Conan: The Mechanic
Chapter 712: - Gregory's Lectures on Diagnostics
One day five years ago.
Outside the teaching building of Tokyo Women's Medical University, a girl with the appearance of a junior high school stood under a tree, as if waiting for someone.
"Are you looking for me?" Suddenly, a questioning voice with a slight smile came from her ear.
"Ah!" The girl was startled by the voice behind her, but then looked at the boy who suddenly appeared beside him with a rather surprised look.
"I shouldn't be late, right?" The boy had a faint smile on his face, and at the same time he glanced at the girl's slightly raised chest despite being covered by a shirt.
"What are you looking at?" The girl's eyes were very smart, and she immediately saw the boy's gaze.
"Ah, no!" The boy explained hastily. "That, just subconsciously glanced in the direction of the transmitter - you don't seem to have taken it off?"
"Well, I thought this badge was pretty nice, so I kept it." The girl looked at the badge on the chest of her shirt and raised her head again. "Anyway, your one has been cracked, and mine is also down, so it's not a big problem for me to wear it."
Talking and laughing at each other like this, the two walked into the teaching building—of course, neither of them were students of this university, especially the young man could not be a student of this university that did not start recruiting boys until the postgraduate level.
But they did get permission to attend classes here.
……
"I..." After entering the classroom through the door at the back of the classroom, the boy looked a little uneasy. "Wouldn't it be too conspicuous if we sat in the front? We should be able to tell that we are still children at a glance..."
"..." The girl stood there, thought for a while, and finally nodded. "Okay then, I'll sit with you in the back, so that's okay?"
"Well..." The young man sat on the last row of chairs next to him with relief—behind him, the young girl also breathed a sigh of relief.
This is a diagnostics course, that is, a course for training triage doctors. It can let the people attending the course basically master how to deal with patients who are over-treated with simple diseases in the shortest time, so as to relieve the experienced doctors. work pressure.
But the content of this course is obviously a little different.
"Your teacher is sick today, so I'll take up his class to give you a... small lecture - don't worry, the bill is from the school." Gregory sat on the chair in front of the podium, looking at Qianyu like this their direction while talking. "Let me ask my question first - three people came to the clinic, and they all said their legs hurt. What's wrong with them?"
"It's usually a muscle strain. The standard procedure should be to put him on bed rest and apply heat to the injured area," replied a female student in the front row.
"Well, that's usually the case," Gregory seemed satisfied with the answer. "Statistically, more than half of all leg pains come from muscle pain - usually due to excessive exercise, 12% from varicose veins caused by pregnancy, and the rest are basically caused by traffic accidents. Putting it this way, they Three people with six legs, three of them were injured from excessive jogging, two were hit by a car, and the other was pregnant, diagnosed!"
There was a kind of laughter in the classroom, and the student scratched his head in shame.
"What is the patient doing when he is sick?" asked a male student - obviously, he was a graduate student.
"I don't know." Gregory shrugged.
"Didn't you ask about your medical history?" The male student was stunned.
"Of course, but the problem is that we don't know what they did, only what they said they were doing." Gregory explained. "Patient A, we can call him Uncle Farmer, he said that he suddenly felt the pain in his leg when he was repairing the fence. Patient B, Clang Rose, suddenly felt the pain when she was playing volleyball when she jumped at the ball. And Patient C, whom we call Handsome, was injured while playing golf."
"In the next two hours, one of these three patients will be in critical condition, and one will be kicked out for coming here just to get anesthesia for pleasure. Can you guess which one it is?"
"Uh..." The male student was obviously planning to guess. "It should be the handsome guy, right? Uncle Farmer and Clang Rose are both physical professionals, and excessive use of anesthetics should affect their motor function..."
"Calm down, I haven't even mentioned the symptoms yet," Gregory said as he glanced at him. "Don't make rash judgments before observing the condition, or you may harm others and yourself-then next, I will play the role of Uncle Farmer first, and you will ask about my condition."
"When did it get on?" The male student was obviously very familiar with how to ask pain patients for procedures.
"It suddenly started hurting when I went to the fence about half a mile from the farmhouse," Gregory replied.
"Is there any incentive to discover?"
No, I don't know anything.
"Can you describe the pain? How big is the area covered?"
"It hurts from the ankle up~www.NovelMTL.com~ How severe is it, 1 is the lightest and 10 is the heaviest?"
"I'm not very good to say, but at least I haven't cried out in pain, so I thought... 4?"
"How long did it last?"
"It's always been there." After Gregory said this, he looked at the male student, looking forward to whether he could ask something of his own outside of the standard procedure.
"Is there a family history of disease?" The male student really asked the question that came to his mind after thinking about it, but...
"Yes, of course, but family history of leg pain? It's rare. It should only be bone cancer, osteogenesis imperfecta, and multiple myeloma, and the patient doesn't have one at home."
While the male student was silent, the previous female student expressed her opinion again. "Possibly a blood disease? We should be able to do a blood test (CBC) and a D-dimer test (to check for fibrinolysis) and then a PET scan... No, I think MRI maybe Better visibility into vascular problems."
"Well, yes," Gregory nodded. "Then the patient died, thank you for your diligent autopsy."
"Huh?" The female student was stunned. "But... if we don't do these tests, we don't know what disease he has at all!"
"Of course we can know what's wrong with him," Gregory sighed after saying this. "Don't you think the easiest way is to look at the patient's leg?"
"You didn't say—ah, we didn't ask..." Only then did the male student show a sudden realization.
"Yes," Gregory nodded. "There's a wound on his leg."
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