Chapter 2946

"Bladder physical examination, where is the filling position?" Zheng Ren asked.

"Where is it? Bladder..." Lingzi was surprised. She didn't understand Zheng Ren.

"Listen according to the touch button, elder sister. To judge the retention of urine, we should percussion to clarify the boundary of the bladder." Su yundao.

"Oh, oh." Lingzi immediately answered with embarrassment. Then she thought for a long time and scratched her head, "I forgot."

Zheng Ren sighed in his heart. If his doctor kicked her to the community hospital to write medical records. Let Chang Yue take care of it for a few months, otherwise he won't even do such an important physical examination and become a doctor.

I got used to it in 912. During the hospital consultation, what I said was dry goods. If the inpatient general who reported the medical history had a nonsense, he had to be scolded by the director and professor who came to the consultation.

Because the Iraqi is sitting opposite, Su Yun is also embarrassed to spray the childish little doctor. He just smiled, and his smile was full of ridicule and ridicule.

Lingzi was obviously nervous and stammered. "There were 3 radial incisions on the anal margin, with more secretions, obvious edema and anal skin defect. Microscopic examination: the ligation line at 3, 7 and 11 points did not fall off, and the surrounding tissues were congested and edematous..."

"Well, it shouldn't be the problem of surgery. Have you done other tests?" Zheng Ren asked.

"Yes, everything is normal. Blood glucose, ions, renal function and urine routine." Lingzi took out her mobile phone and showed the test sheet to Zheng Ren and Su Yun.

The test indicators are really OK. They are normal and clean. The standard ones don't even have a sign.

Su Yun frowned, "it shouldn't be."

"There seems to be a problem."

"What's the matter, guys?" Lingzi falls into a state of ignorance. How can there be a problem with the normal test return?

"Oh, nothing, but the test sheet looks too clean and uncomfortable." Zheng Ren smiled, "it's all right. I'll think about it."

"Boss, what you said is very polite." Su Yun said contemptuously, "well, I think the date is yesterday's urine routine. The patient has used continuous catheterization for 3 days."

Lingzi counted for two seconds and nodded.

"There will be irritation and friction in the urethra. Normally, the occult blood in the urine routine should be ±. That's right." Su Yun said, "you can see red blood cells, but it doesn't reach the level of diagnosing urinary occult blood. This is the test sheet of patients with urinary catheters under normal conditions, but you have no problem with this. It looks serious."

"Speak well." Zheng Ren pondered with Lingzi's mobile phone, "does the patient have any other symptoms?"

"She doesn't want to talk to me." Lingzi said anxiously, "every time I go to the ward to see her, she closes her eyes and says we cut off the bladder."

"Ha, private hospitals also have this?" Su Yun said with a smile. He was watching the excitement.

"Er, no, what's the patient's expression? Indifferent or excited?" Zheng Ren asked.

"Indifferent? Excited?" Lingzi is obviously confused about this clinical judgment.

In fact, this is also a more idealistic judgment standard. It is difficult to have quantitative data to calculate the patient's indifferent expression. What is studied here is the clinical foundation and the control of various details of the patient.

Obviously, Yiren's classmate doesn't have anything. He is still a clinical rookie.

"Did the neurologist do a physical examination?" Zheng Ren asked.

The answer is confused again. This time, the girl's eyes are blurred.

Zheng Ren was also very helpless. He thought countless times that if the public hospital asked him for consultation, the medical record would surely hit her in the face.

"Are the doctors on duty familiar with the hospital?" Su Yun asked.

"Familiar, all colleagues."

"Let the doctor on duty check up." Su Yun said, "see if the patient's expression is indifferent or normal. If you don't know the evaluation criteria, first check the book. Then pull an ECG to see if there is a decrease in myocardial stress and various arrhythmias and conduction blocks."

"Also ask about the exhaust." Zheng Ren added, "is there little exhaust, or no exhaust for a long time. By the way, your sugar tolerance... Wrong."

Zheng Ren said, hesitating for a moment, as if he had caught the focus of the problem.

"Boss, are you still thinking about the test?" Su Yun asked, "I said this test sheet was wrong!"

"Yes." Zheng Ren nodded.

"Lingzi, let the patient leave the hospital. Come to 912. I'll find her a bed." Su Yun looked at Lingzi, who was already six gods in the opposite direction, and said.

Casually promised to find a bed in 912, which is a great favor.

But Lingzi didn't seem to understand the rules in these circles. She still hesitated, her eyes twinkled, then lowered her head and didn't say a word.

Zheng Ren saw this situation and immediately knew that his guess was right. He smiled and said in a warm voice, "how long have you been doing clinical work?"

"One and a half years, six months after getting the license."

It is common for many hospitals to work without certificates. In some public hospitals, no one can use them. They are crazy on the edge of the rules. Private hospitals because undocumented people pay less, at least for personal use.

Zheng Ren actually doesn't understand why there are few thunderstorms in this bosao operation.

Seeing more, he didn't feel strange. He frowned and asked, "do you think it's possible to detect the... Error of the test?"

"Er..."

"Lingzi, you may have less clinical time, but you've always heard of the word" human life is vital. " Zheng Ren said in a deep voice, "every test value is very important, instead of just looking at it. No matter whether there is a problem or not, throw it aside. How good should the urine occult blood be for patients with urinary catheters for a long time? There is a problem, but look at the test sheet. It's too clean."

"..." Lingzi didn't speak.

"What's more, you say that the patient's situation is wrong. I don't think the patient has an opinion on you, but has entered a very bad situation." Zheng Ren said, "I don't know what it is. If there is an error in the test sheet, it's too late to treat a kidney failure."

Ling Zi's face was a little white, pale and pale, and blush did not hide the white.

"Suppose something really happened, or only the last examination was true, and all the pots were carried by the clinician. This pot is too big, are you sure you can carry it?"

"A few days ago, we just went to a hospital in Jinhai city for medical appraisal. The doctor's license was revoked for life. It's hard to say the specific amount of compensation, and we didn't ask in detail."

"Boss, she won't say it again. Why do you say so much?" Su Yun said, "for laboratory examination, if you want to get it to a large public hospital, compare the values, and I think you can find the problem right away."