"Then look it up, but you can do it, doctor. The man said with a sad face, "It hurts badly." ”

"Well, lie down first, don't worry. Wei Dabao said, "I'll show you a look, and then I'll use the medicine." As for the B-ultrasound, I didn't bring the medical records, so the B-ultrasound report should always be brought. ”

"Here's it. The woman took out a piece of paper from her bag and handed it to Wei Dabao.

Wei Dabao glanced at it, generally speaking, the main objective symptom written on B ultrasound is whether the gallbladder wall is thickened, and the normal value of the gallbladder wall is generally 3mm, if the gallbladder wall is rough, thickened, and not smooth.

According to the description of B ultrasound, it was indeed cholecystitis, he put the B ultrasound list aside, rubbed his hands with Wu Mian, and said, "I'll tap it, you bear with it, and tell me if it hurts." ”

The little nurse stood in the doorway, her eyes full of disdain.

"What are you doing here?" asked another nurse, pushing a drip cart.

"I said I was going to the Sword Association Hospital, isn't this inflated? The little nurse said.

"What? He's going to the Sword Association Hospital?"

"Well, I heard what Brother Bao said just now. ”

"Why is it inflated?"

"The patient came to the drip with the diagnosis of the medical university, and Bao Ge'er had to have a physical examination. You talk about it, as if it is more powerful than the medical university. The little nurse said sourly, "Yes, in the future, people will be doctors in Jianxie Hospital, and our Chinese medicine hospital can't compare." ”

"Haha, Brother Bao is not that kind of person. Haven't you noticed, the patient Bao Ge'er has been going to have a physical examination recently. ”

"Cut, it's showmanship. ”

Wei Dabao heard the two nurses standing at the door muttering, he was not angry, but a little happy.

It's mediocre not to be envied, buddy!

During a routine physical examination, the hand is pressed twice on the stomach before touching the patient's description of the pain.

The first is to let the patient be prepared, and the second is to see how soft the other positions are, so that they can have a judgment on the condition.

Wei Dabao put his hand on the patient's lower abdomen and asked, "Does it hurt here?"

"It doesn't hurt. ”

Shifted his hand to his lower right abdomen and continued to ask.

Left lower quadrant, mid-quadrant ......

"Hurt ......"

When Wei Dabao's hand pressed on the upper part of the mid-abdomen, the patient suddenly cried out in pain.

"I'm lighter, it's fine. Wei Dabao didn't pay attention to it at first, the pain in that position should be referred pain, the pain caused by cholecystitis.

But when his hand was removed, he was slightly stunned.

"The position you just pressed hurts, what kind of pain is it?" Wei Dabao asked.

"It's just a pain ......," the patient described.

“......”

This kind of question will be answered by patients very vaguely, similar situations are often encountered in clinical practice, and Wei Dabao has long been surprised.

It should be referred pain, and then Wei Dabao checked the patient's upper abdomen, Murphy-style point pain, and standard cholecystitis signs.

Also, how can the diagnosis of the medical university be wrong, Wei Dabao is still a little forced in his heart. It is a habit to examine patients, and he is desperately accumulating clinical experience.

"Look at what I'm talking about, it's just to put on a show. The little nurse stood in the doorway and said, "It seems that he is better than the others." In fact, it's not a sycophant, kneeling and licking all the way, and ...... Section Chief Wu"

"It's disgusting. Another little nurse was unhappy, "Section Chief Wu doesn't eat this." ”

"Uh...... That's just as well. ”

For Wu Mian, the two little nurses quickly reached an agreement and did not argue at all.

Wei Dabao didn't pay attention to what they were muttering, this kind of thing is most common in grassroots hospitals like traditional Chinese medicine hospitals. Everyone is generally kind when they are high, and once someone jumps out of this pool of stagnant water, there will definitely be irresponsible remarks.

Envy, jealousy, hatred, human nature, it's not a big deal.

After the physical examination, the medical history was asked, and then the patient was given a receipt for observation, antibiotics were prescribed, and sent to the ward, where Wei Dabao came back and sat down.

He had some indescribable feelings in his heart, and after thinking about it for a long time, Wei Dabao didn't understand what that feeling was.

After an hour, Wei Dabao looked at the patient twice and found nothing abnormal. Seeing that there were no patients, he took out his cigarette and stood outside the small corner door of the emergency department, smoking while catching the discomfort in his heart.

It may be that the pain in the lower part of the mid-abdomen caused him to feel uneasy, Wei Dabao thought.

The patient's position is palpable and seems to be explained by referred pain.

Referred pain refers to the phenomenon of hyperesthesia or pain sensation in a certain area of the body surface when some internal organs are diseased, which is called referred pain. It is a type of pain in which the patient feels a noticeable pain somewhere on the surface of the body where there is no actual damage.

This is due to the fact that diseased splanchnic nerve fibers meet nerve fibers somewhere on the body surface in the same spinal cord segment, and afferent nerve fibers from the viscera reach the cerebral cortex except through the spinal cord.

In addition to visceral pain, it can also affect the body surface nerve fibers of the same spinal cord segment, conduct and spread to the corresponding body surface parts, and cause pain.

There is a detailed description of referred pain in "Diagnostics", and Wei Dabao compares it in detail, thinking that he is too careful.

The patient should be fine, and there is a B-ultrasound report. Extinguishing the cigarette, Wei Dabao finally decided that he was thinking too much.

Maybe it's because I can finally go to the Sword Association Hospital to make a lot of money, and I'm happy in my heart, so I have some weird feelings, Wei Dabao laughed.

But it's good to be able to go to the Sword Association Hospital, he is very happy to think. I just don't know when I can leave, it depends on the speed of Section Chief Wu's work.

But as long as Section Chief Wu says a word, he will definitely be able to transfer over.

Wei Dabao is very clear about the relationship between Section Chief Wu and District Chief Deng of the Development New Area, in this area, as long as he does not kill people, set fire to and rob banks, Section Chief Wu has nothing to do.

After staying up until the end of work, Wei Dabao changed his clothes and prepared to go home.

If you want to tell the person in the family that it's done, she may not be happy. With an income of 100,000 yuan a month, Lao Tzu has developed! Wei Dabao was happy in his heart, and his steps were a little brisker.

In the corridor, the patient's family members passed by Wei Dabao with drip bottles.

"Is it better?" asked Wei Dabao casually.

"Much better. The man said, "Every time, the doctor said that there was inflammation, but there were no stones, and the surgery could be done or not." ”

He spoke much faster than before, and it was clear that the pain had lessened and he was comfortable.

"That's good. Wei Dabao smiled.

The patient entered the observation room, and Wei Dabao walked forward. But after a few steps, he stepped back again. I was a little apprehensive in my heart, and the uncomfortable energy surged up like a tide.

"I'll check again. ”

"Huh?" the man froze.

"If you see that you are good, you have to have a physical examination, and we have to write medical records. Wei Dabao said, "You said that I didn't do a physical examination when you left the Chinese medicine hospital, how do you write the medical records? Is it getting better or worse? ”

"Cut, I've never seen you check it out. ”