laughed at this time. Can such a small stomach ache be so careful? Isn't that a big fuss?

However, he didn't know that just when he thought Shi Yilan was just making a big fuss, Shi Yilan had already discovered something unusual from the press just now.

"Old man, did you fall or be injured this morning?"

After Shi Yilan pressed, he paused for about a few seconds, and then he frowned and began to ask the old man.

Because, he found that the old man's abdominal pain was not like ordinary stomach pain caused by stomach disease at all, but more like internal bleeding, blood stimulation to the internal organs, so the whole abdominal pain was caused, so he naturally asked the old man first for the sake of safety.

"Fall? Not...... No. Medical...... Doctor, what's wrong with me! It hurts, it hurts. ”

The old man naturally knew that the person who came to see him at this time was a doctor who came by ambulance, so he wanted to cooperate well, but the key was that he couldn't seem to remember for a while where he had been injured, so he could only say that.

"No?"

Shi Yilan was stunned when she heard this, and after a pause, she still said, "Well, think about it again!" Mainly in the abdomen or back, was there anything that was hit? Even if it doesn't hurt, it can hurt. ”

"It doesn't hurt? Oh, this ...... To put it that way, it seems like once. Just a kid's scooter though. This...... Will it also be bruised? The old man thought about it again, and then he finally remembered such an incident.

This was just after dawn this morning, when he was exercising in a park near his home when he collided with a child about seven or eight years old playing a scooter on a small slope.

At that time, he didn't fall at all, but was hit by the handrail of the scooter to his upper abdomen, but there was no pain at all, so he didn't pay attention to it. But he didn't expect that it was this impact that didn't feel the slightest pain, but in fact it hurt his spleen. It's just that the wound at that time was relatively small, so he waited until more than an hour later before he slowly felt the pain.

And the pain after more than an hour, he naturally will not be connected to the small collision before, but will only mistakenly think that his stomach disease has attacked, so he will come to the "Rejuvenation Pharmacy" to see Zhu Jian.

"That's right. It should have been the internal injuries caused by this impact, come, stretcher, immediately take to the hospital. Now there is a high suspicion that it is a ruptured spleen, so that the hospital side is prepared. After the CT scan is confirmed, the surgery is performed immediately. ”

Shi Yilan said. In fact, even if the old man can't remember that he was hit this morning, he will definitely consider that his spleen has ruptured. This is because although the rupture of the spleen is most often caused by trauma, it can also be spontaneous.

Spontaneous spleen rupture is rare, but it cannot be said that there is none.

It mainly occurs in the pathologically enlarged spleen, and most of them have certain triggers, such as violent coughing, sneezing, and even sudden changes in body position, etc., which can cause spontaneous spleen rupture.

"Yes, Director Shi."

The two assistants and the nurse, as soon as they heard Shi Yilan say this, they immediately got busy. However, the doctors and nurses of the clinics who were watching on the other side were all in a state of confusion at this time.

What, what is this talking about?

A ruptured spleen? Isn't this the diagnosis made by the trainee doctor Zhang Fan just now? Isn't this really a stomach ache? However, if it was really not a stomach pain, then why couldn't Zhu Jian see it just now?

Doesn't this mean that Zhang Fan's medical skills are actually higher than Zhu Jian's? And Zhu Jian, it seems that he was indeed misdiagnosed just now. On the contrary, Zhang Fan's diagnosis was actually correct. This was a great surprise to everyone present.

"This ...... That's impossible! Give...... Director Shi, you're mistaken! He...... He's just an ordinary stomach ache, how could it be a ruptured spleen? No way, it's absolutely impossible! ”

If the other doctors and nurses in the Rejuvenation Pharmacy were just an accident and shock at this time, the person concerned, Zhu Jianke, would definitely be shocked and disbelieving. This is a situation that he never thought would happen, so he naturally couldn't accept it for a while.

It's just that he can't accept it. But the truth doesn't change because of his thoughts. So, I saw Shi Yilan's brows furrow after listening to his words, and then she said with some anger, "What is impossible? What, you mean, I misdiagnosed? ”

How could he have misdiagnosed? Although he was not 100% sure that it was a ruptured spleen, he was at least 90% sure, and he just said that he was highly skeptical. In the specific case, the diagnosis can only be confirmed after returning to the hospital with the help of CT examination.

However, what about this Zhu Jian in front of him? As soon as he walked into this clinic, he insisted that the patient had stomach pain caused by a stomach disease, and even when he went up for an examination later, he had to interfere, what kind of doctor is this? Not even the slightest bit of self-doubt. In fact, as a responsible doctor, no matter what kind of illness it is, if you want to diagnose it, you should use a variety of means to draw conclusions, especially some unusual symptoms. Hastily making a judgment on a certain symptom, and not knowing how to wake up and reflect when the treatment is ineffective, will only lead to more misdiagnosis in the end.