Medical road Qingyun

On Thursday, according to the previous arrangement, Zhao Yuan needed to go to the pediatric rotation department.

To put it in his heart, Zhao Yuan was quite stunned about the work of pediatrics, and when he remembered the cry of "wow wow", his head was "buzzing".

Zhao was originally quite confident and thought that he could do anything in any department, but this experience in the pediatric rotation told him that this was not the case.

It's okay to treat pediatric patients occasionally, but it is impossible to keep him in the pediatric department all day and deal with those unreasonable little patients.

One of the main tasks of pediatric internal medicine is outpatient, and when patients with severe conditions are encountered, they will be admitted, and most patients do not need to be hospitalized.

Several patients came one after another, all of them had colds, coughs, and fevers, and after a brief examination, Zhao Yuan gave them a prescription.

Clinically, viral influenza infection in children is extremely common, and respiratory colds account for about 90% of general viral infections. Common viruses include influenza virus, parainfluenza virus, rhinovirus, adenovirus, respiratory syncytial virus, etc.

Qin Yang was still very surprised in his heart, the average young doctor did not dare to prescribe casually, at least he had to have a blood check to determine the cause of the child, whether it was a virus, mycoplasma, or inflammation, and then he would prescribe medicine, but Zhao Yuan did not have this process, and only relied on palpation and consultation to determine the patient's condition.

Only an experienced doctor would do this.

However, judging from Qin Yang's experience, although there is no aid from the examination report, Zhao Yuan's diagnosis is still very accurate.

"Xiao Zhao, if the pediatricians treat the disease in your way, it is estimated that sooner or later it will go bankrupt. Qin Yang reminded with a smile.

Zhao Yuan was slightly stunned, and reacted, pediatrics is different from emergency surgery, emergency surgery relies on surgery fees, and pediatrics relies on examination fees and medicine fees, of which examination fees account for the majority.

Zhao Yuan said: "Doing an examination, waiting for a report, and then having a follow-up visit, it's too much of a waste of time." Since you can determine what the disease is, there is no need to go through formalism.

Qin Yang nodded slightly, "If the patient's condition can be determined, there is no necessary link, of course, it can be saved." How do you determine the patient's condition, aren't you afraid of making a mistake

?" Zhao Yuan smiled at Qin Yang and said, "With you, a pediatric expert, sitting next to me, if I misjudge, will you spare me?" So you are my biggest guard of honor."

The first few patients had upper respiratory tract infections with fever, nasal congestion, runny nose, sneezing, sore throat, cough and other symptoms. If your child has a yellow runny nose, it means that there is a bacterial infection. Oral medicine for these conditions is enough to cure, such as Pudilan Anti-inflammatory Oral Liquid, Qingkailing Oral Liquid, Shuanghuanglian Oral Liquid, Pediatric Soybean Qiao Qingre Granules, Bairui Granules, etc.

Qin Yang nodded approvingly, "You have studied quite thoroughly."

Zhao Yuanxin said that he was able to make an immediate diagnosis, and he also relied on a solid enough physical examination technique to understand the patient's symptoms through the patient's limb reaction, and confirm it. Although the child cannot speak, the body reaction does not lie, and if there are special circumstances, it can be found through a physical examination.

While talking, a new patient came, the child was only two or three years old, and he was held by a woman in a black dress, followed by four old people, presumably the child's grandparents and grandparents.

This is the current situation in Huaguo, the child is the treasure of the family, and there is little wind and grass, and the whole family goes out.

The woman, who works at a bank, received a call from her mother saying that her son seemed to be unable to move his arm, so she immediately asked for leave and took the child to the hospital to see a doctor.

"Doctor, my son's arm doesn't seem to move, he's been crying, and we don't know why!" the woman said with a nervous face.

Grandpa's temper was not good, and he frowned at his wife and said, "Did you accidentally let him fall?"

The grandparents next to them seemed to be comforting, but there was a sense of complaining in and out of the words.

The five of them were chattering, and the little boy was babbling and shouting in pain, Zhao Yuan felt that his head was as big as a fight.

"Please be quiet a little!" Qin Yang noticed Zhao Yuan's strange appearance and reminded him.

Several people finally stopped arguing, and Zhao Yuan had finished his inspection.

"After the examination, it was a dislocated arm, and there was no major problem. "

How can you dislocate it?" the woman looked at Zhao Yuan in surprise, she found that Zhao Yuan was not very old, "Do you want to make an X-movie?"

Zhao Yuan sighed, "I can't see it when I make a film." The

woman frowned, "You're too funny as a doctor." After checking it casually, I said that my son was dislocated, and he said that he couldn't find out if he filmed. You mean, you are more powerful than a machine?"

Zhao Yuan could only patiently explain, "The subluxation of the pediatric radial cephalic head cannot be seen on X-rays. "

Radial head subluxation is the most common joint dislocation in children before the age of 6 years, because the radial head of children before the age of 6 years is not ossified and is still in a cartilaginous state, and the cartilage is not shown on X-rays, so it is not possible to see whether there is a dislocation on X-rays.

The woman's temper was also hot, thinking that Zhao Yuan wanted to shirk it, tossing herself and the child, she slapped the table with both hands and completely exploded.

"You're too irresponsible as a doctor, aren't you? You must not have children, I don't know what it's like to be a parent. Seeing a child crying is even more uncomfortable than having an accident yourself.

Zhao Yuan was also speechless, he originally wanted to tell the other party that the examination was useless, and the child's condition could be determined without examination.

"Don't get excited!"

"How can I not be excited? He has been crying for hours, and if he continues to cry like this, my heart will break."

Zhao Yuan knew that it would be a waste of words to continue talking to the woman.

He moved the child in front of him and pointed to the child's left arm, "Does it hurt here?"

Seeing that Zhao Yuan ignored herself, the woman was a little overwhelmed, and she didn't know what Zhao Yuan wanted to do?

The child was two or three years old, and could only say simple short words, he nodded with tears, "It hurts!"

Zhao Yuan took out a lollipop from the drawer and stuffed it in his right hand, the child's attention was distracted, and he immediately stopped crying.

At this moment, Zhao Yuan grabbed the child's left arm, rotated it backwards, stretched his elbow and pulled it slightly, pressed his thumb on the small head of the radius, quickly and gently swung the elbow joint, and then rotated the forearm.

Before and after absolutely no more than five seconds, "click", the child exclaimed.

Zhao Yuan took a deep breath and the reset was successful.

The child's grandmother was about to say, "Babies don't eat sugar!"

and just said the word "baby", and the treatment was over.

Zhao Yuan let go of his hand, "You can go." The

mother reacted quickly, "Doctor, is this all right?"

Zhao Yuan nodded at the woman, "It has been reset!" You should pay attention in the future, the child's hand cannot be pulled casually, sometimes the seemingly light movement may pull his bones out of place. The

woman's face was full of shame, "I'm sorry, I was too excited just now, and my tone was too rushed, so I apologize to you."

Zhao Yuan didn't care about women, he met so many patients and family members every day, and he didn't have a strong psychological endurance, so he couldn't adapt to this job at all, "Be merciful next time, although I am not married and have no children, but I will empathize with the pain of patients." The

woman was even more ashamed and ashamed of herself.

Grandma asked softly, "Doctor, how did he dislocate?" I just went to the kitchen for a while, and I didn't see him fall anywhere.

Zhao Yuan observed the child and thought about it carefully, "Who dressed him today? Grandma

was stunned, "It was his grandfather who helped him wear it, and he usually wears it for him."

Zhao Yuan bowed slightly, "That's right! When he was dressing, his grandfather didn't pay attention and twisted his arm."

Grandpa's face turned pale, his mouth trembled, and he bowed his head in shame and said nothing.

He actually knew that when he was helping his grandson get dressed, the child's arm made a crisp sound.

I thought I could hide it...

Waiting for the family to leave, Qin Yang couldn't help but sigh:

"I didn't expect Dr. Zhao to have the ability to solve the case!"