After listening to Zeng Hui's words, Zhang Juan stood in place, her mind running wildly.

She began to relate the patient's symptoms and signs, as well as some specific clinical presentations.

Think about it!

Zhang Juan suddenly felt that the ideas in her mind were instantly transparent!

That's right......

In this way, all the problems are explained.

Cerebral infarction does have some facial manifestations, such as salivation at the corners of the mouth and unfavorable speech.

But......

This kind of manifestation is mainly facial and oral symptoms, but cerebral infarction is extremely rare.

The patient has a history of cerebral infarction, and the CT of the head shows that there is indeed an infarct lesion in it.

CT is generally difficult to determine the length of infarction.

This point may be seen relatively clearly by MRI of the brain, and if there is an acute cerebral infarction within 24-48 hours, it can be judged.

However, when I was first admitted to the hospital, it had already exceeded 48 hours, so in this way, everyone habitually preconceived and stereotyped the diagnosis of the patient as cerebral infarction.

And because of long-term hypertension, cerebral infarction, and Alzheimer's disease, the patient's perception is very poor.

This leads to a kind of habitual thinking when doctors diagnose diseases.

Habitual thinking is a terrible thing.

In addition, temporomandibular joint dislocation is extremely rare, and even if it does, patients have subjective symptoms.

But on the contrary, all kinds of coincidences in clinical practice are really wrong.

Patients with this kind of temporomandibular joint dislocation have poor perception and are not very clear to themselves.

This directly leads to the neglect of such a link in the process of diagnosis and treatment.

After all, if you ask a doctor with cerebrovascular disease to see a temporomandibular joint dislocation, it will undoubtedly be difficult for them.

It's like you let a group of rough men carrying knives, guns, sticks, and drill bits like hitting steel bars go to neurosurgery.

Isn't that embarrassing!

You can't really treat the skull as a bone, right?

Zhang Juan looked at Zeng Hui excitedly: "Director Zeng, you are really amazing!" ”

"Chances are!"

"This consultation is really worth it."

And Zeng Hui waved his hand, smiled and pulled Chen Gong and said:

"You're thanking the wrong person."

"It was Xiao Chen who noticed that there was something strange on the patient's face, and then examined it."

"To be honest, I didn't notice the features and changes in the patient's face at all."

Zeng Hui's words made Zhang Juan look at Chen Gong.

And the old man's daughter on the side also hurriedly came over and said:

"That's right!"

"I prove it."

"It was this little doctor who noticed something was wrong with my dad's face."

"Then check it out."

Zhang Juan looked at Chen Gong and said with some surprise: "This is really too coincidental!" ”

"To be honest, if it weren't for this discovery, I really wouldn't have thought of a meshing joint dislocation."

"Thank you."

Chen Gong nodded lightly: "Let's go for an examination first." ”

"Sure."

When Zhang Juan heard this, she came back to her senses: "Okay! ”

"This ...... Please wait a minute, Director Zeng, we will come back after we finish the inspection. ”

"Let's see what to do with this situation."

Chen Gong said lightly: "It should be a dislocation of the mandibular joint, the contact surface of the temporomandibular joint is flat and smooth, there is a depression in front of the tragus, and the dislocated condyle can be palpated under the zygomatic arch." ”

"This should be a recurrent manifestation."

"It means that the old man must have had a dislocation before, but because he recovered in time, it did not attract attention."

"This situation is not serious, but it should not be ignored, and I suggest that you can use a hardener injection to protect it."

Chen Gong's words made Zhang Juan look curious again.

"Recurrent temporomandibular joint dislocation?!"

"I haven't had it before......"

Zeng Hui pulled Chen Gong over and said, "Let's go check first, and then we'll talk about the specific situation when we come back." ”

Zhang Juan nodded, pulled the patient and family members to get up and walked towards the imaging department.

……

And Zeng Hui pulled Chen Gong here and said seriously:

"You...... There are some things that should not be said in a hurry. ”

"What if it's wrong?"

"Maybe you won't care, but you must remember that in clinical work, you must be cautious in your words and deeds, and you must be rigorous in what you say and do, because ...... The more you say, the more you are wrong. ”

"Now there is video data to support it, and it will be enough to wait for the results to come out."

Chen Gong nodded and smiled: "I know." ”

"Thank you, Mr. Zeng."

"But...... I don't think I could be wrong. ”

Zeng Hui rolled his eyes: "What do you think?" ”

"I don't want to think about it, I want to think about it."

"You kid...... Don't get complacent! ”

"I haven't hit you in the past few days, what's wrong, I really think of myself as Director Xiao Chen?"

Chen Gong smiled and did not speak.

But wrong?

He didn't think about it.

It is not so easy to make mistakes, and mistakes also require the existence of theoretical evidence.

However, at this time, Zeng Hui still glanced at Chen Gong with some curiosity.

"By the way, how did you find out about the patient?"

Chen Gong said as a matter of course: "It's according to the diagnosis process!" ”

"During this time, am I not studying the diagnosis and treatment of joint diseases?"

"I'm looking at the "Guide to the Diagnosis of Human Joint Diseases" in your office."

When Zeng Hui heard this, he looked at Chen Gong suspiciously:

"Don't bluff me!"

"I've read this book, why didn't I diagnose it?"

Chen Gong shrugged his shoulders helplessly and waved his hand: "I have said it all, medical knowledge alone is not enough. ”

"If medicine wants to make a clear diagnosis, it also needs to add a combination of various disciplines."

"Among them, the structure of human tissues, and the aesthetics of the human body...... A range of disciplines. ”

After Zeng Hui listened, he glanced at Chen Gong unconvinced: "You are!" ”

"Impossible, absolutely impossible!"

"Medicine is medicine."

"Aesthetics is aesthetics!"

"How can two fields come together?"

Chen Gong looked at Zeng Hui, who was playing tricks, and explained with a smile:

"Human body aesthetics" says that human body aesthetics is a discipline that studies the relevant theories of human body beauty.

And the beauty of the human body refers to the beauty of the human body as an aesthetic object.

It includes form, appearance, structure, proportion...... and many other indicators.

Focus on the morphological characteristics of the human being! ”

"Just like the classmate's art people have a good grasp of the details, why? Because people have studied angles, proportions, etc. ”

"In fact, orthopedics is the same, if you want to accurately reduce the position, you must have an understanding of the integrity of the bone structure and the healthy shape of the joint cavity."

"In this way, we can make a better diagnosis."

"I just saw that the other party's temporomandibular junction seemed to be a little strange today, and after taking a closer look, I really found something unusual."

After listening to Chen Gong's words, Zeng Hui was stunned.

He pondered it coldly, and seemed to think that it really made sense!

But......

How does this person who studies medicine ...... with studying art? This......

No, no, no!

It's crooked!

Can't learn!

But, to be honest, Zeng Hui could only convince himself with such comforting words.

After all, you can't really study art, can you?

"Fallacies and heresies......"

Zeng Hui muttered and went to wash his hands unconvinced.

Xiao Lou behind him witnessed this scene the whole time, and when he saw Director Zeng walking away, he covered his mouth and laughed.

Chen Gong couldn't help but smile.

"Director Xiao Chen, Director Zeng doesn't want to lose face?!"

"Director Zeng is arrogant."

"Hahaha......"

When Chen Gong watched Zeng Hui wash his hands, he couldn't help but stink, and even ...... Sneering at yourself in the mirror.

Chen Gong rolled his eyes, childish ghost! Also tsundere...... Bored!

"Childish!"

"Boredom ......"

……

It didn't take long for Zhang Juan to finish filming with the patients and their families.

Looking at the results, the doctor on duty in the imaging department couldn't help but sigh with emotion:

"Oops, this temporomandibular joint dislocation is so hidden!"

"Ordinary people can't find it at all."

"Or someone would say that Director Zeng is amazing."

"It's all diagnostic!"

"You see, this dislocation of the mandibular joint, under the zygomatic arch and the bulging condyle image, overlaps slightly, and is not obvious......"

"It's easy to misdiagnose!"

"Moreover, the patient should be recurrent, not the first time......"

"It's obviously not the first time the old man has done it, look here...... There are already signs of recurrent temporomandibular joint dislocation! ”

"Treat as soon as possible."

After Zhang Juan listened, she glanced at the woman, and the two looked at each other, both of them were a little surprised.

Because......

The results on this film, as well as the radiologist's words, are exactly the same as what the little doctor said before he came!

This kid......

Is it so powerful?

Isn't that just a student?

Obviously, Zhang Juan was a little incredulous.

……

It didn't take long!

Zhang Juan and the others came back.

Examination results and reports in hand.

"Director Zeng, the results are out, and they are the result of temporomandibular joint dislocation." Zhang Juan handed the results directly to Zeng Hui.

Zeng Hui smiled slightly: "Well, just find out." ”

While speaking, he took out the film, Zeng Hui smiled and began to compare.

"Xiao Chen, come over and take a look, watch this film...... Look at this...... Well? ”

Zeng Hui looked at the film and the report, and his eyes widened suddenly.

Because......

He found that this result was similar to what Chen Gong's kid had predicted!

No, to be exact...... It's exactly the same!

"Huh?!" Zeng Hui couldn't help but let out a surprised sound.

Chen Gong smiled slightly and nodded affirmatively: "Hmm!" ”

Zeng Hui: ???

……

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