Since 1981 Health School

  Chapter 40 Dogs and men flirting

  Zhao Yiping continued to "touch and touch" Chen Qi while demonstrating according to the content in the textbook:

   "The second thing we have to do is palpation. Your hands should look like this, with your thumb and other four fingers spread out, and then symmetrically placed on the patient's chest. Remember not to pinch too tightly.

  Check the patient's chest expansion, voice tremor and pleural friction, whether there is sternal tenderness, whether there is rib and spinal tenderness; cardiac palpation includes apical beat, precordial beat, tremor and pericardial friction.

The third is percussion. Put your left palm on the patient's chest. Note that your right **** is tapping on the left **** instead of directly hitting the patient's chest. Then keep tapping and then keep changing positions. Mainly check both sides. The upper bounds of the lungs, the lower bounds, and the borders of the heart.

  The last thing is auscultation, mainly listening for dry and wet rales in both lungs, voice resonance, pleural friction rub, and whether there are murmurs in the auscultation area of ​​each valve of the heart. This set of physical examination is a test of basic skills.

  In addition, the specialized physical examination of female **** is mainly inspection and palpation. Visually observe whether the bilateral **** are symmetrical in size, whether the skin color of the **** is red, swollen, and ulcerated; whether there are local signs of orange peel and dimples;

  Palpation is to use four fingers together, slide the finger pulp from the outer circumference of the ru to the direction of the ru halo, and slide in a clockwise direction, and finally check the ru halo area.

   During the palpation process, pay attention to whether there is a lump, the location, size, texture, boundary, and mobility of the lump. Finally, check the armpits and supraclavicular lymph nodes.

  Hey, some female students are blushing, and some male students are snickering, what's the matter? It means that you don't have a full sense of substitution for your role as a doctor. This is wrong. People who laugh, you can't become a good doctor. "

  When Teacher Zhao said this, everyone dared not laugh anymore.

  Actually, Zhao Yiping didn’t say a word. Clinically, it’s usually older women who suffer from breast diseases.

   This is why other painters only paint girls.

  Zhao Yiping explained while doing, and finally stood up and tapped his waist:

   "It's useless, it's too much to take after only 20 minutes. Next, a few students will do a complete chest physical examination on Chen Qi. Come on, who will come first?"

   Swish, everyone raised their hands. (except pan leaf)

  Students at this time really want to learn skills, and they will not miss any opportunity. Unlike later generations, if the teacher asks this question, most students will probably hide away.

  Zhao Yiping looked around, and immediately thought of Chen Qi's rumored girlfriend, so the idea of ​​a prank came up. Since you didn't raise your hand, you should go first:

   "Then who, Pan Ye, you are the first to try."

"Ah I?"

  The little girl's face turned red all of a sudden, and everyone's eyes were focused on her, which made her heart beat instantly faster.

  Her best friend Wang Jiajia touched her waist and said softly, "Come on, eat tofu in a fair manner."

  Pan Ye gritted her teeth, she didn't want to eat tofu, but her rationality of learning took over. After all, most of those who can go to health school these days, except for some backdoor students, still want to really study.

  Zhao Yiping secretly smiled in his heart, but his face was serious:

   "Okay, classmate Pan Ye, please do a chest palpation first."

   "Ooh."

   "Oh what? The patient's clothes are buttoned, shouldn't you unbutton them first?"

  Wow, some students have already laughed out loud.

  Practice operation is to simulate the real medical environment, so after the practice operation, the model needs to put on the clothes and recover.

  Pan Ye was nervous and forgot about the situation of undressing, and wanted to palpate with his hands, but Zhao Yiping pointed it out, and the little girl's ears turned red.

   While blushing, she began to undress Chen Qi. Coupled with the rumored ambiguous relationship between the two, the whole class immediately looked sideways, including Lan Lijuan, who also tilted her head to look at it.

  What can Chen Qi do? A little beauty took off his clothes for him and forcibly refrained from "driving". If he dared to drive, the Department of Political Affairs and Education would definitely give him a punishment tomorrow.

  If this was the previous life, he would at least tell some pornographic jokes to make fun of it.

The clothes were opened, revealing Mr. Chen's chest and two small spots. Pan Ye stretched out his hands, his thumbs pointed to the xiphoid process along the costal margins on both sides, and his fingertips were on the symmetrical parts on both sides of the midline. First, he made a chest Dilation check.

  Chen Qi's body temperature could be clearly felt by the touch of his hands, which made Pan Ye feel a little overwhelmed, and a feeling of shame, shock and excitement came to his heart.

  Pan Ye has lived for 19 years, and this is also the first time he has met a man. His mouth feels dry and his voice trembles a bit.

   "Patient suffering from... Both sides of the thorax... Both sides of the respiratory movement... Symmetrical to... No obvious abnormality..."

  Zhao Yiping almost rolled on the ground laughing, but still said majesticly:

   "Ahem, what should I do next for voice tremors?"

  Pan Ye stretched out his hand again, and lightly pressed the ulnar sides of his palms to the symmetrical parts on both sides of Chen Qi's chest wall, then lightly gritted his teeth, and quickly demonstrated one side from top to bottom.

  But because she was too nervous, she didn't dare to look into Chen Qi's eyes the whole time, and her palms were covered with sweat.

  Chen Qi saw that it was broken. When doing this examination, the doctor should tell the patient to make a sound of yi~~~ at the same time, otherwise what is voice tremor?

  But Pan Ye got nervous and forgot.

  Chen Qi was a little anxious for her, repeatedly reminding softly: "yi~~~yi~~~"

  Pan Ye would have understood in seconds if it was another person. It wasn't because the model was a special candidate. The little girl was guilty and nervous, so she ignored Chen Qi's kind reminder.

  Zhao Yiping had a dark face, "Student Pan Ye, are you finished?"

   "Huh, huh? Wrong?"

  Zhao Yiping glanced at her angrily,

   "It seems that you didn't listen carefully to the teacher's demonstration just now. You have to read the book carefully when you go back, and you will be practicing soon. You can't go to the clinic with this mentality. The school teacher can tolerate you. When you arrive at the hospital, the teacher will not be too polite."

  When Pan Ye heard this, tears were about to flow down.

  Zhao Yiping ignored her, and called her name again: "Come on, Lan Lijuan, can you demonstrate how to do the correct voice tremor check?"

  Lan Lijuan was startled when she heard it, and just about to refuse, she thought it was in class.

  She didn't hesitate too much, and came directly to Chen Qi's side, "Come on, comrade patient, please listen to my password and call yi~~~"

  Pan Ye was so angry, angry at Teacher Zhao's merciless words, and angry at Chen Qi and Lan Lijuan, a couple of flirtatious men and women, who were flirting with each other in the practical class.

  (end of this chapter)