Soon, when Liu Zhenyang came over, when he heard that Mi Chenliang's condition was indeed not caused by Cheng Kai's surgery, his originally black face was finally not so fierce.

"Director Liu, Dr. Cheng's further study points don't need to be deducted, right?" Hou Quanhai said.

"Well, this has nothing to do with him, and I won't deduct points for no reason. However, this situation like this patient is indeed rare, Hou Quanhai, you are quite thoughtful. Liu Zhenyang gave a rare compliment. To be honest, he didn't even consider this situation at the beginning, after all, this situation is almost difficult to encounter!

But this Hou Quanhai actually took it into account, and his condition was guessed!

"I guessed blindly, I didn't expect to guess it all at once." Hou Quanhai said modestly.

When Liu Zhenyang left, Cheng Kai said gratefully to Hou Quanhai: "Hou Quanhai, thank you so much this time, if you didn't help me clear my name, I guess I would have to get out of the way tomorrow." ”

"I'll invite you to hot pot tonight!"

"Forget it, I have something to do tonight, stay for next time." Hou Quanhai didn't forget that he had to go to Lin Xiayu's side tonight to earn extra money, and he made an appointment with the three old women.

"Okay!" Cheng Kai nodded.

……

When he walked to the hall, he suddenly saw Yang Xuan hurriedly passing by with a family member pushing a flat car.

"What's wrong with this patient?" Hou Quanhai asked curiously. The patient in front of her was a woman in her thirties, her face was a little pale and she looked in pain.

"Upper abdominal pain, I'll send it to Director Jiang now." Yang Xuan stopped and said.

"Right upper abdomen or left upper abdomen?" Hou Quanhai asked.

"I just gave him a brief examination, and the pain should be in the right upper abdomen!"

"There's no need to send it to trouble Director Jiang, she should have two surgeries to be busy with now. Pull the patient directly for an ultrasound examination and you should be able to know what disease you have! Patients with pain in the right upper quadrant are pulled for ultrasound. If this test does not cause problems, consider other tests. "Hou Quanhai Road.

"Huh? This ......" Yang Xuan was a little hesitant, he didn't need to distinguish and check in detail?

"Rest assured, most of the pain in the right upper quadrant should be detected by this ultrasound." Hou Quanhai patiently explained.

There are many causes of right upper quadrant pain, such as biliary colic, cholecystitis, alcoholic hepatitis, viral hepatitis, liver metastases, acute pancreatitis, posterior cecal appendicitis, myocardial infarction, and costochondritis. This disease is checked by ultrasound!

Of course, there are also uncommon diseases, such as: drug-related and toxic hepatitis, hepatocellular carcinoma and liver metastases, retrograde cholangitis, acute pyelonephritis, kidney tumors, peptic ulcers, perihepatitis, herpes zoster, etc. These diseases can also be detected by ultrasound, but the examination report of this kind of disease must be judged by an experienced doctor who has watched the film, and the new doctor does not have that kind of old and spicy eye!

In short, his world-class cholecystectomy experience taught him that the first step in the examination of right upper quadrant pain is ultrasound, which is a common clinical symptom, and ultrasound is often the first choice for diagnosing this type of disease, and can identify other common causes of RUQ. When the ultrasound diagnosis is unclear or serious complications occur, other imaging tests, such as CT, may be an option.

"Good!" Yang Xuan nodded. Although he and Hou Quanhai are both resident doctors who came to study, the level of Hou Quanhai he knows is not even comparable to Cheng Kai, who came to study!

Sure enough, it didn't take long for Yang Xuan to find Hou Quanhai in a hurry, "Hou Quanhai, haha...... You guessed it right, it's appendicitis! Director Jiang said, you will do this operation, and I will be your assistant, and you will learn by the way. ”

Minor surgeries like first-degree surgery appendicitis, Hou Quanhai does almost often these days.

First of all, he has a world-class appendicitis resection, which is fast, accurate and of high quality. It takes almost ten minutes to complete one. So for this kind of operation, Jiang Yan is very happy to hand it over to Hou Quanhai to do. Save trouble, effort and worry!

"Good ......"

Minor surgeries like this are not challenging for him at all, they are completely assembly line work!

…………

At this time, in the operating room, Liu Zhenyang and Dr. Li of our hospital were performing a fourth-level operation - retroperitoneal tumor resection.

Of course, he has to pull an attending doctor to be an assistant in a fourth-level operation like this, after all, this operation is very difficult, and the slightest carelessness will cause massive bleeding in the abdominal aorta, which is not child's play!

At this moment, the door of the operating room opened a little halfway, and a nurse Xiaojing who covered her mouth and nose with a mask walked in: "Director Liu, there is an emergency!" ”

"What's the matter, say." Liu Zhenyang said without raising his head.

"Fifteen minutes ago, Cheng Kai was in charge of a cholecystectomy, but after the operation began, there were difficulties, and the operation could not be carried out, so now seek help! So...... Director Liu, do you want to take a look, he said that the situation is a bit complicated! Nurse Xiao Jing reported.

"This Cheng Kai, what is the difficulty of a second-level cholecystectomy? Isn't the most serious case a perforated gallbladder? Liu Zhenyang immediately scolded.

This Cheng Kai made him angry three times and twice today, it is really useless!

"I'm having this surgery right now, and I can't walk away at all. Look at the other doctors in our group who are still available! ”

"Another doctor in our group, Dr. Hao, is also doing surgery. Both resident doctors were on call with the ambulance. Xiao Jing said busily. Dr. Hao and Dr. Li are the two attending physicians of Liu Zhenyang's team.

"It really is! Alas...... You go and see if Dr. Hou is available and ask him to help! In the end, Liu Zhenyang suddenly thought of Hou Quanhai!

He had seen Hou Quanhai do laparoscopic cholecystectomy, which was called a six. He himself was convinced!

It can be said that Hou Quanhai can definitely be in charge of the first-level and second-level surgery! Of course, the other party has not done the third-level and fourth-level surgery, and it is estimated that it will have to be honed to be useful!

So let Hou Quanhai take a look, he is absolutely assured!

"Okay."

……

Just after this appendicitis operation, I was suddenly found by Nurse Xiaojing.

"Dr. Hou, are you free now?"

"What's wrong?" Hou Quanhai asked.

"Dr. Cheng's cholecystectomy is in difficulty, and Director Liu can't go away from the operation now, so I asked you to go over and take a look." Xiao Jing explained.

"Okay, I'll take a look." Hou Quanhai muttered in his heart, Cheng Kai has made great progress in cholecystectomy and appendicitis surgery these days. There should be no problem with a general cholecystectomy, but why is it difficult?

Although the surgery is a little slower, it can definitely be done!