Chen Qi did not speak, but quietly observed the patient's condition.

Traditional Chinese medicine pays attention to "looking, hearing, asking and feeling"

Western medicine also has its own set of physical examinations, which are "sight, touch, percussion, hearing, and smell." This is a basic skill for a clinician, and it is also a key medical knowledge taught during the student days.

"Vision" is put first. The reason is very simple. The first sensory organ that a patient comes into contact with you for the first time when he comes to the clinic is through the eyes. Through vision, you can see the patient's overall status, face, gait, etc.

First there will be a general judgment.

It is a pity that doctors are rarely able to use this basic skill skillfully after working.

And there is a strange phenomenon. The more experienced a doctor is, the more he likes to do a careful physical examination himself so that he knows what he is doing.

On the contrary, young doctors prefer to use instruments instead of physical examinations and are too lazy to move. The diagnosis and treatment bed is already gathering dust, which often leads to many missed diagnoses and misdiagnoses.

There is another area where clinicians are criticized. Will doctors not be able to treat patients if they leave the machine?

Western medicine pays attention to "evidence", so auxiliary examinations are essential, whether it is legal requirements, diagnosis and treatment standards, or the needs of the condition, auxiliary examinations are necessary.

So what should we do if we don’t have these auxiliary inspections?

What if you are in a field hospital? Or if there is no examination equipment like Huangtan Health Center, can you still treat the disease?

Take the acute abdomen at hand as an example. There is no emergency department in the fourth hospital at night, so there are no corresponding auxiliary departments on duty. There is no blood test, no X-ray, and no B-ultrasound. So what should we do?

Chen Qi felt a little tired when he saw the mess of the surgeons at the Fourth Hospital.

Not only is the physical examination irregular, but the diagnostic thinking is also problematic.

So he couldn't bear it anymore and stepped forward.

"Come on, come on, you all are watching. Now I will do a complete physical examination according to the requirements in the textbook. Look carefully and see where the problem is."

When the surgeons heard that the vice president wanted to take action personally, they quickly stood aside and were very obedient.

Zhao Qiaoer's parents were standing nearby with their brows furrowed.

My daughter is a big girl. Although physical contact is unavoidable when a doctor is seeing a doctor, what does it sound like when a bunch of big men touch her body and you touch her and I press you?

Originally, it was okay for a senior doctor to come for an examination, but now suddenly a young man wants to come for an abdominal examination. He just graduated, right?

Is this an examination? Or do you want to eat patient food?

The old couple wanted to speak several times, but held back several times, and their eyes were already a little unkind.

Chen Qi stupidly did not notice the murderous look in his family members' eyes. He was still carefully doing a physical examination while thinking about what went wrong.

After he finished the examination, he became thoughtful and then asked the surgeons around him without thinking.

"Do you think the patient looks good?"

Not to mention the doctors who were confused, even Zhao Qiaoer's parents were full of questions, wondering whether this doctor wanted to be a rogue?

This is 1984, and it has only been a year. So soon, the gangster is back again? And he has even joined the ranks of doctors?

The patient's family members can ignore it, but this is a question from the vice president, and the surgeons have to answer whether they want to or not, so they all scratch their heads in embarrassment:

"Uh, it looks good..."

"Yes, it's quite beautiful..."

Zhao Qiaoer is 18 years old this year, and she is at the age where she is as beautiful as a flower. She is as convex as she should be and as concave as she should be. Although her face is pale due to bouts of abdominal pain, it makes me pity her even more. To be honest, she is definitely a beauty.

Chen Qi changed the subject and asked: "Yang Tihao, what did you find during the physical examination just now? Why do you think it is appendicitis?"

Yang Tihao talked eloquently: "Vice President Chen, that's because the patient has tenderness throughout the abdomen and a mass can be palpated in the right lower quadrant, so I diagnosed it as appendicitis."

Zhao Qiaoer's parents breathed a sigh of relief when they heard this and said repeatedly: "As long as it's appendicitis, it'll be fine."

Chen Qi asked: "So there is shifting dullness on percussion. How do you explain this?"

Shifting dullness generally means there is fluid in the abdomen, either ascites or blood. Appendicitis is obviously unlikely to cause dullness.

Yang Tihao thought for a long time, but couldn't figure out why, so he could only retreat in anger.

At this time, surgeon Zhang Xingshun asked:

"Moving dullness may also be caused by fluid accumulation in pelvic inflammatory disease, and it can also explain symptoms such as abdominal pain."

Chen Qi asked: "When we first consulted, the patient himself said that there was a small amount of bleeding in the tract. Is this the case with pelvic inflammatory disease?"

Will pelvic inflammatory disease cause intracanal bleeding? How do these rough surgeons know? It’s useless to ask.

Sure enough, Zhang Xingshun's eyes were a little confused and he was trying hard to recall the knowledge in the book. He probably wanted to read the book right away.

Director Bian was standing nearby. He had obviously heard that something was wrong. If there was bleeding and abdominal pain due to bleeding, then the obstetrics and gynecology diseases must be considered first, but he did not say anything. This was Vice President Chen's teaching moment.<

/p>

Chen Qi looked at Zhao Qiaoer and asked confusedly: "Are you married?"

In an instant, Zhao Qiaoer's face turned even paler, and she shook her head desperately, "No, I, I didn't!"

The dissatisfaction of Zhao Qiaoer's parents was about to reach its peak. They thought that this doctor didn't care about the disease. One moment he asked his daughter if she was pretty, and the next moment he asked if her daughter was married. What was he doing?

Fall in love with her?

If you are really interested, it is not impossible to find a doctor as your son-in-law. The question is now that your daughter is in terrible pain. Should you see a doctor first? What are your priorities?

Chen Qi didn't know what the family next door was thinking, so he asked another question:

"When did you last have your period?"

"Doctor~~~"

Zhao Qiaoer's mother couldn't help it anymore. Things like menstruation are extremely private for girls. What kind of doctor would ask such weird and shameless questions?

"Doctor, several other doctors have just said that my daughter may have appendicitis or pelvic inflammatory disease. What do I think about my daughter's menstruation? Whether my daughter looks good or not, it seems to have nothing to do with medical treatment, right?

I see that you are young, new here, and have just joined the workforce? You need to learn your skills, and I have tolerated groping my daughter, but now you are teasing my daughter again and again, and my old lady wants to

Let me ask you, what is your reasoning?"

Director Bian laughed out loud and quickly covered his mouth.

The other junior surgeons also turned their heads, but the twitching of their shoulders showed that they were suppressing laughter.

Chen Qi was also embarrassed, "Mom, I'm a doctor. The doctor still has to ask clearly during the consultation. It's not certain whether it's appendicitis or pelvic inflammatory disease."

The old lady was about to say something else just now, but the old man stopped her: "Don't say anything yet, let the doctor check it first before talking."

The old lady shook the old man's hand, glanced at Chen Qi dissatisfied, and finally rolled her eyes.

Chen Qi was also speechless. If he had to blame himself, he could only blame his face for being too young. As a 22-year-old vice-dean, some people have to believe what he says.

Zhao Qiaoer replied in a murmured voice: "It was the 5th of last month..."

Oh~~~~~

Now the surgeons all realized that something was wrong. It was already September 25th, and menstruation was delayed for more than 20 days. There are some things that can explain it.

The problem is that this girl clearly said that she is not married. What is going on?

At this time, some smart surgeons suddenly understood why Vice President Chen just asked them whether the patient was good-looking or not.

How could a leader molest other girls for no reason? Every word the leader says has connotation. Who says that girls can only get pregnant if they get married? Pretty girls are more likely to be tempted.

But if it is related to pregnancy, it would be a huge scandal!

The 1980s were still conservative, especially in small cities and places like Vietnam and Zhong, where a woman's reputation was very important. People around her would make fun of her if she got pregnant out of wedlock, not to mention that Zhao Qiaoer didn't even have a fiancé in name.

The doctors at the Fourth Hospital already had a vague feeling that the outcome of this matter might be bad.

Zhao Qiaoer's parents did not realize the seriousness of the matter, but felt uncomfortable because of the strange looks from several doctors.

Director Bian asked softly: "Deputy Chen, what do you say? Did you really win the bid?"

Chen Qi nodded lightly: "Menopause, cervical motion pain is obvious, and a mass can be touched behind the right side of the uterus. I'm afraid it's not as simple as an aura, but it is probably the most serious situation."

Director Bian took a breath: "You mean, ectopic?"

Not to mention that Director Bian gasped, the doctors in the Department of Surgery next to him also felt their scalps numb when they heard about ectopic pregnancy, which is also the legendary "ectopic pregnancy".

In central Vietnam, the mortality rate is almost over 80% due to diseases, which ranks first among the causes of death among pregnant women, far exceeding dystocia.

Moreover, only the People's Hospital and the Second Hospital in central Vietnam have successful rescue records. So far, the Fourth Hospital's success rate in rescuing ectopic pregnancy is still 0.

All of a sudden, the doctors became nervous, and many of them broke into cold sweats.

The patient's mother once again felt strongly dissatisfied when she heard that the two doctors started talking in riddles about what a sign was and what anomalies were.

The old lady felt that the doctors around her looked and spoke strangely, and they had a feeling that they were plotting against me. This feeling made her feel very insecure.

"Doctor, what is my daughter's disease? Can your fourth hospital treat it?"

Chen Qi hesitated for a moment and decided to tell the truth:

"The patient's condition is very dangerous. We suspect it is an ectopic pregnancy. There is already a small amount of bleeding, so we want to do a posterior fornix puncture immediately. If we can extract blood without coagulation, then we are almost certain."
p>

"Don't bother me with those who don't understand. Let me ask you, what does one mean, and what does one mean?"

There was a young doctor next to him who felt unhappy when he saw the poor attitude of the patient's family members and directly returned to:

"It's an ectopic pregnancy, I have it in my belly!"
Chapter completed!