Qin Yue tucked his waist like a crab, rampant in the house.
Then proudly said, "I am doing a big thing for my husband today!"
Chen Cang heard: "What's the matter?"
Qin Yue invites merits: "Her husband, today you can cook this meal without loss."
After speaking, mysteriously said: "Tomorrow's palpation, I have got some internal clues for you!"
"I tell you, they are struggling, but they have worked hard!"
Speaking of which, Qin Yue's eyes narrowed and she danced and said: "Unfortunately, I was stolen by someone from Qin!"
"I set out the case of our department for you!"
"Then, I asked my classmates for the case in their department!"
"You tomorrow, absolutely unblocked!"
Qin Yue patted his chest, a look like Yi Yuntian, and put his hand on Chen Cang's shoulder.
"How? I don't think it's the happiest thing in my life to have a lady like me!"
Chen Cang looked at Qin Yue's cute look and couldn't help but stuff a mouthful of Mao's braised pork that had just been studied into Qin Yue's mouth.
Qin Yue contained meat and fanned the wind: "It's hot!"
At night, under Qin Yue's coercion and temptation, Chen Cang looked at some cases of Qin Yue's abduction, and then he slept.
...
...
The next day.
Qin Yuesheng was afraid of being exposed as his secret agent and deliberately arrived at the department early to let Chen Cang drive.
Qin Yue felt that no one in the department except the teachers Sun Guangyu and Director Zhuang Yueming, and Sister Xu Rui had accidents, no one knew his identity behind the scenes!
Thinking of his special mission, Qin Yue suddenly felt very satisfied.
After arriving at the hospital, Chen Cang was personally received by Li Kai and several directors.
Today's work is all day long.
Several departments in the morning and several departments in the afternoon.
For ophthalmology, dentistry, otolaryngology, urology, etc. these highly specialized departments are naturally skipped.
Li Kai personally followed Chen Cang to lead the team today.
The students were also assigned to various departments.
Chen Cang's first department is general surgery!
After Qin Yue heard the news, she was very happy, and her husband would start today!
However, she pretended to be unfamiliar with Chen Cang and coaxed with her classmates standing behind her.
Sun Guangyu and Zhuang Yueming looked at each other and saw treacherousness in each other's eyes.
Chen Cang is still very popular in general surgery. After all, as the president of the World Society of Gastrointestinal Surgery, Professor Chen ’s name is acceptable.
"Professor Chen, let's start directly!" Sun Guangyu said with a smile.
Chen Cang nodded: "Okay, no problem!"
There are more than 30 students in the department today. After seeing this scene, they were all looking forward to it.
The patient is already arranged.
After entering the ward, Chen Cang saw 11 beds and he was stunned for a moment.
Dwarf oil, really guessed by Qin Yue?
Yes, this little girl is still very experienced as a traitor.
indeed!
Qin Xiaolick really went further and further on the road of selling his father and his teacher.
For his own sake, Qin Xiaolick patted his chest and said that it is more difficult to go up the knife and down the fire, but the case of stealing clothes and stealing is still simple!
Qin Yue looked at Chen Cang's eyes, and suddenly gave him a glance.
He grumbled: "I don't have any acting skills!"
The 11-bed patient is a 44-year-old woman with unexplained intestinal obstruction, often manifested as recurrent abdominal pain, bloating, and vomiting, which can be relieved spontaneously.
Chen Cang put his hand on the patient's stomach, and immediately felt a painless, soft mass, the bowel sounds could be heard on the surface of the mass, and the abdominal wall toughness increased.
Chen Cang was surprised for a while!
Turned around and looked at Qin Yue, then looked at Sun Guangyu, could not help laughing!
Qin Yue this silly girl.
Was given the routine by this group of people.
Looking at Qin Yue's silly pretend expression that I and you are not familiar with, Chen Cang couldn't help but want to laugh.
Where is this ordinary cirrhotic ascites patient!
The patient does have ascites.
But it is not ascites due to cirrhosis!
Chen Cang's diagnosis of acute abdomen is perfect!
As the president of the World Society of Gastroenterology and Surgery, Chen Cang naturally did not get a reputation.
Chen Cang closed his eyes, felt the patient's abdomen lightly, and then reached out with 3-4 fingers together, with a little force, and repeatedly hit the local part of the examination repeatedly!
Use your fingertips to feel the presence of floating lumps or organs.
This method is used for patients with a large amount of ascites, accompanied by organ swelling or mass.
Palpation due to rapid impact can temporarily remove the ascites and make it easier to touch the organs or lumps of the ascites.
Immediately afterwards, Chen Cang's eyes suddenly lit up.
Feel it!
Under the perception glove, Chen Cang clearly felt a special performance.
Chen Cang smiled. He was really a special patient.
Chen Cang couldn't help saying: "This is a patient with segmental fibrous encapsulation of the small intestine accompanied by adhesive intestinal obstruction in the capsule!"
In a word, all the medical staff in the entire ward were stunned!
Even Sun Guangyu was staring at Chen Cang with incredible eyes.
This answer is too good!
Sun Guangyu quickly turned to look at Zhuang Yueming, and some looked at Qin Yue!
I saw Qin Yue's eyes full of dullness and sluggishness, and Sun Guangyu immediately frowned.
And Qin Yue also looked at Chen Cang with an anxious look!
This silly son.
I showed you the exact answer last night, and you guessed wrong.
What the **** are you guessing?
Chen Cang continued: "This is a patient with cocoon belly disease!"
After Chen Cang finished speaking, he continued to analyze: "After everyone can come up and feel, the patient's ascites induces us to consider liver diseases."
"But the impact palpation here can feel the mass in the patient, and this mass is not a normal mass!"
"Through its texture, you can feel the performance of the small intestine confined by the fibrous membrane!
The roughness of the fibrous membrane confinement is completely different from the ordinary abdominal mass.
Moreover, when you press deeply to inactivate the touch, you can feel the adhesion between the intestinal canal or the mechanical bowel movement disorder! "
"Palpation, in fact, the most critical is here!"
After talking, Chen Cang looked at Sun Guangyu: "Director Sun, am I right?"
The students around are a little puzzled, can these things be touched?
At this time, Sun Guangyu had to serve, this Chen Cang really left!
Can't help but start applauding!
Other doctors also started applauding.
Everyone looked at Chen Cang, UU reading face worship!
Is cocoon abdominal disease a difficult disease?
Cocoon abdominal disease is the fibrous membrane that surrounds the intestine or organs, forming a lump, which is easily misdiagnosed.
A detailed inspection must be done to see it.
but……
When Chen Cang touched it, he not only diagnosed cocoon abdominal disease, he even spoke about the small intestine.
This is amazing!
...
ps: this, there is a reluctant request, veteran wx public: "hold the ruler", I hope everyone can pay attention ...
Thank you!
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