2946 is too normal and there are problems
"Where is the bladder examination?" Zheng Ren asked.
"Where is the position? Bladder..." Lingzi was a little surprised. She didn't understand what Zheng Ren said.
"Seeing the visual touch, sister. To judge the urine storage, you must percussion and clarify the bladder border." Su Yun said.
"Ohh." Reiko immediately responded embarrassedly, then thought for a long time, scratched her head embarrassedly, "I forgot."
Zheng Ren sighed in his heart. If his doctor kicked her to the community hospital to write a medical record, he asked Chang Yue to do it for a few months, otherwise he would not even do such an important physical examination and become a doctor.
I was used to it in 912. When I was consulted in the hospital, I said everything I had to do when I was consulted. Any nonsense that the hospitalized officer who reported the medical history would have to be scolded by the director who came to the consultation and the professor who led the group to scold him.
Because Yiren was sitting opposite, Su Yun was embarrassed to swear at the childish little doctor. He just smiled, his smile full of ridicule and mockery.
Reiko was obviously a little nervous and stuttered when speaking. "There are three radial incisions on the anal edge, with more secretions, obvious edema, and skin defects of the anal canal. Mirror examination: The ligation line at 3, 7, and 11 points has not fallen off, the surrounding tissue is congested, and edema..."
"Well, it shouldn't be a problem with the surgery. Have you done other tests?" Zheng Ren asked.
"It's normal after doing it. Blood sugar, ion, kidney function, and urine routine." Lingzi took out her cell phone and gave the test form to Zheng Ren and Su Yun to see.
The test indicators look really nothing wrong. They are normal and clean, and there is no positive or negative sign for the standard.
Su Yun frowned, "It shouldn't be."
"It looks like something is wrong."
"Two, what's wrong?" Reiko fell into a state of confusion. Why is there a problem with the normal test reward?
"Oh, it's nothing, it's just that the test sheet looks too clean and uncomfortable." Zheng Ren smiled, "It's okay, I'll think about it."
"Boss, you're so kind." Su Yun said contemptly, "Let me say so, I look at the date. It was yesterday's routine urine. The patient has been using it for 3 days to continue catheterization."
Reiko for 2 seconds and nodded.
"The urethra will cause irritation and friction in the urethra. Normally, occult blood in urine should be ±, which is the right way to do it." Su Yun said, "You can see red blood cells, but it has not reached the level of diagnosing occult blood in urine. This is the test form for normal patients with lower urethra, but you have no problem with this, and it looks so unreasonable."
"Speak well." Zheng Ren held Lingzi's cell phone and pondered, "Does the patient have any other symptoms?"
"She doesn't want to talk to me." Reiko said worriedly, "Every time I go to the ward to see her, she closes her eyes and says we have cut off the bladder."
"Ha, there is this happening in private hospitals?" Su Yun smiled, clearly watching the fun.
"Uh, it shouldn't be, what's the patient's expression? Indifferent or excited?" Zheng Ren asked.
"Indifferent? Exciting?" Reiko obviously couldn't figure out this clinical judgment.
In fact, this is also a relatively idealistic judgment standard. It is difficult for patients to have quantitative data to calculate the indifferent expressions. What is being looked at here is clinical skills and control of various details of the patient.
It is obvious that Yiren’s classmate has nothing to do with, and he is also a clinical rookie.
"Have you had a physical examination in the neurology department?" Zheng Ren asked.
The answer was confusion again, and this time the girl's eyes became blurred.
Zheng Ren was also helpless and thought countless times that if the public hospital asked her for consultation, she would have no idea about this, and the medical record would definitely hit her in the face.
"Are the doctors on duty in the hospital familiar with each other?" Su Yun asked.
"Familiar, all of them are colleagues."
"Let the doctor on duty check the body," Su Yun said, "See if the patient's expression is indifferent or normal. If you don't know the criteria for judgment, check the book first. Then get an electrocardiogram to see if there is any decrease in myocardial stress and various arrhythmias and conduction blocks."
"I also need to ask about the exhaust conditions." Zheng Ren added, "Is there little exhaust, or hasn't exhausted for a long time? By the way, your sugar tolerance... isn't right."
Zheng Ren said, hesitating for a moment, as if he had grasped the point of the problem.
"Boss, are you still considering the test problem?" Su Yun asked, "I just said something was wrong with this test sheet!"
"Yes." Zheng Ren nodded.
"Reizi, the patient is discharged from the hospital. Come to 912, I'll find a bed for her." Su Yun said to Lingzi, who was already in vain on the opposite side.
I casually agreed to find a bed in 912, and this favor is so great.
But Reiko didn't seem to understand the rules in these circles. She was still a little hesitant, her eyes flashed, and then she lowered her head and said nothing.
When Zheng Ren saw this situation, he immediately knew that his guess was correct. He smiled and said in a gentle voice, "How long have you been in the clinical practice?"
"One and a half years, got a practicing certificate for 6 months."
Many hospitals are more likely to go to work without a license. Some public hospitals are really unavailable and are exploring wildly on the edge of the rules. Private hospitals are because unlicensed people have low salaries, and at least they can be used as individuals.
Zheng Ren actually doesn't understand why there are very few storms in this wave of scattered operations.
He didn't feel strange after seeing it for too long. He frowned and asked, "Do you think it's possible for the test... error?"
"Well……"
"Lingzi, you may have less clinical time, but you have always heard of the word "Life is a stake in life." Zheng Ren said in a deep voice, "Every test value is very important, instead of just taking a look at it, throwing it aside regardless of whether there is a problem or not. It is a problem for patients with urinary catheters to have a long-term urethra, but you look at the test form, it is too clean."
"..." Reiko didn't speak.
"There is also the case that you said the patient is in a wrong state. I don't think the patient has any objections to you, but has entered a very bad situation." Zheng Ren said, "I don't know what it is. If there is an error in the test form, it will be too late for a kidney failure to be treated."
Reiko's face was a little pale, pale, and her blush didn't cover the whiteness.
"Suppose that something really happened, or only the last test is true, all the blame is the clinician. The blame is too big, are you sure you can withstand it?"
"A few days ago, we just went to a hospital in Jinhai City for medical examination. The doctor was revoked for life. The specific compensation amount was difficult to say, so we didn't ask in detail."
Chapter completed!