Great doctor starts with adding points

"Do you have a film?" In the emergency room of the Xuan County People's Hospital, the doctor on duty was a little busy, and hurriedly glanced at the medical records handed over to Lun Wu before asking without looking up.

"Yes, look! Here." Xiang Zhongshu hurriedly handed over the bag containing the plain X-ray film.

"There's only one picture here, isn't there any photo after the reset? There should be two pictures." The doctor on duty still didn't look up. There were quite a lot of people lined up at the door at the moment. He hadn't had lunch yet, so his tone was a little anxious.

"I didn't take a picture after the reset. I thought the pain was gone, so I came to the county to take a picture together. The doctor there also suggested an MRI." Xiang Zhongshu hurriedly said his appeal.

At this moment, he was pushed on the back, and he staggered a step and turned around quickly, his eyes turned white with a slight chill.

"I'm sorry, I'm sorry, my back hurts a lot, and I couldn't stand still." A middle-aged man suspected of having kidney stones was sweating on his forehead, and he turned back with one hand on his back, apologizing with twitching corners of his mouth.

"Do you want to take an MRI? After the orthopedic department has seen it, I will take a reset film for you. You go to the 209 photo on the second floor, and then go directly to the orthopedic department. Let them decide whether to take an MRI."

"Go to the photo first and then take a picture. The doctor over there will give you the corresponding advice!" After scanning the white coat in the emergency department, he didn't understand it, so he simply complied with Xiang Zhongshu's request and gave Xiang Lunwu the medical card. An X-ray of the shoulder joint was ordered.

"Okay, okay." Xiang Zhongshu said hurriedly.

After quickly getting the medical card and medical records, he squeezed out from the queue.

"Going to the county hospital to see a doctor is really troublesome." Xiang Zhongshu looked at the crowd in line with different expressions, some wrapped in gauze, some frowning, and some on crutches...

Although the scale of Xuan County People's Hospital is not large, and it is not a top three, but here in the county and the hospital of traditional Chinese medicine is regarded as the top hospital at the county level, and there are many patients.

At this moment, Xiang Lunwu's symptoms have been completely relieved, and he didn't reply, and took the medical card to the self-service payment machine to pay the bill.

After seven detours and eight detours, the plain film was taken, and after more than ten minutes of searching, I arrived at the orthopedics department in the first ward of the orthopedics department.

The second ward of orthopedics is spine surgery.

The emergency department does not have an orthopedic emergency specialist outpatient clinic, and the general outpatient clinic of the orthopedic department does not receive emergency patients!

When the two arrived at the more modern-looking 7-shaped nurse station, the nurse on duty was not surprised. The older nurse just came out of the dispensing room, holding a bottle of water in his hand, and asked, "Did you come from the emergency department?"

"Ang, just after taking the photo, the doctor below said that there is no need to take the photo." Xiang Lunwu nodded, and rubbed the affected limb with his hand. He didn't feel any pain, but he was still guilty.

Just after talking to Lun Wu, the nurse started the Lion Roar: "Doctor on duty!~~"

"The doctor on duty is here in the emergency department, come and have a look." After shouting, she ran away to the distance of the ward.

Both Xiang Lunwu and Xiang Zhongshu were shaken by the sound and leaned back a little, feeling that it was too aggressive.

But soon, a tall, thin, half-Mediterranean middle-aged man who looked to be in his forties came rushing in from the doctor's office.

The white coat was unbuttoned, and the short-sleeved shirt inside was leaking out. He was thin and had no belly.

He was on the same level as Xiang Lunwu, but in front of Xiang Lunwu, he looked like a child.

Xiang Lunwu was wearing a forearm sling, and he knew the source of the disease at a glance. He scanned his eyes up and down, and said in a guilty voice, "You have dislocated your shoulder joint?"

As the saying goes, an arm can't twist a thigh, but for Xiang Lunwu, it doesn't matter whether his thigh can twist his arm.

Such tonnage of shoulder dislocation is a very expensive case in orthopedics.

"Well, it's a dislocation of the shoulder joint. I saw it at the town hospital before, and I was a little worried, so I came here to check again. The doctor over there is not sure if there are other injuries." Xiang Lunwu returned.

"Hello, Doctor Luo." Xiang Zhongshu wanted a pack of 40 Yellow Crane Towers from Luo Weisai, who was secretly on duty.

Luo Wei was reading the plain print brought by Xiang Lunwu, and took two steps back: "I don't smoke, thank you."

After reading it, I probably thought about it, and then I opened Xiang Lunwu's medical records. At first glance, my brows twitched fiercely——

"A car accident trauma caused pain in the left shoulder joint and restricted movement for half an hour. The patient complained that he was accidentally knocked down by a tricycle half an hour ago, and his left shoulder touched the ground. He immediately felt pain in the left shoulder joint, immobilization, and swelling."

"No numbness, traumatic bleeding and other symptoms."

"Examination: swelling of the left shoulder joint, square shoulder deformity, ecchymosis on the outside of the left shoulder, the size is about 3*4cm, and the swelling is obvious. The affected area is tender, and the shoulder joint socket can be felt empty."

"Active activities were obviously limited, and passive activities were not investigated due to pain. Distal limb movements were normal, extremity sensation and peripheral blood supply were normal."

So far, the case is quite satisfactory, but the follow-up is to make Luo Wei's eyelids continue to flicker:

"Apprehension test (+), Relocation test (+), Release test (+)."

These three English words are not scribbled, it should be said that the writing of the whole case is not scribbled, and you can understand what the letters are written, but what do they mean, Luo Wei is confused.

"X-ray shows (read the film without report): the humeral head moves forward and loses contact with the articular surface of the scapula. The scapula tilts backward, the dorsal side descends, and the angle between the scapula and the acromion angle increases. The articular surface is dislocated."

"No obvious fracture signs, no obvious Bankart signs, no obvious Hill-sach injuries."

"Preliminary diagnosis: anterior dislocation of the shoulder joint with mild injury (the possibility of moderate to severe injury is not ruled out)"

"Treatment suggestions: 1. Manipulative reduction of shoulder dislocation relieves symptoms."

"2. Further improve the MRI examination to check whether there are soft tissue injuries such as rotator cuff and shoulder joint capsule. Check whether there are bankart and hillsach injuries."

"3. Review the plain film after manual reduction, and continue to temporarily fix the shoulder joint with the forearm sling. Remove it in due course."

"4. Discomfort follow-up."

"Wu Xie. October 7th."

"The patient asked to be transferred to a higher-level hospital for treatment."

After reading it, Luo Wei frowned!

Was this medical record really written by Wu Xie?

Then the new guy in the department must have left the relationship between the director and the dean to squeeze Wu Xie away and come in as a substitute?

Lowe lost the point difference at a thought, but immediately returned to the standard.

Laymen watch the excitement, while experts watch the doorway.

This medical record is definitely a high-quality medical record. If Wu Xie can write to such a level, his basic skills will definitely not be far behind!

The physical examination was very professional, and the diagnosis was detailed to the point of graduation.

He raised his head and asked, "Didn't you all do resets? Why do you still want to come here?"

"How do you feel now?" Luo Wei asked Xiang Lunwu after reading the medical records.

Xiang Lunwu hurriedly apologized, his fat face crowded together: "Isn't it, I'm afraid that the doctors in the town won't see it so carefully, so I feel more at ease thinking about coming to the county."

"The symptoms are fine, and it doesn't hurt much now."

"What about the activities? You try to lift it yourself?" Luo Wei felt that Xiang Lunwu was very strange. Your symptoms have all been relieved. If the active activities have resumed, then why are you still here?

Is it really here to check for rotator cuff injuries?

Luo Wei asked while demonstrating to Xiang Lunwu.

Rotator cuff injuries can wait until all of your swelling is gone!

Xiang Lunwu tried to use his right hand to assist, and he really did it, and he turned his left hand horizontally to the top of his head.

"It seems to be okay, but it hurts a little." Xiang Lunwu put it down slowly, blinking his eyes.

Seeing this, Luo Wei closed the medical records: "You guys are free too. Your pain has been relieved and your range of motion has recovered, which means the dislocation has been dealt with."

"You can observe for a period of time. If you still feel uncomfortable, come and check again."

"The re-examination film was not taken below, but it was taken in our hospital?" Luo Wei was relieved, the big man had already been dealt with by Wu Xie, so he didn't have to work hard.

Wu Xie was able to deal with such a disease, reset it by himself, and wrote such an excellent medical record, but he didn't know exactly how he was 'transferred' to the town.

Also, I heard that the infected patient who came to the hospital last month was called terminal by the State People's Hospital, and finally Wu Xie got him to the county hospital to do a debridement and he was done.

Luo Wei and Wu Xie were not in the same group before, and Wu Xie followed the director. I don't know what the hell the director is doing.

I don't even know what kind of ghost the director drove away!