【354】Praised by the old professor
"She went to check the appendix of B ultrasound and said it was okay. If she suspected that there was something wrong with the urinary tract and gynecology, she checked the b ultrasound and did not find the problem. Later, she found that when my hand was pushing the b ultrasound area below the navel, she felt uncomfortable and felt a little painful." Xie Wanying reported her thoughts, "I suddenly remembered that this part seemed to be related to the umbilical urethra. If the b ultrasound is said, you have to take a photo. As the teacher said, unless you scan it in that part, the doctor will not suspect that the place will be. If it is too small, the ureteral stones are very small and the b ultrasound may be missed within 1 cm. Only CT can be diagnosed. Finally, I suggested that she do the CT part and see what's going on."
"How long did you give her a palpation?" Professor Li asked. He, the old professor, thought that the patient's symptoms were too secret and difficult to find. He was very curious about how the interns found the problem.
"It took her about half an hour to press it." Xie Wanying recalled that the time she estimated the last time she checked the patient's body.
Only touch the abdomen after half an hour of physical examination, and only the interns have the time and the energy to think slowly, because they have this curiosity in their studies. Clinicians rely on their experience and quickly become accustomed to palpation. If they palpate for half a day, the patient will suspect that the skill is good. The medical student will not be questioned, anyway, the patient knows that you are a student.
A large group of doctors could only smile bitterly after hearing this.
Having said that, even if medical students are not questioned by the patients, there are very few medical students who are truly patient to repeat their actions during the physical examination and think about the patient's condition, let alone really understand the missed part of clinical predecessors through thinking.
Such medical students do not rely on their perseverance to lay a solid foundation. Rare diseases have no big relationship with intelligence and talent, but the foundation is more important. Because rare diseases are often hidden in the corner of medical research, doctors need to remember them at any time, which tests a doctor's comprehensive grasp of the foundation.
"When you were palpating, you could think of the umbilical catheter, which means you were good at studying anatomy." Professor Li praised the students from the bottom of his heart.
He should have been excited by the old professor, but Xie Wanying shook her head and looked at the truth: "I can think of it not only because of anatomy, but also because of the relationship between embryo grouping and pathology."
Professor Li and his group of doctors should think about it: Hey, right.
Some rare diseases like this human degeneration are not understood by the embryo, and even if mentioned in anatomy, they will be forgotten. Because embryo studies the process of differentiation, development and development of human structures.
In fact, in terms of anatomy, umbilical urethra is rarely mentioned. This place basically degenerates into the middle umbilical ligament in infancy and turns into ligaments. What is there to be a good dissection? In rare cases, it is difficult to keep a specimen. There is no such patient specimen in the anatomy room of the medical school, and there may be a specimen in the hospital.
Another deep reason is unlikely to talk about Xie Wanying. Before she was reborn, she focused on studying pathology. To learn pathology well, she must first learn embryo grouping thoroughly.
"How many points did you score at that time?" the seniors asked her excitedly.
Xie Wanying couldn't brag in front of everyone and hesitated.
Gao Zhaocheng turned around and asked her two classmates: "How many points did she get?"
"Yeah—full marks." Lin Hao replied, because the squad leader Yue Wen was both dumb and would not speak first.
"How many exams do you have?"
Chapter completed!