Qin Yue, with his waist in his back, was like a crab, running roughshod in the house.
Then he said proudly, "I did a big thing for my husband today!"
Chen Cang Listened: "what's up?"
Qin Yue said, "husband, you did a good job at this meal today."
After that, he said mysteriously, "I have got you some internal clues for tomorrow's palpation!"
"I tell you, they took great pains to embarrass themselves!"
Speaking of this, Qin Yue narrowed her eyes, danced and said, "it's a pity that I was stolen by someone Qin!"
"I set up the cases in our department for you!"
"Then, I asked my classmates for the cases in their department!"
"You tomorrow, absolutely unimpeded!"
Qin Yue patted her chest with a look of righteousness and put her hand on Chen Cang's shoulder.
"How? I don't think it's the happiest thing in my life to have a woman like me!"
Chen Cang looked at Qin Yue's lovely appearance and couldn't help but put a mouthful of Mao's braised meat into Qin Yue's mouth.
Qin Yue took the meat and fanned the wind: "it's hot!"
At night, under the coercion and inducement of Qin Yue, Chen Cang went to sleep after reading some cases he didn't know where Qin Yue came from.
……
……
The next day.
Qin Yue was afraid of exposing his identity as a spy, so he went to the Department early and asked Chen Cang to drive.
Qin Yue felt that it seemed that except for the teacher sun Guangyu, director Zhuang Yueming and elder martial sister Xu Rui, no one else in the Department knew their behind the scenes identity!
Thinking of his special mission, Qin Yue was suddenly very satisfied.
After Chen Cang arrived at the hospital, he was personally received by Li Kai and several directors.
Today's work is all day.
Several departments in the morning and several departments in the afternoon.
For ophthalmology, dentistry, otolaryngology, urology and other professional departments, it is natural to skip.
Li Kai personally led the team with Chen Cang today.
The students were also assigned to various departments.
Chen Cang's first department is general surgery!
After Qin Yue learned the news, she was very happy. Her husband is going to make a good start today!
However, she pretended to be unfamiliar with Chen Cang and stood behind her classmates.
Sun Guangyu and Zhuang Yueming looked at each other and saw treachery in each other's eyes.
Chen Cang is still very popular in general surgery. After all, as the president of the world society of digestive surgery, Professor Chen's name is OK.
"Professor Chen, let's start directly!" Sun Guangyu said with a smile.
Chen Cang nodded: "OK, no problem!"
There are more than 30 students in the Department today. After seeing this scene, they all look forward to it.
The patient has arranged.
After entering the ward, Chen Cang was stunned when he saw 11 beds.
Short oil, was Qin Yue really guessed?
Yes, the little girl is very experienced as a traitor.
you bet!
Qin xiaolick really went farther and farther on the road of selling his father and teacher.
For his own man, Qin xiaolicked and patted his chest. It's difficult to go up the knife mountain and down the sea of fire, but it's still simple to steal clothes and cases!
Qin Yue looked at Chen Cang's eyes and immediately stared at him.
He muttered, "there's no acting skills!"
The 11 patients were 44 year old female with unexplained intestinal obstruction, often manifested as recurrent abdominal pain, abdominal distention and vomiting, which can be relieved by themselves.
Chen Cang put his hand on the patient's stomach and immediately felt a painless and soft mass. Bowel sounds could be heard on the surface of the mass, and the toughness of the abdominal wall increased.
Chen Cang was stunned!
Turned around and looked at Qin Yue, then looked at Sun Guangyu and couldn't help laughing!
Qin Yue is such a silly girl.
By this group of people.
Looking at Qin Yue pretending to be unfamiliar with you and me, Chen Cang couldn't help laughing.
Where is this an ordinary patient with liver cirrhosis and ascites!
The patient does have ascites.
But not cirrhosis ascites!
Chen Cang's diagnosis of acute abdomen is perfect!
As the president of the world society of digestive surgery, Chen Cang is naturally not in vain.
Chen Cang closed his eyes, gently felt the patient's abdomen, and then reached out with 3-4 close fingers to repeatedly impact the examined part with a little force!
Feel whether there are floating masses or organs through the fingertips.
This method is used in patients with massive ascites and organ swelling or mass.
Because palpation under the rapid impact can temporarily remove the ascites, it is easier to touch the organs or masses of ascites.
Then Chen Cang suddenly brightened his eyes.
I feel it!
Under the sensing gloves, Chen Cang clearly felt a special performance.
Chen Cang smiled. He is really a special patient.
Chen Cang couldn't help saying, "this is a patient with segmental fibrous wrapping of the small intestine with adhesive intestinal obstruction in the capsule!"
In a word, all the medical staff in the whole ward were stunned!
Even sun Guangyu stared at Chen Cang with incredible eyes.
That's a great answer!
Sun Guangyu quickly turned around and looked at Zhuang Yueming. He looked at Qin Yue!
Qin Yue's eyes were full of cute and dull, and sun Guangyu's eyebrows were tense.
Qin Yue also looked at Chen Cang anxiously!
This stupid son.
I showed you the exact answer last night, and you guessed wrong.
What a mess of guessing!
Chen Cang continued, "this is a patient with cocoon abdomen!"
After Chen Cang finished, he continued to analyze: "you can come up and feel the ascites of the patient, although it induces us to consider liver diseases."
"But the mass in the patient's body can be felt by impact palpation here, and this mass is not an ordinary mass!"
"Through its texture, you can feel that the small intestine is imprisoned by the fibrous membrane!
The roughness of fibrous membrane confinement is completely different from that of ordinary abdominal mass.
Moreover, when you deeply press the inactivation of touch, you can feel intestinal adhesion or mechanical peristalsis! "
"Palpation, in fact, the key is here!"
After that, Chen Cang looked at Sun Guangyu: "director Sun, am I right?"
The students around are puzzled. Can you touch these things?
At this time, sun Guangyu had to be convinced that Chen Cang really left!
Can't help applauding!
And other doctors began to applaud.
Everyone looked at Chen Cang and worshipped him!
Is cocoon abdomen a difficult disease?
Cocoon abdomen is that the fibrous membrane wraps the intestine or organs, forming a mass, which is easy to be misdiagnosed.
You have to do a detailed inspection to see it.
But
Chen Cang not only diagnosed abdominal cocoon disease, but even wrapped around the small intestine.
That's great!
……
PS: Well, there's an unkind request. The Wx public who is a veteran: "hold an inch close". I hope you can pay attention to
Thank you!