Although there are not many people in a class, there are eleven people, and even if Professor Shen has the heart, it is impossible for him to pay attention to everyone in everything.

What's more, Liu Jie was too ordinary in his impression, and when he did the examination before, he watched the techniques and movements of all the students.

Unlike other departments, orthopedic examinations are first conducted by asking about the symptoms, followed by a detailed examination by touch, and then making a judgment based on experience, but it is common to take an X-ray for further diagnosis.

Liu Jie's inspection techniques were not normal, so they did not attract the attention of Director Shen.

Hearing his answer, Director Shen was obviously interested and asked, "Oh, do you have a different diagnosis?"

Liu Jie nodded: "Yes." ”

Director Shen smiled slightly: "Speak." ”

Liu Jie said: "I think it should be the left posterior knee chondroblastoma, and the right knee is the tibial tuberosity osteitis. ”

Director Shen's eyes lit up obviously, and he asked with great interest, "How did you make this judgment?"

It is important to know that chondroblastoma is a rare benign tumor derived from naïve chondrocytes, which mainly occurs in the epiphysis of long bones, and cannot be detected by touch.

After listening to Liu Jie's words, everyone present couldn't help but complain.

Doctor Ban, who was standing next to Liu Jie, couldn't help but turn his head to look at him, and secretly slandered in his heart, what is Liu Jie doing?

This condition is tibial tuberosity osteitis at first glance, after all, chondroblastoma needs to be taken to detect, just now it is only a preliminary examination, not yet the step of taking a careful examination.

Besides, even if it is really chondroblastoma, it is a condition that needs to be proven next.

Liu Jie: Is this trying to be in the limelight?

While everyone was speculating, Liu Jie said: "The typical symptom of chondroblastoma is intermittent joint pain that lasts for months or even years, which is the main manifestation of the disease. The pain is accompanied by manifestations similar to joint inflammation, i.e., swelling of the joint, effusion, and more severe limitation of joint mobility. ”

Director Shen's eyes lit up again.

Liu Jie's passage is completely marked on the textbook, and it is word-for-word.

Liu Jie said indifferently: "Generally speaking, benign bone tumors grow slowly, the pain is mild or not painful, except for those with superficial location, it is not easy to detect in the early stage, and when the bone tumor grows or compresses the surrounding tissues, the pain is aggravated or pathological fractures occur. ”

What he said is understood by anyone who studies orthopedics, but the question is how did he judge this conclusion by touch?

Liu Jie explained: "I just asked this patient to walk a few steps, and I noticed that his walking posture was not the same as the symptoms of tibial tuberosity osteitis, but like chondroblastoma. Of course, this is also a preliminary judgment made by me based on my own experience, and I still need to take a film for the next detailed diagnosis. ”

Director Shen looked at him and asked again, "What if it is diagnosed?"

Liu Jie said: "If it is really chondroblastoma and a benign tumor, then only the projection of the bone tumor can be seen on the film, and the X-ray manifestations of the bone tumor are not constant, and it needs to be closely combined with clinical manifestations and pathological examinations to make an accurate diagnosis." ”

This is the most conservative and formal treatment option.

Of course, the premise is that the patient does have chondroblastoma.

After listening to his answer, Director Shen also did not make any indication, but continued to carry out the next step of inspection.

Everyone proposed to let the patient take a CT, and after getting the film, it was the first person who took turns to look at it and take turns to make a judgment.

The conclusion is chondroblastoma of the left knee, and the treatment plan is exactly the same as what Liu Jie said.

This matter quickly spread before the students and mentors.

The mentors didn't react much, after all, chondroblastoma is not an incurable disease, as long as you observe the film carefully, it is not difficult to make a judgment.

Liu Jie's surprise is that he did not pass the film, but only made an accurate judgment based on the inquiry touch and his own consultation experience.

This can only show that Liu Jie has a solid medical foundation and strong ability to observe people's hearts.

The private discussions among the students were much more lively.

Liu Jie and Dr. Ban were in the same room, and another colleague was assigned to another room, at this time this colleague was gossiped and asked by his roommate: "Liu Jie from the second class heard that it is from your hospital? Hey, how is that person usually in your department?

Liu Jie's colleague was originally dissatisfied with Director Sun for sending Liu Jie to study with them, but he didn't deliberately smear it, but just told the truth about the selection of outstanding doctors in the lower hospital, as well as the things about Liu Jie spending money to hire people to swipe tickets.

When the difficult environment and boring study and life suddenly poured into a vivid gossip rumor, everyone suddenly boiled,

Everyone was eager to run to tell each other, and when the students from other classes heard the news, they immediately became excited and excited.

Everyone used the so-called facts they had heard or fabricated in an endless stream to add branches and leaves to this rumor, and pieced together a small branch that was originally dry into a big tree.

So when these news finally passed through the mouth of Dr. Ban and entered Liu Jie's ears, it became that Liu Jie actually walked through the door of the planner of this training activity, and he already knew the content of the exam in advance.

As for Professor Shen's blockbuster diagnostic remarks in class, it was not supported by good luck, but Professor Shen was instructed by the planner in order to cover for the test results later.

After all, an assistant physician who has no academic qualifications and no qualifications is enough to be pushed into the training class, and if the final exam results are too good, then don't you wait for eye medicine.

But after having Professor Shen's hand, Liu Jie didn't get a high score even if he didn't take one of the tests in the next test, which was also evidence-based.

After all, you don't even need to watch the film, and it seems logical that people who can directly judge chondroblastoma will get a good score in the exam.

After Dr. Ban finished speaking, he was a little embarrassed, and felt that there was really no one who caused this rumor to do this.

After Liu Jie listened, he nodded, then suddenly thought of something, pondered for a while, and asked, "In the previous training exams, did anyone get a perfect score in all subjects?"

Doctor Ban was stunned for a moment and shook his head: "There have been written exams, but interviews and practice are simply impossible." ”

Liu Jie asked, "Why is it impossible?"

Dr. Ban said: "Because the interview is about the ability to perform on the spot, and the practice is about in-person diagnosis and treatment, no matter which of the two points, unless it can be fully recognized by all the professors, it is possible to get a full score." But the problem is that these professors have different personalities and different angles of appreciation, not to mention that they have to go to the provincial hospital for evaluation. ”

Liu Jie's eyebrows relaxed, and he said lightly: "There are no absolutes in everything, if I can really get a full score in all subjects, then it is estimated that all kinds of rumors will not be tenable." ”

Doctor Ban only thought he was joking, and replied casually: "That's for sure, you have to slap your face." ”

Liu Jie smiled slightly and didn't speak. Read the latest chapter of "The Best and Strongest Doctor Holy Claw Book House" for free for the first time.