medical simulator

Zhuang Zhou sat on the rostrum of the conference, the host, and talked eloquently: "Welcome again to everyone who can participate in the afternoon session of today's academic feast. After experiencing the lavage of the professors in the morning, everyone must be a little tired."

"So, next, our colleagues from the Department of Orthopedics in Hunan Province will come up with some interesting cases to relieve your fatigue."

"Here, I would also like to expressly thank our Professor Song."

"Professor Song is already 80 years old, and he is still struggling in the front line of the outpatient clinic, and he can still attend this academic conference. He is a role model for all of us to learn from."

"Of course, today, the most rare thing is that our Professor Song brought us an interesting case for everyone to study and refer to."

"Such an opportunity is really rare! I don't think I need to introduce Professor Song's resume, everyone is already familiar with it!"

"Everyone, let's applaud and welcome, Professor Song, who is not old in green pines. Let us start the gluttonous feast in the second half of today!"

Professor Chen Jiwu gave up his seat. Although Professor Song was supported by an assistant, his spirit was still young and he was still shaking!

Even Professor Chen Jiwu personally came forward to help him.

Although Professor Song is more than 80 years old, his legs and feet are quite agile, but his back is still bent due to the traces of time, and he cannot stand upright like a young man.

However, although the spine is half-curved, Professor Song's temperament is not sluggish at all!

He can't walk fast, it's obviously much slower than normal people's pace!But compared to his peers, he should be called walking like flying.

However, none of the crowd was impatient, and the thunderous applause never stopped.

For an old professor of Professor Song's current age and level, being able to appear at the venue is already the icing on the cake, let alone teaching in person!

You know, it takes a lot of effort even for a professor to talk about a class in this kind of meeting!

It’s impossible to always stick to your laurels. One ppt will talk about the kind of marketing for a lifetime, and it will be the same wherever you go.Anyway, the audience is different.

After more than half a minute, Professor Song stood on the podium, then opened the PPT he made by himself, patted the microphone lightly with his hand, and adjusted the sound properly.

Then he pursed his lips and waited respectfully for the opportunity to speak.

At the same time, the applause from the audience also stopped.

Professor Song said slowly, without any polite words, but straight to the point: "First of all, before I start, let's take a look at this film together. And a report on this film by the imaging department of the hospital. "

Professor Song immediately came out with the monotonous film and inspection report, and continued: "I believe this film is not difficult in your eyes, right?"

"It is a manifestation of stage 4 knee osteoarthritis. It requires clinical intervention."

"Well, let's take a look at the results of this radiation report."

Here, Professor Song slowly slowed down his speech: "This is what is written: consider the osteoarthritis of the right knee joint, please combine it with clinical practice."

"Bone hyperplasia changes."

After reading the results of the report one by one with a highlighter, Professor Song said: "This film has reached this point. Is it only considering osteoarthritis, please combine it with clinical practice? Tell me, this report is credible. Does it have credibility?"

"That's already a grade IV osteoarthritis."

"There are also bone hyperplasia changes below. Let's take a look again, what they said in the detailed description, the joint space is slightly."

"Slightly! Narrow."

"Few articular surfaces, a small amount of osteophyte formation."

After reading these, Professor Min said directly: "There is almost no such joint space. There are already osteophytes in the joint space. Can it be called a little narrow? A small amount of osteophyte formation?"

"What does that mean?"

"This means that reading films is not based on reports."

"For us, all the opinions of the Radiology Department can only be used as a reference, and even they can be ignored at all."

"This is also one of the most basic skills of our orthopedic surgeons."

"The reading of orthopedics looks simple, but it is not simple."

"People who don't have contact with our field say that they can understand it at a glance. However, we don't want to become such a person. We need to know that reading films must be very careful."

"There are rules to follow."

Next, I will bring you several groups of films and cases encountered in the outpatient clinic, and report to you.

When Professor Song started the speech, he was not polite, and directly pissed off all the doctors in the radiology department of his hospital!

It is almost unnecessary to look at the reading report of the radiology department.

Although there are partial generalizations, but if you consider the professionalism, it is really hard to go deep into it. Others are studying radiation.

There is no need for surgery, and naturally there is no need to be as professional as an orthopedic surgeon.

Everyone didn't express their feelings towards Professor Song, and they didn't agree very much, but they agreed with Professor Song's point that they should be able to read films.

On the contrary, they have a little respect for Professor Song. After all, on such occasions, there are really not many people who stand up to tear down their own hospital. They usually support each other and protect each other.

Of course, it is also possible that everyone has been tricked by this kind of radiation report, and they are also scared.

It is very interesting to delve deeper into this.

The radiology department relies on reading images for a living. If you make a mistake in reading the images, it’s no big deal!

Just one sentence, you professional people, don’t you know how to watch professional movies?

However, if the diagnosis or treatment of all the specialized departments of surgery and internal medicine is wrong.

There is no place to complain.

……

Professor Song then released the first film, and the relevant medical history was marked next to it. The collection of medical history was also extremely detailed and standard, which showed that their generation was very serious and serious.

Medical history, elderly male, left hip joint pain for 20 years, tenderness in front of left hip joint, positive 4-character sign...

Otherwise, it would be impossible for him to say the first words on such an occasion.

Professor Song felt that everyone had almost read the medical history and the film, so he asked, "Can anyone tell me what the diagnosis is in this film?"

Immediately someone raises their hand;

The staff handed over the microphone:

"It's hip arthritis."

Professor Song smiled and didn't explain too much, then went on to the second picture, the same picture.

Then the medical history:

Middle-aged female, right hip joint pain for 10 years, tenderness behind the right hip joint, positive 4-character sign...

Then, Professor Song asked again:

"Does anyone know what diagnosis this film is?"

Just like that, most of the people present immediately froze.

The brow immediately tightened.

One after another secretly thought in their hearts, sure enough, the first film was a pit.

No, it should be said that the films that can be brought by Professor Song are definitely not so good-looking.

The two films are plain pelvic films, and both can see the diseased hip joint, a large number of white lines, bone hyperplasia, osteoporosis and other changes.

The diagnosis of hyperosteogeny and osteoporosis, in terms of orthopedics, is not worthy of attention at all, that is, some Putian hospitals use this diagnosis to deceive people.

People are old, who does not have osteoporosis?

A regular calcium supplement is all that is needed.

In the real field of orthopedics, as long as it is not extremely osteoporotic, no special drug treatment is required.

It is precisely because of this that many people have a thought in their hearts at the same time: Could it be that Professor Song has taken two identical cases, and here he is?

But immediately, in their own hearts, they denied this ridiculous idea that they had just raised.

Such a stupid thing, as long as it is an individual, it will not do it, let alone Professor Song?

Although not many people knew about it, some people still raised their hands.

But it wasn't Chen Xueliang and the others. This was a film review meeting in Hunan Province. They came to add icing on the cake, not to identify difficult magazines. They would only talk too much unless under extremely special circumstances or when they were invited.

He is from the province, so Professor Zhu, who is the deputy host of the province's doctor identifier in the audience, naturally knows:

"It seems that Professor Liu of our People's Hospital already has the answer in his heart, please ask the staff to give the microphone to Professor Liu."

"Professor Song, this film should show DDH of the right hip joint and necrosis of the femoral head."

When Professor Song heard the diagnosis, he turned over the PPT directly, as if he didn't pursue the right or wrong in it at all.

On to the third one.

The medical history is like this.

A middle-aged woman, with pain in both hip joints for 8 years, aggravated for 2 years, tenderness in front of both hip joints, intermittent claudication, lumbar spine CT and MR showed no abnormalities...

But this picture looks almost exactly the same as the first one.

"Will you take a look at this one again?" Professor Song asked kindly.

However, his question was not amiable at all.

Even at this time, even Professor Zhu felt that the diagnosis of the previous two films seemed not so accurate.

Intermittent claudication is generally divided into neurogenic and vascular.Among them, neurogenic, and divided into spinal cord type and lumbar spinal stenosis type.

This film?

How should I look at it better?

It's not that Professor Zhu's level is not good, it's mainly Professor Song, not to mention the first two diagnoses, this third one is really hard to think about.

Now, no one raised their hands anymore, even Chen Jiwu, Chen Xueliang and others sat upright, looked at this ppt thoughtfully and recalled the content of the previous two films, and carefully considered .

Seeing that no one answered, Professor Song went on to the fourth ppt.

Still a plain pelvic radiograph.

Medical history:

Elderly woman, right hip joint pain for 1 year, no tenderness around the hip joint, 4-character sign (+)...

The medical history, including laboratory tests such as blood draws and examinations, has almost nothing special.

Moreover, the film does not seem to have any characteristic points.

At this time, Zhou Cheng, who was sitting under the stage, also frowned.

After watching it carefully for half a minute, I immediately felt a sense of astonishment suddenly realized!

Professor Song deserves to be Professor Song!When he came up, he was magnifying his moves. He wasn't joking!

Luo Yun, who was sitting next to Zhou Cheng, kept staring at Zhou Cheng's expression. After seeing a slight change in Zhou Cheng's expression, he couldn't help asking in a low voice:

"What do you think about this film?"

Chapter 188 Immortals want to fight!

"Hip joint infection." Zhou Cheng turned his head and said after thinking for a while.

Luo Yun took another look at the video sent by Professor Song, and asked again without directly asking why:

"What about the previous ones? What are your considerations?" Asking the specific reason for a plain film is not in itself the main purpose of Professor Song for taking out this group of plain films.

Zhou Cheng's memory does not have a photographic memory, but the features of the previous flat film are still in his mind, and Zhou Cheng is not completely sure about the answer, so he said:

"The first case should be tuberculosis of the hip joint, and the second one is just like what Professor Liu said, it is DDH with necrosis of the femoral head."

"Third, I would consider bilateral hip synovitis."

"The third plain film, do you want to consider synovitis?" Luo Yun frowned.

The reason why he asked Zhou Cheng was that he had an answer in his heart, but he couldn't be sure, but he also felt that the group of films that Professor Song showed was very interesting, so he wanted to explore it with Zhou Cheng.

It can not only confirm my guess about the diagnosis in my heart, but also teach Zhou Cheng.

However, at the time of the third plain film, Luo Yun considered bilateral hip osteoarthritis!

This seems to be a bit different.

However, according to Zhou Cheng's prompt, Luo Yun thought about it for a while, and suddenly realized it!

The corner of the mouth was half a smile and said: "You boy, everyone else was taken into the pit by Professor Song, and you are still standing outside the pit?"