"She went to check the B-ultrasound appendix and said it was all right. If there was a problem with the urinary system and gynecology, the B-ultrasound did not find out the problem. Later, she found that when I pushed my hand under the navel to the bladder area, she felt uncomfortable. , feeling a bit involved and painful." Xie Wanying reported her thoughts, "I suddenly remembered that this part seems to be related to the urachal tube. For B-ultrasound, I have to take it out, as the teacher said, unless it scans that part. I will not suspect this place. If it is too small, ureteral stones within 1 cm may be missed by B-ultrasound and only CT can confirm the diagnosis. I finally suggested that she go for a CT of this part to see what is going on."
"How long did you palpate her?" Professor Li asked. As an old professor, he also knew that the patient's symptoms were too subtle and difficult to detect. He was curious how the interns could detect the problem.
"I pressed her for about half an hour at the time." Xie Wanying recalled estimating the time of the last physical examination of the patient.
The half-hour physical examination only touches the abdomen. Indeed, only interns have this time and the energy to ponder slowly, because they have this curiosity in their studies. All clinicians rely on experience, swish, swish, and quickly form a habit after palpation. If the palpation takes half a day, the patient will doubt whether the technique is feasible. Medical students will not be questioned, anyway, patients know you are a student.
A large group of doctors could only smile wryly after hearing this.
Having said that, even if medical students are not questioned by patients, there are very few medical students who really have the patience to repeatedly ponder over the patient's condition during the physical examination process, let alone really understand the missed diagnosis of clinical seniors during the pondering. portion.
Such medical students only rely on perseverance, but also need to lay a solid foundation. Rare diseases have little to do with intelligence and talent, 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 a test of a doctor's comprehensive grasp of the basics.
"You could think of the urachal part when you were palpating, which means that you have learned anatomy very well." Professor Li praised the students from the bottom of his heart.
She should have been very excited to be praised by the old professor. Xie Wanying shook her head in a pragmatic way: "I can think of it not only because of anatomy, but also because of the relationship between histology and pathology."
Professor Li and a group of doctors think about it: hey, yes.
Such a rare disease of degenerated parts of the human body is not understood by histoembryons, and even if it is mentioned in anatomy, it will be forgotten. Because histoembryo research is exactly the process of differentiation, development and development of human body structure.
In fact, in terms of anatomy, the urachal is rarely mentioned. This place basically degenerates into the median umbilical ligament in infancy, and it has become a ligament. There is nothing to dissect. In rare cases, it is difficult to keep a specimen. There are no such patient specimens in the anatomy room of the medical school, and there may be specimen rooms in the hospital.
Xie Wanying is unlikely to talk about another deep-seated reason. Before she was reborn, she focused on studying pathology. To learn pathology well, she must first have a thorough understanding of histology.
"How many points did you score in the tissue embryo test?" the seniors asked her enthusiastically.
Xie Wanying hesitated to boast in front of everyone.
Gao Zhaocheng turned around and asked her two classmates: "How many points did she get in the test?"
"Well—full score." Lin Hao replied, because the monitor, Yue Wentong, was too dull to speak first.
"How much do you take?"
"Eighty."