The genius doctor starts from the game

Chapter 20 Teaching rounds!

It can be seen that Professor Wang and Professor Chen have a good personal relationship.

Immediately afterwards, Professor Chen Hao took his group of people to make a quick round of the ward. They still need to go to the operating room for surgery later.

The people in Professor Wang Xiaoyang's group lined up,

Professor Wang Xiaoyang walked in the front, followed by Liu Jun and Li Hui, and behind them was Hu Yi, who was the doctor of the hospital under Professor Wang's group and the senior doctor of all the others.

Immediately afterwards, graduate student Chen Zhuoyuan, advanced doctor Cheng Cheng, graduate student Hu Li from the Department of Burns, and regular trainees Luo Huangyu and Li Liangzhan. When doing so, you need to stand on the left hand side of the patient as soon as possible to report the medical history and some basic information.

Behind these people are Lu Cheng, Pang Lin, Zuo Liwei, and Chang Guangkun, and Hannan Hospital is a teaching hospital. In addition to the people from our school doing internships here, there are also two colleges from the prefecture-level city below. The interns here, the two interns are called Cao Mengyuan and Lin Xuanshen respectively.

Cao Mengyuan and Lin Xuanshen really didn't have teachers assigned to them, and Cao Mengyuan, as a girl, had no ambitions in surgery, so she came here to see and see.As for Lin Xuanshen, it seemed that he had already decided to go to general surgery, so in the department of orthopedics, he checked the room every day, and then went home to read and prepare for the postgraduate entrance examination.

Superior doctors understand these situations.

The patients in Professor Wang Xiaoyang's group ranged from 1 bed to 21 beds, and then added 1-8 beds for extra beds.There are a total of 29 beds. Professor Chen Hao has only about 21 beds because of the relatively small number of people.This corresponds to their two operation days, in fact, both groups are equally busy.

There are only five bed doctors in total. Therefore, when allocating beds, because Chen Zhuoyuan is a graduate student of orthopedics and also a student of Professor Wang, one of them is that those who can do more work, and second, as undergraduate graduate students, they should have more opportunities. , assigned one to four beds plus one to three extra beds, a total of seven beds.

Among the rest of the people, Cheng Cheng was assigned six beds a little more, and the rest were assigned five beds.

The ward round starts from 1 bed.

Chen Zhuoyuan walked to the left side of the 1st bed with ease, because at this time the superior doctor who mainly checks on the patients needs to stand on the right side.

Chen Zhuoyuan said: "Master, this patient was admitted to the hospital after 3 o'clock yesterday afternoon, so when I came to see the patient yesterday, I didn't have time to ask about the medical history. I asked a little bit this morning, mainly because of pain in the right shoulder and limited mobility. months, no obvious trauma history, no special past, currently has grade I hypertension, low-risk group."

"There is nothing special about the admission examination. It is a pre-hospitalization. There is nothing special. The operation should be arranged tomorrow."

"The initial diagnosis on admission was considered to be a right rotator cuff injury."

As an undergraduate graduate student, Chen Zhuoyuan has the right to suggest and arrange surgery, and he sees more patients like this.

If it were a normal ward round and there was nothing special about the patient, Professor Wang might just call him over and then ask Liu Jun to take a look at the patient's film. After making the diagnosis, Hu Yi would be asked to arrange the surgery and explain the surgery method. Can.

But today is teaching rounds, Wang Xiaoyang said: "Oh? The first bed is a new patient, that's just right."

"According to the old rules, Zhuo Yuan, if you are a postgraduate student, you should do a demonstration of the physical examination for the patient. Then read the films individually, and talk about your diagnosis. Try to explain the diagnosis as comprehensively as possible, and then do a demonstration for others. .”

After saying this, Professor Wang Xiaoyang said: "Don't worry, this is not an exam, but to let you experience the diseases of our orthopedics department, and then deepen the image by the way, so that you can roughly know what are the common diseases in our orthopedics department, and what are the common diagnoses and treatments process."

"It doesn't matter if you say it's right or it's wrong. It's okay to do it right or wrong. If you make a mistake, you can correct it. If you don't understand it, you don't understand it. We will teach you. But this learning process is very necessary."

"Zhuo Yuan, let's start, while doing it, talk at the same time."

"In the next teaching rounds, the interns will start with the physical examination first, and then start asking about the medical history, so that the purpose of teaching can be achieved, knowing where you often make mistakes in the diagnosis process, and pointing out why it is easy to make mistakes. Then you will be more impressed..."

Wang Xiaoyang immediately made arrangements,

After hearing this, Cheng Cheng was shocked immediately. When he came to study, he had already inquired about it. It was Professor Wang Xiaoyang who paid special attention to teaching.

Therefore, we will carry out weekly teaching classes and at least once a week teaching rounds, which are rare learning opportunities.

But Pang Lin and Zuo Liwei's expressions were shocked for an instant, and they thought to themselves, the opportunity finally came.

Isn't this their chance to express themselves?
This teaching round is simply the best platform for them to showcase their knowledge reserves!

It was the first time today, so it was great that Chen Zhuoyuan, who was familiar with the situation, took the lead, otherwise the meaning of teaching would be lost if others were not familiar with the process.

Chen Zhuoyuan didn't panic at all, he had already asked about the medical history, so he immediately started the physical examination,

While saying: "Hello, I am your bed doctor. I want to do a physical examination for you. Please cooperate a little bit. If there is pain during my physical examination, please explain it immediately. Can you understand me? Can you speak?"

Some people only speak dialects and cannot understand Mandarin, so Chen Zhuoyuan still explained and explained in advance.

"Understood, I understand. Thank you, doctor." The patient saw Chen Zhuoyuan early in the morning and came to ask him about his situation. He also knew that he was admitted to the hospital late yesterday, and he also heard that the operation could be arranged tomorrow without delay. A lot of time, naturally very cooperative.

"Pain Pain!"

"No, no! Slow down!"

"Oops, it can't be done!"

During the physical examination, the occasional cry of pain from the patient just made Chen Zhuoyuan stop, while the others were waiting patiently.

In about one or two minutes, Chen Zhuoyuan made the final conclusion, saying: "Master, Professor Liu, the patient's physical examination is: tenderness in front of the right shoulder, anterolateral side; Hakwins sign, Neer sign positive, fear sign (-) , Jobe sign (±), Napoleon test is also called Napoleon sign (±).”

"O'Brien's test (±), Sulcus sign (-). Pain arc (70°-110°)."

± represents a weak positive, - represents a negative.

Chen Zhuoyuan's description made Liu Jun, Li Hui and others nodded slightly,

Sometimes the difficulty of the shoulder joint lies not in the reading of films and MRIs, but in his physical examination.Chen Zhuoyuan can do so many physical examinations, and call out their professional terms accurately, which proves that the foundation is very solid.

After finishing speaking, Chen Zhuoyuan said: "Hello, my physical examination is over, can I trouble you to take out the NMR?"

After finishing speaking, Chen Zhuoyuan said to Wang Xiaoyang: "Master, according to the existing physical examination, the diagnosis of this patient should consider rotator cuff injury. It also comes with rotator cuff impingement syndrome. Because his Hakwins sign and Neer sign are positive."

Hearing this, Cheng Cheng immediately admired Chen Zhuoyuan, who is professional in secret channels,
Although he can make a diagnosis, it is quite difficult to conduct such a detailed physical examination and explain the theoretical basis, at least not as comprehensive as him.

Professor Wang Xiaoyang just smiled slightly and said: "Don't say it yet,"

Then he looked at the several interns. When he saw Cao Mengyuan and Lin Xuanshen, they smiled honestly and took a step back. Wang Xiaoyang understood what they meant. We didn't understand and didn't want to talk.

Wang Xiaoyang never forces others to learn orthopedics, but he welcomes students who want to learn about orthopedics expertise.

Then when he looked at Zuo Liwei and Pang Lin, both of them were very eager to try.

"Pang Lin, I think you have something to say, so you should talk about it first!"

　Ask for a recommendation ticket, ask for a collection, ask for a monthly pass.

　　
　
(End of this chapter)