Chapter 354: 【354】Praised by the old professor

   Chapter 354 [354] Being praised by the old professor

"She went to check the appendix and said it was fine. If she suspected a problem with the urinary system and gynecology, she checked the ultrasound and found no problem. Later, she found that when I pushed my hand below the navel to the bladder area, she felt uncomfortable. It's a bit of a pain." Xie Wanying reported her thoughts, "I suddenly remembered that this part seems to be related to the urachal tube. For b-ultrasound, you have to take it out, as the teacher said, unless you scan that part, the general doctor There is no doubt about this place. If it is too small, ureteral calculi as small as 1 cm may be missed by b-ultrasound and only CT can diagnose. I finally suggested that she have a CT of this part to see what happened.”

   "How long have you done palpation for her?" Professor Li asked. He, an old professor, knew that the patient's symptoms were too secretive and difficult to detect. He was very curious about how the intern could detect the problem.

   "At that time, she was pressed for about half an hour." Xie Wanying recalled estimating the time of the last physical examination of the patient.

   The half-hour physical examination only touches the abdomen. It is true that only the intern has this time and the energy to think slowly, because there is this curiosity in the study. Clinicians rely on experience, swish swish, and soon form a habit after palpation. If palpation takes half a day, the patient will suspect that the technique will not work. Medical students are not questioned, the patient knows you are a student anyway.

   A large group of doctors could only smile bitterly after hearing this.

Having said that, even if a medical student is not questioned by the patient, very few medical students have the patience to repeat the actions during the physical examination to ponder the patient's condition, let alone realize that the clinical seniors missed the diagnosis in the process of pondering. portion.

   Such medical students do not have enough perseverance, but also need to lay a solid foundation. Rare diseases have nothing to do with smart talent anymore, the foundation is more important. Because rare diseases are often hidden in the corners of medical research, doctors need to be able to remember them at any time, which is quite a test of a doctor's comprehensive grasp of the basics.

   "You could think of the urachal part when you were palpating, which means you are good at studying anatomy." Professor Li praised the students from the bottom of his heart.

   Being praised by the old professor, she should have been very excited, Xie Wanying shook her head and said truthfully: "I can think of it not only because of anatomy, but also because of the relationship between tissue embryos and pathology."

  Professor Li and his group of doctors thought about it: Oh, yes.

   A rare disease like this degenerate part of the human body is not understood by the embryo, even if it is mentioned in anatomy, it will be forgotten. Because histoembryo study is the process of human body structure differentiation and development.

   In fact, in terms of anatomy, the urachal is rarely mentioned. This place basically degenerated into the median umbilical ligament in infancy, and became a ligament. What is there to cut? In rare cases, it is difficult to keep a single specimen. There are no such patient specimens in the autopsy room of the medical school, but the specimen room of the hospital may have it.

   Another deep-seated reason Xie Wanying is unlikely to talk about. Before her rebirth, she focused on studying pathology. To learn pathology well, you must first thoroughly understand histology.

   "How many points did you get in the group test?" The seniors asked her with great interest.

   Xie Wanying is not good at boasting in front of everyone, she hesitated.

   Gao Zhaocheng turned around and asked her two classmates, "How many marks did she get in the exam?"

   "Well - full marks." Lin Hao replied, because Yue Wentong, the monitor, would not speak first.

   "How much did you test?"

   "Eighty."

   (end of this chapter)