Zhao Yiping continued to "touch and touch" Chen Qi's body while following the instructions in the textbook:

"The second thing we have to do is palpation. Your hands should be like this, with your thumb and other four fingers spread apart, and then place them symmetrically on the patient's chest. Remember not to pinch too tightly.

Check the patient's thoracic expansion, voice tremor and pleural friction, and whether there is sternal tenderness, rib and spinal tenderness; cardiac palpation includes apical pulse, precordial pulse, tremor and pericardial friction.

The third step is percussion. Place the palm of your left hand against the patient's chest. Pay attention to tapping the middle finger of your right hand on top of the middle finger of your left hand, rather than tapping the patient's chest directly. Then keep tapping, and then keep changing positions. Mainly check both sides.

The upper and lower boundaries of the lungs, and the boundary conditions of the heart.

The last step is auscultation, which mainly involves listening to the lungs for dryness, wet rales, voice resonance, pleural friction, and murmurs in the auscultation area of ​​each heart valve. This set of physical examinations is a great test of basic skills.

In addition, the specialist physical examination of female breasts mainly involves visual inspection and palpation. Visual inspection observes whether the size of the bilateral breasts is symmetrical, whether the skin color of the breasts is red, swollen, and ulcerated; whether there is orange peel sign or dimple sign locally;

*Whether it is invading or overflowing.

To palpate, use four fingers together and slide the fingertips from the periphery of the breast to the direction of the vaginal halo. You can slide in a clockwise direction, and finally check the vaginal halo area.

During the palpation process, pay attention to whether there is a lump, its location, size, texture, border, mobility, etc. Finally, check the axillary and supraclavicular lymph nodes.

Hey, some female students are blushing, and some male students are snickering. What's the deal? It means you don't have a full sense of your own role as a doctor. This is wrong. If you laugh, you can't become a good doctor.

”

As soon as Teacher Zhao said these words, no one dared to laugh.

In fact, Zhao Yiping didn't say a word. Clinically, those who suffer from breast diseases are usually older women. If they really take it off, how can there be any sense of beauty?

This is why other artists only paint girls.

Zhao Yiping explained and practiced at the same time, and when he finally stood up, he knocked on his waist:

"It's no use. It's been too much after only 20 minutes. Here are a few classmates to do a complete chest physical examination on Chen Qi. Come on, who comes first?"

Suddenly, everyone raised their hands (except Pan Ye)

Students at this time really want to learn skills and never let go of any opportunity. Unlike later generations, if the teacher asked this, most students would probably hide away.

Zhao Yiping looked around and immediately thought of Chen Qi's rumored girlfriend, so he came up with a prank idea. Since you didn't raise your hand, I want you to go first:

"Who, Pan Ye, you should be the first to try."

"Ah, me?"

The little girl's face suddenly turned red, and everyone's eyes were focused on her, which made her heart beat faster.

Her best friend Wang Jiajia nudged her waist and said softly: "Come on, eat tofu openly."

Pan Ye gritted her teeth. It was not that she wanted to eat tofu, but that her reason for studying took over. After all, those who can go to medical school these days, except for some backdoor students, most still want to study seriously.

Zhao Yiping smiled secretly in his heart, but his face was serious:

"Okay, classmate Pan Ye, please do a chest palpation first."

"Oh."

"Oh what? The patient's clothes are buttoned, shouldn't you unbutton them first?"

Wow, some students are already laughing out loud.

The practical operations simulate a real medical environment, so after each practical operation, the models need to put on their clothes and recover.

Pan Yeyi was so nervous that he forgot to take off his clothes, and immediately wanted to use his hand to palpate. When Zhao Yiping touched it, the roots of the little girl's ears turned red.

While blushing, he began to undress Chen Qi. Coupled with the legendary ambiguous relationship between the two, the whole class suddenly looked at him, including Lan Lijuan, who also tilted her head and looked at it.

What could Chen Qi do? A little beauty took off his clothes for him and resisted "driving". If he dared to drive, the Political and Education Department would definitely give him a punishment tomorrow.

If this were his previous life, he would have told some dirty jokes to tease her.

The clothes were opened, revealing Chen's chest and two small dots. Pan Ye stretched out his hands, pointed his thumbs along the costal margins on both sides to the xiphoid process, and made a chest with his fingertips at symmetrical parts on both sides of the midline.

Expansion check.

Chen Qi's body temperature can be clearly felt by the touch of his hands, which makes Pan Ye feel a little excited, and a feeling of shame, surprise, and excitement wells up in his heart.

Pan Ye has lived for 19 years, and this is the first time he has touched a man. His mouth feels dry and his words have a vibrato.

"Suffering from... patient... both sides of the thorax... respiratory movements on both sides... are... symmetrical... no obvious abnormalities..."

Zhao Yiping almost rolled on the floor with laughter, but he still said majestically:

"Ahem, what should I do next for voice tremor?"

Pan Ye stretched out his hands again, and placed the ulnar edges of his palms lightly against the symmetrical parts of Chen Qi's chest wall. Then he gritted his teeth and quickly demonstrated one side from top to bottom.

But because she was too nervous, she did not dare to look into Chen Qi's eyes during the whole process, and her palms were all sweaty.

Chen Qi saw that something was wrong. When doing this examination, the doctor must instruct the patient to make a sound of "yi~~~" at the same time. Otherwise, what is voice tremor?

But Pan Ye was so nervous that he forgot about it.

Chen Qi was a little worried for her and reminded him softly: "yi~~~yi~~~"

If it were someone else, Pan Ye would have understood instantly. This was not because the model was chosen specially, but because the little girl felt guilty and nervous, she directly ignored Chen Qi's kind reminder. Chen Qicai was still speaking out, so it means she's done.

Zhao Yiping said with a dark face, "Classmate Pan Ye, are you done now?"

"Um, ah? Wrong?"

Zhao Yiping glanced at her angrily,

"It seems that you didn't listen carefully to the teacher's demonstration just now. You need to read carefully when you go back. You are about to have an internship. You can't go to clinical practice with this mentality. The school teachers can still tolerate you. When you get to the hospital, the teaching teachers will not be too polite."

Pan Ye was about to shed tears after hearing this.

Zhao Yiping ignored her and called her by name: "Come on, Lan Lijuan, will you demonstrate how to perform a correct voice tremor check?"

Lan Lijuan was startled when she heard this. She was about to refuse, but then she thought this was in class.

She didn't hesitate too much and came directly to Chen Qi's side, "Come, comrade patient, please listen to my command and shout yi~~~"
Chapter completed!